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Influx of older patients provides growth opportunities for derm practices
March 18th 2013The 65-and-older population grew at a faster rate than the total population between 2000 and 2010, according to the U.S. Census. And if they haven’t already started, nearly all of these patients will be flooding dermatologists’ offices soon, says Wendy Roberts, M.D., who is in private practice, Rancho Mirage, Calif.
Physicians have legal obligation to provide safe working environments
March 18th 2013Workplace violence not only compromises employee safety, it also has legal implications. In 1996, OSHA established federal guidelines for businesses implementing violence-prevention programs. The guidelines, although not mandatory, are often cited in workplace violence-related lawsuits.
Late-onset psoriasis demonstrates different genetic factors than early-onset
March 18th 2013Although the clinical symptoms and overall management of early- and late-onset psoriasis are similar, late-onset psoriasis can offer very different challenges ranging from disease severity to the heightened caution required when choosing systemic therapies.
Knowledge of fillers' characteristics prevents potential complications
March 18th 2013Knowing the specific characteristics of a filler and the potential complications that can arise, and how to deal with those problems, is crucial in performing effective and safe filler procedures, says Joseph E. Hkeik, M.B.B.S., F.R.A.C.G.P., F.F.M.A.C.C.S., D.P.D.
Periocular aging targetable with a host of minimally invasive devices
March 18th 2013Multiple changes in the skin and underlying tissues contribute to the appearance of periocular aging, and several options rejuvenate the eyes without performing incisional surgery. Often, the best outcome depends on a combination approach, but the plan should be individualized based on findings from the physical exam and factoring in any budget limitations the patient may have, says Rhoda S. Narins, M.D.
For some facial rejuvenation needs, hyaluronic acid may not be the top choice
March 18th 2013Although hyaluronic acid (HA) has proven to be a versatile dermal filler in a variety of formulations, special circumstances may require other materials, says an expert who spoke at the Cosmetic Surgery Forum.
Home-use aesthetic products provide some cosmetic benefit
March 18th 2013Home-use aesthetic devices are proliferating and improving, according to an expert. Joel Schlessinger, M.D., says that, increasingly, patients want to know if home-use dermatologic devices work. Many such devices probably provide some benefit, he says, though they are generally geared toward cosmetic rather than medical indications.
Organ transplant recipients present unique challenges for skin cancer care
March 18th 2013The treatment and management of skin cancers in organ transplant recipients (OTR) is challenging. Recent breakthrough medications and combination treatment approaches have resulted in more effective therapeutic options for this patient population.
Year-end budget deal, Affordable Care Act mean a bigger bite out of earnings
March 18th 2013The start of 2013 found Congress in frantic negotiations to avoid the so-called fiscal cliff, which it did (barely) with passage of the American Taxpayer Relief Act (ATRA) on Jan. 1. As a result, most Americans, including physicians, will see their taxes increase. For those who earn more than $400,000 and/or have significant investment income, the added tax bite you will feel beginning this year could be especially significant.
Patient-centered approach to education maximizes treatment success
March 18th 2013Even if a dermatologist has only a few minutes per visit to devote to patient education, taking a practical approach can boost the impact of these efforts, says Judith Hong, M.D., a third-year dermatology resident at the University of California, San Francisco.
Communication, caring are best ways to manage patient disappointments
March 18th 2013To address a medical mistake or unsatisfactory outcome, Neil S. Prose, M.D., has a unique suggestion: “Imagine yourself on the opposite side of the table from the patient, with the problem in the middle. Then imagine what it would take to get on the same side of the table, working together.”
New year, new tax changes for high earners
March 18th 2013Nervousness over the potential of falling off the oft-publicized “fiscal cliff” was averted when the American Taxpayer Relief Act of 2012 (ATRA) was approved by the House and Senate and signed into law by President Obama. The legislation addressed and resolved most of the tax uncertainty that made year-end tax planning for 2012 so difficult for many people. Unfortunately, however, the final resolution of issues related to spending cuts and the debt ceiling was delayed.
Healthcare reform demands cost-effectiveness
March 12th 2013Dermatologists can provide value in the era of healthcare reform by realistically gauging the cost-effectiveness of many treatment strategies, according to an expert who spoke at the 71st annual meeting of the American Academy of Dermatology in Miami Beach, Fla.