MAY-JUN 2018

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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Page 35 of 68

PAs and NPs can enhance a medical aesthetic practice by spending more time with patients, providing additional availability for appointments and allowing for a tiered pricing structure. "PAs are a welcome addition to the offi ce, as long as they have the proper training," says dermatologist Dore Gilbert, MD, of New- port Dermatology & Laser Associates in Newport Beach, California. Before hiring a PE for your practice, consider the factors below. Oversight Required First, research state regulations and reimbursement rules. Some states allow PEs to prescribe all medications, while others require a supervising physician to sign all prescriptions. Some states require the physician to be onsite with the NP or PA when they are performing treatment, while others dictate that the physician must be reachable by phone. Also, some states do not allow PEs to order tests or to bill independently for their services. Requirements may also differ between physician assistants and nurse practitioners. States typically follow one of these three regulatory models for NP oversight, according to the American Association of Nurse Practitioners (AANP): Full Practice. An NP can evaluate patients; diagnose, order and interpret diagnostic tests; initiate and manage treatments—including prescribing medications and controlled substances—under the exclusive licensure authority of the state board of nursing. Reduced Practice. An NP must have a regulated collaborative agreement with another healthcare provider to provide patient care, or there are limits re- garding the setting of one or more elements of NP practice. Restricted Practice. State law requires career-long supervision, delega- tion or team-management by another healthcare provider in order for the NP to provide patient care. | MAY/JUNE 2018 33

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