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Lisa Wall have already witnessed a dramatic change in the practice of medicine within virtually every specialized field. In addition to her role as clinicians, physicians need to pay close attention to the business side of treating patients. Over time, the sole practitioner has become the exception rather than the rule and even he or she has had to evolve significantly in order to adapt.

Technology is a double-edged sword. On one hand, it has provided physicians with the tools to achieve miraculous outcomes for their patients as compared to what was possible only a few short decades ago. Also, access to patient information has been revolutionized.

While these advancements markedly improve patient care, the technology challenges physicians to keep pace from a financial perspective and also in terms of mastering all of the new techniques that become available. Moreover, health insurance administrators, whether through government plans or private insurance companies tightly regulate reimbursement to providers, while the costs of maintaining a medical practice escalate. A number of different models for structuring medical practices have emerged as physicians look for alternatives that more efficiently address practice management. One such model seems particularly well-suited to the practice of dermatology, which for the most part is exclusively office-based.

Already established in many parts of our state, DermOneâ„¢ Dermatology Centers is a rapidly growing organization that will include dermatologists as well as nurse practitioners and physician assistants throughout New Jersey and beyond. DermOne actually began as Accredited Dermatology, which was built by Rami Geffner, MD, who originally started as a sole practitioner in Toms River in 1986. Through word of mouth his practice grew quickly and before long he was dividing his time among three offices in southern New Jersey. Eventually, in order to accommodate other areas as well,

Dr. Geffner found himself with six locations. He attempted to hire other dermatologists to join with him to no avail. "At that point I decided to hire and train physician assistants and I believe I was one of the first in dermatology within New Jersey to do this," Dr. Geffner points out. Although some in the community were skeptical, Dr. Geffner relates that with the extensive training he provided, the PAs he brought on board were extremely proficient and skillfully worked with him to ensure patients received the highest level of care. During this period Dr. Geffner, who was working incredibly hard, continued to search for dermatologists to partner with and in 2000, after a brief association with one physician failed to work out, he finally found a female dermatologist who re-located from her practice in Florida to join with him. "Patti," as he refers to her, eventually became his wife. PAs and NPs who were originally brought on board by Dr. Geffner are instrumental in the DermOne organization.

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