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‘Sell’ your practice for millions
January 1st 2008Two techniques for selling your practice for millions when you retire are using a nontraditional retirement plan or a captive insurance company to fund a buyout. The key is to plan early. There are no outside buyers of practices willing to pay you millions for your practice anymore. If you want such a buyout, you must plan for it yourself.
Time-tested ingredients, fresh entities provide contemporary therapeutic options
January 1st 2008Several new medications have become available for the treatment of dermatologic disorders in the past year. They include formulations of time-tested ingredients in enhanced vehicles as well as newer entities with safety and/or efficacy advantages.
Derm takes traditionally surgical procedure into the nonsurgical realm
January 1st 2008An unhappy rhinoplasty patient suggested to dermatologist Cameron Rokhsar, M.D., F.A.A.D., F.A.A.C.S., that he use Radiesse, which he was about to inject in her nasolabial folds, to diminish the divots in her nose from a previous rhinoplasty.
Saving for retirement without sacrificing lifestyle
January 1st 2008This is an excellent question because it relates to current lifestyle as well as future planning. You used the word sacrifice and, since you only go around once, why would anyone want to needlessly diminish the quality of life that they could currently enjoy? Your question brings up significant issues, which call into question the very premise of traditional financial planning.
Trials and tribulations of facial surgery
January 1st 2008All dermatologic surgeons have to manage facial nerve injuries and subsequent facial nerve paralysis, whether temporary or permanent, when performing facial surgery. Avoiding facial nerve injury is the best route and this can be best achieved by adequate knowledge of the anatomy as well as understanding tumor type and size.
Satisfaction survey defines what patients want
January 1st 2008Results of an online survey link communication skills, accessibility, and follow-up to patient satisfaction with medical care. Steven R. Feldman, MD, PhD, discusses the importance of characterizing factors influencing patient satisfaction and strategies for improving it.
PSMs contribute to viciousness of CA-MRSA, study shows
January 1st 2008Much of the virulence of community-associated methicillin resistant S. aureus (CA-MRSA) is caused by phenol-soluble modulin (PSM) peptides, a family of proteins that had not previously been studied in the pathogen. The discovery, published in Nature Medicine, opens the door to a better understanding of the infection and potential new targets for intervention.
Medicare change shaves physican reimbursement for Mohs surgery
January 1st 2008The elimination of the Mohs surgery exemption to Medicare's multiple-surgery reduction rule will mean that Mohs surgeons who perform multiple in-office surgeries in one day will earn less for secondary procedures than they cost, sources say.
Reductions in Medicare reimbursement slated for 2008
January 1st 2008Dermatologists once again find themselves at the mercy of the politicians in Washington, facing significant reductions in Medicare reimbursement for 2008, unless Congress once again comes to the rescue - and President Bush signs whatever legislation is passed.
Should I use predispute binding arbitration?
January 1st 2008Dr. Suit has a large dermatology practice in the Sunbelt. He has seen countless numbers of malignant melanoma patients over the past 20 years. Unfortunately, he has been sued four times on the issue of misdiagnosis of melanoma. Three cases went to court, and in the two cases in which the patient died, he lost multimillion-dollar lawsuits because of sympathetic juries.