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.
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.
Legal: The Americans with Disabilities Act: Is a diabetic employee protected under the ADA?
Dr. Derm formerly employed three secretaries. One secretary was terminated, and the remaining ones must do the work of three staff members. He still has 17 employees.
Legal: Charging higher prices for uninsured patients: Outcome of lawsuit determined by state statutes on unfair practices
Dr. Fees has a large dermatology practice in an urban Midwestern community, Over the past two years, he has seen an increased number of people without health insurance. He has noted that uninsured patients may wait longer to come to the physician, but they eventually do show up. In fact, these patients have presented him with a unique economic advantage.
Legal: Nursing errors: What is the physician's responsibility?
Dr. Pigment has a very large and very busy practice. He often sees up to 100 patients every day. He is known as an expert in the evaluation and treatment of pigmented lesions.
Legal: Statute of limitations: Time cap for medical malpractice does not include falsification of records
Dr. Records has a large dermatology practice in the Sunbelt. He is known as an expert skin cancer doctor and does thousands of body exams every year.
Legal: Off-label drug use: FDA allows physicians to determine best course of treatment for patients
Dr. Head, a prominent dermatologist, has five years of experience using botulinum toxin injections for the treatment of migraine headaches. He knows that botulinum toxin injections are approved for the treatment of hyperhidrosis and hyperkinetic glabellar lines, but he also is very comfortable treating a variety of wrinkles and headaches with these injections.


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