Independent Physicians

Women Surgeons #ILookLikeASurgeon
Who Else Tried This New Yorker Challenge For Women Surgeons?

In more ways than one, in the field of surgery women surgeons are a minority.

This is a stark contrast to medical school enrollments where almost 50 percent are women. Yet, in the field of surgery there are may 10-20 percent women.

Now, I’ve been in the medical industry for so long, and I don’t believe external factors – or male domination specifically – has anything to do with them, females, not becoming surgeons.

Perhaps, it has to do with the emotional makeup of women. Maybe they don’t fancy a career as a surgeon. Maybe they dislike blood and cutting people up.

Of course, that’s a big (and vague) generalization.

I’m fascinated by the recent trend among women surgeons to replicate the April 3 cover of New Yorker – it has become a global phenomenon.

Have you or colleagues tried it too?

This is a great organic campaign to inspire more women to consider joining the surgeon community.

Spread the word.

Women Surgeons #ILookLikeASurgeon4

How should you do it?

Twitter is already flooded with photos from the campaign. Just search for #NYerORCoverChallenge and you’ll find many. Basically, you snap you your fellow female surgeons done in work attire typically over the operating table under the bright light above.

Here are some of the examples of how people have done.

An Encouraging Look At The Movement

Although the career of a surgeon is a particularly challenging, do women get the support they need to progress in their career? Do our world-class medical facilities offer the flexibility the women need? Is the environment more open and tolerant. Do they get to express openly their intuition and feelings?

Maybe it’s not.

Or maybe as this writer complained in her Huffington Post article that they are constantly being mistaken for a nurse, it’s the attitude of the general public that has to change.

I firmly believe no one is deliberately trying to keep women from being a leader in surgery.

But no one can deny that we have room for growth when it comes to accommodating and encouraging women surgeons to become high performers in this area.

Women Surgeons #ILookLikeASurgeon4

The fact is women surgeons had been reported as far as 3500 BC. Ancient Egyptian paintings in caves and tombs showed that some of the leaders in the medical field were indeed women.

And in colonial times, daughters of surgeons were actually trained to be surgeons. We also have our Mary Edwards Walker back in 1863 who became the first female surgeon in the US, then employed by the U.S. Army, and also the only woman to receive the Medal of Honor.

More history about the role of women in surgery can be found in this video, (also embedded down below.)

PRP Injection Insurance Corticosteroid
Why Insurance Will Soon Start Paying For PRP Injection

As a nation, we’re already seeing big movements in the adoption of Regenerative Medicine. Last November’s 21st Century Cures Act and the recent Arkansas HB2014 bill are just two examples. We believe it’s a matter of time before mainstream insurance companies will not only approve PRP Injection (at least for selected cases) but insist on it as an alternative to Corticosteroid injections and Hyaluronic Acid injections.

Athletes who have PRP injections instead of the standard anti-inflammatory drugs is a regular feature in Sports news these days. The Met’s Steven Matz had a platelet-rich plasma injection on last Wednesday. Last month it was David Wright.


We covered the case against Hyaluronic injections here.

And recently there has been larger scale studies in China. First it was from Shanghai Jiaotong University School of Medicine earlier in January. It included 14 Randomized Controlled Trials comprising 1423 participants and has shown that PRP Injection is more effective in the treatment of knee OA in terms of pain relief and functional improvement compared with saline placebo, HA, Ozone, and Corticosteroids. This is a randomized controlled trial with level 2 evidence. Full study here.

More recently it was a study at Chongqing Medical University, China that included 10 randomized controlled trials with a total of 1069 patients which found out that compared to HA and saline, PRP injection is more effective for pain relief and functional improvement in patients with symptomatic knee OA. You can read the full brief here.

And now, we also have a new randomized, double-blinded clinical trial confirm that Platelet-Rich Plasma injections can perform as well as Corticosteroid injections.

Back here in the US, researchers have been busy too. They did this double-blind Randomized Controlled Study on Lumbar Intradiskal PRP Injections for Low back pain (LBP). And as expected, PRP group showed significant improvements in FRI, NRS Best Pain, and NASS patient satisfaction scores over 8 weeks compared with controls. Full brief here.


A Significant Win for PRP Injection

Every year, tens of millions of injections are given for OA knees. Out of these, only a tiny fraction are PRP Injections. The majority injections are corticosteroid or HA injections. Which only accelerates the knee degeneration. Which means most of these patients go on to have the expensive and traumatic knee surgery leading to over 1 million the knee-replacement surgeries performed annually worldwide.

The question now is…

Why are we continuing to use the expensive, side-effects-ridden Corticosteroid or HA injections for Arthritis symptoms? It’s important to note that one of the side-effects of Corticosteroid injections is Osteoporosis. That’s why many physicians insist on a bone density test before these steroid injections.

Platelet-Rich Plasma Arthritis Doctor

The bottom line is that the steroid injections which were introduced in 1948 as a standard treatment for spine and sports injuries should be replaced by PRP Injections.

Or else we’ll continue having 3.5 million knee replacements costing insurance – at $25K per pop, an astounding $87.5 billion – a sum that ordinary, healthy citizens help pay.

The Problem: 90% Of Patients Call, Only 10% Take It

This statistic will hit you in the head right away the moment you start looking at the Platelet-Rich Plasma industry. I mean, the science of Platelet-Rich Plasma is simple. So everyone understands the risks (or the lack thereof). And almost all patients with wanted an extra hand in healing of tendons, ligaments, muscles & joints would love to try PRP injections.

But they don’t want to pay for it. Understandably. Because they are paying dearly every month for their insurance and why should they paying this PRP injections? It’s not patient’s fault. They shouldn’t be paying for it when they are paying for and expecting world-class medical coverage.

Platelet-Rich Plasma PRP Injection Doctor HB2014

PRP market has climbed to an estimated $120 million in 2016. If people can vote for this treatment with $120 million of their own money, without any single red cent from the big pharma, there’s definitely something the 90% of the interested-but-refuse-to-pay patients miss out on.


We Need To Work On Standardization Of PRP Injections

One thing researchers agree is that we need standardization. For instance, doctors now are unsure of the duration PRP Injection’s benefits last. If we have a prolonged condition like arthritis, should injections be given at a monthly interval or twice a month? Or should the injection be repeated at all? Because there are several studies that trace PRP Injection’s effects up to a period of 24 months.

All we need is studies that confirm the best practices that the PRP market is already following in terms of

  1. Concentration of the platelets and RBC in the preparation.
  2. Frequency of intra articular injections needed.
  3. Security measures to prevent overuse of this novel procedure.

Then it’ll be easy for insurance companies to trust PRP Injections as a valid procedure to not only help heal their members without any side-effects or complications but also help them avoid expensive surgery. Now, that’s what’s called a win-win-win.

You see the big winner probably will be the insurance.

So it makes sense for insurance companies to take the lead in implementing the standardization procedures since the big pharma is not interested as they stand to gain nothing.

Is that what will happen? Let’s wait and see.

Dentox Platelet-Rich Plasma Botox Training
New Live Botox, Dermal Filler And Platelet-Rich Plasma Training

If you’ve been looking to up-level your facelift strategies with Botox, Platelet-Rich Plasma Training And Dermal Fillers, we have excellent news for you.

The wonderful Dr. Katz has agreed to partner with DrPRP for a series of one-day LIVE intensive workshops (on Saturdays, the next available one is in September) on his latest Dentox X-Lift procedure. It will feature the following:

  1. Botox Training
  2. Dermal Fillers Training
  3. Platelet-Rich Plasma Training
  4. The Dentox Lift Technique Training

Learn more about the training below or click the link below to register.

About Dr Howard Katz

Dr Howard Katz is one of the top experts and visionary in the field of face lifts and dental reconstruction. His name was included on Allergan’s Botulinum toxin (Xeomin, Dysport, Botox) patent applications for dental therapies as well as gel filler (Dermal fillers) formulations and Oraverse anesthetic reversal. You can read more about Dr Howard here.

About the Platelet-Rich Plasma Training

DrPRPUSA is honored to be able to team up with Dr. Howard Katz and the team at Dentox to organize this leading edge training on Platelet-Rich Plasma and facelifts. As Dr Katz is an actual scientist-dentist-clinician named on the intellectual property for Botox and gel fillers, you can expect the best hands-on training like the kind you’ve never experienced before.

DrPRP USA Platelet-Rich Plasma Training

The is one-day intensive program offers everything you need to expand your skill set and boost your bottom line if you’re a doctor, dentist, nurse and other qualified medical professionals in the facelift industry.

It will be featuring DrPRP USA Platelet-Rich Plasma kits and DrPRP Dermal filler makers.

Here’s the registration page and full details >>

Here’s Dr. Howard Katz himself explaining the key highlight of the event:

The training includes:

Hands-On Botox Training

Practice Botox on live patients and become completely confident in properly injecting Botox and related products.

  • Learn the latest FDA-approved procedures for Botox, Dysport and Xeomin from an instructor with more than 30 years experience
  • Get the skills to bring both cosmetic and therapeutic Botox injectables to your practice
  • Gain an understanding of documentation and legal requirements
  • Pick up tips on marketing and promoting your skills for the biggest possible income boost
  • Explore how to get more from your existing clients and bring in new clients too
In-Depth Dermal Filler Training

Learn how dermal fillers can satisfy patients and help prevent and reverse the signs of aging.

  • Explore how you can create natural-looking smoothing and reduce wrinkles with carefully placed injections of dermal fillers
  • Pick up the skills necessary for using Restylane, Juvederm Ultra, Juvederm Ultra Plus and other dermal fillers
  • Understand how choosing the right products leads to be best results
  • Find out how to correct your mistakes and the mistakes of others
  • Gain all the info you need to document, market and expand your practice with dermal fillers

Platelet-Rich Plasma Training Cosmetic

Cutting-Edge Platelet Rich Plasma (PRP) Training

Get ahead of your competition by bringing innovative PRP treatment to your practice for quicker healing and less expensive cosmetic procedures.

  • Learn how a patient’s own blood can be condensed into a powerful tool for cosmetic and therapeutic purposes
  • Ways to enhance bone grafting and tissue grafting, keeping treatments/profits in-house, and greater patient satisfaction from more painless, faster healing results
  • Gain the knowledge you need to use PRP therapy in place of dermal fillers for the same results at lower cost to you
  • Examine the ways to market your new skills while complying with the law
The Exclusive Dentox LIFT

Innovated by Dr. Katz, the Dentox LIFT allows you to perform a non-surgical facelift, with stunning results in under 30 minutes. No general anesthetic is required, there is no scarring, and results last for 1-2 years. Attract new patients, and offer your current patients this treatment to enhance their cheekbones, define a youthful jawline, and smooth their under-eye areas.

PLUS More extras including:

⇒ Proven Marketing Techniques
⇒ Free Staff Member Attendance
⇒ Patient Forms
⇒ 10 Hours Continued Education Credits
⇒ Courses include free access to the live, online Botox and Dermal Fillers refresher programs (4 additional credit hours each).. up to 18 total CE credits!

DrPRP USA Platelet-Rich Plasma Training

I believe this is a unique opportunity not only to learn from one of the nation’s pioneers in the facelift industry, also to meet other cool amazing people who’re rocking it in this space so you can learn from them and drastically improve your practice or clinic bottom line.

Registration is open now – it’s all online takes about 5 minutes of your time – and seats are filling fast 🙂

You can learn more about it all here >>


Can Physicians Be Really Independent?
Can Physicians Remain Independent?

The best medical education in the world

America, no doubt, has the best medical schools in the world. But graduating from one isn’t easy on the wallet. Average student shells out about $200,000 in school fees (or borrows it) to find themselves in a changing medical landscape filled with ever-changing regulations, malpractice lawsuits, and widespread burnout.

For those who survive the ordeal (most do), the payout is fair — an average pediatrician makes upwards of $200,000 in a year. That figure could triple if you’re highly specialized in a certain area, for example, pediatric surgeons.

The question of whether it’s worth it is irrelevant to the doctors who’re absolutely passionate about their profession. They quietly swallow their stress. But it’s an entirely different story if one happens to be on the slightly less enthusiastic side and trying to conclude patient visits as quickly as possible.

It is near-hell.

Can’t guarantee a stress-free practice

It seems like even the most expensive medical degree doesn’t guarantee a happy, stress-free career in medicine. We all have seen doctors who’re impatient, indifferent and paternalistic. Especially independent ones. Those working in big hospital chains somehow seems to have well-established protocols to eliminate some of the grunt work of the profession — paperwork, compliance and ongoing education.

The picture gets slightly better there but other problems soon crop up in no time.

The all-too-important patient relationship dynamic takes a nosedive when the doctor is a hired guy at a corporate medical center. Yes, it’s easy on the doctor. But not on the patient — there’s no substitute for the warm bonding they develop when dealing with a doctor who is also a trusted friend.

Actually, it’s not easy on the doctor either.

The hired guy at the corporate medical center gets little respect from patients, colleagues and administrators because they are part of big complex for-profit organization and nothing more. Everyone is replaceable in that situation. And they can’t even dream of creativity. Like for example, sometimes doctors feel the hospitals are warranting multiple unnecessary tests for something they could get to root of straight away by being a little more interested in their patients.

Can Physicians Be Really Independent?

Isn’t patient relationships the most satisfying part?

For so many physicians, they chose medicine because it was worthwhile and noble profession. It still is. But not without the venerable pillar of a good medical practice — strong, positive patient-doctor relationship. It’s like the guru-disciple equation from the ancient east. The patient and the doctor must be intensely interested in the well-being of the other for the whole act to be real.

Some doctors say, patient relationship is the most satisfying part of their work.

In that sense, a private practice is a dream come true for many doctors.

As independents, these doctors have full control over the entire spectrum of healthcare the patient receives. They can create new services, add or modify existing services to uniquely serve their target customers. For larger practices, they can even add expensive options like Ambulatory Surgery Centers (ASCs) to compete directly with hospitals.

Anyone craving the freedom of being in control of their destiny and direction loves being independent.

There are challenges though. For those without the street-smarts required for a private practice.

For starters, managing growth is not something physicians are taught in medical school. (at least not seriously.) One aspect of growth is raising prices when your demand exceeds supply, which most physicians, who’re scared of being called “greedy,” hesitate to do. Another aspect is hiring help, an area in which physicians are notoriously incompetent. The common practice for them is to hire when work falls behind or when their existing staff is complaining — it’s what makes hiring stressful.

And then there’s the dreaded administrative burden. Independent physicians today work the same number of hours but earn less because they spend over 20% of their time on non-clinical paperwork.

Just as independent physicians grow more frustrated, big hospitals are snapping them up at an extraordinary pace.

It’s tempting considering the growing reimbursement pressures and overhead costs of an independent practice.

And creates a dilemma. What really works for a physician? Being independent or working for big hospitals? (although there are grey areas in between that many physician find ideal.) The overall trend we’re seeing is of a huge exodus of private physicians to join big hospitals for their peace-of-mind from liabilities, security of guaranteed income, and lean, efficient mode of operation.

Some attribute the phenomenon to Medicare cuts. But is money the real factor?

How much freedom are they giving up in exchange?

Can Physicians Be Really Independent?

The Case Against The Growing Exodus Of Independent Physicians

According to this report by Accenture, only 39 percent of physicians remain indepedent as of 2012. By the end of 2016, that number is going to shrink by another 6%.

Of course, the good news is that all these doctors who’re joining the hospitals no longer need to worry about compliance, ICD 10, insurance, certification. Forget the paperwork, unsuccessful insurance claims and the occasional dip in productivity.

What they are obviously giving up are their decision-making authority to the nurse managers, MBA-holding administrators and the hospital board. They end up merely being a cog in a complex system of bland, impersonal mass health care system. However, their responsibility and liability for patients’ lives remain the same. Causing a great deal of dissatisfaction in the process. Not to mention personal and professional degradation.

One thing that angers physician who’re really service-oriented is the hospitals’ callous attitude towards patients. They just can’t bear to see bureaucracies stand in the way of urgently-needed medical care.

Should doctors be at the whims of the administrator who signs their paycheck?

What Happens When Doctors Become Entrepreneurial Instead

If a doctor is really passionate about keeping his/her independence, there’s probably only one way to go: be entrepreneurial.

Because when it comes to a prestigious profession such as medicine, ignorance don’t stand a chance. Knowledge is king as usual and to be fiercely independent, one must learn how to wear many hats — business development, marketing, accounting, finance, strategy, and management.

It isn’t as complicated as it sounds though.

Almost everyone who’s thriving in this economy in an independent business is an entrepreneur one way or the other. Sometimes they may prioritize one thing over the other but basically they are entrepreneurs willing to dirty their hands in any area of their business at a moment’s notice.

And be a little creative.

An emerging trend is for physicians to develop their private practice into any of the following.

  • Concierge service: those that offer a medical services subscription
  • Telemedicine: seeing patients at the comfort of their home through video conferencing.
  • Good ‘ol house calls: spreading fast thanks to physicians who don’t want to be bound by an office.
  • Speciality on-call: speciality physicians who freelance for their independent counterparts.
  • Co-op practice: several independent physicians sharing common resources like space, computer etc.

Bonus tip: You don’t need to join a hospital’s EHR system to meet the date exchange and care coordination requirements. Solutions like this can do the job for you.

Bonus tip 2: Consider Platelet-Rich Plasma. It’s such an all-rounder of a treatment (yet, simple) that almost every doctor has a reason to offer them to their clients. If they’re planning to introduce it, why not give 3 free shots to existing customers so they know first hand the power of this amazing innovation. This will help spread the word and make them their repeat PRP clients for life. Now what other emerging healthcare practices and solutions like this can you introduce to your clients?

Can Physicians Be Really Independent?

The Basic Trait Of An Entrepreneur, Physician Or Not

If there’s one thing that almost all entrepreneurs, physician or otherwise, share, is the fact that they have a tribe. An entrepreneur can’t afford not to have a tribe. It’s their bloodline. Likewise, any doctor who wants to be entrepreneurial must invest in a tribe.

How so?

By giving back to the society. Anyone can build a community by offering free information on whatever their ideal market is interested in. For example, doctors can build a community around increasing awareness of breast cancer. Give all the information, tips and resources they know about this particular topic away (via social media, newsletter, or even snail mail) for free. When a doctor does that he/she immediately becomes an authority on that subject.

And a tribe builds around that.

With the tribe comes the power of independent physicians. They can now offer an array of services to their tribe. And never worry about running out of clients. The tribe also acts as a sounding board for these physicians to spread a message, test their ideas and get feedback on the patient landscape.

That’s why I believe every physician should start building a tribe.

Seriously, if there’s one thing you take away from this post let it be that statement. Start A Tribe. PERIOD.

Success Inspires More Successes

I believe if physicians become entrepreneurial, the current exodus from private practice to employment can be reversed in no time. The entrepreneurial physician can not only set a new standard in health care but by being happy and independent, they serve as an example to attract countless young people who’re considering medicine as their career path.

In other words, their success will probably reverse the physician shortage we’re facing in the country right now — we’re going to need as many as 90,000 extra physicians by 2025. What better way to lure more potential physicians into the trade than by showing how happy the existing independent physicians are?

Alternatively, physicians can also revolutionize healthcare by joining the bandwagon of healthcare tech startups.

The bottom line, what I want for every physician to ask themselves is this:

Can they be so fiercely independent to guard the nobility of the profession?

Or are they going to continue the exodus and turn the profession into a commodity?

Happy 4th of July, everyone.

drprp prp kit samples

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