Can any specialist open a "MedSpa" that offers beauty treatments?

[HriRish]

Say you're a cardiologist. Can you open a "MedSpa" that offers treatments like microdermabrasion, Obagi peels, IPL treatment, botox, and other fillers/non-invasive treatments? What certifications would this require? Can any physician, regardless of his specialty, open such a place?

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[asmallchild]

Say you're a cardiologist. Can you open a "MedSpa" that offers treatments like microdermabrasion, Obagi peels, IPL treatment, botox, and other fillers/non-invasive treatments? What certifications would this require? Can any physician, regardless of his specialty, open such a place?

This was addressed in the JoAAD in the past few months. Can you? Sure. Is it wise? Of course not.

 

[IamnotFreud]

Say you're a cardiologist. Can you open a "MedSpa" that offers treatments like microdermabrasion, Obagi peels, IPL treatment, botox, and other fillers/non-invasive treatments? What certifications would this require? Can any physician, regardless of his specialty, open such a place?

I think it's pretty commonly done by a number of physicians. I've seen IM/FM/ob's/ophthos/plastic surgeons/other surgeons open up med spas and do quite well. You have to be smart, business savvy, get good staff, etc.

 

[HriRish]

I think it's pretty commonly done by a number of physicians. I've seen IM/FM/ob's/ophthos/plastic surgeons/other surgeons open up med spas and do quite well. You have to be smart, business savvy, get good staff, etc.

Thanks a bunch for the insights folks. My question then is, if ANY specialist can theoretically open such a practice that encroaches upon MUCH of what a dermatologist (Especially a cosmetic based practice) or to some extent, what a plastic surgeon with a focus on the aesthetic side of things does, then WHY is the competition to match into DERM/Plastics so HIGH? I mean theoretically, with market saturation and everyone scrambling to make a quick buck piggybacking on the "MedSpa" craze, you would expect that Derms and other specialists that charge a pretty penny for the same service would have a harder time attracting referrals and patients. Am I missing something here? I know certain sub-specialties in Derm are more focused on things like Mohs surgery, cancer, etc, but the vast majority of what I've seen shadowing Derms has been cosmetic related stuff.

 

[asmallchild]

Thanks a bunch for the insights folks. My question then is, if ANY specialist can theoretically open such a practice that encroaches upon MUCH of what a dermatologist (Especially a cosmetic based practice) or to some extent, what a plastic surgeon with a focus on the aesthetic side of things does, then WHY is the competition to match into DERM/Plastics so HIGH? I mean theoretically, with market saturation and everyone scrambling to make a quick buck piggybacking on the "MedSpa" craze, you would expect that Derms and other specialists that charge a pretty penny for the same service would have a harder time attracting referrals and patients. Am I missing something here? I know certain sub-specialties in Derm are more focused on things like Mohs surgery, cancer, etc, but the vast majority of what I've seen shadowing Derms has been cosmetic related stuff.

You are talking about a cash-paying patient population. A population that is often difficult to deal with, difficult to pry away, and for the most part, have done their research.

Not a group that will ask their cardiologist to perform cosmetic procedures.....

 

[HriRish]

You are talking about a cash-paying patient population. A population that is often difficult to deal with, difficult to pry away, and for the most part, have done their research.

Not a group that will ask their cardiologist to perform cosmetic procedures.....

Brilliant. I suppose my fears of having Derm related procedures outsourced to lesser qualified individuals were largely unfounded then. Thanks.

 

[IamnotFreud]

Brilliant. I suppose my fears of having Derm related procedures outsourced to lesser qualified individuals were largely unfounded then. Thanks.

I think that if you believe that, you are rather naive. There is a false impression by dermatologists that "cosmetics" belongs to them somehow. I am not sure what you think constitutes "lesser qualified" - you think botox and laser or other cosmetic procedures are difficult to do? There are tons and tons of perfectly well qualified doctors out there who are non dermatologists who do cosmetic procedures. What makes you think that dermatology owns cosmetic procedures? And if you think so lowly of your fellow physicians to think they are "lesser qualified" to do cosmetics because they are not dermatologists, you are in for a rude awakening. Lastly, if you truly are a pre-med, asking this question with an intent of going into dermatology is one of the reasons that dermatology has such a poor image.

 

[username456789]

Lastly, if you truly are a pre-med, asking this question with an intent of going into dermatology is one of the reasons that dermatology has such a poor image.

Dermatology has about the best image there is.

 

[IamnotFreud]

Dermatology has about the best image there is.

No, not really. Dermatology is equated with little work, and cash from cosmetic procedures. Reason why the premeds ask whether others can do cosmetics. If that's what you want to be known for, more power to you but it's rather sad. I'm not sure why anyone would go to med school if they just want to do cosmetics.

 

[username456789]

No, not really. Dermatology is equated with little work, and cash from cosmetic procedures. Reason why the premeds ask whether others can do cosmetics. If that's what you want to be known for, more power to you but it's rather sad. I'm not sure why anyone would go to med school if they just want to do cosmetics.

You are hilariously and naively condescending. If you tone the misdirected hatred down a bit, people might take you seriously.

 

[HriRish]

I think that if you believe that, you are rather naive. There is a false impression by dermatologists that "cosmetics" belongs to them somehow. I am not sure what you think constitutes "lesser qualified" - you think botox and laser or other cosmetic procedures are difficult to do? There are tons and tons of perfectly well qualified doctors out there who are non dermatologists who do cosmetic procedures. What makes you think that dermatology owns cosmetic procedures? And if you think so lowly of your fellow physicians to think they are "lesser qualified" to do cosmetics because they are not dermatologists, you are in for a rude awakening. Lastly, if you truly are a pre-med, asking this question with an intent of going into dermatology is one of the reasons that dermatology has such a poor image.

Hold your horses man. I never implied that other physicians were somehow less intelligent- just not as qualified as a dermatologist to do certain procedures (not necessarily botox or laser, but more specialized treatments) And the reason I like derm is not because of its cosmetic applications or the potential to make big bucks, but because I have personally been affected by psoriasis and have visited dermatologists for treatments since I was a child. Its part of the reason I am interested in medicine and would like to go into derm. I dont understand why you are implying that dermatology is somehow considered a "lowly" specialty- its quite clear that its the most competitive specialty to match into. Only the best medical students match into it, from what I've seen from my research.

 

[username456789]

Hold your horses man. I never implied that other physicians were somehow less intelligent- just not as qualified as a dermatologist to do certain procedures (not necessarily botox or laser, but more specialized treatments) And the reason I like derm is not because of its cosmetic applications or the potential to make big bucks, but because I have personally been affected by psoriasis and have visited dermatologists for treatments since I was a child. Its part of the reason I am interested in medicine and would like to go into derm,

Psoriasis is all in your mind. Dermatologists cannot treat this made up condition, nor would they want to. But they can inject your lips with poison.

For a large fee, of course. Cash only, please.

 

[sore eye asses]

No, not really. Dermatology is equated with little work, and cash from cosmetic procedures. Reason why the premeds ask whether others can do cosmetics. If that's what you want to be known for, more power to you but it's rather sad. I'm not sure why anyone would go to med school if they just want to do cosmetics.

I only did it because I got rejected when I applied to cosmetology school.

 

[IamnotFreud]

Hold your horses man. I never implied that other physicians were somehow less intelligent- just not as qualified as a dermatologist to do certain procedures (not necessarily botox or laser, but more specialized treatments) And the reason I like derm is not because of its cosmetic applications or the potential to make big bucks, but because I have personally been affected by psoriasis and have visited dermatologists for treatments since I was a child. Its part of the reason I am interested in medicine and would like to go into derm. I dont understand why you are implying that dermatology is somehow considered a "lowly" specialty- its quite clear that its the most competitive specialty to match into. Only the best medical students match into it, from what I've seen from my research.

Lol, you are a book case. This is typical. You came into a dermatology forum, as a pre-med, asking whether other "less qualified" doctors could basically invade on the cosmetic turf. If you really did not care about cosmetics but academic derm then you would not have asked about cosmetics. If you are going to be an academic dermatologist, who cares about cosmetics right? When you are challenged, the typical defensive rhetoric comes out about how you were affected by something.

Of course derm is competitive, it's great $$ for very low stress, low liability, flexible, no call work. The $ derm makes for the work is the best gig in medicine. Next time, if you don't want to be perceived from such an early start as money hungry person, perhaps you should reconsider your posts.

 

[HriRish]

I only did it because I got rejected when I applied to cosmetology school.

 

[IamnotFreud]

I only did it because I got rejected when I applied to cosmetology school.

I really enjoy your posts sore eye. I think you are absolutely hilarious. I bet you crack your patients up.

 

[HriRish]

Haha you got me! Not really though. I'm just a naive pre-med who, after witnessing his dermatologist perform certain cosmetic procedures, and seeing other specialists offer the same treatments, was paranoid that the more complicated derm procedures might follow suit. Forgive my ignorance.

 

[IamnotFreud]

Haha you got me! Not really though. I'm just a naive pre-med who, after witnessing his dermatologist perform certain cosmetic procedures, and seeing other specialists offer the same treatments, was paranoid that the more complicated derm procedures might follow suit. Forgive my ignorance.

Uh huh. It's far more honest to say, I want to make good bucks with little work.

 

[HriRish]

LOL! Whatever you say sir.

 

[Pam fyck us]

Lol, you are a book case. This is typical. You came into a dermatology forum, as a pre-med, asking whether other "less qualified" doctors could basically invade on the cosmetic turf. If you really did not care about cosmetics but academic derm then you would not have asked about cosmetics. If you are going to be an academic dermatologist, who cares about cosmetics right? When you are challenged, the typical defensive rhetoric comes out about how you were affected by something.

Next time, if you don't want to be perceived from such an early start as money hungry person, perhaps you should reconsider your posts.

Or, instead of reconsidering his legitimate posts, he could just hope that someone as ******ed as yourself doesn't continue to twist what he said in a misguided effort to pursue some vengeful rant against dermatology and how terrible its image is (which I'll leave alone since it's an argument/discussion you've already expertly won in your own head).

You somehow don't understand what the word "unqualified" means (I only unnecessarily used quotes because you did and I really liked the literary effect it created, even though it works against me). His original question was legitimate, which you treated as such until he mentioned the part about having "lesser-qualified" providers do procedures, setting off your unnecessarily defensive "don't think you're bettter than us, we're just as smart as you" trip. He wasn't saying that anyone who isn't a dermatologist/plastic surgeon is too "lowly" (words you put into his mouth) or not smart enough to do the procedures (although your critical reading skills and inability to follow simple logic would make you suspect). All he said was "less-qualified," which you irrationally inferred to mean inferior.
To understand this, you could use the OPs example of a cardiologist. I believe most interventional cardiologist are just as smart as myself and vice versa, however, that doesn't make them automatically qualified to do dermabrasion and me automatically qualified to do brain surgery or whatever it is they do. The simple fact is that most neurologist, radiologist, GI, PMR, etc... have never done any advanced cosmetic procedures and are therefore - here's comes the shocker - less qualified! That doesn't mean they are defunct or unworthy doctors, it means that they happen to be more qualified in other aspects of medicine and haven't done many cases of dermabrasion. This is such a basic point I can't believe actually I just had to explain it, but it seems that you actaully needed someone to do you a favor on this.

I won't get too far into the other examples of your twisted logic, but it's messed up that you're calling him out for being a book case (did you mean basket case, or did you intend to imply that he stands still for long periods of time, situated against a wall, holding books?) when the fact is that you're the only one in the conversation that's drawing inaccurate conclusions and making unfair assumptions.
You felt the need to call him a liar because he asked a question about cosmetic practice models, but then later expressed an interest in academic medicine.... You somehow failed to realize that he never said he wanted to go into academic medicine. Once again, this was an inaccurate conclusion you made, which you then derided him for... seems a little backwards, right?
Firstly, you unfairly assumed that because his original question was in regards to cosmetics that he must only be interested in derm for that reason (which is an unfair conclusion for you to make), provoking him to explain that his interest in the field was piqued because he was unlucky enough to have caught himself a bad case of sore eye assess early on in life. It is absolutely beyond me how you took this information, jumped to the conclusion that he wants to do academic dermatology (he never said he was interested in doing research or solely treating psoriasis patients - even if psoriasis was a clinical interest of his, most patients are seen and treated outside of academia), and then decided that because of his lifelong desire both enter academia (your conclusion) and to open a sweet new medical/cosmetic spa (your conclusion) that he must be both a liar and a piece of overpriced IKEA furniture.

So far, you've inappropriately misjudged every statement along the way and twisted what he said just so that you could pick a fight with it.


Dear OP: although I'mCrazierThanFreud feels the need to outwardly declare his (inaccurate) belief that you apparently embody all that is wrong in medicine, please don't take it seriously. Most of us in medicine are not nearly so ridiculous and condescending toward well-intentioned people such as yourself, and we are actually a fun and helpful bunch. If you're ever in doubt, you can always hang around the derm folk - we're obviously too lazy and busy counting our fat stacks to be so disparagingly rude...or maybe that's the result of some character flaw we all happen to have in common.

 

[HriRish]

Or, instead of reconsidering his legitimate posts, he could just hope that someone as ******ed as yourself doesn't continue to twist what he said in a misguided effort to pursue some vengeful rant against dermatology and how terrible its image is (which I'll leave alone since it's an argument/discussion you've already expertly won in your own head).

You somehow don't understand what the word "unqualified" means (I only unnecessarily used quotes because you did and I really liked the literary effect it created, even though it works against me). His original question was legitimate, which you treated as such until he mentioned the part about having "lesser-qualified" providers do procedures, setting off your unnecessarily defensive "don't think you're bettter than us, we're just as smart as you" trip. He wasn't saying that anyone who isn't a dermatologist/plastic surgeon is too "lowly" (words you put into his mouth) or not smart enough to do the procedures (although your critical reading skills and inability to follow simple logic would make you suspect). All he said was "less-qualified," which you irrationally inferred to mean inferior.
To understand this, you could use the OPs example of a cardiologist. I believe most interventional cardiologist are just as smart as myself and vice versa, however, that doesn't make them automatically qualified to do dermabrasion and me automatically qualified to do brain surgery or whatever it is they do. The simple fact is that most neurologist, radiologist, GI, PMR, etc... have never done any advanced cosmetic procedures and are therefore - here's comes the shocker - less qualified! That doesn't mean they are defunct or unworthy doctors, it means that they happen to be more qualified in other aspects of medicine and haven't done many cases of dermabrasion. This is such a basic point I can't believe actually I just had to explain it, but it seems that you actaully needed someone to do you a favor on this.

I won't get too far into the other examples of your twisted logic, but it's messed up that you're calling him out for being a book case (did you mean basket case, or did you intend to imply that he stands still for long periods of time, situated against a wall, holding books?) when the fact is that you're the only one in the conversation that's drawing inaccurate conclusions and making unfair assumptions.
You felt the need to call him a liar because he asked a question about cosmetic practice models, but then later expressed an interest in academic medicine.... You somehow failed to realize that he never said he wanted to go into academic medicine. Once again, this was an inaccurate conclusion you made, which you then derided him for... seems a little backwards, right?
Firstly, you unfairly assumed that because his original question was in regards to cosmetics that he must only be interested in derm for that reason (which is an unfair conclusion for you to make), provoking him to explain that his interest in the field was piqued because he was unlucky enough to have caught himself a bad case of sore eye assess early on in life. It is absolutely beyond me how you took this information, jumped to the conclusion that he wants to do academic dermatology (he never said he was interested in doing research or solely treating psoriasis patients - even if psoriasis was a clinical interest of his, most patients are seen and treated outside of academia), and then decided that because of his lifelong desire both enter academia (your conclusion) and to open a sweet new medical/cosmetic spa (your conclusion) that he must be both a liar and a piece of overpriced IKEA furniture.

So far, you've inappropriately misjudged every statement along the way and twisted what he said just so that you could pick a fight with it.


Dear OP: although I'mCrazierThanFreud feels the need to outwardly declare his (inaccurate) belief that you apparently embody all that is wrong in medicine, please don't take it seriously. Most of us in medicine are not nearly so ridiculous and condescending toward well-intentioned people such as yourself, and we are actually a fun and helpful bunch. If you're ever in doubt, you can always hang around the derm folk - we're obviously too lazy and busy counting our fat stacks to be so disparagingly rude...or maybe that's the result of some character flaw we all happen to have in common.

Couldn't have written a better rebuttal. Thank you dear sir.

 

[DermViser]

I don't think entering academia is really what they're arguing about. It's cosmetic dermatology vs. medical dermatology. Just bc one works in academic dermatology, doesn't mean you don't do cosmetics. There are tons of medical school derm faculty that state that their area of focus is cosmetics and they don't do medical dermatology.

I could be completely wrong but the OP's post on "MedSpas that offer beauty treatments" and his initial "fears of having Derm related procedures outsourced" and him being "paranoid that the more complicated derm procedures might follow suit" are clearly related to cosmetic dermatology, and not with medical dermatology. I don't think his fear is about non-dermatologists suddenly taking up procedures in melanoma or treating psoriasis so let's just call a spade, a spade.

There are a number of Dermatology residency programs that do not give enough practice for residents in cosmetic dermatology,[highly dependent on the program]. I also don't think we have a "right" to say cosmetic dermatology belongs only to us. Plastic surgeons could make just as good an argument as dermatologists. Eye doctors who do Oculoplastics could say dermatologists have no business doing Botox anywhere near the eyes, bc that's their turf. Vascular surgeons could say we have no business treating varicose veins bc that's theirs. With all of cosmetic dermatology companies giving courses/seminars/workshops with certifications to non-dermatologists saying that the person is certified to do their specific cosmetic procedure, and with many dermatologist practices actively hiring non-dermatologist physicians to enter their practices, it's pretty clear that cosmetics isn't owned by us.

 

[IamnotFreud]

I don't think entering academia is really what they're arguing about. It's cosmetic dermatology vs. medical dermatology. Just bc one works in academic dermatology, doesn't mean you don't do cosmetics. There are tons of medical school derm faculty that state that their area of focus is cosmetics and they don't do medical dermatology.

I could be completely wrong but the OP's post on "MedSpas that offer beauty treatments" and his initial "fears of having Derm related procedures outsourced" and him being "paranoid that the more complicated derm procedures might follow suit" are clearly related to cosmetic dermatology, and not with medical dermatology. I don't think his fear is about non-dermatologists suddenly taking up procedures in melanoma or treating psoriasis so let's just call a spade, a spade.

There are a number of Dermatology residency programs that do not give enough practice for residents in cosmetic dermatology,[highly dependent on the program]. I also don't think we have a "right" to say cosmetic dermatology belongs only to us. Plastic surgeons could make just as good an argument as dermatologists. Eye doctors who do Oculoplastics could say dermatologists have no business doing Botox anywhere near the eyes, bc that's their turf. Vascular surgeons could say we have no business treating varicose veins bc that's theirs. With all of cosmetic dermatology companies giving courses/seminars/workshops with certifications to non-dermatologists saying that the person is certified to do their specific cosmetic procedure, and with many dermatologist practices actively hiring non-dermatologist physicians to enter their practices, it's pretty clear that cosmetics isn't owned by us.

Precisely. I have no clue why the previous person went insane and on a defensive tirade. "Let's just call a spade, a spade..." Exactly. As you mentioned, pretending that OP is concerned about anything else other than cosmetics is silly. Let's called things for what they are. Your second paragraph is very well put and I'm glad that you mentioned that cosmetics belongs to no one really. Most physicians, regardless of specialty, are qualified if they are trained. A dermatology resident with no cosmetics training is just as qualified as an internal medicine or rad onc resident with no cosmetics training. Any of them can become well qualified if properly trained.

 

[DermViser]

Precisely. I have no clue why the previous person went insane and on a defensive tirade. "Let's just call a spade, a spade..." Exactly. As you mentioned, pretending that OP is concerned about anything else other than cosmetics is silly. Let's called things for what they are. Your second paragraph is very well put and I'm glad that you mentioned that cosmetics belongs to no one really. Most physicians, regardless of specialty, are qualified if they are trained. A dermatology resident with no cosmetics training is just as qualified as an internal medicine or rad onc resident with no cosmetics training. Any of them can become well qualified if properly trained.

What caught my attention was when the person said, "I believe most interventional cardiologist are just as smart as myself and vice versa, however, that doesn't make them automatically qualified to do dermabrasion and me automatically qualified to do brain surgery or whatever it is they do." ---- I nearly fell over in laughter in reading that.

The person will eventually figure out that new cosmetic procedures and treatments come out all the time and will continue to come and go after your dermatology residency is over, and you learn them by attending these courses/seminars/workshops which are through the company itself with usually a paid dermatology MD spokesperson.

 

[Pam fyck us]

I don't think entering academia is really what they're arguing about. It's cosmetic dermatology vs. medical dermatology. Just bc one works in academic dermatology, doesn't mean you don't do cosmetics. There are tons of medical school derm faculty that state that their area of focus is cosmetics and they don't do medical dermatology.

I could be completely wrong but the OP's post on "MedSpas that offer beauty treatments" and his initial "fears of having Derm related procedures outsourced" and him being "paranoid that the more complicated derm procedures might follow suit" are clearly related to cosmetic dermatology, and not with medical dermatology. I don't think his fear is about non-dermatologists suddenly taking up procedures in melanoma or treating psoriasis so let's just call a spade, a spade.

There are a number of Dermatology residency programs that do not give enough practice for residents in cosmetic dermatology,[highly dependent on the program]. I also don't think we have a "right" to say cosmetic dermatology belongs only to us. Plastic surgeons could make just as good an argument as dermatologists. Eye doctors who do Oculoplastics could say dermatologists have no business doing Botox anywhere near the eyes, bc that's their turf. Vascular surgeons could say we have no business treating varicose veins bc that's theirs. With all of cosmetic dermatology companies giving courses/seminars/workshops with certifications to non-dermatologists saying that the person is certified to do their specific cosmetic procedure, and with many dermatologist practices actively hiring non-dermatologist physicians to enter their practices, it's pretty clear that cosmetics isn't owned by us.

At no point did I advocate or say that cosmetics should be a dermatology restricted, or even predominated, field. I happily agree otherwise, as multiple specialties having the training and qualifications. Merely defending a pre-med who was asking fair questions and Freud felt the need to push into a corner unnecessarily.

 

[Pam fyck us]

What caught my attention was when the person said, "I believe most interventional cardiologist are just as smart as myself and vice versa, however, that doesn't make them automatically qualified to do dermabrasion and me automatically qualified to do brain surgery or whatever it is they do." ---- I nearly fell over in laughter in reading that.

I'm happy you got (and appreciated) the joke.

 

[N-Surge]

What caught my attention was when the person said, "I believe most interventional cardiologist are just as smart as myself and vice versa, however, that doesn't make them automatically qualified to do dermabrasion and me automatically qualified to do brain surgery or whatever it is they do." ---- I nearly fell over in laughter in reading that.

The person will eventually figure out that new cosmetic procedures and treatments come out all the time and will continue to come and go after your dermatology residency is over, and you learn them by attending these courses/seminars/workshops which are through the company itself with usually a paid dermatology MD spokesperson.

Don't forget the free dinner.

Sent from my GT-P7510 using SDN Mobile

 

[Taurus]

Pretty much any provider with a health-related license can open a cosmetics practice or give boxox.

MD, NP, PA, dentists, pharmD, ND, etc.

Here's a medspa run by naturopathic "medical doctors"

http://www.dermahealthinstitute.com/about-us

Here's a dentist.

http://www.houstonbotoxdentist.com/

Just do a google search. So many out there.

Bottom line, no one owns "cosmetics". The only advantage that derms have is that they can call themselves "board-certified dermatologists", but even that will be under assault as the DNP's start to create to derm fellowships for themselves.

Jay L. Blake, DNP


Training in a Dermatology Fellowship for Nurse Practitioners

So what do you call a DNP who has done a derm fellowship and passed "boards"? Board-certified dermatologist.

 

[N-Surge]

What do you call an MD who has passed the American Board of Dermatology examination? ...MD FAAD

Sent from my Nexus 4 using SDN Mobile

 

[asmallchild]

What do you call an MD who has passed the American Board of Dermatology examination? ...MD FAAD

Sent from my Nexus 4 using SDN Mobile

One and only

 

[Pam fyck us]

So what do you call a DNP who has done a derm fellowship and passed "boards"? Board-certified dermatologist.

What do you call a provider who started his business from scratch?

A dermatologist.

 

[Pam fyck us]

What do you call an MD who has passed the American Board of Dermatology examination? ...MD FAAD

Sure, but the point is that every DNP could have been a FAAD, they just chose not to, therefore, your argument is entirely mute.

Plus, they have every right to be referred to as their newly earned title, Fellow of Dermatology (FOD). The de facto distinction between FAAD and FOD is obvious to the general public and completely harmless. Don't be a bigot, just agree with me...

 

[DermViser]

Sure, but the point is that every DNP could have been a FAAD, they just chose not to, therefore, your argument is entirely mute

I could be mistakened but where can DNPs certify as FAAD? http://www.aad.org/member-tools-and...te-membership/fellow-and-associate-membership

Luckily the AAD hasn't gone that crazy (yet)

Plus, they have every right to be referred to as their newly earned title, Fellow of Dermatology (FOD). The de facto distinction between FAAD and FOD is obvious to the general public and completely harmless. Don't be a bigot, just agree with me...

Yeah, I'm sure the layman out there specifically searches for providers based on having the FAAD.

 

[asmallchild]

It's worth repeating for those pre-meds, medical students, and occasional disgruntled radiology residents out there: do right by the patient. There's nothing wrong with an interest in cosmetics and should you choose to pursue that interest through oculoplastics, dermatology, plastics, otolaryngology, etc..., more power to you

For those of you looking to cut corners, it's just not that simple. There's money to be made in cosmetics but it's not easy money. As I stated earlier, this patient population can often be difficult to deal with, difficult to pry away from already established providers, and difficult to hoodwink (it is difficult enough for our procedural fellow, MD FAAD, to get hands-on experience, I assure you patients are not banging down the doors at DNP clinics for these expensive procedures). I'm sure there are isolated success stories of mid-levels running cosmetic clinics but this is not a common practice.

 

[N-Surge]

Sure, but the point is that every DNP could have been a FAAD, they just chose not to, therefore, your argument is entirely mute.

Plus, they have every right to be referred to as their newly earned title, Fellow of Dermatology (FOD). The de facto distinction between FAAD and FOD is obvious to the general public and completely harmless. Don't be a bigot, just agree with me...

Negatory... The AAD decides who sits for the examination, MDs and DOs (physicians) who have gone through the physician Residency.

I tend to steer clear of agreeing with the ill informed a confabulators.

Let's stop feeding the troll. This is mostly directed towards me, as I will not be reading this thread after I hit "submit" for my reply.

Derm viser, points well taken.

Sent from my GT-P7510 using SDN Mobile

 

[Taurus]

Lol.

While derm wasn't looking, other areas have gotten interested in cosmetics.

Botox is big business in dentistry. My wife's aunt's dentistry practice been doing it for a while. Many dental practices will offer it. I'm sure if my wife and I open a dental practice we will offer it too, in addition to other services.

Just do a google search.

Most dentists are surprised to learn that most of the states and provinces in the US and Canada allow general dentists to perform both Botox and dermal fillers in the oral and maxillofacial areas WITH PROPER TRAINING.

Like I said, no one owns cosmetics. Medicine is a constant turf battle. Derm has advantages over other fields in cosmetics but there's nothing special about cosmetics that keeps other fields from learning and providing it.

 

[asmallchild]

Lol.

While derm wasn't looking, other areas have gotten interested in cosmetics.

Botox is big business in dentistry. My wife's aunt's dentistry practice been doing it for a while. Many dental practices will offer it. I'm sure if my wife and I open a dental practice we will offer it too, in addition to other services.

Just do a google search.

Most dentists are surprised to learn that most of the states and provinces in the US and Canada allow general dentists to perform both Botox and dermal fillers in the oral and maxillofacial areas WITH PROPER TRAINING.

Like I said, no one owns cosmetics. Medicine is a constant turf battle. Derm has advantages over other fields in cosmetics but there's nothing special about cosmetics that keeps other fields from learning and providing it.

No one said anything about dermatology owning cosmetics. I've listed numerous other fields that are key players. Dentists and DNPs and whoever-else-you-want-to-throw-in-the-pot will have isolated success stories here and there but do not represent a consistent threat.

 

[reno911]

I just assumed that Pam was making a joke about how so many DNPs, NPs, etc. claim that they were perfectly capable of becoming MDs, but they just chose not to because nursing was just more rewarding, more caring, etc.

 

[Hoser]

I've seen a surprising number of Ob/gyns who are now running mostly aesthetic practices.

 

[path or no path]

I've seen a surprising number of Ob/gyns who are now running mostly aesthetic practices.

http://www.irvinelasercenter.com/doctor.html

 

[Pam fyck us]

I just assumed that Pam was making a joke about how so many DNPs, NPs, etc. claim that they were perfectly capable of becoming MDs, but they just chose not to because nursing was just more rewarding, more caring, etc.

You assumed correctly.

 

[sore eye asses]

I think only dermatologists can do botox because they are the goodest at it. They always put in the right amount and it paralyzes my muscles better when they do it. I had my botox done by an ob/gyn once and it just didn't seem to paralyze my muscles as good. This is why I think botox is best. It's probably the best thing that a dermatologist can do. I also think dermatologists are good at making me feel special in my own skin.

One time i had a rash on my crotch and a dermatologist told me it wasn't a rash and that was just how my crotch looked. Turned out he was right. i just have a crotch that looks like it has a rash.

Another great thing about dermatologists is that they are sooooooooo good at botox. I once knew this dermatologist that could do botox with one hand. ONE HAND!!! Everyone knows it takes two hands to do botox, but this dermatologist did it with one and it was beautiful and it made me cry.

So, in summary, I think dermatologists are really nice and good and probably the best at botox, probably better than ob/gyns. They can tell you when your crotch rash is just your normal crotch and they can put botox in your face. They are caring and they love their patients. I once saw a dermatologist hug a patient for a long time and initially this seemed to frighten the patient, but after a few moments she realized her doctor was a dermatologist and then she just smiled because she knew she was safe.

 

[infarct]

I think only dermatologists can do botox because they are the goodest at it. They always put in the right amount and it paralyzes my muscles better when they do it. I had my botox done by an ob/gyn once and it just didn't seem to paralyze my muscles as good. This is why I think botox is best. It's probably the best thing that a dermatologist can do. I also think dermatologists are good at making me feel special in my own skin.

One time i had a rash on my crotch and a dermatologist told me it wasn't a rash and that was just how my crotch looked. Turned out he was right. i just have a crotch that looks like it has a rash.

Another great thing about dermatologists is that they are sooooooooo good at botox. I once knew this dermatologist that could do botox with one hand. ONE HAND!!! Everyone knows it takes two hands to do botox, but this dermatologist did it with one and it was beautiful and it made me cry.

So, in summary, I think dermatologists are really nice and good and probably the best at botox, probably better than ob/gyns. They can tell you when your crotch rash is just your normal crotch and they can put botox in your face. They are caring and they love their patients. I once saw a dermatologist hug a patient for a long time and initially this seemed to frighten the patient, but after a few moments she realized her doctor was a dermatologist and then she just smiled because she knew she was safe.

 

[VenusinFurs]

I think only dermatologists can do botox because they are the goodest at it. They always put in the right amount and it paralyzes my muscles better when they do it. I had my botox done by an ob/gyn once and it just didn't seem to paralyze my muscles as good. This is why I think botox is best. It's probably the best thing that a dermatologist can do. I also think dermatologists are good at making me feel special in my own skin.

One time i had a rash on my crotch and a dermatologist told me it wasn't a rash and that was just how my crotch looked. Turned out he was right. i just have a crotch that looks like it has a rash.

Another great thing about dermatologists is that they are sooooooooo good at botox. I once knew this dermatologist that could do botox with one hand. ONE HAND!!! Everyone knows it takes two hands to do botox, but this dermatologist did it with one and it was beautiful and it made me cry.

So, in summary, I think dermatologists are really nice and good and probably the best at botox, probably better than ob/gyns. They can tell you when your crotch rash is just your normal crotch and they can put botox in your face. They are caring and they love their patients. I once saw a dermatologist hug a patient for a long time and initially this seemed to frighten the patient, but after a few moments she realized her doctor was a dermatologist and then she just smiled because she knew she was safe.

Best personal statement I've ever seen.

 

[N-Surge]

OK, sore eye and Fyck Pam love you two. I was having a sad moment in loss of synical SDN satire...

I think, no... I know the only ones who should be running Jedi spas (I love autocorrect) are preschoolers let loose with street chalk and Sharpies. =P

Sent from my Nexus 4 using SDN Mobile

 

[Pam fyck us]

OK, sore eye and Fyck Pam love you two. I was having a sad moment in loss of synical SDN satire...

I think, no... I know the only ones who should be running Jedi spas (I love autocorrect) are preschoolers let loose with street chalk and Sharpies. =P

A surprisingly qualified bunch, actually. Their use as Physician Extenders is quite brilliant, especially since they'll work for graham crackers and juice (costs <<<< $$$ than signing on a DNP). I might start my own Charter School and then just labor out all the preschoolers as my own little Botox work-monkeys - it's genius!

...if I can somehow avoid paying for the health insurance policies of my entire army of botox-minions (damn you Obama!), and find a way to subvert productivity losses encountered by daily nap times, I'll be golden.