You're talented in what you and the rednecks need your hardwood.Crazy shit. I wish I was smart so I could make a difference besides selling wood to rednecks.
I’m happy though.
Mine's pretty good but she's knows her limits and turfs if needed. The MOH's only guys are just as good and sometimes better. I'm sure you have seen some really good flaps swung. Her managing partner he's a general derm but has a weekly MOH's day and has plastics follow him to close. He runs it like factory automation. My GF does more frozen section control. She turf's the strict MOH's. But yeah plastics is another level.
There are 2 mohs certs. One (the real one) is a year fellowship. She did that one. There is another and I joke about weekend inject-ables classes for non derms. Dentists etc are doing botox. They have another path but it isn't really the same. I liken it to that. A good part of her income came from scope work. She did all her own path. They changed the rules and wanted her to sit for the boards which wasn't a requirement in past years. If you had I think 20 years in you were grandfathered. She couldn't devote enough time to study so she gave that up.Ask the gf what she thinks of them adding, essentially, a mohs board certification.
So I take it not a fan.. She couldn't devote enough time to study so she gave that up.
Damned fine job! I have a scar from getting glassed running from my upper lip to my septum. When I got it II could poke my tongue through the hole, ER sent for the plastic surgeon and he did an amazing job. Just a thin white line nowadays.This is right now.
It’s nuts what they are doing to docs that have been doing procedures for years. If you have a practice with procedures you will always so OK. If your in a specialty with little to no procedures like an internist it’s a tough go. Medicare in Fl. Is actually the best payer. In Oregon they were the worse payer. Many docs wouldn’t take it.So I take it not a fan.
My friend is furious. He's formally a dermatopathologist who went back and did derm. He was "the mohs" guy as you might guess. Now he's gonna have to go get a board certification for a procedure. He has two boards he doesn't want to maintain as is, and now a third he'll have to get as the turfing and credentialing race to the bottom occurs and insurance companies use this to lower their reimbursement rates otherwise.
My Pops hated Medicare...wouldn't accept it...wasn't worth the trouble he saidIt’s nuts what they are doing to docs that have been doing procedures for years. If you have a practice with procedures you will always so OK. If your in a specialty with little to no procedures like an internist it’s a tough go. Medicare in Fl. Is actually the best payer. In Oregon they were the worse payer. Many docs wouldn’t take it.