Welcome to ACADEMY 2001

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WORLDDERMATOLOGYDERMATOLOGYJULY 2001 VOLUME 11 NUMBER 7

An official publication of the American Academy of Dermatology Association

Anaheim Calif., home of Disneyland, the Anaheim Angels, beautiful

beaches and lush golf courses, welcomesdermatologists from all over the globeas it plays host to the American Acad-emy of Dermatology’s summer meeting,ACADEMY 2001, from July 29 throughAug. 1 at the Hilton Anaheim.

“This meeting will offer dermatolo-gists the opportunity to participate in agreat educational program, enjoy theexciting attractions of Anaheim, and treattheir families to a fun-filled summer va-cation,” said Mark Lebwohl, M.D., chairof the ACADEMY 2001 Planning Com-mittee.

This year’s meeting will kick off withan opening session featuring the latestclinical and socioeconomic information ofimportance to dermatologists. Irwin M.Braverman, M.D., the 2001 Everett C. Fox,M.D., Memorial Lecturer, will speak on“The Skin and the Eye.”

“Dr. Braverman is a master of clini-cal dermatology. Those who attend thislecture can expect to receive valuablepearls on how to diagnose skin dis-eases,” said Dr. Lebwohl. AAD PresidentRonald G. Wheeland, M.D., will dis-cuss the movement to regulateoffice-based medicine in his President’sMessage. President’s Guest Speaker AlanGibofsky, M.D., J.D., will give a lectureon “Medicine and Law” (see p. 18). Theopening session will also feature a se-ries of presentations on “DermatologyAdvances in the New Millennium.”Leaders in the field will discuss skincancer, nail disorders, cosmetic and la-ser surgery, psoriasis, and pigmentationdisorders.

In addition to the valuable infor-mation provided during the openingsession, an all-encompassing scientificeducation program is planned forACADEMY 2001. “This meeting willprovide attendees with very compre-hensive coverage of medical derma-tology, surgical dermatology and der-matopathology,” said Dr. Lebwohl. The

Welcome toACADEMY 2001

The gateway to Anaheim welcomes derma-tologists to ACADEMY 2001.

program includes hands on workshopson botox and dermatopathology; focussessions on topical antioxidants, cosmeticprocedures, and acne; topics in … ses-sions on biological therapy and ethnicskin disorders; and much more.

Anaheim is also home to some ofthe foremost tourist attractions in thecountry. “In addition to the superior edu-cational program planned for members,a trip to Anaheim should be a lot of funfor families and especially kids,” said Dr.Lebwohl. ■

AMERICAN ACADEMYOF DERMATOLOGY ASSOCIATIONP.O. Box 4014Schaumburg, IL 60168-4014

The Officers and Board of Directorsof the American Academy of Der-

matology have appointed Thomas P.Conway executive director of the Acad-emy and the AAD Association.

“The Academy is indeed fortunateto have as its new executive directorMr. Tom Conway,” said Ronald G.Wheeland, M.D.,president. “He isa bright, young,energetic leaderand an enthusias-tic supporter ofthe specialty ofde rma to l ogy .Tom has manyinnovative ideasabout how tokeep the Acad-emy at the high level of professionalesteem established by his mentor, former

AAD Executive Director Brad Claxton. Ipersonally wish him the very best as heassumes his new role and sincerely hopethat he will remain our administrativeleader for many years to come.”

Conway, who has served as interimco-executive director of the Academy forover a year, accepted the position inMay. Most recently, he served as associ-ate executive director with primaryresponsibility in the financial manage-ment and administration of the Academy.He is the Academy’s third executive di-rector since its incorporation in 1938.

“We are very pleased that Tom hasaccepted this position. His knowledgeof the Academy and his relationshipswith staff should make his transition toexecutive director very smooth and al-most seamless,” said Clay J. Cockerell,M.D., secretary-treasurer.

Thomas P. Conway appointedexecutive director

Thomas P. Conway

See Conway, p. 12

PRESIDENT’S VIEWS ................. 3

WASHINGTON REPORT .............. 4

SKINPAC REPORT ..................... 4

RESEARCH NEWS .................... 34

CME CALENDAR ..................... 38

CLASSIFIEDS .......................... 39

MANAGED CARESummit fosters cooperative spirit ... 2Academy meets with Humuna ..... 6

OFFICE-BASED MEDICINEFirst in a series on the issues andconcerns surrounding regulation ...... 8

HIPAAInterpretation of the privacyrule ............................................... 36

See ACADEMY 2001pp. 15-23

Magistrate Judge Stephen T. Brown, of the U.S. District Court for the

Southern District of Florida in Miami,has denied Sorrel S. Resnik, M.D.’smotion for a preliminary injunction inhis challenge to the American Academyof Dermatology Board of Director’s de-cision to void the fall 2000 Academyelection for President-elect.

The magistrate found that Dr.Resnik failed to satisfy any of the fourfactors necessary to justify a prelimi-nary injunction. The highlights of theMagistrate’s June 12 opinion are as fol-lows:1. Dr. Resnik failed to show that the

Board’s decision was arbitrary, ca-pricious, or unlawful, and there-fore cannot demonstrate a sub- See Motion, p. 32

Judge denies motion inResnik v. AAD

stantial likelihood of success onthe merits.

2. The court found that Dr. Resnikfailed to establish that he willsuffer irreparable harm if an in-junction is not issued.

3. The court found that the harm tothe Academy of granting an in-junction for Dr. Resnik wouldoutweigh “the minimal additionalinjury, if any, to Dr. Resnik of notissuing an injunction.” Specifically,granting an injunction would harmthe Academy by preventing itfrom moving forward with thespecial election and potentiallyleaving the Academy without aPresident-elect for many months.

2

DERMATOLOGY WORLD • July 2001

The American Academy of Derma-tology Association (AADA) held its

second annual Medical Directors Sum-mit in Phoenix, Ariz., April 27-29,attracting medical directors from 13 ofthe largest managed care organizationsin the country.

The Summit is designed to help der-matologists and medical directors frommanaged care organizations share per-spectives and bridge the gaps betweenthem. This year’s event was sponsoredby unrestricted educational grants fromDermik Labs, Ortho Dermatological, andNovartis Pharmaceuticals Corporation.

Academy President Ronald G.Wheeland, M.D., welcomed the groupof medical directors, dermatologists, pa-tient advocates, and drug industryrepresentatives.

The Summit was moderated by Jo-seph McGoey, M.D. Steven R. Feldman,M.D., Ph.D., director of the Center forDermatology Research at Wake ForestUniversity School of Medicine, openedthe Summit with an address to the groupon the quality and cost-effectiveness ofdermatologists in the treatment of skinconditions. Focusing on some commondiseases such as acne, fungus, psoriasis,and skin cancer, Dr. Feldman providedan overview of treatment by dermatolo-gists, its cost, problems — such asformulary issues — the specialty has inworking with managed care, and areaswhere the two groups can work togetherin the future.

AAD Assistant Secretary-TreasurerDavid Pariser, M.D., spoke about improv-ing the relationship between derma-tologists and primary care physicians. Hepresented data on the cost implicationsof receiving care from a primary carephysician versus a specialist trained inthe treatment of skin disease.

Kory J. Zipperstein, M.D., chair ofthe Dermatology Chief’s Group at Kai-ser Permanente, provided an overviewof this staff model HMO. He also ad-dressed Kaiser’s response to providingaccess to dermatologic care. Among thesolutions Kaiser has explored to addressthe overwhelming demand for derma-tology services are the use of nursepractitioners, instituting a roving der-matologist program, and providingeducation in dermatologic treatment toprimary care physicians.

Abby Van Voorhees, M.D., chair ofthe Academy’s Guidelines of Care Com-mittee, addressed the group regardingthe process by which the Academy de-velops clinical guidelines of care,including historical background on howthe process has evolved over time. Apanel discussion on pre-authorizationand direct access featured Randolph C.Stinger, associate medical director forHumana/ChoiceCare, and AndrewBurgoyne, medical director west regionfor Aetna/U.S. Healthcare, who pre-sented information on traditionalattitudes toward these practices andwhere managed care will take them inthe future.

Medical Directors Summit fosters cooperative spirit with managed care

James Zalla, M.D., chair of the AAD’sClassification and Coding Task Force, ex-pressed dermatologists’ concerns withmanaged care reimbursement practices,particularly bundling, non-recognition ofmodifiers, and the multiple surgical re-duction rule. Rachelle Dennis-Smith,M.D., vice president of health policy forCigna, encouraged physicians to de-velop a good relationship with their localmedical directors as the first step in ad-dressing some of these issues.

The final speaker on the first daywas Robert Scalettar, M.D., M.P.H., medi-cal director for the eastern region andvice president of medical policy for An-them Blue Cross/Blue Shield. Heintroduced the Coalition of AffordableQuality Health Care Initiative, whichseeks to bring managed care companiesand organizations together with theshared goal of improving service, qual-

ity, and coverage for patients and phy-sicians.

Future trendsLee Newcomber, M.D., executive

vice president for Vivius, Inc., and aformer medical director for UnitedHealthcare, and Richard Bernstein, M.D.,a former Aetna medical director whocurrently works as a consultant withDoctorQuality.com, discussed futuretrends in providing health care cover-age. Both speakers examined theincreasing importance of patient choicein the health care industry and the de-fined contribution model. LenoreKakita, M.D., responded to these pre-sentations with some possible physicianconcerns, including increased compe-tition among physicians and the role ofphysician profiles in such systems.

Dr. Stinger picked up the issue of

physician profiling in his presentation onbest practices. He reviewed an evalua-tion of physician profiling conducted bythe AADA and Humana, which resultedin the company dropping the practice.Becky Cherney, president and chiefexecutive officer of the Central FloridaHealth Care Coalition also addressedprofiling in her discussion. The Coalition,which works to assure the quality andcost effectiveness of healthcare on be-half of public and private employers,uses profiling to improve the quality ofcare for employees.

Vicky Holets Whittemore, Ph.D.,associate director of the Genetic Alli-ance, a coalition of patient advocacygroups, offered the patient perspectiveon managed care. She said health careconsumers, “want access to knowledge-able physicians for diagnosis, treatment

(Pictured l-to-r) Jan Berger, M.D., of Caremark, Summitmoderator Joseph McGoey, M.D., and Drew Burgoyne, M.D.,of Aetna/US Healthcare, enjoy a discussion over breakfast atthe Medical Directors Summit in Phoenix, Ariz.

AAD President RonaldG. Wheeland, M.D.,welcomed dermatolo-gists and medicaldirectors to the 2nd

annual Medical Dir-ectors Summit.

Dermatologist JosephMcGoey, M.D., servedas moderator of theAcademy’s 2nd annualMedical Directors Sum-mit.

Philip Orbuch, M.D., (left) chair of the Academy’s ManagedCare Task Force, and Alan Wirtzer, M.D., a member ofthe AMA CPT Advisory Committee, network during a breakat the Medical Directors Summit.

James Zalla, M.D., (left) a chair of the AADHealth Care Finance Committee, looks onas Rachelle Dennis-Smith, M.D., of CignaHealth Plans, answers questions fromSummit participants.

AAD Immediate Past President Richard K.Scher, M.D., makes a point to Aetna’s DrewBurgoyne, M.D., during a break in themeeting.

Summit participants Lee New-comber, M.D., of Vivius, Inc. (left)and Richard Bernstein, M.D., ofDoctorQuality.com with moderatorJoseph McGoey, M.D. (center).

David Lorber, M.D.,with Advance PCS,gives a presentation atthe Summit.

See Summit, p. 12

Vicky Holets Whittemore,Ph.D., co-chair of theCoalition of PatientAdvocates for SkinDisease Research; pro-vided the patient per-spective to Summitattendees.

(Pictured l-to-r) Kory J. Zipperstein, M.D.,of the Dermatology Chiefs’ Group atKaiser Permanente, and Abby VanVoorhees M.D., chair of the AAD Guide-lines of Care Committee, are pictured withAAD Assistant Secretary-Treasurer DavidPariser, M.D. The Medical DirectorsSummit was established last year at thesuggestion of Dr. Pariser.

3


President’s Views by Ronald G. Wheeland, M.D., AAD President

Ronald G. Wheeland, M.D.,AAD President

No one specialty owns the title of “surgeon”

In the March 2001 Bulletin of the American College of Surgeons

(ACS), ACS Executive Director Tho-mas R. Russell, M.D., expresses strongopposition to the Residency ReviewCommittee (RRC) for Dermatology’sproposal for a fellowship training pro-gram in dermatologic surgery. In hisarticle, he criticizes the creation ofthe proposed 12-month PGY-5 fel-lowship program stating that the RRCfor dermatology is “seeking to estab-lish a subspecialty in dermatologicalsurgery.”

However, the proposed trainingrequirements submitted to the Ac-creditation Council for GraduateMedical Education (ACGME), andopposed only by three of the 27specialties who have RRCs in theACGME, would not “create” a der-matologic surgery subspecialty, butwould acknowledge the types oftraining that are already in existence.In fact, by 1990, over 90 percent ofdermatology residency programswere training residents in dermato-logic surgery.

Dr. Russell’s article points to“flaws” in the RRC proposal stating,“dermatologists traditionally haveperformed minor operations andMohs micrographic procedures.” Dr.Russell goes on to explain that “thetraining program proposed by theRRC for dermatology, however,would allow their programs to gofurther and create ‘surgeons,’ whocould perform a much broader rangeof operations including hair replace-ment, tumescent liposuction, softtissue augmentation, fat transplan-tation, wound closure techniques,grafts, and flaps.” Dr. Russell missesthe point that dermatologic surgeonspioneered many of these very tech-niques. His column demonstratesthe all-too-common misimpressionthat other specialties have about thetraining and expertise of dermatolo-gists — not only in diagnosing skindisease, but also in the medical andsurgical management of those samedisorders.

Dr. Russell states that the ACShas taken a strong position “by dis-couraging the ACGME fromapproving the proposed one-yeardermatological surgical fellowship —asserting that it lacks the compre-hensiveness of the other surgicaltraining programs.” He continues, “Itdoes not, in our view, meet the cri-ter ia for producing surgicalspecialists.” He further states thatapproved programs cover such nec-essary components of surgical

training as basic science, anatomy, an-esthesia, ethics, surgical techniques,wound healing, the diagnosis and man-agement of shock, pathology,pharmacology, oncology, epidemiology,legal and regulatory issues, however hefails to realize that many of these top-ics are already taught as part of the PGY2-4 dermatology training program.

I suggest that dermatologists viewDr. Russell’s “Perspective” in its entiretyat the ACS Web site, www.facs.org/

June 6, 2001

Thomas R. Russell, MD, FACSExecutive DirectorAmerican College of Surgeons633 N. St. Clair StreetChicago, IL 60611

Dear Dr. Russell:

As President of the American Academy of Derma-tology, with over 13,000 members, I write to you toexpress my great disappointment with your publishedcomments concerning dermatologic surgery in the March,2001 Bulletin of the American College of Surgeons. Theperspective you presented sadly demonstrates a severelack of knowledge on your part regarding the evolutionof dermatologic surgery in the specialty of dermatol-ogy as well as the current training requirements indermatologic surgery mandated for all dermatology resi-dents by the American Board of Dermatology.

I would appreciate having this opportunity to clarifythese important issues for you and to help correct yourmany misimpressions about my specialty. The Ameri-can Board of Dermatology was established in 1932 asthe fourth specialty board of the American Board ofMedical Specialties (ABMS), following ophthalmology,otolaryngology and obstetrics/gynecology. When theABMS and the American Medical Association Council onMedical Education established specialty requirements,the American Board of Dermatology followed suit bysponsoring its own Residency Review Committee in1955.

You should be aware that the Accreditation Councilfor Graduate Medical Education (ACGME) and ABMS donot create specialties, rather they react to the types of thetraining that are already in existence. By 1990, over 90%of dermatology residency programs were training residentsin dermatologic surgery. As a result, significant dermato-logic surgery requirements were approved by the ACGMEand mandated as part of the training requirements for alldermatology residents. All dermatology/PGY 2-4 trainingprograms are also required to have a faculty member whoserves as the dermatologic surgeon on staff to teachexcisional surgery, reconstructive surgery with use of flapsand grafts, laser surgery, soft tissue augmentation, laserskin resurfacing, tumescent liposuction, chemical peels andMohs micrographic surgery, among others. It is during

fellows_info/bulletin/mar01russell.pdf. Inresponse to Dr. Russell’s comments, I’vewritten the letter that appears below, andI invite others to do the same. I also urgeyou to write to the ACGME in support ofthe fellowship program. Letters to theACGME can be addressed to: Steven P.Nestler, Ph.D., Executive Director,ACGME, 515 North State Street, Suite2000, Chicago, IL 60610.

As physicians, we must stand to-gether with trust and mutual respect for

residency that dermatology residents learn how to evalu-ate and treat patients, both medically and surgically. Therethey also develop the analytical skills to know when toproperly apply the many surgical techniques they havebeen taught and how to manage the patients postopera-tively.

In view of this, it is surprising that you would notbe familiar with the extensive requirements in derma-tologic surgery that are already approved, mandatedand in existence for all PGY 2-4 dermatology trainingprograms. The subspecialty of dermatologic surgery willnot be created by the fellowship training proposal forPGY-5 that is currently before ACGME, it already exists!Training in dermatologic surgery, just like dermatopa-thology, pediatric dermatology, and occupationaldermatology, is already required by the RRC. In addi-tion, there are sixty-five fellowships in dermatologicsurgery currently in existence, located primarily at aca-demic institutions. Some of these fellowships have beenin existence for over 20 years. Despite this, no stan-dardized training program requirements have as yet beenestablished to coordinate the types of educational op-portunities afforded each fellow. If approved, the pro-posal for PGY-5 fellowship training in dermatologic sur-gery would codify the training requirements byestablishing a set of uniform standards to certify an iden-tical level of educational quality for all fellowshipprograms. Furthermore, the proposed PGY-5 fellowshipprogram requires completion of a formal dermatologyresidency before an individual is allowed to expand onthe significant base of surgical experience that has al-ready been learned during residency.

Surgery has long been an important aspect of thespecialty of dermatology and the incorporation of manysurgical techniques into the formal training of derma-tologists has occurred over a long period of time. Manyinnovative cutaneous surgical procedures have beendeveloped, modified or perfected by dermatologists. Afew of these include: dermabrasion for scars (1952 –Dr. Abner Kurtin), hair transplantation (1959 – Dr. NormanOrentreich), chemoexfoliation (1960 – Dr. Sam Ayers,III), laser treatment of port-wine stains and tattoos (1963– Dr. Leon Goldman), moist wound healing (1963 – Dr.Howard Maibach), cryosurgery (1967 – Dr. DouglasTorre), fresh tissue Mohs micrographic surgery (1974 –Drs. Theodore Tromovitch and Samuel J. Stegman), softtissue implants (1983 – Dr. Arnold Klein), tumescent

the benefit of our patients, not frag-ment over such issues as whichspecialty should own the title, “sur-geon.” ■

See Surgeon, p. 13

4


Banking on health care savings

Washington Report

Support for medical savings accounts (MSAs) is gaining momen-

tum as Congress and the White Housebegin working on proposals to in-crease the number of Americanscovered by health insurance. Morethan 43 million Americans are lack-ing health insurance at this time,according to U.S. Census data.

The American Academy of Der-matology Association (AADA) favorsthe widespread availability of MSAs asa way of making adent in this woefulstatistic. Medical sav-ings accounts wereapproved as part ofthe Health InsurancePortability and Ac-countability Act of1996 (HIPAA). Thislaw established MSAsas a four-year pilotprogram that beganJan. 1, 1997. The leg-islation limited availability to peoplewho work for companies with fewerthan 50 employees or who work ontheir own. Last year, Congress ex-tended the expiration date for thisprogram to Dec. 31, 2002.

The law sets a cap of 750,000MSA accounts nationally. Only about100,000 people have purchasedthem. Approximately one-third ofthese MSA holders previously had nohealth insurance coverage. MSA sup-porters argue that insurers areunwilling to invest the capital to mar-ket MSAs because they will expireshortly.

A brief review of how an MSAworks illustrates the possible benefits

of this insurance vehicle. An MSA is a tax-exempt trust or custodial accountestablished to pay for medical expensesin conjunction with a high-deductible in-surance policy. Either individuals or theiremployers may make contributions to anMSA. Contributions are deductible or ex-cludable from federal taxes. Distributionsfrom the MSA are tax-exempt if they areused to pay for medical expenses. TheInternal Revenue Code defines eligiblemedical expenses although some states

allow additional ser-vices and items tobe exempt fromstate taxes. Distribu-tions from an MSAfor purposes otherthan medical ex-penses are subjectto state and federaltaxes as well as a 15percent penalty.

An MSA offersthe patient and the

health care community advantages thatinclude cost savings, portability, andquality care uninterrupted by third-partyinterests. Because unused MSA funds areallowed to accrue from year to year,these accounts can encourage individualsavings that could be used by elderlyMSA holders, for example, to pay forlong-term health care needs or benefitsnot covered by the Medicare program.

Because an MSA is portable, aworker no longer needs to be joblocked or decline to pursue other em-ployment options for fear of losinghealth insurance coverage. The fundsin the MSA can be used to pay the pre-mium on a health insurance policy whilea person is in between jobs. And be-

cause an MSA allows patients the free-dom to choose any physician withoutinterference from health plangatekeepers, patients will have greateraccess to specialists such as dermatolo-gists. It should be noted that a recentstudy by the Rand Corporation discov-ered that when people spend their ownmoney on health care services, theyspend 30 percent less with no adversehealth effects.

Supporters of MSAs include Presi-dent George W. Bush as well as abipartisan group of lawmakers that issponsoring H.R. 1524, the Medical Sav-ings Account Availability Act of 2001,introduced on April 4 by representa-tives Bill Thomas (R-CA) and WilliamLipinski (D-IL) and awaits action in theHouse Ways and Means Committee.

The Thomas-Lipinski bill would:• make MSAs permanent,• allow all Americans the option of

choosing an MSA,• lower the minimum deductible for

health plans that accompany MSAsto $1,000 for individuals and $2,000for families,

• allow annual contributions to anMSA to equal 100 percent of thedeductible,

• allow MSAs to be offered as partof cafeteria-style benefit plans, and

• encourage preferred provider or-ganizations to offer MSAs.The Thomas-Lipinski bill is consis-

tent with the Academy’s policy on MSAs,and for this reason Association membersand staff plan to work closely with theMSA Coalition for its passage. The MSACoalition includes a diverse group of sup-porters, such as the American MedicalAssociation, anti-tax groups like Ameri-

cans for Tax Reform, insurance in-dustry groups like the HealthInsurance Association of America,companies that administer MSA plans,and trade associations like the Ameri-can Bakers Association.

While MSAs are not the solutionfor all of our nation’s uninsured citi-zens, these accounts do representan option for increasing health in-surance coverage that should bemade available to everyone on apermanent basis. By increasing thefield of health insurance options,Americans will be able to choosetheir own physicians and the healthinsurance coverage best suited totheir needs.

Questions about medical sav-ings accounts or H.R. 1524 shouldbe addressed to Laura Saul Edwards,assistant director, federal affairs, at(202) 842-3555 or e-mail [email protected]. Further information aboutthe Academy’s federal affairs effortscan be found on the AADA Web site,www.aadassociation.org. ■

With the recent partisan switch ofthe United States Senate from Re-

publican to Democratic hands, the 2002elections are going to be even more com-petitive and more important to bothparties. SkinPAC will be involved in mak-ing sure that Senators and Represent-atives elected in 2002 are supportive ofdermatology and dermatology patients.

In May, the SkinPAC Board of Advi-sors made decisions to support a handfulof candidates for their election bids in2002. One of these candidates is Sen.Max Baucus (D-MT). In January, Sen.Baucus became the top Democrat on thevery influential Senate Finance Commit-tee. The SkinPAC Board of Advisors tookthis into consideration when it decided tosupport Sen. Baucus in his re-election bid.

SKINPAC REPORT

SkinPAC looks to support 2002 candidatesRight after the SkinPAC Board de-

cided to contribute to Sen. Baucus’sre-election campaign, Sen. Jim Jeffordsof Vermont decided to leave the Repub-lican Party and become an Independent,which gave the majority of the Senateto the Democrats by one seat. Thispower shift has now propelled Sen.Baucus into the chairmanship of the Fi-nance Committee, which has jurisdictionover Medicare and health care programs.The SkinPAC Board is excited to be sup-porting a strong candidate that has thepower and ability to make a positivechange in America’s health care system.

Sen. Baucus was first elected to theUnited States Senate in 1978. And, al-though he served for three consecutiveterms, during the last election in 1996,

he won re-election to his fourth term inthe Senate with just 50 percent of thevote. This margin of victory indicates thatthe upcoming race should be very close,and that Sen. Baucus can use all of thesupport he can get.

SkinPAC is looking forward to work-ing with the members of the AmericanAcademy of Dermatology Association toensure a successful 2002 election cycle.With SkinPAC’s donation to the Baucuscampaign, the specialty of dermatologywill be represented at several events inMontana and Washington, D.C.

A goal of SkinPAC is to have a der-matologist attend an event in the homestate of every candidate we support. Ifyou are interested in attending afundraiser for a member of Congress on

behalf of SkinPAC or have any questionsregarding SkinPAC activities, please con-tact John Farner in the AADA’sWashington, D.C., office at (202) 842-3555, or e-mail [email protected] about SkinPAC can be foundon the Association’s Web site,www.aadassociation.org.

Members are invited and encour-aged to visit the SkinPAC booth at theACADEMY 2001 summer meeting inAnaheim, Calif. SkinPAC will be locatedat Booth 206 in the Technical ExhibitHall at the Anaheim Hilton. ■

An MSA offers the patient

and the health care

community advantages

that include cost savings,

portability, and quality

care uninterrupted by

third-party interests.

5


Members asked to complete online CME survey

The American Academy of Dermatology (AAD) recently announced that anonline continuing medical education program is under development. As part

of the AAD’s efforts to create a program that is tailored to dermatologists’ needs,the Academy is asking members to participate in an online “CME Needs Surveyfor Members.”

The survey is posted under the Members Only section of the AAD Web siteand is designed to establish the parameters of future online CME exercises byseeking information on such issues as preferred topics, format, duration, andmore.

Members are encouraged to fill out the survey to help ensure that a pro-gram optimally suited to their needs can be established.

Visit www.aad.org/Members/CMEsurvey.html today, to register your opinion.■

EDUCATION UPDATE

The American Academy of Derma-tology will host a consensus confer-

ence on isotretinoin Oct. 19-21 inWashington, D.C.

Lowell A. Goldsmith, M.D., deanemeritus, University of Rochester Schoolof Medicine and Dentistry, New York, willchair the conference.

“The effective use of isotretinoin, oneof the life changing drugs in our arma-mentarium, is being threatened onceagain,” said Dr. Goldsmith. “Data, reasonand the understanding of the mechanismsof the real and the apparent complica-tions of isotretinoin is necessary to ensurethe safe use of this drug. The conferencewill have experts from many disciplinesdiscussing approaches to the safest andbest use of this drug.”

In addition to dermatologists, facultyfrom the specialties of psychiatry, obstet-rics and gynecology, teratogenicity experts,and others will be invited to attend.

The consensus conference is now inthe planning stages. Barbara R. Reed,M.D., chair of the Academy’s Ad Hoc TaskForce on Isotretinoin, will also provideleadership for the Conference PlanningCommittee, which currently consists of:• Jean L. Bolognia, M.D.• Jeffrey P. Callen, M.D.

Oct. 19-21 set for isotretinoinconsensus conference

• Suephy C. Chen, M.D.• Steven R. Feldman, M.D.• Henry W. Lim, M.D.• Anne W. Lucky, M.D.• Diane M. Thiboutot, M.D.• Ronald G. Wheeland, M.D.

The planning committee will sug-gest six focus questions to be discussedat the conference, as well as determinethe invitees.

Watch future issues of DermatologyWorld for more information about thisimportant event as it develops. ■

An end to the five-year fight by the American Academy of Dermatol-

ogy to obtain a national Medicare policyfor the treatment of actinic keratosis (AK)appears to be in sight. Staff from theHealth Care Financing Administration(HCFA) recently announced that a deci-sion would be made by July 9 aboutwhether to issue a national coveragepolicy or ask the Medicare CoverageAdvisory Committee to issue the policy.

On May 29, Academy representa-tives met in Baltimore, Md., with theHealth Care Financing Administration’s(HCFA’s) team that is considering the re-quest for an AK national coverage policy.Academy Past President Darrell Rigel,M.D., and AADA Council on Policy andPractice Chair Cliff Lober, M.D., summa-rized expert opinion on AK treatment,emphasizing that immediate treatmentof AKs is the accepted medical standardof care. Drs. Rigel and Lober discussedsome issues with the technical report is-sued in mid-May by the Agency forHealthcare Research and Quality.

The report is only one of a numberof sources that will be considered by HCFAas it responds to the Academy’s requestfor a national AK coverage policy that re-flects the medical standard of care. ■

Decision on AKnational coveragepolicy expected

6


Representatives from the American Academy of Dermatology Associa-

tion (AADA) met with delegates fromHumana Inc. on May 10 in Louisville,Ky., to discuss various reimbursementissues.

In addition to a general discussionof the recognition of AMA’s CPT modifi-ers, specifically modifiers –25, –57, –51and –59, AADA representatives also fo-cused on numerous specific examplesof evaluation and management servicesthat were bundled with separate proce-dures; of modifier –51 being applied toMohs surgery services; and examples of

separate surgical services being bundled.Representing the AADA was James

Zalla, M.D., chair of AADA’s Health CareFinance Committee, Jeffrey Richardson,M.D., a member of the AADA’s Codingand Reimbursement Task Force, and Bar-bara Dolan, AADA’s private sectormanager. They also discussed the factthat Humana’s referrals to specialists byprimary care physicians are not docu-mented in writing or verified in advanceof the service.

Dr. Zalla noted that a more “patientfriendly” prior authorization policy wouldbe more efficient, such as faxed autho-

rizations in advance ofany appointment — aprocedure used by othermajor carriers. “An evenbetter policy to decreaseoffice staff frustrationwould be to discontinuethe referral requirementsfor dermatologic care,” he said.

The Humana representatives sug-gested that they would consider theAADA’s recommendations, and discussthem with other company leadership.

Humana representatives attendingthe meeting included Thomas James,M.D., chief medical officer for Humana-Kentucky, Andrew Krueger, M.D.,Humana’s director of emerging technolo-gists, and Connie Light, RN, director oftechnology assessment. Humana’s Se-nior Insurance Counsel Gary Reed, Jr.,also attended the meeting, as didMarianne Finke, project manager forclaims improvement programs.

Multiple proceduresIn discussing Humana’s multiple-

procedure policy, which reimburses ata rate of 100-50-25-25 percent for a se-ries of surgical services, Dr. Zalla pointedout that HCFA changed its multiple-pro-cedure rule to 100-50-50-50 in 1993.“Some carriers seem to be stuck backbefore 1993,” he said. “I think it mightbe because the company thinks it is sav-ing money by retaining an old policy.”

Dr. Zalla explained that in the caseof emergent services, the physicianwould be likely to provide each of fourservices on the same day, and losemoney by being reimbursed at a levelof 25 percent for the third and fourthprocedures. However, if the services areelective in nature, Dr. Zalla suggestedthat it is likely a physician will ask thepatient to return another day for thethird or fourth procedure, rather thanprovide additional service on the sameday and be reimbursed for less than itcosts to perform the procedure.

“The patients understand when wetell them that they need to return an-other day it is because their carrier’spolicy reimburses multiple proceduresat less than it costs the physician to pro-vide multiple services performed on thesame day,” Dr. Zalla said. When the pa-tient returns another day, the servicesare reimbursed at 100 and 50 percent.Humana winds up paying more for theservices than if they had initially allowed100, 50, 50 and 50 percent reimburse-ment on the same day of service,following the HCFA and standard reim-bursement policy for multiplyprocedures. Humana representativessuggested that they would consider the

implications of their current policy fur-ther.

AK treatmentDr. Richardson pointed out that

when he treated a patient with exten-sive actinic keratoses (AKs) with achemical peel, the claim was denied ascosmetic. After appealing the claim forover a year and sending extensive docu-mentation, Dr. Richardson said the claimwas still being denied although the treat-ment was clearly medically necessary.Asking for additional information, whichDr. Richardson provided, Humana rep-resentatives said they would look intothe specific concern. In general, accord-ing to Dr. Krueger, there is no Humana

policy that denies the treatment of AKswith chemical peels.

“We want you to understand,” saidLight, “there is no strategic attempt onthe part of Humana to make the claimsprocessing process difficult for physicians.In fact, we are trying to make it easier.”

Light focused on Humana’s initiativeto encourage electronic claims submis-sions, highlighting a new system that will“get us out of the paper processing busi-ness.” Dr. Zalla said that verification ofthe submitted claim confirming modifiersubmission is needed. An evaluation ofbenefits would be difficult to correlate tothe claim, particularly if codes like evalu-ation and management services dis-appeared from electronic claims like theydisappear from Humana paper remit-tance advice, he stated.

Humana representatives assuredAcademy representatives that such veri-fication, adequate to meet the needs ofa typical practice, would be available inits new electronic system.

“You have to understand,” Dr. Zallatold the group. “Most dermatologistswould much prefer slightly delayed cor-rect payments, rather than fast under-payments. It is an issue of fairness.”

Humana representatives related inseveral cases that they would have toresearch the company’s policies furtherto clarify if the specific examples pre-sented to them regarding inappropriateclaims processing were due to actualclaims edits, or if there were other rea-sons for denials.

Academy representatives look for-ward to a follow-up meeting with Humana,and eventual resolution of the company’sclaims processing issues. ■

Academy meets with Humana to discuss claims processing concerns

“Most dermatologists would much prefer slightly delayed

correct payments, rather than fast underpayments.

It is an issue of fairness.”

http://www.aadassociation.org/member/DermWorld/2001/July/galderma_desowen_pi.pdf

8


Announcing NewAAD Insurance Administrator

Announcing NewAAD Insurance Administrator

In many states that have initiated the regulation of office-based medicine,

the debate began dramatically — withhighly publicized, negative outcomesand patient deaths related to cosmeticsurgery. The media frenzy that followedprompted state legislators to call for in-creased regulation of surgery performedin physician offices.

“Most people think that the regula-tions are about ambulatory surgerycenters where general anesthesia isused, especially for performing cosmeticsurgery. However, that is not the truth,”said Ronald G. Wheeland, M.D., presi-dent of the American Academy ofDermatology. “These regulations can beapplied to any and all procedures per-

formed in an ambulatory setting, withand without anesthesia, and for purposesother than cosmetic.”

Dr. Wheelend points to the ClinicalLaboratory Inspection Amendments(CLIA) as an example of how concernfor patient safety can result in inappro-priate and burdensome regulations for awide range of practitioners. “CLIA wasoriginally driven by incompetent Papsmear labs that did a horrible job of inter-preting the results causing many womento die of cervical cancer,” Dr. Wheelandexplained. “However, cumbersome regu-lations were developed that coveredmost tests from simple skin scraping forfungal infection and scabies to hair analy-sis. These were never life or death issues,nevertheless the regulations remain.”

CLIA, he said, has created a costlybureaucracy with no appreciable im-provement in quality of care. “Similarly,”he continued, “when outpatient surgicalprocedures are driven into the hospitalor ambulatory surgery clinic under theguise of improved patient safety, the costwill also go up dramatically and manypatients will be significantly inconve-nienced. All without improving patientsafety or public health.”

Lawmakers and regulatory bodiespromulgating these regulations oftenhave a limited understanding of currentpractices in physician offices, accordingto Dr. Wheeland. “Ignorance of what iscurrently being done in the ambulatory

setting and the high safety levels thathave typified this practice for years hasmoved legislators and members of medi-cal boards into new arenas,” he said.

CaliforniaAccording to Margaret E. Parsons,

M.D., president of the California Societyof Dermatology and Dermatologic Sur-gery (CDS), the regulatory debate inCalifornia demonstrates this point. In Cali-fornia, the movement to regulateoffice-based surgery began in the early1990s, and mandatory accreditation ofoffices has been proposed as a solutionto safety concerns. “How can we, as phy-sicians, say ‘well we don’t want to beaccredited?’ It sounds negative, as if wedon’t want to meet some reasonable stan-dard for patient safety. Accreditation isa word that appeals to many people thatmay or may not understand what’s hap-pening in our offices,” said Dr. Parsons.

Although health care issues havetaken a back seat in the legislature toCalifornia’s escalating energy crisis, vari-ous proposed bills — which weresubsequently amended or are caught incommittee — would have impinged onall dermatologists in the state. For example,the original language of a bill passed in1999 that requires reporting of all patientdeaths or emergency transfers, would haverequired that all outpatient settings be ac-credited — even those performing onlyminor surgical procedures.

Another proposed piece of legisla-tion in California that garnered criticismfrom office-based practitioners was Sen-ate Bill 595, which would have tightenedaccreditation requirements. “Languagewas proposed where you couldn’t do anyintramuscular analgesics, so an orthope-dist wouldn’t even be able to do a shotof IM Demerol to pop a dislocated shoul-der back into place,” said Dr. Parsons.

New YorkThis state recently adopted volun-

tary guidelines. Legislation has also beenintroduced. The original proposed guide-

lines would have placed accreditation re-quirements on all physicians practicingin their offices regardless of the complex-ity of the procedure.

“Fortunately, thanks to efforts bysome very active dermatologists and sur-geons who had a significant input intothe process, the resulting guidelines werefairly reasonable — although originallythey were not going to be,” said DuaneWhitaker, M.D., chair of the Academy’sBlue Ribbon Committee on Office-BasedMedicine. Additionally, a bill has been in-troduced in the state legislature that wouldrequire mandatory reporting of any ad-verse incident to the commissioner ofhealth — even allergic reactions to localanesthetic. That bill is currently under re-view by the Health Committees of theNew York House and Senate.

Academy effortsTo address these issues, the Acad-

emy has opted to educate its membersand prepare them for the advent of regu-lations.

As part of this effort, the Academyhas begun working with the Accredita-tion Association for Ambulatory HealthCare (AAAHC) to develop an accredita-tion option for dermatologists whoperform only minor surgical proceduresin their offices. “We should soon have anappropriate process available to derma-tologists that is reasonably affordable andreally not burdensome to a small prac-tice,” said Dr. Whitaker.

This kind of proactive stance is be-ing encouraged by Dr. Wheeland as amajor initiative of his year in office. “It isimperative that all members of our spe-cialty be united in their understandingthat the legislation and regulations beingconsidered are applicable to everyonein dermatology,” he said. “Although pa-tient safety must be everyone’s concern,until there is proof that a problem existswith what most dermatologists do in theiroffice setting, a burdensome and expen-sive office accrediting process isunwarranted.” ■

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Currently, 17 state legislatures or

medical boards have attempted to

regulate physicians’ offices where

surgical procedures are performed

and more states are expected to take

up the cause. This article is the first

in a series that will explore the is-

sues and concerns surrounding the

regulation of office-based medicine

and its impact on the scope of the

dermatology practice.

9


LEGAL UPDATE

HMO lawsuits move forwardBy Nancy Bannon, J.D.

In Pegram v. Hendrich, which was decided approximately one year

ago, the United States Supreme Courtsaid that plan coverage decisions ofteninvolve a mix of medical and admin-istrative components, and Federal Em-ployee Retirement Income Security Act(ERISA) immunity does not extend tothe medical component of plan deci-sions. Earlier this year, the Pennsylvania Su-

preme Court cited the Pegram decisionwhen it ruled that insurance companiesthat make medical decisions are subjectto state laws governing medical negli-gence. It said that plans should be heldliable under state medical malpracticelaws for harmful medical decisions(Pappas v. Asbel).

Other recent court decisions in Cali-fornia, Illinois, New York, and Pennsyl-vania have found that plan participantsand beneficiaries can bring negligenceclaims against health plans in state court—ERISA does not pre-empt them. Still, theresults in the courts are not always uni-form. Some courts continue to blockliability claims brought in state court againstHMOs. For example, the federal 3rd Cir-cuit Court of Appeals (which encompassesPennsylvania) recently found that ERISApre-empts claims against HMOs.

Part of the reason for the lack of uni-formity is the difficulty in distinguishingbetween the administrative and themedical care portion of an HMO’s deci-sion. The outcome of an individual casewill depend on how a court character-izes the HMO care decision that led tothe injury. Expect to see continued varia-tions in decisions until a consensusdevelops among the courts or until Con-gress passes federal guidelines on planliability.

Physician-filed class actionsMeanwhile, an important class action

lawsuit against health plans has been suc-cessfully moving through the federal U.S.District Court in southern Florida. The law-suit consolidates claims by 20 individualdoctors in seven states charging thathealth plans are intentionally violatingprompt-pay laws and violating the pro-visions of RICO. In March, the CaliforniaMedical Association, the Texas MedicalAssociation, and the Medical Associationof Georgia joined the lawsuit against theinsurers. The class action charges thatthere is a conspiracy among managedcare companies to deny, delay, and di-minish payments to providers. Thedefendant insurers include Aetna,Humana, Cigna, PacifiCare, FoundationHealthcare Systems, Prudential, UnitedHealthcare, Connecticut General Life, andWellpoint Health Networks.

So far, this class action suit has clearedthe obstacles insurers have used to try toblock the lawsuit. In March of this year,the judge in the case rejected the insur-ers’ argument that the lawsuit should bedismissed because of ERISA protections.

A number of lawsuits continue tochip away at ERISA’s liability protec-tions for HMOs. During the past year,courts have become more receptiveto liability claims against HMOs, aswell as prompt payment class actionlawsuits filed by physicians under thefederal Racketeer Influenced andCorrupt Organization Act (RICO). Referring to Pegram v. Herdrich, the

judge said, “Defendants read Pegram asif it were a talisman before which all ofPlaintiffs’ claims should fall. Yet the courtin Pegram did not fashion an all-encom-passing cloak of immunity for the healthcare industry…HMO-type structures willnot be imperiled if such entities are heldaccountable for concrete harm flowingfrom acts of fraud, extortion, and breachof contract, as alleged by the plaintiffs.”

Although the judge also went on todismiss the physicians’ claims because offlaws in the language of the complaint,he permitted the physicians to amendtheir complaint and restate their claims,allowing the case to move forward.

At a recent hearing on the class ac-tion in May, the judge again rejected theinsurers’ request to dismiss the physicians’lawsuit. Instead, he ordered the case tomove into the discovery phase, which isthe next step in the litigation process.During the coming year, the physicians’attorneys will review health plan docu-ments to see if they reveal systematicattempts to control medical decisions andmanipulated payments.

Connecticut The Connecticut Medical Society has

filed its own class action lawsuit againstHMOs on behalf of its members. The suitclaims that the defendant health plans—Oxford, Cigna, Aetna, Connecticare,Anthem Blue Cross/Blue Shield, and Phy-sician Health—systematically breach theterms of their contracts with physicians,thereby harming physicians and their pa-tients. Based on recent cases in otherjurisdictions, the lawsuit has a good chanceof having at least some initial success.

Physicians and their representativesnote that injury claims arising from medi-cal treatment historically have beengoverned by state law and resolved inthe state court. The Supreme Court rea-soning in last year’s Pegram decisionsupported the contention that state courtsare the appropriate forum for holdinghealth plans accountable. Now, ERISAexperts see a definite trend in the fed-eral courts where causes of action againsthealth plans based on medical decisionsor “mixed” medical eligibility decisionsare not being pre-empted by ERISA. Inother words, physicians and patients areincreasingly empowered to pursue legalremedies in state courts under state law.

This LEGAL UPDATE column is thefirst in a semi-regular feature series thatwill cover the various legal issues dottingthe managed care landscape today. ■

Expect to see continued variations in decisions

until a consensus develops among the courts or

until Congress passes federal guidelines on plan

liability.

http://www.aadassociation.org/member/DermWorld/2001/July/allegan_tazorac_pi.pdf

10


For the first time in eight years, mem-bers of the American Academy of

Dermatology (AAD) will be voting on aproposed dues increase this fall. On June9, the Academy’s Board of Directorsunanimously approved sending this is-sue to the membership for approval. Therevenue from the increased dues will bedirected to developing measures to pro-tect office-based medicine and to newprograms of importance to dermatolo-gists in the area of government affairs, aswell as providing services to dermatolo-gists to help them run their practices, and

AAD members to vote on proposed dues increaseother initiatives to benefit members.

“There was unanimous support fromthe entire Board of Directors for findingthe necessary funds to enact these im-portant membership programs,” saidRonald G. Wheeland, M.D., president.“Academy members will see direct andimmediate benefits from the programsif the dues increase is approved.”

The unanimous Board support cameafter dermatologists from across thecountry expressed strong support forincreasing Academy dues so that theseimportant member programs get the

appropriate level of funding.“A number of my colleagues have

not only called on the Academy to in-crease dues to pay for governmentaffairs programs, but they feel that thisstep should have been taken a long timeago,” said Linwood G. Bradford, M.D. ofSumter, S.C. “It’s been over seven yearssince we last raised the level of dues.This is long overdue.”

Dues for the Academy are on thelower end of the scale when comparedwith other medical specialty societies (seechart below, right). For example, the

American Society of Plastic Surgeons(ASPS), who have been leading thecharge against dermatologists and theirability to practice medicine in an office-based setting, have a dues level nearlythree times higher than the Academy.This does not include assessments thatmembers of ASPS have been charged topay for negative campaigns targeted atdermatology.

“We are under attack and we needto fight back,” said Robert Brodell, M.D.,of Warren, Ohio. “Other medical spe-cialties are trying to tell us what type ofmedicine we can practice. If we don’tfind the resources for programs tocounter these assaults, dermatologists willnot be able to practice medicine in themanner in which we have been trained,which would be to the detriment of ourpatients.”

Clay J. Cockerell, M.D., secretary-treasurer, has indicated that funds are notcurrently available to adequately sup-port the numerous new programsdemanded by Academy members whilemaintaining the traditional educationalmission of the Academy. “If somethingis not done to increase funding, we willnot even be in a position to fight thesebattles,” said Dr. Cockerell. “ The strongvote from the Board shows the clearconsensus that we need to take this ac-tion in order to be responsive to thewishes of the membership.” ■

2001-U.S.Organization .....member dues

American Society ofPlastic Surgeons ............... $1,260

American Association ofNeurological Surgeons ..... $ 790

American Academy ofOphthalmology ................ $ 675

American Academy ofOrthopedic Surgeons ....... $ 600

American College ofEmergency Physicians ..... $ 515

American OsteopathicAssociation ....................... $ 490

American Society ofAnesthesiologists .............. $ 450

American Academyof Dermatology ............ $ 450

American Academyof Otolaryngology-HNS ... $ 400

American Collegeof Cardiology ................... $ 350

American Collegeof Obstetrics-Gynecology $ 350

American UrologicalAssociation ........................ $ 350

Major medicalspecialty societydues comparison

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12


Summit, from p. 2and second opinions,” and are lookingfor doctors who will work as partnerswith them. In her opinion, patients willpay more for the right to choose themost knowledgeable physician.

Addressing the role of the pharmacyin the managed care system wereDavid B. Lorber, M.D., assistant vicepresident of medical affairs forAdvancePCS, on formularies, and JanBerger, M.D., vice president of clinicalservices and quality, associate medicaldirector of patient care for CaremarkInc., on coverage for “quality of life”drugs versus medically necessary drugs.

Discussion also centered on physi-cian problems with preauthorization for

prescriptions and keeping track of theformularies required by various man-aged care plans. Dr. Whittemore said akey element in these issues is keepingemployees educated about the detailsof their plans, and Cherney agreed, as-sert ing that employers as thepurchasers of health care coverage haveto take an active role in creating posi-tive change in the system — includingbetter educating employees.

Dr. McGoey concluded the meet-ing. “We welcome your ideas forcollaboration. We have some of our ownideas. Because things aren’t so black andwhite, it’s very important that we con-tinue to collaborate, seek ideas andexplanations,” he said. ■

During the transition period,Conway has provided management sta-bility to the Academy — its officers andboard, as well as staff. He has imple-mented several significant boardapproved policies and programs affect-ing the Academy, including theestablishment of a sister 501(c)6 orga-nization, as well as the development andrecent implementation of a governancereorganization plan. In addition, he hasoverseen the Academy’s Washington,D.C. office, as well as reorganized thestaff management structure and revisedstaff performance appraisal and incen-tive programs.

Through Conway’s experience with

Conway, from p. 1 the Academy, he recognizes that infra-structure — the financial, technological,and workforce resources of the Academy,as well as its management structure — isa vital component to the successful deliv-ery of Academy services and programs.

“One of the many jewels I gleanedfrom my mentor, Brad Claxton, is thatthe Academy is only as strong as its vol-unteers and staff. Dermatology is blessedwith member participation that is with-out a peer, so I intend to follow Mr.Claxton’s credo and assure that the Acad-emy has the best staff possible in orderto carry out the board’s goals and objec-tives.”

Such objectives include using tech-nology to deliver distance learning;pursuing legislative, regulatory, and pri-vate sector advocacy channels as ameans for facilitating fair reimburse-ments for physician services, as well assecuring unrestricted treatments and vis-its for patients and access to specializedservices; preserving office-based medi-cine and protecting the scope ofpractice; investigating research oppor-tunities; and building public awarenessof the importance of dermatology.

“I view the role of the executivedirector as a facilitator between the lead-ership and staff, to ensure that theboard’s established objectives are car-ried forward by staff to meet the needsof the membership,” said Conway. “Oneof the duties of the executive directoris to ensure that the board conducts anongoing strategic planning process inwhich the continuation of current plansis assessed and new opportunities areevaluated. Once the board has estab-lished a priority, the executive directormust identify the efficient utilization ofresources that will empower staff to at-tain that priority.”

Conway brings to the job 19 yearsof diverse and specialized business ex-perience. Prior to joining the Academyin 1996, he held executive managementpositions spanning 14 years. His experi-ence includes 10 years as vice presidentand treasurer of the National Futures As-sociation, a not-for-profit, self-regulatingorganization serving the futures industry,with a staff of 275 and an annual budgetin excess of $30 million. Prior to that,Conway was a certified public accoun-tant (CPA) with Oak Brook, Ill.-basedCray-Kaiser, Ltd., providing accounting,auditing, management advisory services,and tax consultation to a wide variety ofindustries and not-for-profit organizations.Additionally, he spent two years as anaccounting manager for Cooperative Mar-keting Company, a privately-heldmarketing and printing business. He holdsa Masters of Business Administration fromLoyola University of Chicago, GraduateSchool of Business.

Conway is a devoted family manwho enjoys spending time with his wifeKerri and their three children, son Sean,8, and daughters Taylor, 9, and Riley, 4.The Conway’s reside in Glen Ellyn, awestern suburb of Chicago, where Tomspends his leisure time coaching his son’sLittle League baseball games, as well asplaying golf and recreational hockey,when time permits. ■

13


Topics covered in theJuly 2001 issue:

• Photodynamic Therapy

• Vitiligo Therapy

• Nonsteroidal Topical Therapy

On April 25, the American Academyof Dermatology launched Mela-

noma/Skin Cancer Detection and Pre-vention Month with a press conferencein New York City. The press conferenceand related media activities generatedmore than 81 million media impressions.

As a result of the press conference,ABC World News Tonight interviewed

AAD’s Melanoma Month activities reachrecord-breaking 81 million people

Darrell Rigel, M.D., about skin cancerrisk. An interview with Darrell Rigel,M.D., Barbara Gilchrest, M.D., andNeal Schultz, M.D., about skin cancerprevention and detection was broadcaston 42 ABC-TV affiliates nationwide. Ri-chard Glogau, M.D., discussed skin cancerawareness with the FOX-TV affiliate inSan Francisco. The AAD’s skin cancer

San FranciscoGiants screenedfor skin cancer

On Melanoma Monday, May 7,American Academy of Derma-

tology President Ronald G. Wheeland,M.D., examined San Francisco Giantspitcher Kirk Reuter for skin cancer.AAD members John Epstein, M.D.,and Peter Panagotacos, M.D., also par-ticipated in the screening of 51players, coaches, front office staff andfamily members of the Giants. Theevent generated more than 3 millionmedia impressions. ■

screening program was the subject of TheToday Show’s interview with MarshaGordon, M.D. The skin cancer informa-tion presented at the press conferencewas also featured in The Washington Post,USATODAY.com, Fashion Wire Daily,ABCNews.com, and WebMD.

In addition, a satellite media tourfeaturing Ronald Wheeland, M.D.,and Barbara Gilchrest, M.D., reachedmore than 1 million viewers throughoutthe country, while a radio media tourfeaturing Ronald Wheeland, M.D.,and James Spencer, M.D., reachedover 32 million people nationwide. Avideo news release featuring DarrellRigel, M.D., reached more than 23 mil-lion people throughout the country,while a video news release featuringprofessional golfer Greg Norman andClay Cockerell, M.D., has reached800,000 to date.

The Weather Channel and the SanFrancisco Giants helped launch MelanomaMonday on May 7. Media coverage ofthese screenings reached over 3 millionpeople nationwide. Additional coverageof Melanoma Monday included interviewswith James Spencer, M.D., on the FOX-TV affiliate in New York and DesireeRatner, M.D., on the NBC-TV affiliate inNew York. Major articles were publishedin The Tampa Tribune and The Balti-more Sun. In addition, the AmericanAcademy of Dermatology’s MelanomaMonday was the answer to one of thetrivia questions on Jeopardy! ■

AAD, The Weather Channel promote sun safety

(above) Participating in the AAD’s MelanomaMonday skin cancer screening event at TheWeather Channel (TWC) headquarters inAtlanta, Ga., on May 7 are (pictured l-to-r):Kenneth Beer, M.D., Harold Brody, M.D., BoniElewski, M.D, AAD Vice President, LawrenceSchachner, M.D., Thomas Rohrer, M.D., DarrellRigel, M.D., Jacqueline Marie Junkins-Hopkins,M.D., and TWC on-camera meteorologists PaulGoodloe and Jennifer Lopez.

(above) Darren Casey, M.D., (left) screened a Weather Channel employee for skin cancer on MelanomaMonday, May 7. A total of 163 Weather Channel employees were screened. Atlanta-area AADmembers Harold Brody, M.D., Cynthia Dolan, M.D., and Gabrielle Sabini, M.D., also volunteeredtheir time and expertise at the screening.

AAD President Ronald G. Wheeland, M.D.,screens San Francisco Giants pitcher KirkReuter for skin cancer.

Did you receive your copy ofthe Member Needs Assess-

ment Survey? Please be sure to fillout and return the printed version,or access the survey online underthe Members Only section of theAAD Web site, www.aad.org, byJuly 31. Don’t miss this very im-portant opportunity to contribute.This survey is conducted only onceevery three years and your re-sponses are vital in guiding thedevelopment of future Academyprograms. ■

Member needs survey

due by July 31

To subscribe, call the AAD OrderDesk at (847) 240-1279.

Dialogues inDermatology

The audio journal of dermatology

liposuction (1987 – Dr. Jeffrey Klein)and most of the cutaneous laser sur-gical procedures being performedtoday. In addition the first textbookon dermatologic surgery written bya dermatologist, Dr. Erwin Epstein,Sr., was published in 1956, and theJournal of Dermatologic Surgery andOncology began publishing in 1975.

Finally, I am particularly of-fended by your apparent proprietor-ship of the term “surgery.” The de-termination of what specialties aresurgical is not, as you mistakenlystate, developed by ABMS. In fact,the specialty boards of the ABMS donot distinguish between medical andsurgical specialties. The specialtyboards themselves define a scopeof practice that is modified as prac-tice innovations occur. Many of thesubjects you mentioned as being re-quired to become a “surgeon,”including basic science, anatomy, an-esthesia, ethics, surgical techniques,wound healing, oncology, and themanagement of postoperative com-plications, are already taught as partof the PGY 2-4 dermatology train-ing program and questions relevantto these topics are included on the

American Board of Dermatology certi-fying examination.

I conclude by most strongly rec-ommending the next time beforewriting your “Perspective” column thatyou more carefully review the factsbefore making broad, sweeping andincorrect statements that can have dam-aging effects on others. The specialtyof dermatology is not just about syphi-lis and warts any more, Dr. Russell. Jointhe 21st century and see for yourselfthe quality of training dermatologistsroutinely receive in surgical topics ascurrently mandated by the AmericanBoard of Dermatology and the ABMS.While you are at it, why not also re-view the many innovative contributionsto advancing skin surgery that havebeen made by many dermatologistsover the years and which are routinelyused on a daily basis by many other“surgical” specialties.

The collegiality of physicians hasalways included a willingness to shareboth clinical and basic research ideasand techniques with others so that ourpatients can benefit from the latesttechnologies and most creative researchavailable. Working for the commongood of our patients also requires mu-

tual respect and trust between allspecialties and is part of what itmeans to be a doctor. Your unwar-ranted and fallacious attack on thespecialty of dermatology serves onlyto undermine these basic tenetswhile inciting mistrust, promulgatingconfusion and demonstrating yourbasic ignorance and prejudice on thisparticular topic.

I would welcome the opportu-nity to speak with you at any timeto help further clarify these issues foryou.

Sincerely,

Ronald G. Wheeland, MDPresident, American Academyof Dermatology

Surgeon, from p. 3

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© 2001 Salu®, Inc. DermdexSM. DermdexSM is a division of Salu®, Inc.

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s u r g e r y , pp e e l s , ss k i n cc a n c e r tt r e a t m e n t s aa n d mm o r e . HH e a r II n g a EE ll l z e y dd i s c u s s

c o d i n g ss o l u t i o n s ff o r tt h e cc o s m e t i c aa n d dd e r m a t o l o g y pp r a c t i c e . RR e c e i v e 99 cc m e

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http://www.aadassociation.org/member/DermWorld/2001/July/0701_dermdex.pdf

15


The educational program for ACAD-EMY 2001 will feature a range of

new and improved sessions on every-thing from patch testing to giving amedia interview. “The Academy’s bestteachers will be offering vital informa-tion on the issues of most importanceto dermatologists,” said Mark Lebwohl,M.D., chair of the ACADEMY 2001 Plan-ning Committee. Most of the educationalsessions are eligible for continuing medi-cal education credit.

Several exciting interactive work-shops will be available to attendees.There will be two workshops on botu-

linum toxin, in themorning and after-noon on Tuesday,July 31. The after-noon workshopwill feature livedemonstrations il-lustrating injectiontechniques. An-other workshopwill explore patchtesting, including a“hands-on” patchtesting exercise.

“While the Academy has offeredbotulinum toxin workshops in the past,this year’s summer meeting boasts moreand considerably improved sessions,”said Dr. Lebwohl. “The same is true ofthe patch test workshop. While it mayhave been offered in previous years,this workshop will be considerably morecomprehensive.” Other workshops willcover the use of lasers, dermatopathol-ogy, and the art of mastering mediainterviews.

A number of hands-on computertraining sessions are also planned to helpdermatologists and their staffs increasetheir computer know-how. Sessions onWindows ‘Me — the Millennium editionof Windows, most com-monly used in homes andsmall businesses; MicrosoftWord; and PowerPoint willaid everyone from thenovice to the more ad-vanced computer operator.Two open labs will also beoffered to allow attendeesto practice the skills theylearn.

Another interactivesession available at this

ACADEMY 2001 educational sessions tackle wide range of topicsyear’s summer meeting is a symposiumon clinicopathologic correlation in thediagnosis of dermatologic disorders.Members of an eight-person panel willbe presented with patient case histo-ries and biopsy specimens and askedto provide a differential diagnosis. Mi-croscopes will be made availableoutside the session room for attendeesto examine the specimens themselves.“Dermatoscopy/ELM Training,” a top-ics in … session will also offer anopportunity to use the technology in-volved while learning this technique fordiagnosing melanoma.

A number of industry-sponsoredsessions will once again be offered atthe summer meeting. Galderma is spon-soring a session on “Insights into Skinof Color: Diagnosis and Treatment.”Allergan Skin Care will offer “Innova-tions in Improving Facial Appearance,”and Berlex Laboratories has sponsoredan event titled “Maximizing Your Clini-cal Practice: Treating Actinic Keratosesin the Managed Care Setting.” “NewTherapies for Atopic Dermatitis: Itch-ing to Know More!” will be offered byNovartis Pharmaceuticals Corporation,and “Latest Breakthroughs in PsoriasisTherapy” by Genentech, Inc. Industrysponsors are responsible for the con-tent of these sessions, as well as forsecuring continuing medical educationcredit.

Popular sessions returning this yearinclude a concurrent session on Thera-peutic Pearls that will present attendeeswith practical and innovative strategiesin diagnosis and management for theoffice-based practitioner. New Thera-pies also returns again this year offeringattendees up-to-date information on thenewest, most effective therapies forcommonly encountered conditions.Also returning are sessions on pediatric

Mark Lebwohl, M.D.,chair, Academy 2001Planning Committee

dermatology, nails, drug reactions, andmore.

For detailed information such asdates, times, locations and ticketing re-quirements for these and the numerousother sessions being offered at ACAD-EMY 2001, consult the program book. ■

New and improved sessions on subjects as varied as patchtesting to developing media interview skills await dermatologistsat the ACADEMY 2001 summer meeting.

On-site registrationOn-site registration is available for meeting attendees who did not returntheir advance registration materials for ACADEMY 2001 before the dead-line of June 29, 2001. The on-site registration desk will be locatedin the California/Pacific Foyer at the Hilton Anaheim. Tickets for

available sessions, courses, workshops, and computer training sessions can bepurchased at the on-site registration desk, based upon availability.

Registration will be open during the following hours:Saturday, July 28 .................................................................... 2 p.m. to 8 p.m.Sunday, July 29 ........................................................................ 7 a.m. to 5 p.m.Monday, July 30 ....................................................................... 7 a.m. to 5 p.m.Tuesday, July 31 ...................................................................... 7 a.m. to 5 p.m.Wednesday, August 1 ................................................................ 7 a.m. to noon

Don’t miss ACADEMY Welcome ReceptionKick off your time at ACADEMY 2001 by attending the Welcome Receptionon Saturday, July 28, from 6 p.m. to 7:30 p.m. in Pacific Ballroom D at theHilton Anaheim Hotel. Registered physicians, spouses and children are invitedto this fun-filled event. The event is free, however badges are required forcomplimentary admittance.

Participate in Dermatology World focus groupsDermatology World is seeking readers who are interested in providing inputon the publication’s content. Dermatology World will hold two focus groupsessions on Monday, July 30, during the ACADEMY 2001 meeting in Anaheim,Calif. Session 1 is scheduled for 7 to 8:30 am on July 30, a complimentarycontinental breakfast will be served. Session 2 is scheduled for 1 to 2:30p.m. on July 30, a complimentary box lunch will be served. Both sessionswill be held at the Hilton Anaheim — the ACADEMY 2001 host hotel.

Free Academy products valued at over $100 will be awarded to all partici-pants. Input received from the sessions will be kept confidential by a thirdparty focus group moderator.

Selection for the groups will begin immediately. If you will be attendingACADEMY 2001 and are interested in participating in one of the two availablefocus group time slots while you are at the meeting, please contact Lara Lowery,managing editor, at (847) 240-1776, fax (847) 330-8907, or [email protected].

ACADEMY 2001 approved for CME creditThe Accreditation Council for Continuing Medical Education (ACCME) accred-its the American Academy of Dermatology (AAD) to sponsor continuing medicaleducation (CME) for physicians.

All ACADEMY 2001 activities are approved for direct-sponsored AcademyCategory I or I-S credit toward the AAD CME Award. Credit is calculated on anhour-for-hour basis and will be reflected on the February transcript issued to allregistered participants in the AAD Transcript Program. The maximum numberof hours that may be claimed is 33. Check the ACADEMY 2001 Program Bookfor credit hours earned per session.

The AAD designates this continuing medical education activity for a maxi-mum of 33 hours in Category 1 credit towards the American Medical Association’sPhysician’s Recognition Award of the American Medical Association. Each phy-sician should only claim those hours of credit that he/she actually spent in theeducational activity. ■

(right) The popular Technical Exhibit Hall,where dermatologists can learn about the latestin industry products and diagnostic equipment,will be held Sunday through Tuesday in the

California Pavilion atthe Hilton AnaheimHotel.

16


ACADEMY 2001

Ronald G. Wheeland, M.D., president of the American Academy

of Dermatology and AAD Association,will address the topic of office-basedmedicine during the Open-ing Session at ACADEMY2001 on Sunday, July 29.

Office-based medicine,which encompasses nearlyany procedure performed inan outpatient setting – is animportant topic for all der-matologists, according toDr. Wheeland, because it af-fects every dermatologist –no matter how big or smallthe procedures that they perform.

“Many of the proposed restric-tions on how we practice in ouroffices will severely impact on ourability to provide the best possiblecare for our patients in the most cost-efficient manner,” said Dr. Wheeland.

The Academy is working to pre-pare members for the challenges anyrestrictions or regulations may imposeon dermatologists. Several significant

steps have been taken, including theclose monitoring of all state legislativeactivities relative to office-based prac-tices in concert with state dermatology

leaders. The Academy hasalso developed an affiliationwith the prestigious Accredi-tation Association forAmbulatory Health Care(AAAHC), a nationally-recog-nized, non-profit organization,that has resulted in the recentdevelopment of an appropri-ate set of standards that wouldallow accreditation of officesfor office-based practitioners.

“While mandatory accreditation ofdermatologists’ offices may not be re-quired in every state in the immediatefuture,” said Dr. Wheeland. “Themechanism for obtaining that accredi-tation is now in place should thateventuality occur. Hopefully, by tak-ing these actions, dermatologists cancontinue to provide the highest qual-ity of medical, cosmetic or surgicalcare to their patients.” ■

Ronald G.Wheeland, M.D.

AAD President’s Messageto address office-based medicine

The most common error of observa-tion is that “we see only what we’re

looking for,” according to Irwin M.Braverman, M.D., professor of derma-tology at Yale Medical School, who willbe presenting the Everett C. Fox, MD

Memorial Lecture atthe ACADEMY 2001meeting in Ana-heim, Calif.

Physicians havea tendency to filterout information in anattempt to diagnosea patient. “Whenthey see a patientand have a roughidea of the patient’s

condition, often times the only thingthey look for is what corroborates thediagnosis,” he said. By discarding theother information they could be missingout on a clue that could lead to anotherdiagnosis.

Using art to teach physicians observational skillsBy Ruth Carol

Dr. Braverman hopesto teach medical studentsand residents to reverse thatprocess. “They should startwith a blank slate and lookfor all the details that arepresent, and on that basiscome up with a diagnosis,”he said.

In his lecture titled“The Skin & the Eye,”which is slated for theOpening Session on Sunday morning, Dr.Braverman will discuss a method to im-prove the observational skills of medicalstudents and residents through art.

Students are neither trained in medi-cal school nor are residents trained inresidency programs to “see,” accordingto Dr. Braverman. “We teach them pat-tern recognition. We point out aparticular lesion, how it’s arranged, allits details. We essentially turn them intoa walking atlas,” he explained.

The problem with thiskind of training is that it’spassive, Dr. Braverman ar-gued, and it doesn’t teachphysicians how to analyzea lesion or rash they are ob-serving for the first time.“When looking at a foreignobject, such as a painting,you tend to describe all ofits details because youdon’t know which ones are

more important,” he said. “If you keeppracticing that exercise of looking for thedetails, this skill will become second na-ture. So that no matter what you arelooking at, you’ll see the details there.”Dr. Braverman contends that many der-matologists and physicians acquire thisskill only after years of practice, and hequestions whether this skill can be taughtor enhanced earlier in one’s medical edu-cation.

For the past 4 years, Dr. Braverman

Irwin M.Braverman, M.D.

has taken a field trip to the art museumwith his first-year medical students andresidents. While there, the students areasked to describe what they see in vari-ous paintings. “As the students describethese paintings, you realize how they’reseeing and can guide them in a moreappropriate direction, if necessary,” hesaid. Some students only see the over-all theme, while others only see thedetails. “You can relate their commentsdirectly to clinical medicine; for example,how they describe contradictory featuresin the painting can be similar to inter-acting with a patient with contradictorysymptoms.”

Dr. Braverman believes that obser-vational skills can be improved providedstudents, residents and new doctors aretaught more than just to recognize pat-terns. “It isn’t just about turning them intoa walking atlas,” he concluded, “it’s aboutturning them into a walking SherlockHolmes who will create his own atlas.”■

Dr. Braverman

will discuss a

method to improve

the observational

skills of medical

students and

residents through art.

The online Personal Itinerary is avail-able for the ACADEMY 2001 meet-

ing in Anaheim, Calif. This planning toolenables members to create a personal-ized itinerary to keep track of dates andtimes of sessions they plan to attend.

The Personal Itinerary allows mem-bers to view information for all of theevents scheduled during the meeting.Information is obtained by searchingthrough a variety of subjects such ascommittee/ancillary meetings, computertraining sessions, educational sessions,optional activities and more. Users canalso search by date and key words. Mem-bers can view a brief synopsis of anysession including date, time, and faculty.

AAD Resource Center ..............Booth 501AV Preview Room ...................... PalisadesBusiness Center ...................Lower LobbyConvention Office ...............Green RoomMessage Center ... California/Pacific FoyerPoster Exhibits ....... California PromenadePress Conference Room ...... Capistrano BPress Office .......................... Capistrano ARegistration .......... California/Pacific FoyerTechnical Exhibits ........ California Pavilion

Continuing medical education credit for Academy members will be tabu-lated based on submitted CME Reporting Forms that are available in the

registration packets.Attendees must write their six-digit AAD Master Identification Number and

name on the CME Reporting Form and place the completed form in the desig-nated collection boxes. Registrants need only submit one CME Reporting Formfor the entire meeting. All sessions will be listed on the one form.

A separate Session Evaluation Form should be completed for each educa-tional activity to provide feedback for future planning.

Educational activities qualify for Category I CME credit as follows:

• Opening, Concurrent, General Sessions ............. hour for hour credit• Course ............................................................................... six hours credit• Seminars, Workshops ................................................. three hours credit• Topics In… .............................................................. one hour credit each• Focus Sessions ....................................................... two hours credit each• Personal Computer Sessions ................................. two hours credit each

Those sessions dealing with socioeconomic and practice issues qualify forAAD Category I-S CME credit and those sessions not qualifying for any CMEcredit are indicated in the sessions’ description. ■

By clicking on a particular sessionit can be added to the user’s itinerary,which can either be printed or viewedonline. Members can add or delete ses-sions at anytime throughout themeeting. However, the Personal Itiner-ary tool will not allow users to registerfor the meeting or individual events.To register, members must visit the on-site registration desk in the California/Pacific Foyer at the Hilton AnaheimHotel.

The Personal Itinerary is accessibleunder Hot Topics on the AADhomepage and under the Highlightssection on the Members Only portionof the AAD Web site, www.aad.org. ■

Continuing Medical Educationreporting, session evaluation

Plan ACADEMY 2001 itinerary online

Academy offices, exhibits

The Business Service Centeris located in the Lower

Lobby of the Hilton AnaheimHotel. It will be open Saturday,July 28 through Wednesday,Aug. 1. Major credit cards areaccepted. ■

All locations are in the Hilton Anaheim Hotel:

Business Center

17


JULY 28 - AUGUST 1

The American Academy of Derma-tology (AAD) has provided top-qual-

ity patient education pamphlets for over20 years, and the pamphlet line has con-tinued to grow and evolve with thespecialty of dermatology.

Thirteen new and revised titles for2001 include: Sunscreens, Black Skin,Solving Problems Related to the Use of

Patient literature offerings expandedCosmetic and Skin Care Products, TheSun and Your Skin, Skin ConditionsRelated to AIDS, Squamous Cell Carci-noma, What’s In a Scar, Nail Health,Pruitus, Dysplastic Nevi, Basal Cell Car-cinoma, Malignant Melanoma, andActinic Keratosis, which is scheduled todebut in the fall.

The total patient pamphlet line num-

AAD PamphletsCommitteeThe AAD Pamphlets Committeeconsists of the following members:

• Robert B. Skinner, M.D., Chair• Tina S. Alster, M.D.• Mark D.P. Davis, M.D.• W. Christopher Duncan, M.D.• Charles W. Lynde, M.D.• Linda Susan Marcus, M.D.• Ginat W. Mirowski, M.D., D.M.D.• Sandra I. Read, M.D.• Mark Naylor, M.D. ■

bers 50 strong, and it is still growing. Pam-phlet authors are selected, uponrecommendation by their colleagues, fortheir extensive knowledge of the topic.Each of the pamphlets, written in an easy-to-understand format, clearly illustrates aparticular dermatologic condition and thepossible treatments with outcomes thatcan be expected. Each patient pamphlettitle goes through an extensive reviewprocess prior to final approval. The draftmanuscript is seen by a second recog-nized expert on the specific condition,followed by the Guidelines and Out-comes committee, and finally the chairsof the Communications Council. Changesand rewrites occur throughout the pro-cess to ensure the most up-to-date andaccurate information available.

The success of the pamphlet line isdue in large part to the dedication andcommitment of the Pamphlets Commit-tee (see sidebar). The Committee,chaired by Robert Skinner, M.D., fromthe University of Tennessee-Memphis,is composed of nine dermatologists whoreview the text and graphics for eachnew and revised pamphlet. They alsorecommend new pamphlet titles basedon member requests from the MemberNeeds Assessment Survey and the re-cent Pamphlet Survey.

“Pamphlets are a vital patient edu-cation tool, reinforcing importantinformation and often answering thepatient’s forgotten question,” said Dr.Skinner.

In addition to use by more than 40percent of North American members,pamphlets are also purchased in bulkby such organizations as the NationalPark Service, which distributes them asa means of public awareness. A grantfrom The National Dermatology PublicAwareness Program (NDPAP) also makesthese pamphlets available to individualconsumers who write to the Academyor call the special 800 number.

A new brochure listing all of thecurrent and upcoming pamphlets willbe mailed to all Academy members thissummer. Complimentary pamphletsample packs will also be available at

I’m interested in reviewing additional information about:

❑ AAD Advantage – Member Buying Program

❑ AAD Financial Connection – Equipment Leasing and Financing

❑ AAD Financial Connection – Credit Card Processing

Fax to (847) 240-1859

Name __________________________________________________________

Address _________________________________________________________

City, State, Zip ___________________________________________________

Phone _________________________ Fax___________________________

E-mail __________________________________________________________

AAD offers money saving programsfor practice expenses

the AAD Resource Center, booth 501 inthe Technical Exhibit Hall, during ACAD-EMY 2001 in Anaheim, Calif. Foradditional information, contact the AADMarketing Department at (847) 240-1280, fax (847) 240-1859, or visit theAAD Web site at www.aad.org. ■

To assist Academy members with sub-stantial savings on practice expenses,

the American Academy of Dermatology(AAD) offers AAD Advantage and AADFinancial Connection, two memberprograms available through an Academypartnership with Henry Schein, Inc.

AAD Advantage and AAD Finan-cial Connection were developed inresponse to an overwhelming memberrequest for the Academy’s help in reduc-ing practice expenses. These programsprovide three key areas of money sav-ing opportunities for members.• AAD Advantage — Member Buy-

ing Program. Offers substantialsavings on all medical, surgical, andfront-office supplies as well as brandname and generic pharmaceuticals.Compare prices in the latest formu-lary. There’s no enrollment fee orminimum order commitment of anykind — just great savings on theproducts that dermatologists usemost. The membership programcode is AAD-91.

• AAD Financial Connection —Equipment Leasing & Financ-ing. Favorable rates, negotiatedexclusively for Academy members,are significantly less than currentmarket rates. Members can pre-ap-prove themselves for up to$200,000 on a simple, six-line ap-plication. Take advantage of 100percent financing and a paymentschedule that fits individual cashflow and financing requirements.Henry Schein Financial Services isnow reducing the already com-petitive financing rates by ½percent for all applications re-ceived through the end of July,including all applications taken atACADEMY 2001.

• AAD Financial Connection —Credit Card Processing. There isone fixed, low processing rate —no monthly fees, no statement fees,no per transaction fees. Funds areelectronically deposited within 48hours. Henry Schein Financial Ser-vices offers this program inassociation with Harris Bank, thethird largest bank in North America.To learn more about AAD Finan-

cial Connection or AAD Advantage,visit the AAD Resource Center, booth501, in the Technical Exhibit Hall dur-ing ACADEMY 2001, or contact AADFinancial Connection at (800) 443-2756 ext. 4 or AAD Advantage at (800)772-4346 program code AAD-91; fax theform accompanying this article to (847)240-1859, or visit the AAD Web site atwww.aad.org. ■

The American Academy of Dermatology (AAD) gratefully acknowledgesthe following Partners in Education for their contributions in support of

ACADEMY 2001. Contact Robert Wulff, AAD’s director of development, at(847) 240-1037 to become a Partner in Education for upcoming Academymeetings.

Special thank you toPartners in Education

Diamond Contributors ($75,000)• Allergan Skin Care• Galderma Laboratories, Inc.• Novartis Pharmaceuticals Corporation

Gold Contributors ($50,000)• Berlex Laboratories, Inc.• Genentech, Inc.

Silver Contributors ($25,000)• Bristol-Myers Squibb

Bronze Contributors ($15,000)• McGhan Medical Corporation

18


ACADEMY 2001

While at a family gathering, a distantcousin asks you to look at a spot

on his wrist. You say it doesn’t look likeanything with which to be concerned.Have you just established a physician/patient relationship?

“Yes,” according to Allan Gibofsky,M.D, J.D., profes-sor of medicineand public healthat Weill MedicalCollege of CornellUniversity, thepresidential guestspeaker at theACADEMY 2001meeting in Ana-heim, Calif. “Very

often, doctors are asked questions at asocial event, a sporting event, or a fam-ily gathering. I don’t think physiciansrealize that their comments may be con-sidered a professional opinion, even ifsaid in an informal situation.”

Entering into a physician/patient re-lationship fulfills the element of duty,which is one of the four basic and requiredelements of the tort of medical malprac-tice. In his lecture titled “Medicine & Law,”Dr. Gibofsky will discuss all four elements:

When law and medicine convergeBy Ruth Carol

duty, breach, causation, and damages.Briefly, duty is defined as an obligation toperform an act or refrain from performingan act. Breach is an act of commission oromission. Causation can be direct or indi-rect and refers to the relationship betweenan alleged breach of duty and the outcomeor injury to the patient. Damages can beeconomic, such as lost wages, or non-eco-nomic, such as pain and suffering.

“Physicians need to understand thefour elements of medical malpractice sothey can anticipate problems before theyoccur,” said Dr. Gibofsky, who will elabo-rate on tort law, under which the majorityof disputes between a patient and physi-cian fall. “Unfortunately, we live in asociety in which individuals are desirousand demanding of a perfect outcome.Because medicine is as much an art as ascience, a perfect outcome isn’t alwayspossible despite our best efforts. So phy-sicians need to understand how to bestprotect themselves against allegations ofunprofessional conduct especially in thosesituations when people have unrealisticexpectations.”

Such unrealistic expectations cansometimes lead to patient dissatisfaction,which should not be confused with medi-

cal malpractice, Dr. Gibofsky explains.Medical malpractice occurs when a phy-sician’s conduct is negligent in somefashion, resulting in an injury to the pa-tient. But a patient can be displeased withthe aesthetic result of a cosmetic proce-dure, for example, even though thedermatologist performed the procedureperfectly. “If the patient is dissatisfied,”he said, “they may say it’s the result ofmedical malpractice, rather than an out-come with which they’re unhappy.”

Then there are those patients whosimply don’t listen to the physician’s in-

structions and blame the doctor whenthe procedure does not meet their ex-pectations. For example, Dr. Gibofskyrelated the story of a woman who hadsurgery on her foot to remove a bunion.The doctor told her to stay off her feetfor the next few days. The next day, hesees her walking in the street, wearinghigh heels. When he questions why sheis on her feet and wearing high heels,she responds saying, “For me, this is stay-ing off my feet.” “Needless to say, theresult didn’t turn out the way she wantedit to,” said Dr. Gibofsky. ■

To advertise, contact Atwood Publishing, LLC, (913) 469-1110 ext. 214.Product ShowcaseProduct Showcase

Top practitioners in the field of dermatology will address ACADEMY 2001attendees during the General Session on Wednesday, Aug. 1.Two open admission, general sessions are planned for this final day of the

meeting. These sessions will provide attendees with information on the latesttreatments and therapies and how they will impact the clinical dermatologist’spractice.

From 9 a.m. to 10:15 a.m. the “Therapeutics”session, which is divided into two parts — medical andsurgical dermatology — will address eczema, psoriasis,and dermatology surgery. Session director John Y.M. Koo,M.D., and faculty Christopher B. Zachary, M.D., willpresent information on new developments in the treat-ment of psoriasis and eczema and in the field ofdermatology surgery. Attendees will walk away with abetter understanding of how to select the best treat-ments for psoriasis, eczema and dermatology surgicalcases.

From 10:45 a.m. to 12 p.m. the “What’s New”session will feature the most recent information on la-sers, soft-tissue augmentation, and neurotoxins. Expertswill discuss what works, what doesn’t, and what is rightaround the corner for these rapidly developing thera-pies. Richard G. Glogau, M.D., session director, willpresent on neurotoxins, and faculty members, GaryLask, M.D., and Arnold W. Klein, M.D., will present onlasers and soft-tissue augmentation, respectively.

These general sessions will take place in Pacific Ball-room AB of the Hilton Anaheim Hotel. ■

Aug. 1 General Session to highlightlatest therapies, advances

Allan Gibofsky, M.D, J.D.

John Y.M. Koo, M.D.

Richard G. Glogau, M.D.

Use six-digit AAD masteridentification number

American Academy of Dermatology (AAD) members are asked to use their six-digit AAD Master ID number on all continuing medical education forms

and correspondence at the AAD’s ACADEMY 2001 meeting.For members’ convenience during the ACADEMY meeting, the six-digit

identification number will appear on the bottom of the member’s name badge.For clarification, the six-digit AAD Master ID number also appears on the AADmembership cards that members receive each year. This number should not beconfused with a five-digit number that also appears on the ACADEMY 2001name badge, which is generated by the meeting registration company. Thisfive-digit number should NOT be used on any AAD documents or forms filledout during ACADEMY 2001.

The AAD Master ID number, implemented in the past few years to in-crease efficiencies and improve data integrity, is to be used as the primaryidentification number for all Academy-related communications. ■

Summer’s here, and the American Acad-emy of Dermatology can ensure you’redressed to enjoy it. Tight weave golf shirtsprotect skin from the sun while keepingyou cool in the summer heat. Baseballcaps and hats help shield faces from theharmful UVB rays. Pick upthese items and more at theAcademy 2001 Resource Cen-ter, booth 501 in the TechnicalExhibit Hall, or call (847) 240-1280 to place an order now.

Get set for summer with AADMembership Merchandise

19


JULY 28 - AUGUST 1

At the 2001 Annual Meeting in Wash- ington, D.C., the American Acad-

emy of Dermatology Association (AADA)hosted a State Dermatology SocietyPresident’s Breakfast where state soci-ety officers discussed numerous issuesand concerns facing their members.

As a follow-up to that breakfast, theAcademy will provide a forum for dis-cussion on state-related issues at the firstAADA State Affairs Conference, to takeplace in conjunction with the ACAD-EMY 2001 meeting in Anaheim, Calif.,on Saturday, July 28, from 2 to 5 p.m.The conference will be held in theMalibu Room of the Hilton Anaheim. Theconference is open to all members whohave an interest in state issues.

Conference to address issues facing state dermatology societiesThe State Affairs Conference will fea-

ture three discussion panels. Each panelwill have a discussion leader and severalspeakers who have particular experienceand interest in each issue discussed.

PANEL 1State Dermatology SocietyDevelopment

This panel will address specific waysin which state dermatology societies maybe able to effectively improve programs,advocacy efforts and membership devel-opment. It will also feature discussion onhow the AADA could work with state der-matology societies in these endeavors.Specific areas of discussion include statesociety web sites, AADA advocacy soft-ware and grassroots organization, statedermatology political action committees,Legislative Coordinators, political key con-tacts and training, as well as state societymembership recruitment and retention.

PANEL 2Patient Issues in the States

Patient issues on the agenda includeindoor tanning, tattoo, body piercing andbranding, and scope of practice and useof lasers.

PANEL 3Office-Based Medicine

The office-based medicine issuecontinues to provide dermatologists witha major challenge in state legislative and

regulatory actions throughout the nation.Currently, there are approximately 18states that are taking action or prepar-ing for deliberation on this issue in 2001.The issue has an impact on all of office-based medicine.

Member attendance and involve-ment in the 2001 AADA State AffairsConference is both welcome and appre-ciated. Other issues of importance to

SUNDAY, JULY 29• Reference Committee Hearing

4 to 6 p.m.Palos Verdes A-B

MONDAY, JULY 30• Executive Committee Meeting

(Executive CommitteeMembers Only)7 to 9 a.m.Coronado

• General Business Meeting1 to 5 p.m.Palos Verdes A-B

AAD/AADAAdvisory Boardmeeting scheduled

The Academy will provide a forum for discussionof state-related issues at the AADA State AffairsConference, to take place in conjunction withACADEMY 2001, on Saturday, July 28, from 2to 5 p.m. Pictured are attendees at a StateLegislative Conference hosted by the Academyin May 2000, during the Annual Meeting inSan Francisco.

dermatology and the practice of qualitymedicine will be on the agenda for thenext State Affairs Conference to be heldin conjunction with the 2002 AnnualMeeting in New Orleans.

For additional information about the2001 AADA State Affairs Conference,please contact Larry R. Lanier, assistantdirector, state affairs, at (202) 842-3555,or e-mail [email protected]. ■

The American Academy ofDermatology Association

(AADA) 2001 Washington Confer-ence will be held Sept. 9-10 inWashington, D.C.

For information, contact JohnFarner in the AADA’s Washington

office, (202) 842-3555 ore-mail [email protected]. ■

Save the date!

20


ACADEMY 2001

Check the AADA Web site atwww.aadassociation.org

Check the AADA Web site atwww.aadassociation.org

Information on the latest in clinical dermatologic research will be dis-

played in the scientific poster exhibitat ACADEMY 2001.The exhibit will beheld on the Ballroom Level (2nd floor)of the Hilton Anaheim, Sunday, July29 through Tuesday, July 31.

More than 50 posters will cover acne,clinical dermatology, dermatopathology,dermatopharmacology, epidermiologyand immunodermatology, photobiology,phototherapy and photosensitivity dis-eases, psoriasis, skin anatomy,embryology, physiology, and more.

Poster exhibits on display from Sunday to TuesdayAttendees are encouraged to visit the

exhibit area, which is open from 7 a.m.to 5 p.m. July 29 through July 31, to re-view the latest findings by colleagues.

Poster categories include:• Acne• Clinicatology &

Other Cutaneous Disorders• Contact Dermatitis, Allergic

And Irritant• Dermatopathology• Dermatopharmacology• Epidermiology & Health Services

Administration

• Hair & Nail Disorders• Immunodermatology• Infection (Fungal)• Other• Photobiology, Phototherapy &

Photosensitivity Diseases• Psoriasis & Other Papulosquamous

Disorders• Skin Anatomy, Embryology &

PhysiologyThe complete listing of poster ex-

hibits on display appears on page 62of the ACADEMY 2001 ProgramBook. ■

The American Academy of Derma-tology (AAD) is seeking nominations

for the Fox Lecture for ACADEMY 2002,July 31 to Aug. 4, 2002, in New York, N.Y.

The Everett C. Fox, M.D., lecture-ship was formed through a bequest fromthe estate of Dr. Fox, who was a prac-ticing clinician in Texas, and vicepresident of the American Academy ofDermatology in 1946.

Nomination criteria are:• The individual must be a

dermatologist.• The recipient should be an

acknowledged, expert clinician.• The emphasis for selection must

be that the physician is a practicingdermatologist, regardless of the areaof practice.

Nominations sought forACADEMY 2002 Fox Lecture

• There should be no emphasis ona particular age group.

• The recipient must have provencommunication skills.The Academy solicits nomination

of a Fox Lecturer from the member-ship at large. The recipient will beselected by AAD’s Named LectureshipCommittee and presented to the Sci-entific Assembly Committee forapproval.

Nominations should be submitted bySept. 1, 2001 to: Named LectureshipCommittee, P.O. Box 4014, SchaumburgIL 60168-4014. For more information,contact MaryAnn Browning, assistant di-rector, meetings and conventions, at(847) 240-1485, fax (847) 330-1090, ore-mail [email protected]. ■

The ACADEMY 2002 Task Forcehas begun working on next

summer’s meeting in New YorkCity. Academy members are askedto provide suggestions for nextyear’s summerprogram. Thedeadline forsubmission ofsuggestions isSept. 1, 2001.

Call for ACADEMY 2002 program suggestionsACADEMY 2002 will be held

July 31 to Aug. 4 at the New YorkHilton. Please forward your sugges-tions to: MaryAnn Browning, assistantdirector, Meetings and Conventions

Department, AmericanAcademy of Dermatology,P.O. Box 4014, Schaumburg,IL 60168-4014, [email protected], or faxto (847) 330-1090. ■

The scientific poster exhibit at ACADEMY 2001features more than 50 posters in a wide varietyof categories.

21


JULY 28 - AUGUST 1

With its world famous theme parksand exciting array of activities, the

Anaheim area promises ACADEMY 2001attendees a fun-filled trip.

Adventure City is known as “thelittle theme park that’s big on familyfun.” After seeing your kids enjoying 16rides, puppet shows, trains, and a live,interactive children’s theater, it’s impos-sible to disagree.

If a festival is what you’re looking for,then twist and shout at the 108th OrangeCounty Fair & Exposition Center.This celebration of citrus and sun takesplace in Costa Mesa, Calif., July 28-29.

After a long day, enjoy the rushingwaves of the ocean. Orange County has

Anaheim theme parks, attractions promisefun for all ages

Contact these attraction sites for admission prices and availability:

• Adventure City ....................................................... (714) 326-9300

• Orange County ...................................................... (714) 708-1563

• Beaches ................................................................... (714) 771-6731

• Dana Point Harbor ................................................ (949) 496-1094

• Children’s Museum at La Habra ......................... (562) 905-9793

• Discovery Science Center .................................... (714) 542-2823

• Disneyland Park .................................................... (714) 781-4565

For additional listings of attractions in and around Anaheim, review theACADEMY 2001 Program Book or visit Anaheim’s Web site atwww.anaheimoc.org. ■

a number of harbors and beaches to helpvisitors relax. However, if activity iswhat you crave, Dana Point Harboris the place to go. Dana Point offers avariety of water activities for all ages,including skiing, parasailing, boating andwhale watching. Don’t forget your sun-screen!

Anaheim also offers museums thatspecialize in providing both education andentertainment. The Children’s Museumat La Habra allows kids and parents toexperience hands-on learning throughexhibits. The museum also features liveperformances and workshops. The Dis-covery Science Center has tons of funfor kids and adults who are kids at heart.Come watch a three-dimensional showin the 3-D Laser Theatre. The Center haseight themed areas such as The QuakeZone, dedicated to earthquakes, andSpace Exploration, where visitors can

Anaheim attractions

simulate the activities of an astronaut.These museums are definitely not youraverage museums.

For those who have not visitedDisneyland, don’t keep Mickey and hisfriends waiting any longer. Begin bywatching the exciting Fantasmic specialeffects show presented by Mickey andother favorite Disney characters. Thepark also includes over 60 thrilling rides,50 trendy shops, and 30 mouth-water-ing restaurants. Take a tour of the park,which is divided into eight themed“lands,” on Disneyland Railroads and visitthe 1890’s Main Street, U.S.A.,Tomorrowland, Frontierland, Fantasy-land, Adventureland, Critter Country,Mickey’s Toontown, and New OrleansSquare. After you have explored everyinch of this amusement park, sit backand enjoy the fireworks show at the endof the day. ■

Dana Point Harbor offers a wide variety of wateractivities.

V isitors to Anaheim shouldn’tgo home empty handed! Load up

on gifts for friends and family — andeven yourself — at Anaheim’s malls andshopping centers.

The Block at Orange has over a100 trendy shops and tempting restau-rants. This outdoor shopping centerprovides special entertainment for custom-ers while they shop. Shuttle services tothe mall and for sightseeing are availableby calling (800) 828-6699.

The residents of Orange Countyvoted Irvine Spectrum Center theirnumber one entertainment venue. Witha landscape that is graced with waterfountains, courtyards, arched gatewaysand pavilions, this is definitely more thanjust a shopping center. Elaborate shopsturn the hassle of souvenir shopping intoan enjoyable event. Contact the IrvineSpectrum Center at (949) 789-9180 fordirections.

Shoppers at Loehmann’s 5 PointPlaza receive free gifts at Off The WallGallery for visiting the Plaza. Loehmann’s

was chosen as Best Neighborhood Shop-ping Center in Orange County. The Centeris located off Main Street and Beach Bou-levard. For additional information phone(714) 841-0036.

If you’re ready for some serious shop-ping, ride the mall shuttle to themagnificent Main Place Shopping Cen-ter. This Center houses over 190 specialtystores and restaurants, including Nordstrom,

Anaheim boasts shopping to satisfy everyone’s tasteMacy’s, and Robinsons-May. If you’re look-ing for a change of scenery once theshopping spree has ended, jump back onthe shuttle and take a ride to Disneylandbefore calling it a day. Phone (714) 547-7800 for information including how to getthe Center’s shuttle.

For the bargain shopper, Anaheimhas just the place for you — Anaheim’sIndoor Marketplace. The Marketplace

prides itself on the fact thatthey have over 200 varietystores with 50-70 percentdiscounts on retail items.Their complimentary shuttleservices the AnaheimDisneyland area hotels.Phone (714) 999-0952 forpick-ups.

Anaheim has shoppingcenters for every kind ofshopper. Check out theACADEMY 2001 ProgramBook for additional listings orvisit Anaheim’s Web site atwww.anaheimoc.org. ■

Anaheim serves up an eclectic melting pot of cuisines that

are sure to satisfy any appetite.The city’s vast array of restaurantsvaries from elegant to causal set-tings with delicious gourmetdishes.

P.J.’s Abby offers f ineAmerican cuisines. This award-winning restaurant serves itsrenowned classic meatloaf, alongwith mouth watering rack oflamb, roasted garlic bruschetta,and much more. For a taste ofCalifornia, visit the contemporaryand casually elegant Bistange,and indulge yourself in Americancuisines with a European flair.

Dining with children? TryGoofy’s Kitchen at the Disney-land Hotel. This all-you-can-eatrestaurant serves up food and funfor everyone. For the pleasure andcomfort of home, visit Katella’sFamily & Grill, a restaurant that’sfamily oriented and specializes inhomemade food.

For dinner with a side of en-tertainment visit Tibbies MusicalHall Dinner Theatre. Enjoy asucculent three-course mealwhile listening to a live band andtalented performers. If you areinterested in acting, The KillerEntertainment Restaurant issure to please. Interactive showsand fabulous foods keep guestscrying for encores.

For a listing of other local res-taurants, check the ACADEMY2001 Program book or visit theCity of Anaheim Web site atwww.anaheimoc.org.

Anaheimserves uphaute cuisine

For more information on therestaurants mentioned in thisarticle, contact them directly:

• P.J.’s Abby(714) 771-8556

• Bistange(949) 752-5222

• Goofy’s Kitchen(714) 956-6755

• Katella’s Family & Grill(714) 997-9191

• Tibbies Musical HallDinner Theatre(888) 4-Tibbies

• The Killer EntertainmentRestaurant(949) 509-9889 ■The Block at Orange features more than 100 trendy shops and

restaurants.

22


ACADEMY 2001

Here’s your guide to what’s newat the AAD Resource Center

Visit us at Booth #501

AAD Financial ConnectionNew financial services program offerssignificantly reduced rates on equipmentleasing, financing, and credit card pro-cessing. Don’t sign on any dotted lineswithout checking here first.

Advances in Dermatologic Surgery Techniques –The Face and The BodyTwo separate 90-minute videotapes review cos-metic dermatologic procedures of the face andof the body. Each tape outlines the essential stepsof each procedure, examines the pros and consof the techniques, and provides a greater under-standing of what is necessary to incorporate anyof these procedures into a practice. Topics in-clude laser resurfacing (erbium and CO2),botulinum toxin (for facial lines and axillary hy-perhidrosis), filler substances, microdermabrasion,liposuction, hair transplants, vein treatments, andseveral others.

Subspecialty Core CurriculaThree new subspecialty core curriculaare now available on dermatopathology,pediatric dermatology, and dermatologicsurgery. Each book is divided into 2 sec-tions, differential diagnosis and advancesin diagnosis and treatment, to providethe general practitioner with a frame-work of knowledge they can readilyapply to practice needs.

Dermatology Self-EvaluationProgram, 2/eThis new edition of DSEP includes sub-specialty self-assessments in derma-tologic surgery, immunology, dermato-pathology, and pediatric dermatologyand provides 30 hours of Category 1credit. Available for the first time onCD-ROM.

Patient Education VideosA Patient’s Guide to Cosmetic Derma-tologic Procedures looks at the mostcommonly requested procedures andaddresses how and where they are per-formed, recovery, realistic expectations,and other FAQs. The Patient EducationVideo Collection incorporates all of ourpatient education videos and bonus videoBeauty At Any Age on one videocassette.Available at the Resource Center in VHSand PAL versions.

Skin Cancer Education Slide SetThis public education slide show ex-plains in lay terms the causes, detectionand prevention of skin cancer, theABCDs of Melanoma, and the three dif-ferent types of skin cancer.

AAD AdvantageNew Formulary! New member buyingprogram offers discounts on all medical,surgical, and front-office supplies includ-ing generic and brand name pharma-ceuticals. No enrollment fee, just lotsof savings!

AAD Resource Center hours

Dialogues in Dermatology...Now on CD!This popular audiocassette subscriptionprogram will soon be available on audioCD, in addition to cassette. Sign up nowto begin receiving this convenient sourceof CME credit. Subscriptions beginningin October will include the option toselect the tape or CD format.

Patient Education PamphletsUpdate your stock with 13 new patient educationpamphlets! Each pamphlet is revised to providethe most valuable and accurate informationavailable.

Sunday, July 29 ...... 12:00 p.m. - 5:00 p.m.

Monday, July 30 ..... 10:00 a.m. - 4:00 p.m.

Tuesday, July 31 ..... 10:00 a.m. - 4:00 p.m.

23


JULY 28 - AUGUST 1

The American Academy of Derma-tology will soon introduce a new

Quality Assurance/Quality Improve-ment Self-Assessment Program. Thissubscription-based program is designedto help dermatologists institute andmaintain ongoing efforts to deliver thehighest quality care in their offices.

According to dermatologist PatrickW. Davey, chair of the Quality of CareTask Force, “A quality assurance pro-gram is important for people who areinterested in getting accredited or aregoing to have a survey done in theirorganization.”

He pointed out that accreditationorganizations such as the AccreditationAssociation for Ambulatory Health Care(AAAHC) and the Joint Commission onAccreditation of Healthcare Organiza-tions (JCAHO) require surveyedorganizations to have a quality assuranceprogram in place before an accredita-tion survey will be completed.

Quality Assurance/Quality Improvement program soon available“Additionally, some malpractice insurersmay reduce your malpractice premiumsbased on the fact that you are perform-ing quality improvement/quality assur-ance studies in your office,” he said.

The AAD’s program features a “howto” quality assurance/quality improve-ment manual, the Academy’s approvedguidelines of care, a self- examination anddetailed information on four key topicareas: isotretinoin, oral glucocorti-costeroids, risk management, and skincancer. According to Dr. Davey, the taskforce “picked the areas that we thoughtwould be of most concern for dermatolo-gists.” He said that new topic areas willbe continuously added to the programand provided to subscribers on a quar-terly basis.

The program is designed to be eas-ily applicable to a wide range of derma-tologic offices from solo practices tolarge group practices. “The AAD pro-gram was really designed to be a plug-in

program, where individual organizationscan take the material, plug their namein, and start doing quality improvement,”said Dr. Davey.

The program in-cludes information on riskmanagement, protocolsfor a number of treat-ments and procedures,and sample quality im-provement plans forboth large and small of-fices.

The self-examina-tion features questionsderived from the infor-mation provided in theguidelines of care andthe manual. Additionally, the exam-ination includes sections requiring phy-sicians to survey patients’ charts on anumber of issues relating to specificmedications and treatments. For ex-ample, physicians are asked to survey

charts of patients who received oralglucocorticosteroids to establish suchdata as the percentage of patients for

whom a baseline test forfasting blood glucose isdocumented or the per-centage who received abone density measure-ment. Program participantsreceive feedback regard-ing how their data comparewith other program partici-pants — providingdermatologists with a qual-ity benchmark.

The Quality Assurance/Quality Improvement Self-Assessment Program is

recognized for seven hours of continu-ing medical education credit. To subscribeto the program, contact the AAD Mar-keting Department at (847) 240-1280or visit the Marketplace section of theAAD Web site, www.add.org. ■

The American Academy of Derma-tology (AAD) has unveiled its 2001

Product Catalog featuring new productsand services to help expand and en-hance the knowledge and resources ofmembers and their patients.The 2001 catalog offers moreof those products and ser-vices than ever before.

The AAD pamphlet linehas increased to 50, with newtitles on a variety of topics.The famous “Sun Faces”poster trio is back with thenew Cheerleader, Frog Mask,and Beach Baby poster cam-paign. The recently-releasedpatient education video, APatient’s Guide to CosmeticDermatologic Procedures,has been extremely popular, as is ThePatient Education Video Collection,which combines all seven of the AAD’spatient education videos on one tapefor a continuous play.

New professional products include:• Derminfodisc 2001 — full-text

and images of JAAD from June of1990 through December of 2000,and an expanded drug database of16,000 references.

• The National Library of Derma-tologic Teaching Slides — 3.0CD-ROM includes six new slide sets,a brand new interface, Internethyperlinks, and enhanced graphiccapabilities.

• Dermoscopy CD-ROM — offersa complete electronic guide to theevaluation of malignant melanomas.The addition of four new slide sets,

Forensic Dermatology, Tropical Diseases,and Cutaneous Reactions to Plants (I andII), brings the total number of sets in the

AAD releases new 2001product catalog

AAD’s collection to 45. Cosmetic derma-tology offerings continue to expand withthree new slide sets in this area as well astwo new professional surgery videos. Ad-vances in Dermatologic Surgery – The

Face and Advances inDermatologic Surgery– The Body, outline es-sential steps for over15 cosmetic proce-dures and provide agreater understandingof what is necessary toincorporate these pro-cedures into a practice.

New products towatch for this summerare the SubspecialtyCore Curricula andthe new Quality As-

surance Quality Improvement Self-Assessment Manual (see related articleabove).

A product order form can be foundwithin the catalog. Convenient onlineordering is also available online at theMarketplace section of the Academy’sWeb site, www.aad.org, as are full prod-uct descriptions and special pricingpromotions. A new “shopping cart” fea-ture online eliminates paperwork,allows fast electronic handling of pur-chases, and gives members completeaccess to the most recent products avail-able.

The new catalog will be mailed toAcademy members this month. Formore information, or to order additionalcatalogs, contact the AAD MarketingDepartment at (847) 240-1280, or fax(847) 240-1859. For online ordering,visit the Member’s Only section of theAAD Web site, www.aad.org, and clickon Marketplace. ■

Special pricing is available on the National Library of Dermatologic Teach- ing Slides 3.0, Derminfodisc 2001, and Dermoscopy during ACADEMY

2001 in Anaheim, Calif.The American Academy of Dermatology is continuing the special pricing

offer on each of the CD-ROM products, as well as taking an additional savingsof $25 off the price when two are purchased.

The National Library of Dermatologic Teach-ing Slides 3.0 has new features that allow users to createa professional presentation using this single CD-ROMtool. The CD-ROM, which features a brand new inter-face, includes the entire National Library of DermatologicTeaching Slides collection. It offers access to differentinformational Web links, and improved graphic featuresallow expanded editing abilities. The CD-ROM also in-

cludes a slide show view option with enhanced import and export capabilities.Members can purchase this complete slide collection on CD-ROM at the ACAD-EMY 2001 special price of $370.

Derminfodisc 2001 is a comprehensive sourceof dermatologic information and is considered a fa-vorite among dermatologists. The 2001 version nowhas full-text, images, and graphics for the Journal ofthe American Academy of Dermatology (JAAD)through December2000, along with JAAD’s 10-yearcumulative index (1979-1989). It also includes nineother updated databases such as the Derm/DDX, RX/Therapy Inquiry, Derm-On-Disk/Drug Reaction, Periodic Synopses, Guide-lines of Care, and the Index of Educational Resources and Products.Derminfodisc 2001 is available at the meeting for an additional $25 off theregular price.

The newly-released Dermoscopy CD-ROM is adiagnostic tool that aids in the clinical evaluation ofmalignant melanomas. This CD-ROM provides aguided tutorial through the dermoscopy technique, aglossary of terminology used to describe pigmenta-tions, structures, and borders of lesions, Stolz andMenzies algorithms, and 45 unknown lesions with clini-cal, dermoscopy, and histopathologic images.Dermoscopy is regularly priced at $195, but is avail-

able at the meeting for $175.National Library of Dermatologic Teaching Slides 3.0, Derminfodisc 2001,

and Dermoscopy will be available for demonstration and purchase at theAAD Resource Center, booth 501, in the Technical Exhibit Hall at the HiltonAnaheim.

Special pricing on CD-ROMproducts at ACADEMY 2001

■

24


MEDIA HIGHLIGHTS

Dermatology in the news generates more than 220 million media impressions

To raise the visibility of dermatol-ogy and the range of services that

dermatologists provide, it is importantthat the American Academy of Derma-tology’s (AAD’s) Communications De-partment is kept abreast of the latestinformation in the diagnosis and treat-ment of skin, hair, and nail conditions.

If you are aware of or have a per-sonal involvement in new research,clinical trials, breaking news, or newproducts, please contact KarenKlickmann, Jennifer Gale, or JulieBremer at (847) 330-0230. Also,please contact the AAD’s Communi-cations Department if you hear of anissue of importance to dermatologywhich the AAD may need to be pre-pared to address.

In addition, if you are interviewedby national print or broadcast media,

Keep AAD informed about what’snew in dermatology

please contact the AAD’s Communi-cations Department in advance. Aftera national media interview, the Com-munications Department oftenreceives calls from the public request-ing additional information. Please helpthem prepare for these requests bycontacting Karen Klickmann, JenniferGale, or Julie Bremer prior to your in-terview. The Communications Depart-ment is also pleased to provide youwith any background information toassist you with your preparation foran interview.

National interviews offer an ex-cellent opportunity to refer thepublic to the AAD’s toll-free tele-phone number (1-888-462-DERM)and Web site (www.aad.org). Pleaseremember to share this important in-formation. ■

Dermatology continues to be in the forefront of the major news media. In re-sponse to media inquiries, the American Academy of Dermatology’s Commu-

nications Department provides television, radio, newspaper, magazine, and Internetjournalists with background information and experts to interview. During the sec-ond quarter of 2001, television, radio, and newspaper stories about dermatologyreached over 220 million people nationwide.

The following are some recent major media highlights.In March, 223 articles featuring dermatology topics were

published nationwide reaching over 10 million people. TheAAD’s Annual Meeting in Washington, D.C., generated consid-erable interest in dermatology. The Academy’s radio news

service interviews from the Annual Meeting reachedmore than 54 million people nationwide thanks tothe participation of 52 AAD members who took ad-vantage of hometown radio. In addition, ABCNews.cominterviewed William P. Coleman, III, M.D., onpower-assisted liposuction.

Also during the month ofMarch, Patricia Wexler,M.D., addressed anti-agingremedies on Dateline NBC.Celebrities’ secrets to look-

ing younger, including botulinum toxin and hair transplants,were the subject of Entertainment Tonight’s interview withPatricia Wexler, M.D., and Walter Unger, M.D. In McCall’s,Bruce Katz, M.D., Anita Cela, M.D., and Dennis Gross,M.D., addressed beauty busters. In Good Housekeeping,Laurie Polis, M.D., Shelley Sekula Rodriguez, M.D.,Boni Elewski, M.D., Elizabeth Vierra, M.D., Majorie Rosenbaum,M.D., and Lisa Donofrio, M.D., shared tips for great skin at every age.Mitchel Goldman, M.D., Patricia Farris, M.D., Nicholas Perricone,M.D., and Wilma Bergfeld, M.D., discussed the relationship between skinand diet in Self.

In April, 232 articles featuring dermatology topics were published nationwide

reaching over 19 million people. Debra Jaliman, M.D., reviewed cosmetic claimson ABC Primetime. In Allure, Seth Matarasso, M.D., Nicholas Lowe, M.D., andWilma Bergfeld, M.D., discussed topical skin rejuvenation while Fredric Brandt,M.D., and Arnold Klein, M.D., addressedwrinkle fillers. Boni Elewski, M.D., discussedscalp fungus in US News & World Report. MaryLupo, M.D., Bruce Katz, M.D., Michael Gold,M.D., and Helene Rosenzweig, M.D., advisedShape’s readers on facials.

On April 25, 2001, the American Academyof Dermatology launched Melanoma/Skin Can-cer Detection and Prevention Month with apress conference in New York City. The pressconference and related activities generatedmore than 81 million media impressions (seearticle on p. 13).

In May, Shelley Sekula Rodriguez, M.D., warned ABC 20/20’s viewers aboutthe dangers of nail salons. David Leffell, M.D., discussed summer skin care on TheToday Show and the CBS Early Show. Bruce Katz, M.D., and Barney Kenet,M.D., explained power liposuction on the CBS Early Show. Susan Taylor, M.D.,

discussed how to prepare your skin for the summer on The Today Show.Bruce Katz, M.D., explained how to get smooth summer skin on TheView. On the ABC-TV affiliate in Chicago, Marianne O’Donoghue,M.D., shared tips for dealing with pesky summer skin problems whileStephanie Marschall, M.D., advised viewers about the proper use ofsunscreen. In the Chicago Tribune, Jerome Garden, M.D., discussedmicropigmentation and Rodney Basler, M.D., examined athletic skinproblems. Robert Polisky, M.D., addressed skin rejuvenation in theChicago Tribune Magazine. Nicholas Lowe, M.D., Susan Boiko,M.D., Mary Lupo, M.D., Deborah Sarnoff, M.D., HeleneRosenzweig, M.D., M. Alan Menter, M.D., Stephen Webster, M.D.,Marianne O’Donoghue, M.D., Alexa Boer Kimball, M.D., RandallRoenigk, M.D., and Wilma Bergfeld, M.D., shared their advice in

Ladies’ Home Journal’s “Healthy Skin Guide.” Adult acne was thesubject of Good Housekeeping’s interview with Kathy Fields,M.D., Mitchel Goldman, M.D., Stephen Webster, M.D., KatieRodan, M.D., Diane Madfes, M.D., and JaneeSteinberg, M.D. In Allure, Rhoda Narins, M.D.,Michael Albom, M.D., Harold Lancer, M.D., Rich-ard Glogau, M.D., Roy Geronemus, M.D., Jim Baral,M.D., and Robert Weiss, M.D., discussed how to getfirmer, softer, smoother, deeper, and clearer skin. In Shape,Deborah Sarnoff, M.D., and Harvey Jay, M.D., ad-dressed hair removal while David Sire, M.D., and LydiaEvans, M.D., reviewed summer skin care. ■

26


The 2001-2002 Membership Direc-tory of the American Academy of

Dermatology and AAD Association hasbeen published. One copy of the Direc-tory was mailed to all members in May.

The Directory is published bienniallyby the Academy, so members are encour-aged to check the AAD Web site,www.aad .o r g /Membe r s /mem_directory.html,for the most up-to-date membercontact informa-tion. Membersmust use theirmedical educa-tion number toaccess this sec-tion of the AADWeb site.

Additional copies of the printed di-rectory are available to AAD membersand residents for $20 each; non-mem-bers for $50 each; and commercial usersfor $150 each.

To order additional copies, contact:American Academy of Dermatology,Attn: Member Services, P.O. Box 2289,Carol Stream IL 60132-2289, or tele-phone (847) 330-0230. Prepayment bycheck, Visa, Mastercard or American Ex-press is required. ■

E-mail news bulletins offered by the American Academy of Dermatology

(AAD) provide an excellent way formembers to keep abreast of Academynews and membership benefits and forpatients to update themselves on thelatest dermatologic information.

Monthly member bulletins providedermatologists with timely informationrelating to all areas of the Academy.These concise updates include informa-tion highlighting new member benefitsand continuing medical educationcourses. They also convey key messages

Monthly e-mail newsletters keep dermatologists, patients updatedfrom the Academy leadership, providedetails regarding the Annual Meeting andthe summer ACADEMY meeting, and dis-cuss some of the AAD’s important publicawareness campaigns.

For members with patients who areinterested in staying abreast of the lat-est dermatologic information, theAcademy offers another monthly e-mailbulletin geared toward the general pub-lic. These bulletins provide updates onskin, hair, and nail conditions as well asconvey information from the Academy’spublic awareness campaigns.

Members can sign up for the e-mailnewsletters by going to the MembersOnly section of the AAD Web Site,www.aad.org, and clicking on the mail-box icon.

Patients can sign up by going to thePatient Information section of the AADWeb site. A similar mailbox icon is lo-cated there. ■

2001-02 MembershipDirectory published

Submit addresschange via the Web

Members may now submit theiraddress, phone, facsimile or e-

mail changes to the AmericanAcademy of Dermatology via theAAD Web site, www.aad.org/Mem-bers/keepcurr.htm.

The changes will also be for-warded to Mosby Yearbook, thepublisher of the Journal of theAmerican Academy of Dermatology(JAAD). Members must use theirmedical education number to accessthis section of the AAD Web site.Address changes may also be sub-mitted to the Member ServicesDepartment via facsimile at (847)330-1090. ■

Monthly member bulletins provide

dermatologists with timely information

relating to all areas of the Academy.

27


Refer your patients to advocates for skin research

Numerous skin disease researchadvocacy groups exist to assist

patients in dealing with their derma-tologic or dermatology-related ail-ments. This listing appears underthe Government Affairs section ofthe AADA Web site, www.aada s s o c i a t i o n . o r g / p a t i e n tadvocacy.html. Each listing on theWeb site contains the informationas it appears here, and offers a di-rect link to the Web sites of thesegroups.

See Advocates, p. 28

American Porphyria FoundationP.O. Box 22712Houston, TX 77227(713) 871-1565Fax: (713) 871-1788E-mail: [email protected]: www.enterprise.net/apfDesiree Lyon, Executive Director

American Skin Association150 East 58th Street33rd FloorNew York, NY 10155-0002(212) 753-8260Fax (212) 688-6547E-mail: [email protected]

Web: www.skinassn.orgJulia Brandi

CPA-SDR Contact OfficeGenetic Alliance4301 Connecticut Avenue, NWSuite 404Washington, DC 2008-2304(202) 966-5557 ext. 204Fax: (202) 966-8553E-mail: [email protected]: www.geneticalliance.orgVicky Whittemore, Ph.D.

Dermatitis HerpetiformisGluten Intolerance Group of

North America15110 10th Avenue SWSuite ASeattle, WA 98166-1820(206) 246-6652Fax: (206) 246-6531E-mail: [email protected]: www.gluten.netCynthia Kupper

DeBRA of America40 Rector Street14th FloorNew York, NY 10006(212) 513-4090Fax: (212) 513-4099E-mail: [email protected]: www.debra.orgJean Campbell, Executive Director

Ehlers Danlos National Foundation6399 Wilshire BoulevardSuite 203Los Angeles, CA 90048(323) 651-3038Fax: (323) 651-1366E-mail: [email protected]: www.ednf.orgLinda Neumann-Potash

Foundation for IchthyosisAnd Related Skin Types (F.I.R.S.T.)650 N. Cannon Avenue, Suite 17Lansdale, PA 19446(215) 631-1411Toll Free: (800) 545-3286Fax: (215) 631-1413E-mail: [email protected]: www.scalyskin.orgJean Pickford, Executive Director

Inflammatory Skin Disease InstituteP.O. Box 1074Newport News, VA 23601Toll Free: (800) 484-6800 ext. 6321Fax: (757) 595-1842E-mail: [email protected] Donna Williams

Lupus Foundation of America, Inc.1300 Piccard DriveSuite 200Rockville, MD 20850(301) 670-9292Toll Free: (800) 558-0121Fax: (301) 670-9486E-mail: [email protected]: www.lupus.orgLee Peckarsky, Executive Director

National Alopecia AreataFoundation710 C Street, Suite 11San Rafael, CA 94901(415) 456-4644Fax: (415) 456-4274E-mail: [email protected]: www.naaf.orgVicki Kalabokes, Chief Executive Officer

National Association ForPseudoxanthoma Elasticum (NAPE)3500 East 12th AvenueDenver, CO 80206(303) 355-3866Fax: (303) 355-3859E-mail: [email protected]: www.napxe.orgKenneth H. Nelner, M.D.

28


Advocates, from p. 27National Eczema AssociationFor Science and Education1220 SW Morrison Street, Suite 433Portland, OR 97205-2235(503) 228-4430Toll Free: (800) 818-7546Fax: (503) 224-3363E-mail: [email protected]: www.eczema-assn.orgRobert O. McAlister, Ph.D.

National Foundation for EctodermalDysplasias219 East Main StreetP.O. Box 114Mascoutah, IL 62258-0114(618) 566-2020

Fax: (618) 566-4718E-mail: [email protected]: www.nfed.orgMary Kaye Richter, Executive Director

National Marfan Foundation382 Main StreetPort Washington, NY 11050(516) 883-8712Toll Free: (800) 862-7326Fax: (516) 883-8040E-mail: [email protected]: www.marfan.orgCarolyn Levering, Executive Director

National Pemphigus FoundationP.O. Box 9606Berkeley, CA 94709-0606

1098 Euclid AvenueBerkeley, CA 94708}(510) 527-4970Fax: (510) 527-8497E-mail: [email protected]: www.pemphigus.orgJanet Segall

National Psoriasis Foundation6600 SW 92nd, Suite 300Portland, OR 97223-7915(503) 244-7404Toll Free: (800) 723-9166Fax: (503) 245-0626E-mail: [email protected]: www.psoriasis.orgGail M. Zimmerman,Executive Director

National Vitiligo Foundation611 South FleishelTyler, TX 75701(903) 531-5469Fax: (903) 531-1234E-mail: [email protected]: www.vitiligofoundation.orgShannon Hearron, Executive Director

Nevus Outreach, Inc.1601 Madison BoulevardBartlesville, OK 74006(918) 331-0595Fax: (918) 331-0595Hotline: (877) 426-3887E-mail: [email protected]: www.nevus.orgMark Beckwith

PXE International23 Mountain StreetSharon, MA 02067-2234(781) 784-3817Fax: (781) 784-6672E-mail: [email protected]: www.pxe.orgSharon Terry, President

Scleroderma Foundation12 Kent Way, Suite 101Byfiled, MA 01922Toll Free: (800) 722-4673Fax: (978) 463-5809E-mail: [email protected]: www.scleroderma.orgPeter Gusti

Scleroderma Research Foundation2320 Bath Street, Suite 307Santa Barbara, CA 93105(805) 563-9133Toll Free: (800) 441-2873Fax: (805) 563-2402E-mail: [email protected]: www.srfcure.orgSharon Monsky

Sjogren’s Syndrome Foundation, Inc.333 N. Broadway, Suite PH-W2Jericho, NY 11753(516) 933-6365Fax: (516) 933-6368E-mail: [email protected]: www.sjogrens.orgAlexis Stegemann, Executive Director

Sturge-Weber FoundationP.O.Box 418Mount Freedom, New Jersey 07970[2 Hanover Road,Mount Freedom, NJ 07970](973) 895-4445Toll Free: (800) 441-2873Fax: (973) 895-4846E-mail: [email protected]: www.sturge-weber.comKaren Ball, Executive Director

Tuberous Sclerosis Alliance801 Roeder Road, Suite 750Silver Spring, MD 20910(301) 562-9890Toll Free:(800) 225-6872Fax: (301) 562-9870E-mail: [email protected]: www.tsalliance.orgMichael Coburn, Executive Director

Xeroderma Pigmentosum SocietyP.O.Box 4759Poughkeepsie, NY 12602(518) 851-2612Fax: (518) 851-2612E-mail: [email protected]: www.xps.orgCaren Mahar ■

http://www.aadassociation.org/member/DermWorld/2001/July/berlex_levulan_pi.pdf

29


New cosmetic industrydirectory available

A unique directory identifying scientists and other persons employed

by individual cosmetic manufacturers ordistributors is now available in limitedsupply through the American Academyof Dermatology (AAD).

Titled “Cosmetic Industry On Call,”the directory identifies scientists andother persons employed by individualcosmetic manufacturers or distributorswho can provide useful information onproduct formulation and ingredient char-acteristics. The directory allows derma-tologists and other health professionalsto quickly and easily locate knowledge-able sources ofinformation oncosmetics andother personalcare products.

“On Call”is producedthrough a jointproject of theAAD and theCosmetic, Toi-letry, and Fra-grance Association (CTFA). In additionto United States companies, a numberof Canadian cosmetic companies arenow listed. To obtain a complimentarycopy of “On Call” contact CaseyCopeland at the AAD at (847) 330-0230,fax (847) 330-0050 or [email protected]. ■

Don’t miss the special PracticeManagement section in the Au-

gust 2001 issue of DermatologyWorld, featuring information on avariety of important issues including:

• The effective use of physicianextenders

• Improving office efficiency• Better practice proficiency• Long and short-range solutions

to office dilemmas• More! ■

Members who wish to participate in the work of the American Academy of Dermatology (AAD) and AAD Association committees and task forces

should contact the Academy now.Each year, hundreds of dermatologists serve on the Academy’s commit-

tees and task forces that cover a wide range of topics and concerns — fromeducation to federal regulations. AAD 2001 President-Elect Fred F. Castrow II,M.D., will make appointments to rotating committee vacancies. The deadlineto receive applications for a specific committee or task force is Aug. 15.

To learn more about the positions available and to obtain an applicationform, please contact Debra Kroncke at the AAD, (847) 240-1008, fax yourrequest to (847) 330-1123, or e-mail: [email protected]. ■

Academy seeks volunteers

Coming next monthin DermatologyWorld…

Plan to attend!

30


The American Academy of Derma-tology (AAD) is pleased to announce

that 25 applicants have been chosen toparticipate in the 2001 AAD SummerInternship and Mentor Program for Mi-nority Medical Students.

These students were selected froman applicant pool of over 50 medical stu-dents by the Academy’s Diversity TaskForce, which is chaired by Lynn McKinley-Grant, M.D. Eligible recipients are first-and second-year medical students whoare African American, Asian American,Hispanic American or Native American.

AAD announces minority medical students to participate in2001 mentor program, seeks 2002 mentors

The program’s goal is to provide medi-cal students with personal and hands-onexposure to dermatology by working witha mentor, and stimulate interest in der-matology as a pursuable and obtainablecareer choice for minority students.

The selected students willspend one month working andstudying with a dermatologymentor of their choice. TheAcademy will secure mentorsfrom a variety of practice set-tings — private practice,research, etc. Participants willreceive a $1,000 grant andmay be eligible for an addi-tional $500 in travel expensereimbursement.

Looking ahead to nextyear, the 2002 Summer Intern-ship and Mentor Program forMinority Medical Students ap-plications must be post-marked by Jan. 25, 2002, tobe considered for the 2002program. Next year’s grant

winners will be announced after March31, 2002.

The Academy encourages memberdermatologists to apply to be mentors.Mentors can sign up at any time duringthe year, and the Diversity Task Forceis looking to secure mentors from a va-riety of practice settings.

2001 AAD Minority Mentorinternship participants

Student Medical School Year Mentor

Rediet Asres Medical College of WI 1 Keyoumars Soltani, M.D.

Kevin Brown University TX SW 1 Wayne Fagan, M.D.

Cynthia Cabrales University CA Davis 1 Constance Nagi, M.D.

Janice Casamina University CA San Fran 1 Howard Maibach, M.D.

Matthew Chan University CA Davis 1 Rivkah Isseroff, M.D.

Julie Tahli Chen University Rochester 2 E. Jeffes, M.D.

Grace Chiang University of WI 1 Douglas Horan, M.D.

Jamila Davison Meharry 2 Bernard Ackerman, M.D.

Kemery Gilbert Wake Forest 2 Amy McMichael, M.D.

Antonio Gutierrez Harvard 1 Amal Kurban, M.D.

Douglas Kim Medical College of Ohio 1 James E. Rasmussen, M.D.

Christie Lee University of Toronto 1 Bernice Krafchik, M.D.

& Neil Shear, M.D.

Nicole Marshall Mayo 1 Edward Kauffman, M.D.

Stephany McGann University of MD 1 Lynn McKinley-Grant, M.D.

Nina Mirchandani Brown University 1 Roy Geronemus, M.D.

Mailan Pham University of WI 1 Edward Jeffes, M.D.

Amelia Prado Michigan State Univ. 1 Arnold Gurevitch, M.D.

Mark Ramirez University of Texas 1 Richard Wagner, M.D.

Dakara Rucker University of MD 1 Larry Gaston, M.D.

Brian Somoano Harvard 1 Ronald Moy, M.D.

Freddie Swain Case Western 1 Seth Stevens, M.D.

Wendy Szeto Stanford 2 Anthony Oro, M.D.

Brandon Trigger University of Iowa 1 John Love, M.D.

Kimara Whisenant MI State University 2 Susan Taylor, M.D.

& Fran Cook-Bolden, M.D.

Hynatu Williamson Mayo 2 Lisa Drage, M.D.

The Diversity Task Force thanks itspast and current mentor-volunteers, andthanks, in-advance, new mentors fortheir time and interest in assisting thisworthwhile program.

Interested Academy members mayapply to be a mentor by accessing theform located online under the Members

Only section of the AAD Web site,www.aad.org.

For information about becominga mentor, contact Steve J. Currier, man-ager, health policy and development,and administrator, minority mentorshipprogram, at (847) 240-1798, or [email protected]. ■

The selected students will spend one

month working and studying with a

dermatology mentor of their choice.

Dermatologists in search of help with Office of Inspector General (OIG)

compliance issues can download theAmerican Academy of Dermatology’s(AAD) Model Dermatology ComplianceProgram directly from the AAD Web site,www.aad.org, until Aug. 1.

This complimentary,seven-step manual for estab-lishing a comprehensivecompliance program is writtenspecifically for dermatologists.Developed from guidelines es-tablished by the OIG and HCFA(Health Care Financing Administra-tion), it is a simple, yet-effectivetool for establishing a comprehensiveCompliance Program.

This program is an affirmative step

Last chance to downloadModel Dermatology Compliance Program

toward promoting a high level of ethi-cal and lawful compliance in anydermatology practice. Every tool andform needed has been provided.

Chapters include: Appointing aCompliance Officer; Job Descriptions; In-

ternal Chart Auditing Tools;Policies & Procedures; Staff &

Physician Education; TakingCorrective Action; Disci-pline; Employee Tests;Forms; and much more!

A limited supply ofprinted manuals re-main. To order aprinted manual,contact Alice Bell at

the AAD, phone (847) 330-0230 ext. 333,or e-mail [email protected]. ■

32


The 19th Annual Colloquium on Clinical Dermatology, sponsored by the Derma-tology Foundation in cooperation with the Association of Professors of Der-

matology, will be held Jan. 16-20, 2002, at the Ritz-Carlton in Naples, Fla.Additional information is available from the Dermatology Foundation, 1560

Sherman Avenue, Suite 870, Evanston, IL 60201-4808, phone (847) 328-2256,fax (847) 328-0509, or e-mail dfgen@ dermatologyfoundation.org. ■

The 2002 World Congress is scheduled for July 1-5, 2002, in Paris, France.Information about the Congress is posted on the World Congress Web site,

www.derm-wcd-2002.com.Travel programs are available for American Academy of Dermatology mem-

bers, including discounted airfares, hotel accommodations, as well as pre-andpost program tours. Group accommodations for U.S. and Canadian memberscan be made through Globetrotter Travel, attention Group Dept., 18121 Geor-gia Avenue Suite 104, Olney, MD 20832, toll free (800) 322-7032 ext. 118,phone (301) 570-0800 ext. 118, fax (301) 570-9514, or [email protected].

International members should contact: Congress Secretariat Colloquium/WCD 2002 – Philipp Fournier, 12 rue de la Croix Faubin, 7557 Paris Cedex 11– France, phone 33 (0) 1 44 64 15 15, fax 33 (0) 44 64 15 16 & 17, or [email protected]. ■

Put your practice on the Web

Information about establishing a Dermatologist Profile, for a one-time fee of

$150, is available by contacting Lori Pohrte at (847) 240-1386,

fax (847) 330-0050, or e-mail [email protected].

Information can include:

• medical school attended

and year of graduation,

• residency training

and year completed,

• fellowship training,

• office hours,

• key professional

achievement and award,

• languages spoken,

• e-mail address and

Web site links,

• 350 word professional

biography, and more!

A Dermatologist Profile on the American Academy of Dermatology (AAD)

Web site, www.aad.org, is an excellent way for AAD members to reach pa-

tients. The Dermatologist Profile, which is accessible through the “Find a

Dermatologist” section, allows physicians to post detailed information about

their practice.

2002 World Congress one year away

Clinical Dermatology Colloquiumscheduled

4. The court found that issuing an in-junction would be adverse to thepublic interest since “the lawstrongly disfavors governmental in-trusion, including judicial inter-ference, in the operation of privateassociations.”The injunction was sought by Dr.

Resnik as part of a lawsuit he filed inJanuary 2001 following the Board’s de-cision to set aside the results of the fall2000 election for President-Elect 2001.The Board determined that the financ-ing and dissemination of multiple “DearColleague” letters by Dr. Resnik wasnot in accordance with AAD’s adminis-

Motion, from p. 1 trative regulations, and that the thou-sands of letters disseminated could havechanged the outcome of the election.

The court’s ruling on Dr. Resnik’smotion for preliminary injunction is nota final dismissal of the lawsuit, whichseeks compensation for Dr. Resnik’sexpenses and costs in connection withthe election and other alleged damages.

“The partnership that is representedby the Academy leadership, its members,our staff and patients has been severelystressed by the regrettable events sur-rounding the original election forPresident-Elect 2001,” said AAD PresidentRonald G. Wheeland, M.D. “It is now timeto move on and let the healing process

begin. While this entire episode person-ally saddens me, it is perhaps worthwhileto point out that there will be no winnersin this case and no one should be jubilantwith the outcome. I ask all members ofthe Academy and its leadership to worktogether and reinvigorate our activities

in physician education, patient advocacyand monitoring legislative and regulatoryactivities. Only in this way can we pre-serve the legacy of dermatologistsproviding the highest quality care to ourpatients with skin disease and restore thevitality and trust of our partnership.” ■

34


Numerous research grants and awardsare available to the dermatologic

community.To list research opportunities here,

e-mail information to [email protected],or submit via fax to Editor, Dermatol-ogy World, (847) 330-8907. Researchgrant information is printed semi-annu-ally, on a space-available basis only. Formore information about the grants listedhere, please contact the listed organiza-tions directly.

The American Society for Der-matologic Surgery (ASDS) hasestablished the “Cutting Edge” Re-search Awards — a new, self-directedresearch program with three grantstotaling $100,000. The purpose of thegrants is to encourage research in ar-eas of specific relevance to derma-tologic surgery and cutaneous oncol-ogy to stimulate the transfer of newtechnologies from the clinical settingor laboratory to dermatologic surgery

practice. For more information aboutthe ASDS grant program, contact theSociety at (847) 330-9830, fax (847)330-1135, or visit the ASDS Web siteat www.asds-net.org.

The Dermatology Foundationhas announced that $2.3 million was al-located for 56 research investigations tobegin in 2001. Award categories includeClincial Career Development; HealthCare Policy Clinical Career Develop-

ment; Research Career Development;Research Fellowships; DermatologistInvestigator Research Fellowships; Der-matopathology Grant; Patient DirectedInvestigation Grants; Program Develop-ment grants; and Research grants. Formore information contact the Dermatol-ogy Foundation at (847) 328-2256, fax(847) 328-0509.

The National Psoriasis Founda-tion (NPF) has announced a new grantprogram in support of psoriasis and pso-riatic arthritis genetics and immunologyresearch. The grants mark a new com-mitment on the part of the NPF tofunding research and supportingprojects using the latest technology ingenetics research and to open impor-tant new directions in the field ofpsoriasis and psoriatic arthritis. For in-formation contact the NPF at (800)723-9166, e-mail [email protected], orvisit www.psoriasis.org.

The National Rosacea Societyhas announced that new grants are avail-able to support research into thepotential causes and other aspects ofrosacea. A high priority in awardinggrants is given to studies relating to suchareas as the pathogenesis, progression,mechanism of action, cell biology andpotential genetic factors of rosacea. Re-search in such areas as epidemiology,predisposition, quality of life and rela-tionships with environmental andlifestyle factors may also be funded. Forinformation, contact the Society at(847) 382-8971, fax (847) 382-5567,or e-mail [email protected].

The Society for InvestigativeDermatology has announced the sec-ond year of its Clinical Scholars Program,an educational program for those inter-ested in keeping abreast of recentadvances in the specialty designed toprovide dermatologists with an up-to-date review of key aspects of cutaneousbiology including immunology, the func-tion of the basement membrane, andmelanocyte and keratinocyte biology.For information, contact Rosemary Davidat (216) 579-9300, fax (216) 579-9333,or e-mail [email protected].

INTERNATIONAL

The CE.R.I.E.S. (The Epidermal andSensory Research and Investigation Cen-ter of CHANEL) is calling for internationalapplications for its 2001 Award for healthyskin research. This annual award honorsa researcher in dermatology with aproven track record in fundamental orclinical research into the physiology orbiology of healthy skin, and helps fund afuture project. The application deadlineis July 2, 2001. For information, contactCE.R.I.E.S. Research Award c/o CHANEL,9 West 57th Street, New York, N.Y. 10019,(212) 688-5055. ■

RESEARCH NEWS

Research grants, awards available

35


The National Institute of Arthritis and Musculoskel-etal and Skin Diseases (NIAMS) has announced the

creation of a national registry of alopecia areata to serveas a link between researchers interested in studying thecondition and alopecia areata patients and their families.

According to NIAMS, the registry will seek to clas-sify medical and family history data for patients withthree major types of alopecia — alopecia areata, alope-cia totalis, and alopecia universalis — in an effort tocreate a central information source from which research-ers can obtain statistical data about the disease. Ofspecial interest to registry organizers is information on

NIAMS to establish national alopecia areata patient registry

RESEARCH NEWS

families with multiple members with the condition. Itis hoped that the registry will aid in the location of thegene or genes that cause the condition.

The registry will be located at the University ofTexas, M.D. Anderson Cancer Center in Houston. Af-filiated centers will be placed at the University ofColorado, the University of California San Francisco,the University of Minnesota, and Columbia University.

Enrollment in the patient registry is expected tobegin in the fall of 2001. Individuals interested in re-ceiving information when the registry begins shouldcontact the nearest registry center (See box). ■

Where to findmore information

For additional information on the NationalAlopecia Areata Registry contact the nearest

registry center. Centers can be reached at:

National Alopecia Areata RegistryUniversity of TexasM.D. Anderson Cancer CenterDepartment of DermatologyBox 434, 1515 Holcombe Blvd.Houston, TX 77030Phone: (713) 792-5999Fax: (713) 794-1491E-mail: [email protected] Duvic, M.D., co-principal investigatorKathleen Hunzicker, M.D., clinical coordinatorJoan Breuer-McHam, Ph.D, data coordinator

University of ColoradoDepartment of Dermatology4200 E. Ninth Avenue-B144Denver, CO 80262Phone: (303) 315-7738Fax: (303) 315-8272E-mail: [email protected] A. Norris, M.D, co-principal investigator

University of California, San FranciscoDepartment of Dermatology350 Parnassus AvenueSuite 505San Francisco, CA 94117Phone: (415) 476-3638Fax: (415) 502-7243E-mail: [email protected] H. Price, M.D., collaborator

University of MinnesotaDepartment of Dermatology420 Delaware St. – SEMinneapolis, MN 55455-0392Phone: (612) 624-9947Fax: (612) 624-6678E-mail: [email protected] Hordinsky, M.D., collaborator

Columbia UniversityDepartment of Dermatology630 West 168th Street – VC15New York, NY 10032Phone: (212) 305-9739Fax: (212) 305-7391Anegela Christiano, Ph.D., collaboratorE-mail: [email protected] MooreE-mail: [email protected]

The process of creating a technologically efficient medical practice can be a challenging one. A new bookfrom the Medical Group Management Association (MGMA) helps walk physicians and practice administrators

through the process of updating their office systems.The book, titled Information Technology: Tools for the Medical Practice, was written to help physicians and

their staffs identify areas that might be improved with the use of technology, analyze the costs of particularprocesses, manage the change to a new technology,evaluate potential vendors, and select and evaluateproducts that might improve office efficiency. The

book also provides anoverview of technolo-gies that are impactingthe health care industrysuch as handheld com-puters, the electronicmedical record, practicemanagement programs,as well as reviewinglarger technology con-cepts like the benefitsand drawbacks of the cli-ent/server and appli-cation service providercomputing models.

Physicians and practice administrators wishing topurchase “Information Technology: Tools for the Medi-cal Practice” should contact MGMA directly at (877)ASK-MGMA, or visit their Web site www.mgma.org. ■

NEWSMAKER

Daniel N. Sauder, M.D., has been appointed thenew director of dermatology at Johns Hopkins

Medical Institutions, Baltimore, Md., effective July 1.Dr. Sauder succeeds dermatologist Grant Anhalt, M.D.,who served as interim director.

Dr. Sauder trained at McGill University School ofMedicine in Montreal and currently hails from the Uni-versity of Toronto, where he is professor and chief of

the Division of Dermatology.His research has focused on themolecular mechanism of thecutaneous immune response.He was instrumental in devel-oping the field of cutaneouscytokine biology by identifyingthe role of certain immune sys-tem molecules, interleukins,and cytokines in inflammatoryskin diseases and tumors. Con-siderable funding for his work

has been provided by the Medical Research Council(Canada’s equivalent of the U.S. National Institutes of

Daniel Sauder named director of Hopkins Dermatology

Daniel N. Sauder, M.D.

Health). His latest work focuses on using gene mi-cro-arrays to study molecular mechanisms of cutaneousdisease and developing novel therapies to treat thesediseases.

Dr. Sauder is past president of the Canadian Der-matology Association, past and founding president ofthe Canadian Society for Investigative Dermatologyand current and founding editor of the Journal of Cu-taneous Medicine and Surgery. He has also served onnumerous other editorial boards, including the Journalof Investigative Dermatology, Lymphokine Research,Journal of American Academy of Dermatology, andInternational Journal of Immunopathology and Phar-macology.

He has received numerous awards, including elec-tion to the American Society for Clinical Investigation.In 1990, he was appointed division director of derma-tology for the University of Toronto. In 1993, he alsobecame head of the clinical division of dermatology atSunnybrook Health Science Centre, one of the mainteaching hospitals in the University of Toronto MedicalSystem. ■

New book from MGMA helps physicians assesstechnology needs

Do you share your copy of Dermatology Worldwith your office manager or other staff? Order

an additional subscription for only $48 per year. Toorder, contact Casey Copeland at (847) 240-1789,fax your request to (847) 330-0050, or [email protected]. ■

Order your own copy ofDermatology World

The Dermatology Foundationis now accepting letters of

nomination for the 2001 Clark W.Finnerud award and the Practi-tioner of the Year award.

Letters of nomination should include back-ground information on the nominee, which wouldqualify him or her for the award. A curriculum vitaeis also requested. Submit all nominations and sup-porting letters by Aug. 15, 2001, to: Finnerud/Practitioner Award, Dermatology Foundation, 1560Sherman Avenue, Evanston, IL 60201. ■

Dermatology Foundationseeks 2001 awardsnominations

36


The Health Insurance Portability and AccountabilityAct (HIPAA) standards for privacy of individually

identified health information went into effect on April14, after President George W. Bush requested that theDepartment of Health and Human Services (HHS)begin implementing them immediately.

Earlier this year, the Bush Administration hadgranted a special 30-day comment period on the rule.Although 24,000 comments were received during thisperiod, including comments by the American Acad-emy of Dermatology, the final rule remains essentiallyunchanged from what was published on Dec. 28, 2000.

HHS does plan to issue guidelines in the near fu-ture on how the rule will be implemented to “clarifysome of the confusion regarding the impact this rulemight have on health care delivery and access,” ac-cording to a statement by HHS Sec. TommyThompson.

Most covered entities, which include health plans,clearinghouses and providers, will have until April 14,2003, to comply. This includes providers who transmitany health information in electronic form in connectionwith a transaction covered under HIPAA. The rule pro-tects all medical records and other individually identifiablehealth information in any form, including informationcommunicated electronically, on paper or orally.

“Many dermatologists submit electronic claims toMedicare, and even if they do everything else on pa-per, they’re still considered a covered entity,” explainedMargret Amatayakul, president of Margret\A Consult-ing, a consultant to the Academy on HIPAA matters.“And if an organization sends paper claims to a clearing-house or billing service, if the information gets convertedinto electronic form, the organization is covered.”

The following sections summarize key provisionsof the rule and their impact on dermatologist offices.

Pre-emption of state lawThe privacy rule pre-empts any provision of state

law that is contrary to the rule or would otherwise makeit impossible for a covered entity to be in compliancewith both at the same time. State laws are not pre-empted, however, when they are more stringent andprovide greater protection of privacy.

Other exceptions to the rule exist, for example,when state law requires reporting of important publichealth issues such as disease or injury, birth or death, orwhen state law requires health plans to report informa-tion for management or financial audits, programmonitoring and evaluation, or licensure or certificationof facilities or individuals. State or federal agencies willnot be making a decision about which state laws willpre-empt the privacy rule, so dermatology offices shouldwork closely with legal counsel to make this determina-tion.

Minimum necessary standardThe rule sets a “minimum necessary” standard when

disclosing or requesting protected information from an-other covered entity. This means that dermatologyoffices must make reasonable efforts to use only theminimum amount of information necessary for the in-tended use or disclosure. For example, the dermatologistand the nurse need full access to a patient’s medicalrecord, the receptionist or appointment clerk would notnormally need access to the clinical information in therecord. This standard does not apply to information usedfor treatment, disclosures made to patients who requestinformation about themselves, or uses required by lawor for compliance with the rule.

The rule outlines specific procedures for comply-ing with the minimum necessary standard. Coveredentities must identify employees who need access toinformation to do their jobs and the kinds of informationthey need, then limit access accordingly. They should

also develop policies and procedures that describe howto limit information for routine or recurring disclosures.Dermatologists may wish to give some consideration tomaintaining patient demographic and health payer in-formation separately from the medical record. Forsituations not covered by these first two instances, theyshould develop criteria for what is considered minimumnecessary and review any additional requests for accessto protected information on a case-by-case basis.

Consent and authorizationThe rule makes a clear distinction between the terms

“consent” and “authorization,” which are often used in-terchangeably in ordinary speech.

Consents, according to the rule, are broader kindsof permissions for categories of uses, and generally re-late to internal uses or disclosure of information. “Mostphysician offices get consent from a patient to release

Final HIPAA privacy rule reaffirmed by President Bushby Kevin Orfield

• American Academy of Dermatology.

A free HIPAA brochure is available at

www.aad.org, or contact Alice Bell at (847)

330-0230 ext. 333 to order a printed copy.

• American Health Information

Management Association: www.ahima.org

• American Health Lawyers Association:

www.healthlawyers.org

• HIPAAlive listserv:

www.hipaadvisory.com/live

• Medical Group Management Associa-

tion: www.mgma.com

• U.S. Department of Health and Human

Services: http://aspe.os.dhhs.gov/admnsimp

• Workgroup for Electronic Data

Interchange: www.wedi.org

• Boundary Information Group HIPAA

resources: www.hipaainfo.net

(Source: Lazarus SS: 10 HIPAA tips for the physi-cian office. Journal of AHIMA 17(2): 56, February2001.) ■

information for payment purposes,” explainedAmatayakul. “The difference with the rule is that youmust also get consent from patients to use informationto carry out treatment or health care operations. This isone area that seems to require clarification, and hope-fully the guidelines will provide this.”

Authorizations are permissions for specific uses,and generally relate to uses and disclosures outside thefacility. They are required for using or disclosing infor-mation for purposes other than treatment, payment oroperations, such as employment determinations, mar-keting and fundraising.

“You need to be very careful about how you useindividual information for marketing purposes,” cau-tioned Amatayakul. “Some marketing is permitted, butyou must give the patient the opportunity to opt out ofsubsequent communications.”

To make sure a dermatology practice has all neces-sary consents and authorizations, it should conduct aninternal assessment to determine where healthcare in-formation is kept, who has access to it and what happensto it. They should read the guidelines in the rule aboutthe content and form of the consent, and draft any nec-essary forms.

The rule also defines when consents and authoriza-tions are not required, for example, when healthauthorities are collecting information for public healthpurposes such as disease control or when information isrequested by law enforcement.

In certain situations, a consent or authorization isnot required, but the patient must be informed and givenan opportunity to object. For example, limited informa-tion about a patient can be included in a directory ofpatients and friends and family members can also begiven information about care, as long as the patient hasnot objected.

Rights for individualsThe privacy rule establishes certain rights for indi-

viduals, which includes the following:• The right of access. Individuals can inspect or ob-

tain copies of their health information in adesignated record or summary or explanation ofthe requested information. Access should be per-mitted in almost every case, with some exceptions,for example, psychotherapy notes or informationused in preparation for a criminal or civil proceed-ing.

• The right to an accounting of uses and disclosuresof protected information for purposes other thantreatment, payment and health care operations.The accounting should include the date of eachdisclosure, the address of the person receiving theinformation, a description of the information dis-closed, and the reason for the disclosure for thelast six years. Routine disclosures do not have tobe accounted for.

• The right to a notice of privacy practice informingpatients about their rights in relation to their healthinformation and how the organization uses and dis-closes such information.

• The right to request amendment or correction ofinformation that is incomplete or inaccurate. In cer-tain circumstances, this can be denied, for example,when the information would endanger the life orsafety of the individual or another person.

• The right to restrict certain uses or disclosures thatare permitted by the rule if the covered entityagrees to the restriction, for example, limiting ac-cess to the patient’s record for other professionalsin a multi-specialty clinic who might otherwisehave access. The organization should try to ac-commodate this request to the greatest extentpossible.

Internet resources

See HIPAA, p. 37

ACADEMY 2001 will include a session titled, “Getting Ready for HIPAA,” on Tuesday, July

31, from 9 to 10:15 am, in Anaheim, Calif. Seepages 15-23 for more information about ACAD-EMY 2001. ■

HIPAA sessionoffered

37


“Many physicians are comfortable with the rightof access, but are not as comfortable with the right ofamendment,” said Amatayakul. “Physicians should un-derstand that there are a number of requirements whichcall for due process. If the patient requests an amend-ment and you decide not to accept it, you must still gothrough a review process, which may be more oner-ous than simply accepting the amendment.” If thephysician does not agree with the amendment,Amatayakul explained that he or she can simply add anote in the record that they have accepted the amend-ment but don’t agree with it.

Business associatesThe privacy rule recognizes that covered entities

may render services by contracting through “businessassociates.” Contracts must require business associatesto follow the covered entity’s rules for protecting healthcare information, define the minimum necessary infor-mation required for business to be conducted, prohibitbusiness associates from re-disclosing the informationand require the business associate to report any inap-propriate uses of protected information should theyoccur.

Dermatology practices are not expected to policebusiness associates, but should demand that businessassociates correct inappropriate uses of informationwhen they become aware of them. If the businessassociate can not or will not correct the situation, thecovered provider can terminate the contract or reportthe problem to the HHS.

HIPAA, from p. 36

• Obtain and read a copy of the privacy rule

(http://aspe.hhs.gov/admnsimp);

• Designate a privacy officer to keep the prac-

tice up-to-date on HIPAA privacy issues;

• Review practice office procedures and job

descriptions to identify patient health infor-

mation access and movement in your

organization; and

• Identify any obvious problem areas and work

with practice office staff to develop new poli-

cies and procedures to protect patient health

information. ■

Getting startedwith compliance

How to comply

With only two years to the compliancedeadline, dermatology practices should get

started with compliance proceedings as soon aspossible.

The HIPAA Privacy Rule is only 31 pageslong, and it is not difficult to understand, accord-ing to Margret Amatayakul, a consultant to theAcademy on HIPAA matters. (See Federal Regis-ter/Vol. 65, No. 250/Thursday, Dec. 28, 2000,pages 82798-82829.) There are over 300 pagesof related comments included in the full text, butthese are not pertinent or required for dermatol-ogy practice information.

“You really must take a close look at yourpatient health information handling proceduresand policies to see what your practice is doingand where you might have problems,” saidAmatayakul. “If it’s difficult to determine whereyou are, you might want to have someone fromthe outside help you. Once you’ve identifiedthe gaps, then you need to make a list of priori-ties of what you think are the biggest problemsand figure out how to address them most costeffectively.” ■

Enforcement and penaltiesCovered entities must notify patients of their right

to file a complaint. The privacy rule specifies penaltiesfor failure to comply and wrongful disclosure of infor-mation. Penalties range from civil penalties of $100 perviolation up for unintentional disclosures (with a ceilingof $25,000 per year) to criminal penalties subject tofines up to $250,000 and 10 years in prison for wrong-ful disclosures committed under false pretences or withmalicious intent. ■

Pre-orders are now being accepted for the Fall 2001issue of Dermatology Insights, a patient’s guide

to healthy skin, hair & nails, which will be availablein August. This popular patient publication is avail-able free to members for their offices — only shippingand handling costs are charged. More than 100,000copies of the Spring 2001 skin cancer issue wereshipped, and that issue is now sold out.

❑ Please send me ___ package(s) of the Fall 2001 Dermatology Insights (Bundled in packages of 30)

Mail this completed order form with payment inUS funds payable to:

American Academy of DermatologyP.O. Box 2289,Carol Stream, IL 60132-2289 D W0701

Order fall issue of Dermatology Insights – free!The Fall 2001 issue focuses on teen skin, hair

and nail problems, and features a celebrity interviewabout acne with Christopher Knight, “Peter” from TheBrady Bunch television series. Features also touchon the emotional and psychosocial factors contribut-ing to teen dermatological conditions, scar correction,isotretinoin, skin cancer, as well as the negative sideeffects and safety precautions about tattooing, pierc-ing, nail prostheses, hair coloring, and more. There isalso a patient perspective on isotretinoin, as well as aspecial Q & A on warts, a primer on winter skin care,and more!

To order, fill in the order form below, or contactthe AAD Order Department at (847) 240-1280, ore-mail your inquiry to [email protected]. ■

For convenient ordering, fax your order, with creditcard information to (847) 330-0050.

For faster service or questions, contact the AADOrder Department at (847) 240-1280, or [email protected].

Name _______________________________________________________________________________________

Address (No P.O. Box) ________________________________________________________________________

City, State, Zip ________________________________________________________________________________

Daytime Phone _______________________________ Fax ________________________________________

Please charge shipping & handling to: ❑ Visa ❑ MasterCard ❑ American Express (print card # below)

|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___| Exp. Date |___|___|___|___|

Signature ____________________________________________________________________________________

U.S. shipping and handling charges (outside U.S. please call for charges):

Qty (30/pk): 1-3 pks 4-6 pks 7-9 pks 10-12 pks 13+ pks

Cost $14.00 $19.00 $24.00 $29.00 Call

Dermatology Insights, a patient’s guide to healthy skin, hair and nails is looking for patients – both

to interview for our Celeb-rity Patients series, and towrite about their personaldermatological experiencesfor articles to be publishedin our Patient Perspectiveseries.

If you have celebritypatients who would agree tobe interviewed for an articlein Dermatology Insights, orany patients with interestingstories who would be will-ing to write about their experiences for the publication,please have them contact us. Writing/communicationskills are a plus, but the best candidates are those pa-tients with interesting and informative stories. To refer apatient to us, or for more information, contact EditorDean Monti at the AAD, (847) 240-1787, or e-mail,[email protected]. ■

Dermatology Insightsneeds your patients

The American Board of Dermatology, Inc.(ABD) is seeking individuals to be consid-

ered for nomination and possible election to theABD Board of Directors.

One or two positions are filled each year. Thenames, along with curriculum vitas, should be senton or before Sept. 13, 2001, to: Antoinette F.Hood, Executive Director, The American Board ofDermatology, Inc., Henry Ford Hospital, 1 FordPlace, Detroit, MI 48202-3450. ■

ABD seeks boardmember nominations

38


Galderma Laboratories, L.P., Pre-Board SlideSeminar, Holiday Inn O’Hare International,Rosemont, Illinois.

Sept. 14-16. For information contact: BrentPetersen, PO Box 331329, Ft. Worth, TX76163. (817) 263-2600; fax (817) 263-2609;e-mail [email protected].

Ohio Dermatological Association, 18th An-nual Meeting, Hilton Columbus, Columbus,Ohio.

Sept. 14-16. For information contact: VickeyMcVay, ODA, 3401 Mill Run Drive, Hilliard, OH43026; phone (614) 527-6805; e-mail:[email protected].

Sociedade Brasileira de Dermatologia, 56th

Brazilian Congress of Dermatology, Goiania,Goias, Brazil.Sept. 15-19. For information contact: LunaAzulay Abulafia, Av. Rio Branco, 39-180Andar, Centro 20090-003 RJ, Brazil; 02 1253 6747; fax 02 12 53 6747; e-mai [email protected].

Swedish Society of Medicine, 57th BerzeliusSymposium, Uppsala, Sweden.

Sept. 18-20. For information contact: SwedishSociety of Medicine, phone 46 08 440 8875; fax46 08 440 8884; e-mail [email protected].

American Society for Mohs Surgery, 6th An-nual Clinical Symposium, Four Seasons Ho-tel, Newport Beach, Calif.Sept. 20-23. For information contact: NovellaRogers, Administrator, phone/fax (800) 616-2767; e-mail [email protected].

South Central Dermatologic Congress, An-nual Congress, San Diego, California.Sept. 20-23. For information contact: Joseph P.Shrum, M.D., Tulane University Medical SchoolTB36, 1430 Tulane Avenue, New Orleans, LA70112; (504) 588-5114.

16th Combined Skin Pathology Course, Phila-delphia Airport Marriott Hotel, Pa.Sept. 21-26. For information contact: WaineC. Johnson, M.D., Delaware Valley Dermatopa-thology, 137 S Easton Road, Glenside, PA19038; (215) 886-3074; fax (215) 886-5644.

George Washington University, Mycology forDermatologists, Washington, D.C.

Sept. 22-23. For information contact: Univer-sity Dermatology Associates, 1120 19th NW,Washington, D.C. 20036; (202) 955-3911; e-mail [email protected].

European Association of Dermato-Oncologyand Arbeitsgemeinschaft DermatologischeOnkologie, Joint Meeting, Vienna, Austria.

Sept. 27-29. For information contact: HubertPehamberger, M.D., Department of Dermatol-ogy, University of Vienna, Wahringer Gurtel18-20, A-1090 Vienna, Austria; 0043/1/40400 77 10; fax 0043/1/40 400 76 99; e-mail:[email protected].

Tennessee Dermatology Society, SocietyMeeting, Nashville, Tenn.

Sept. 29-30. For information contact: LindaBass, 2301 21st Avenue South, Nashville, TN37212; (615) 385-2100; fax (615) 383-5916.

L’Oreal Institute for Ethnic Hair and Skin Re-search, 1st International Symposium, Chi-cago, Ill.Sept. 29-30. For information contact: AmyHaas, BioScience Communications, 1875 EyeStreet NW, Suite 900, Washington, DC 20006;fax (202) 326-1823; e-mail [email protected].

www.aad.orgFor more information about

Continuing Medical Education,

visit the AAD Web site.

CME CALENDAR

American Academy of Dermatology AssociationDermatology WorldVol. 11 No. 7 July 2001

DERMATOLOGY WORLD (ISSN 10602445) is publishedmonthly by the American Academy of Dermatology Association,930 N. Meacham Rd., Schaumburg, IL 60173-4965. Subscrip-tion price $48.00 per year included in AAD membership dues.Non-member annual subscription price $96.00. Periodicals Post-age Paid at Schaumburg, IL and additional mailing offices. POST-MASTER: Send address changes to DERMATOLOGYWORLD, American Academy of Dermatology Association,P.O. Box 4014, Schaumburg, IL 60168-4014.

President ................................. Ronald G. Wheeland, M.D.Physician Reviewer ................. David M. Pariser, M.D.Executive Director ......................... Thomas P. Conway

Associate Executive Director .. Cheryl K. NordstedtSr. Director, Communications ........ Donna SteinDirector, Publishing& Graphic Arts ......................................... Anne W. AllodiManaging Editor ........................................ Lara LoweryStaff Writer ................................................. Katie Bodach

Contributing Writers ......................... John Barnes,Nancy Bannon, J.D., Ruth Carol, Laura Saul Edwards,John Farner, Missy Gough, Larry Lanier, Dean Monti,

LaTosha Meadows, and Kevin OrfieldPublication Design ........................... Erin Turner-KarthAdvertising Sales .................. Atwood Publishing, LLC

Tim McCormack; (913) 469-1110, Ext. 214Rich Crane; (913) 469-1110, Ext. 346

Printed in U.S.A. Copyright © 2001by the American Academy of Dermatology Association,930 N. Meacham Rd., Schaumburg, IL 60173-4965Telephone: (847) 330-0230 Fax: (847) 330-0050

Advertising Statement: The American Academy ofDermatology Association does not guarantee, warrant or en-dorse any product or service advertised in this publication, nordoes it guarantee any claim made by the manufacturer of suchproduct or service.

Mission Statement: Dermatology World is edited toprovide members of the American Academy of DermatologyAssociation with legislative, regulatory and socioeconomic newsas it affects dermatologists and their practices, their patients,and their profession. It provides news and analysis/interpre-tation, reports on trends in dermatology, provides commentaryand opinion, and reports on news and actions of the AADA andthe American Academy of Dermatology.

DERMATOLOGYDERMATOLOGY WORLD

Meetings listed are only those

recognized for AAD Cat-

egory I CME credit (space permit-

ting). For information on other

meetings, contact: Tara Smith, CME

Manager, Member Ser vices De-

partment, American Academy of

Dermatology, PO Box 4014,

Schaumburg IL 60168-4014, fax

(847) 330-1090.

AAD EVENTS

American Academy of Dermatology, ACAD-EMY 2001, Anaheim, Calif.

July 28 – Aug. 1. For information contact:American Academy of Dermatology, Depart-ment of Meetings and Conventions, 930 NorthMeacham Road, Schaumburg, IL 60173; (847)330-0230; or fax (847) 330-1090.

American Academy of Dermatology, 60th An-nual Meeting, New Orleans, La.

Feb. 22-27, 2002. For information contact:American Academy of Dermatology, Depart-ment of Meetings and Conventions, 930 NorthMeacham Road, Schaumburg, IL 60173; (847)330-0230; or fax (847) 330-1090.

American Academy of Dermatology, ACAD-EMY 2002, New York, N.Y.

July 31 – Aug. 4, 2002. For information con-tact: American Academy of Dermatology, De-partment of Meetings and Conventions, 930North Meacham Road, Schaumburg, IL 60173;(847) 330-0230; or fax (847) 330-1090.

August

Jeffrey A. Klein, M.D., Klein TumescentLiposuction Course, San Juan Capistrano,Calif.

Aug. 3-5. For information contact: JeffreyKlein, M.D., 30280 Rancho Viejo Road, SanJuan Capistrano, CA 92675; (949) 248-1632;e-mail [email protected].

Harvard Medical School and Beth IsraelDeaconess, Controversies and Conversa-tions in Cutaneous Laser Surgery, Hyatt Re-gency, Beaver Creek, Colo.

Aug. 10-12. For information contact: KarenM. Ragusa, Beth Israel Deaconess MedicalCenter, Libby 134, 330 Brookline Avenue, Bos-ton, MA 02215; (617) 667-5105; [email protected].

New York University Medical Center, Der-matopathology Board Review Course, NYUSchool of Medicine, New York.

Aug. 11-12. For information contact: LindaPivovarnik, Dermatopathology Section, NewYork University Medical Center, 530 First Av-enue, Suite 7J, New York, NY 10016; (212)263-7250; fax (212) 684-2991.

Australasian Dermatopathology Society,22nd Annual Conference, The Heritage Hotel,Auckland, New Zealand.

Aug. 17-19. For information contact: Conven-tion Management, PO Box 2009, Auckland,New Zealand; 64 95 294 114; fax 64 95 200718; e-mail: [email protected].

Hawaii Dermatological Society, Hot Spots inDermatology, Kona Coast, Hawaii.

Aug. 17-19. For information: Douglas W.Johnson, M.D., 1380 Lusitana Street, Suite401, Honolulu, HI 96813; (808) 531-7541; e-mail [email protected].

New York Medical College, Medical Mycol-ogy Review for Dermatologists, Metropoli-tan Hospital Center, New York City.

Aug. 18-19. For information contact: EvelynKoestenblatt, 1901 First Avenue, New YorkCity, NY 10029; (212) 423-7467; fax (212)423-8464; e-mail [email protected].

University of Pennsylvania, Dermatopathol-ogy Self Assessment and Board Preview,Philadelphia, Pa.

Aug. 25-26. For information contact: CarolBlumenthal, The Department of Dermatology,Second Floor, Maloney Building, 3600 SpruceStreet, Philadelphia, PA 19104; (215) 662-4497.

The Stough Clinic of Dermatology, P.A.,Hands On Surgery Workshop, The StoughClinic, Hot Springs, Ark.Aug. 24-25. For information contact: StaceyJames, One Mercy Lane, #304, Hot Springs,AR 71913; (501) 623-6100; fax (501) 623-6187 or e-mail [email protected].

West Virginia Dermatological Society, An-nual Meeting, The Greenbrier, WhiteSulpher Springs, W.V.Aug. 24-25. For information contact: RichardHawkins, M.D., 3411 Noyes Avenue SE,Charleston, WV 25304; (304) 342-3193.

September

American Academy of Facial Plastic and Re-constructive Surgery, Annual Fall Meeting,Denver, Colorado.Sept. 5-8. For information contact: LauraGarcia Hacek, AAFPRS, 310 S Henry Street,Alexandria, VA 22314; phone (703) 299-9291; fax (703) 299-8898; e-mail:[email protected].

Association of Academic Dermatologic Sur-geons, Annual Meeting, The Sheraton Hotel,Chicago.

Sept. 7-9. For information contact: AADS, 930N Meacham Road, Schaumburg, IL 60173;(847) 330-9830; fax (847) 330-1135; [email protected].

Association of Professors of Dermatology,Annual Meeting, The Sheraton Hotel, Chi-cago.

Sept. 7-9. For information contact: RosemaryDavid, 820 W. Superior Avenue, Suite 340,Cleveland, OH 44113; (216) 579-9300; fax(216) 579-9333; e-mail [email protected].

University of Texas Medical Branch atGalveston, Dermatopathology Board Exami-nation Review Course, School of AlliedHealth Science.

Sept. 8-9. For information contact: UTMB De-partment of Dermatology, Amy Constantine,301 University Blvd, Galveston, TX 77555;(409) 772-1911; e-mail: [email protected].

Skin Disease Education Foundation, H & HDermatology Seminar, Eldorado Hotel, SantaFe, N.M.

Sept. 12-16. For information contact: SDEF,233 East Erie, Suite 406, Chicago, IL 60611;(312) 988-7700; fax (312) 988-7759; e-mail:[email protected].

International Society of Dermatopathology,22nd Annual Colloquium, Stresa, Italy.

Sept. 13-15. For information contact:Giovanni Borroni, M.D., University of Pavia,Italy. 00 303 8250 3494 3813; fax: 00 3903825 6379; e-mail [email protected].

American Society of Dermatopathology, 38th

Annual Meeting, Westin Michigan Avenue,Chicago, Ill.

Sept. 13-16. For information contact: ASDP,930 N. Meacham Road, Schaumburg, IL60173; (847) 330-9830; fax (847) 330-1135;e-mail: [email protected].

OctoberOctoberOctoberOctoberOctober

ILM and the Univeristy of Ulm, 3rd Interna-tional Symposium Lasers in Dermatology,Ulm, Germany.

Oct. 1-2. For information contact: [email protected].

Pacific Dermatologic Association, AnnualMeeting, Pointe Hilton South Mountain,Phoenix, Ariz.Oct. 3-7. For information contact: PacificDermatological Association, 930 N.Meacham Road, Schaumburg, IL 60173; (847)330-9830; fax (847) 330-1135; e-mail:[email protected].

International Society of Dermatopathology,22nd Symposium, Stresa, Italy.

Oct. 4-6. For information contact: Departmentof Dermatology, University of Pavia, IRCCSPoliclinico S. Matteo, Piazzale Golgi 2, 27100Pavia, Italy; 39 03 825 03494/794; fax 39 03825 26379; e-mail [email protected].

Southeastern Consortium for CME, Consor-tium for CME in Dermatology, Duke Univer-sity Medical Center, Durham, N.C.Oct. 5-7. For information contact: Elise A.Olsen, M.D., Duke University Medical Center,Box 3294, Durham, NC 27710.

39


PROFESSIONAL OPPORTUNITIES

INDEX TO ADVERTISERS

For advertising information, contact:

Tim McCormack, ext. 214Rich Crane, ext. 346Atwood Publishing, LLC11600 College BoulevardOverland Park, KS 66210

(913) 469-1110

AAD .................................................. 17

AAFPRS ............................................. 19

ASDS - ACMMSCO ........................... 10

Allergan ............................................. 9

American Society for Mohs Surgery . 24

AmeriPath ........................................ 11

Berlex Laboratories .............. 26-27, 28

Cook Biotech .................................... 33

CPFilms ............................................ 20

Delasco ............................................ 12

Dermdex .......................................... 14

Dermik Laboratories, Inc. ................. 40

Fascia Biosystems, LLC ..................... 25

Galderma ....................................... 5-6

ICN Medical Alliance ......................... 7

JLT Services ........................................ 8

Juzo .................................................. 32

Medi-Bill ........................................... 29

NPR Healthcare ................................ 31

Parthenon ......................................... 30

VitalWorks ....................................... 34

Dermatology World gratefully ac-knowledges the following compa-nies for advertising in this issue:

Although the AADA assumes the state-ments that will be made in classifiedadvertisements are accurate, the Acad-emy cannot investigate the statementsand assumes no responsibility or liabil-ity concerning their content. TheAcademy reserves the right to decline,withdraw, or edit advertisements at itssole discretion. Every effort will be madeto avoid mistakes, but responsibility can-not be accepted by the Academy forclerical or printer’s errors.

Ads can be placed for:

• professional opportunitiesavailable and/or wanted,

• practices for sale,• office space or equipment

available and/or wanted.

UPCOMING DEADLINES

FOR 2001:

August issue ........................ July 12

September issue ............. August 16

October issue ............ September 13

November issue ............. October 11

December issue ............November 8

FOR MORE INFORMATIONCALL: (847) 330-0230FAX: (847) 330-8907

WEB: www.aadassociation.org

CLASSIFIED AD POLICY CLASSIFIED ADVERTISING

CHAMPAIGN, IL — Christie ClinicAssn is a multi-specialty group of 90physicians that is recruiting a 2ndDermatologist. Competitive financial andfringe benefit packages. Located two hourssouth of Chicago, Champaign and Urbanahave a metro population of 140,000.Service area of 300,000. Extremelylivable area, excellent schools, afford-able housing, high tech economy. Home ofthe University of I l l inois. Send CV toChristopher Kashnig, Christie Clinic Assn,101 W. University Ave, Champaign, IL61820. Phone (217) 366-5374. Fax (217)373-6872. E-mail address: [email protected].

COOS BAY, OREGON — Tired of thebig city rat race and managed care re-straints? We're a high-quality 20 physi-cian group practice looking for a secondgeneral dermatologist. Gorgeous Oregoncoast location, wonderful outdoor recre-ation, affordable housing. A rare placewhere you can practice medicine the way itused to be, in a collegial stable group. Ex-cellent financial package. For more infor-mation, contact Dan at (541) 269-0333.

DERM PRACTICE — Naples FL. Imme-diate opening for associate. (941) 263-1717.

SMITHTOWN, NY — DermatologistBC/BE. 38-year old private practice - LongIsland, one hour from NY City. Part-time/full-time with future partnership or buy out.Fax (631) 366-4545.

CORAL SPRINGS, FLORIDA —Immediate opening for BE/BC dermatolo-gist to join a successful solo general andcosmetic dermatology practice. Short termpractice buy out available. Call (954)753-3550 or fax CV to (954) 753-2901.

GREENSBORO, NC — A well estab-lished five person dermatology practice inGreensboro, NC seeks a dermatologist/dermatopathologist or a part-time derma-tologist to join our group. Send CV to: W.Harrison Turner III, M.D., 2704 St. JudeStreet, Greensboro, NC 27405.

PALM BEACH COUNTY, FL — Ex-panding large dermatology group lookingfor a Mohs surgeon and a general derma-tologist. Competitive salary and benefitpackage with bonus and excellent oppor-tunity for partnership. Fax CV and coverletter to (561) 242-9575 or call (561)346-6900.

CHIEF OF DERMATOLOGIC SURGERYUNIVERSITY OF KANSAS MEDICAL CENTER

KANSAS CITY, KANSAS

The Division of Dermatology, University of Kansas Medical Center has animmediate opening for a BC/BE dermatologist to head its surgical program.Interested applicants must have undertaken at least one year of a surgicalfellowship and have demonstrated experience in Mohs’ surgery and lasers.

The University of Kansas provides for a collegial and stimulating academicpractice in a growing metropolitan area of 1.8 million. In addition to thequality of life and excellent schools inherent to the Midwest, we offer a com-petitive salary and excellent benefits commensurate with experience and thelevel of academic appointment.

If interested in this opportunity, please forward your CV to:Donald V. Belsito, MD, Director, Division of Dermatology

University of Kansas Medical School3901 Rainbow Blvd., Kansas City, Kansas 66160-7310

Phone (913) 588- 3840, Fax (913) 588-4060 or e-mail:[email protected].

KUMC values diversity and is an EEO/AAP employer.

COHERENT LIGHT SHEER EP HAIRREMOVAL LASER — Low hours - As-sume payments or make offer. For informa-tion contact Byrd (800) 926-9142, ext.107, email [email protected].

40% LESS. Pre-owned Photorejuve-nation Systems, Lasers, Endermologie®

and New Microdermabrators at hugesavings. Warranties and references.(800) 854-3504 or (760) 431-8392.

SUBURBAN NEW YORK CITYSeeking highly skilled board certifieddermatologist to join a thriving, well-established specialty group in privatepractice on Long Island, NY. Located30 minutes east of New York City.Seeking individual with interest ingeneral dermatology, surgery, andcosmetic procedures. Offering start-ing base salary of $250, 000 plusbonus incentives. Benefits availableinclude health, malpractice, and CMEGreat opportunity for growth. Full orpart time. Please fax C.V. to (516)783-6442, or email: [email protected].

EQUIPMENT AVAILABLE

PRACTICES FOR SALE

SUBURBAN NEW YORK — Largestpractice in Putnam County, owner retiring.Excellent opportunity. Phone (212) 245-7264, e-mail [email protected].

SOUTHERN CALIFORNIA — LongBeach area, very profitable, thriving prac-tice for sale. Excellent opportunity. ContactJoanne at (310) 378-1915 or fax (310)378-5819.

DERM PRACTICES FOR SALE —New Hamp-Grosses $367K, Estab. 27yrs.New Jersey-Grosses $630K, Estab. 29yrs.New York-Grosses $200K+, Estab. 20yrs.Rhode Island-Grosses $300K, Estab. 36yrs.100% Financing, plus Working CapitalProMed Financial, Inc. (888) 277-6633.

PRACTICE ACQUISITION/EQUIPMENT FINANCING

100% Financing + Working Capital

24 – 48 hour turnaround

(800) 443 – 2756 ext. 4

CREDIT CARD PROCESSING

One low, fixed rate

No statement or per transaction fees

(800) 443 – 2753

SENSATIONAL OPPORTUNITY—SAN ANTONIO, TEXAS Sensationalopportunity to work hard and play hard ina famous, festive southwest city on theedge of the beautiful Texas Hill Country.Professional sports, golf and unlimited en-tertainment opportunities including majortheme parks in a multi-cultural, friendlycommunity. Major teaching institutionsalso available for affiliation. Let us showyou what we have to offer for a BC/BE der-matologist in a premier, multi-office der-matology practice in Northern San Anto-nio. Exceptional earnings opportunity withfull benefits. Call Bob Schubert at (210)657-9338 or fax CV to (210) 657-7869.

MICHIGAN — Large well establishedpractice located in Metro Detroit with 2full-time and 2 part-time Dermatologists isseeking a BE or BC Dermatologist. Attrac-tive salary, benefits and incentive programavailable. For more information pleasecontact: Jim Lucas, Phone: (248) 649-4048, Fax: (248) 649-4112, Email:[email protected].

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Welcome to ACADEMY 2001

Health & Medicine

Transcript of Welcome to ACADEMY 2001