Medesthetics

MAY-JUN 2014

MedEsthetics—business education for medical practitioners—provides the latest noninvasive cosmetic procedures, treatment trends, product and equipment reviews, legal issues and medical aesthetics industry news.

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August 29 – Advances in Skin Pigmentation Treatment December 9 – Essential Advances in Skin Resurfacing For more information, visit zoskinhealth.com/education/ EVENTS 2014 May 15-17 World Anti-Aging Congress & Exposition, Gay- lord Palms Resort, Kissimmee, FL. Contact: 888.997.0112, a4m.com May 27-31 Annual Meeting of the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS), New York Marriott Marquis, New York City. Contact: 703.299.9291, aafprs.org May 29-31 24 th Annual European Association of Plastic Sur- geons (EURAPS) Meeting, Lacco Ameno, Isle of Ischia, Italy. Contact: euraps.org June 10-12 HBA Global Expo, Jacob K. Javits Convention Center, New York. Contact: 203.846.0083, hbaexpo.com June18-22 Vegas Cosmetic Surgery 2014: Multi-Specialty Aesthetic Symposium, The Bellagio Resort, Las Vegas. Con- tact: 877.673.3273, vegascosmeticsurgery.info June 20-22 Dueling Perspectives in Aesthetic Plastic Surgery, Ritz Carlton, Washington, DC. Contact: 847.228.9900, plasticsurgery.org June 20-22 Interdisciplinary Autoimmune Summit, The Mirage Hotel, Las Vegas. Contact: 610.650.0500, joinIAS. com/register June 21-23 International Esthetics, Cosmetics & Spa Con- ference (IECSC), Las Vegas Convention Center, Las Vegas. Contact: 800.496.9861, iecsc.com August 6-10 American Academy of Dermatology Summer Meeting, Hyatt Regency, Chicago Riverside Center, Chicago. Contact: 866.503.7546, aad.org August 23-25 Face & Body Spa Conference & Expo North- ern California, McEnery Convention Center, San Jose, CA. Contact: 630.653.2155, faceandbody.com September 12-14 Calderm 2014, La Costa Resort & Spa, Carlsbad, CA. Contact: 866.337.3376, calderm.org November 6-9 Annual Meeting of the American Society for Dermatologic Surgery, Manchester Grand Hyatt, San Diego, CA. Contact: 847.956.0900, asds.net November 14-16 American Academy of Dermatology Derm Exam Prep Course, The Cosmopolitan, Las Vegas. Contact: 866.503.7546, aad.org 78 MAY/JUNE 2014 | Med Esthetics NEWS & EVENTS CORRECTION In the March 2014 "Details" column by Garry Lee, MD, we referred to VOLUMA's standard needle as 27-gauge, 1 ½-inch. It is a 27-guage, ½-inch needle. LEGAL ISSUES continued from page 32 Even greater exposure occurs when estheticians or other non-medical personnel perform the medical treatments or utilize medical products or devices, as in laser hair removal or IPL photofacials. As I have said many times: There is no such license or offi cial designation as "medical esthetician." Utilization of a hair removal laser is considered the practice of medicine, because the lasers and light-based devices used to deliver treatment are federally classifi ed as medical devices. Therefore, they must be owned and operated by a physician (subject to delegation). Many "medical spas" are owned by registered nurses. In most states, registered nurses cannot own medical practices or perform medical services absent appropriate agreements with a physician. Even when there are appropriate agreements, these will not necessarily justify departure from state CPOM or UPM regulations. Physicians who supervise such scenarios need to ensure as much compliance as possible. You must clarify the arrangement through agreements with the owner of the facility and document all training, policies and procedures. There is little margin for error in this scenario since it is not legally supportable. Insurance is a concern as well, because the carrier does have a legal basis to deny coverage if a patient is injured by a non-medical provider in a non-physician-owned facility. If you are the supervising physician at a non-physician-owned facility and you have an agreement to provide supervision for its employees, your professional negligence policy will not automatically cover you. Therefore, it is prudent to gauge your comfort level with the owners and operators of the facilities and consider the possible ramifi cations of adverse events or injuries that may result from treatment prior to taking part in an off-site supervision arrangement. Padraic B. Deighan, JD, PhD, is president of Aston McLaren, a medical and spa consulting fi rm, and the former president and CEO of DermAmerica, the na- tion's largest network of dermatology and plastic surgery centers. Contact him at 877.557.9669, medicalandspa- consulting.com Even when there are appropriate agreements, these will not necessarily justify departure from state CPOM or UPM regulations. N e w s E v e n t s M E D 5 - 6 1 4 . i n d d 7 8 News Events MED5-614.indd 78 4 / 1 7 / 1 4 2 : 3 3 P M 4/17/14 2:33 PM

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