Botox / Fillers - can I?

[moestown1016]

A PCP has approached me about going to a course on Botox and fillers so that he can add it to his practice (with me doing the actual injecting) - has anyone gone through this process? I've never worked in Dermatology or Plastics but I'm all about doing something on the side to make some extra cash. Plus I like to learn.

 

That being said, I am concerned I will miss something vital. Do you apply for "additional privileges" under that physician? If so, that form asks how many of this new task I've performed in order to add it to my skill set. So far that would be a zero. Also, reimbursment - I want to do a percentage share of profits. Has anyone done 50/50, 60/40? How did you structure this?

 

Thank you!

 

 

[SHU-CH]

In general, you would have to look at your state laws to determine if you can do this or not. In most states it is probably not a problem.

 

I would have one other concern - has your supervising doc been trained how to do these procedures or would they just be sending you? If the latter is the case, you are probably on shaky ground. You should not be doing procedures that your supervising doc is not qualified by education or experience to oversee.

[JFarnsworth]

It is my understanding that your SP should have some knowledge of injectibles, in case you need to consult with him/her. You will also have to spell it out on your DSA and make sure your malpractice covers you to perform these procedures. 

I would be very careful about going to one training course and then start injecting patients. If an undesired result occurs, will you know how to correct it? When it comes to their faces, patients have a low tolerance for mistakes. Hell, they have a low tolerance when there are no mistakes!

[True Anomaly]

Plain and simply, I wouldn't do any procedures that my SP isn't fully trained and credentialed on themselves.

[primadonna22274]

I'm with these guys M. You just aren't in good shape to do things that are out of your SP's scope. You won't have backup if something goes wrong...and things do go wrong, no matter how dedicated you are (and I know you are). At least talk with some local derm PAs to get their opinions. Never done these procedures so can't speak to them but I did work in an urgent care in Oregon where my SP (EM trained) did aesthetics including Botox, restylane, juvederm and laser resurfacing. He offered to train me but it was my per diem job and didn't have the time. He had trained though and I would have felt better in that situation given time and practice.

[Gordon, PA-C]

Doing botox/fillers is well within the PA scope, as long as your SP is proficient in the process.  Hell most clinics dont even use PA/NP for botox, they let RNs and "aestheticians" with zero medical training do them!

 

 

[moestown1016]

I agree with what y'all have said. It feels somewhat shaky - were supposed to meet to see what his ideas are and maybe they will include him being trained as well.

 

I've seen where a lot of nurses do the procedure and I do believe I can learn to do it well over time.

 

I've thought about talking to a local plastics guy I know - would be much more comfortable working with him - just don't know if he needs help right now as that he is pretty new to the area and building up clientele.

 

So maybe I step on this guys toes and go somewhere else or maybe he surprises me and has plans to be trained/certified. Idk. I did find a clinic in another state that is run by a NP, has a PA and "injection specialists" and seems really successful - shadowing the owner is 1k a day. Not quite in my budget although I briefly considered :)