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.
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.
When are you held accountable for relaying botulinum toxin risks to patients?
Dr. Cosmetic has a thriving cosmetic dermatology practice. He treats thousands of patients each year with a variety of lasers, fillers and botulinum toxins. One year ago, he treated a patient with botulinum toxin who, after paying her bill, died in his office from a heart attack. Although saddened by the death of his patient, he was somewhat comforted by the fact that his treatment had nothing to do with her untimely death.
'Online filing cabinet': Google service centralizes medical records, does not violate HIPAA
Dr. Skin has a large, skin cancer-based practice in a large metropolitan area. Many of his patients are highly successful businessmen who travel extensively to many parts of the world for long periods of time.
Risky business: Performing treatments not approved for use in U.S. jeopardizes medical license
Dr. Fat has always prided himself on providing his patients with leading dermatologic treatments. He is an avid reader of medical journals, and he attends dermatology meetings both in the United States and abroad to learn about the latest in both medical and cosmetic procedures.
Medical malpractice: Doctor sued for negligence after patient dies due to efalizumab prescription
Dr. Skin has a large dermatology practice with an emphasis on psoriasis. Many of his fellow dermatologists refer their most difficult patients to him. In fact, Dr. Skin prides himself in his ability to manage these most difficult psoriatic patients.
Economic credentialing: Policy restricts doctor-patient relationship, discourages competition, court rules
Dr. Practice is a dermatologist in a local community that has been hit hard by the recession. He has staff privileges in a local hospital that has been a great referral system for his predominantly medical dermatology practice. In an attempt to increase revenues, Dr. Practice joins the staff of a nearby competing hospital. Immediately, he begins to see an increase in his patient referrals, both from the emergency room and staff of the new hospital.


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