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.
Physician communication plays key role in dictating patient satisfaction
Patients have often complained that Dr. Speak has a tendency to not only rush them during office visits, but also to be condescending when speaking to them. Until two years ago he had never been sued. He is perplexed with this lawsuit, which has a peculiar twist. During the course of the negligence suit, Dr. Speak finds out that the plaintiff would never have brought the lawsuit if not for Dr. Speak's arrogance.
Can dermatologist practicing plastic surgery be found guilty of fraud?
Dr. Surgery recently expanded his surgical horizons and began performing abdominoplasties. His third patient became septic, and she now has permanent lung and kidney damage secondary to the sepsis. The patient has sued Dr. Surgery, contending that he fraudulently misrepresented himself as a plastic surgeon. Does his patient have a claim based on fraud?
EHR systems create new legal risks
Recently, Dr. EMR spent a significant amount of money to add a comprehensive electronic health records system to his office. He has been told such a system will lessen his medical legal liability. Some of his physician friends suggest EHR systems will increase, rather than decrease, liability. Who is right?
Laws mandate need-to-know for accessing medical files
Dr. Derm and his associates decided it was in the practice's best interests if he left. His access to network office materials should have been terminated Jan. 1, but it was not until Feb. 1 that it was done. In the meantime, Dr. Derm downloaded medical records of some of his former associates' family members.
In laser mishaps, manufacturers don't share physician's duty
Dr. Light has been in practice for 25 years. He has never considered himself a "cosmetic dermatologist." He makes the decision to learn more about cosmetic procedures. He feels that if he treads slowly and approaches the learning process of cosmetic dermatology the same way he approached medical dermatology, he can't go wrong.
Does FDA have jurisdiction over physicians' promotional efforts?
Dr. Buttox travels to Europe to learn about a new botulinum toxin that is popular there. He understands he can't use the product in his office without FDA approval, but his marketing department gets him to discuss the product with the national press. Does the FDA have jurisdiction over Dr. Buttox in this instance, and if so, to what extent?
Physicians have limited recourse against online defamation
Dr. Derm spends 10 percent of his annual gross earnings on marketing, much of which is Internet-based. He often finds himself telling his peers how wonderful Internet marketing is, until one day he finds out that a disgruntled patient has damaged his reputation on the Web. Dr. Derm is concerned that this malicious act may ruin his career. What can he do?
Can dermatologists sue to obtain methods for physicians' online rankings?
Two years ago, Dr. Reputation noticed a slowdown in his practice, which he attributed to the poor national economy. Recently, however, other dermatologists have reported an upturn in their schedules. One day, a loyal patient tells Dr. Reputation that a popular physician grade website gives Dr. Reputation a failing grade. Can Dr. Reputation sue to find out the methods used by the website?
Can outsourced billing be considered illegal fee splitting?
Dr. Bill's practice sees more than 1,000 patients a week, most covered by some version of medical insurance. The practice outsourced its billing to a billing company, which takes a small percentage of each paid patient bill as its method of payment. Recently, a disgruntled patient sued Dr. Bill, alleging illegal fee splitting.
FDA warns medspas against advertising 'lipodissolve'
Dr. Cellulite prides himself on the fact that he is the only dermatologist performing mesotherapy cellulite treatments in his area. He uses a technique called "lipodissolve." He, like most healthcare practitioners doing this technique, uses a substance called deoxycholate. He advertises that this technique is both safer and more effective than liposuction.


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