David J. Goldberg, M.D., J.D.
Dr. Goldberg is Director of Skin Laser & Surgery Specialists of New York and New Jersey, Director of Mohs Surgery and laser research, Mt. Sinai School of Medicine, and Adjunct Professor of Law, Fordham Law School.
Should I Add an Online Pharmacy to Increase My Practice Revenues?
Dr. Dave is always looking for ways to increase his practice revenues. In his practice, he has a good mix of general and surgical dermatology patients, has learned to ethically promote his talents, and has launched a successful Web site. He ponders what else he can do to increase revenues.
What's My Liability as Expert Witness?
Dr. Trial has been hired as an expert witness to defend a dermatologist in a medical malpractice case. He rendered his expert opinion stating that he would have performed a dermatologic surgical procedure in a certain manner, even though such an approach was not routinely performed by the dermatologic community. The defendant dermatologist lost the case. His attorney is convinced that the case was lost because Dr. Trial did not perform well on cross-examination. Should Dr. Trial be concerned that he will now be sued?
The Managed Care Plan Should be Liable - Not Me!
Dr. Dave believes that Mohs surgery is medically necessary for his patient's squamous cell carcinoma of the ear. He requests approval of this from his patient's healthcare plan.
Am I Liable for Effects of Smallpox Vaccine?
Dr. Pox is a leading dermatologist in his community and known for his expertise in cutaneous infectious diseases. He has a private dermatology practice and is on the staff at several local hospitals and a nearby major university dermatology residency program. Should there be a smallpox- related terrorist event, his office will be at the forefront in seeing infected patients. Dr. Pox has a rigorous OSHA program in his office. His staff have all either received or opted not to receive the hepatitis B vaccine. All of his medical staff have undergone PPD testing. Several of his nurses are concerned about their possible exposure to smallpox in the upcoming year. His staff is mostly under 30 years of age and therefore never received smallpox vaccinations
Basal Cell Nevus Syndrome and the ADA
A 24-year-old woman has excelled at her receptionist job at a prominent cosmetic dermatology office. She is an employee at will; that is, she has no employment contract. She has recently attended a conference at which Basal Cell Nevus Syndrome is discussed. At that time she discloses that, although she has no stigmata for the disease, she has a strong family history for this genetically transmitted disease. Shortly thereafter she is terminated from her job. She is not given a reason for the termination but suspects it is related to her genetic predisposition.
I Missed the HIPAA Extension Deadline: Now What?
Dr. Derm runs a small, efficient, single-physician dermatology practice. He is a participant in many managed care plans, accepts Medicare payments and has no interest in changing either the thrust or the way he operates his practice.
Expert Witness and Perjury: What Happens?
Dr. James is named an expert witness in a medical malpractice case. He testifies against a dermatologist
Is Parental Consent Valid for Minor Children?
Anew oral retinoid has been FDA cleared for the treatment of psoriasis. It has been shown to be safer than all previously available retinoids. Dr. Doe learned that this medication has been used safely in Europe for the prevention of acne in pre-adolescent teenagers. He has a large adolescent practice and is excited about using this medication on his young patients. Recognizing that the drug does not have FDA clearance for his intended use, he asks parents of prospective patients to sign a consent form allowing him to use this potentially miraculous drug on their children. Is the consent of the parent valid?
Expert Testimony and Confidential Records
Dr. Aaron has been asked to provide expert witness in a medical malpractice case against another physician. He has also been a treating physician and has written numerous comments in his own medical records about the suing plaintiff patient.
Botox parties: What is my legal liability?
Dr. James has recently spruced up his dermatology practice by offering a variety of cosmetic procedures. He performs laser procedures, chemical peels, and injectable filler agents. Although he has had some experience with botulinum injections, the recent FDA clearance of Botox for glabellar rhytids has provided him with a great opportunity to expand his cosmetic practice.


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