Free Medical & Spa Journals

Free Medical Journals

Over the next few years, many important medical journals will be available online, free and in full-text. The unrestricted access to scientific knowledge will have a major impact on medical practice. Open access medical textbooks will soon become the standard in medical publishing.

Medical Spa MDs: What's your problem?

OK,  since 90% of poll takers responded that they'd like something enough to pay at least something, it looks like I'll write something on medical spas. Of course if Dermacare starts voting that number might drop.

So I thought I'd ask for input as to what, if any, information the 10k monthly readers of this site would like to know more about (yes... increasing new patient flow will be in there automatically) 

Operations? Hiring? Technology? Finaincing? Where to buy a whetstone to sharpen your Botox needles so you can resue them? How to compensate your minions? How to keep get out of a medical spa franchise? Non-compete agreements?.... whatever. 

I'd just like some imput and interaction that can help provide some guidence about what you'd like to know the most so I don't waste as much time as I might.

Just leave a comment or send me an email.

Dartmouth Medicine Online Magazine

Dartmouth Medicine

An online magazine for alumni and friends of Dartmouth Medical School and Dartmouth-Hitchcock Medical Center.

Dartmouth Medicine's print edition has a circulation of about 28,000. About 60% of its readers are involved in some way in medicine—as physicians, biomedical scientists, medical students, nurses, etc.—and about 40% are lay—patients, donors, parents, residents of the region, etc

Locum Tenens: Independant Physician Contractor

Via locumtenens.com: Becoming an Independent Contractor

As an independent contractor, the agency won’t be withholding payroll taxes (including Social Security and Medicare taxes, unemployment, worker's compensation or employee benefits).

Click to read more ...

Wall Stree Journal Article on Medical Spa Franchises: Medspa boom is a bust for some

The following article on problems with medical spa franchises ran in the Wall Stree Journal. It's a telling article that points the finger at the current crop of medical spa franchises. I signed up and read it after Ron posted his comments on being an unhappy Sona owner.

Medspa Boom Has Become a Bust for Some

By RHONDA L. RUNDLE: November 21, 2006

Jeff Nebot thought he had struck gold. Two years after opening a laser hair-removal franchise in St. Louis, annual revenue hit $3 million. And over time, the lavish salon added other cosmetic services as Mr. Nebot joined the rush of entrepreneurs into the emerging business of medical spas. Medspas (also called medispas) offer such medical treatments as Botox injections and laser hair removal in a luxurious environment rather than a doctor's office. The field has been rapidly expanding in recent years as entrepreneurs and doctors alike have sought to profit from the dual quests of many affluent consumers: prettification and pampering. For an increasing number of those who entered the business, the boom is proving a bust.

"Several Sona franchisees, though not Mr. Nebot, are in private arbitration over problems that include misrepresenting a complicated business as a turnkey operation and failing to provide needed support. Sona officials declined to comment.

Several franchisees of Radiance MedSpa Franchise Group PLLC, a franchiser in Scottsdale, Ariz., say the company's financial projections overestimated revenue and underestimated initial start-up costs, including working capital.

The president of Radiance, Charles L. Engelmann, recently said: "There are currently 32 open stores and we will have 47 or 49 open by the end of the year. None of the stores have closed." He also acknowledged that some franchisees are attempting to get their money back.

"I can't be my own medical director any more, which is an added expense I can't afford," says one Florida physician who is not a dermatologist. He says he is "facing personal bankruptcy and trying my best to get out while there is something left for my family" after miscalculating what it would take to market, advertise and build his business. Indeed, many medspa owners are doctors who hope to make easy cash at a time when income is shrinking from their traditional medical practices.

You can read the entire article on the Wall Street Journal site here. It does require a subscription. 

You might be a Medical Spa Entrepreneur if...

A lot of physicians think that they have entrepreneurial experience. After all, they started or ran a medical practice, and isn't that what a physician entrepreneur does? Maybe, depending on your own definition. Well, here's mine. These are not all necessarily descriptive of the current situation, and they are not all things I'm proud of or would recommend. Most of them certainly were not intentional, but they are all taken from my personal experiences. Some are humorous, some are not.

These days I'm happy to say that the vast majority of these things are behind me. Much of what is detailed below was brought about by the speed with which we are/were growing. Nowdays I'm usually home at night,Surface clinics have excellent staffs that I adore and count as friends, and I'm starting to have some free time again to devote to other persuits. Life is good.

And now, without further ado...

You might own a Medical Spa if...

 
You've 80k in credit card debt from cards you never knew you had.

You've averaged 60-80 hours per week of work for the past seven years.

You can personally have the most advanced medical treatments available but receive the poorest quality care.

You've found yourself at 2am painting treatment rooms in your underwear.

You spend two days without sleep because you know you're going to have to fire someone even though you're firing them for stealing from you.

You're accountant calls while you're leaving for vacation to tell you that your newest location is 25k in the hole so far this month and checks are bouncing.

You have employees that make five times what you do.

You eat all of your meals off of paper plates using plastic utensils. 

Without trying you've succeeded in convincing all your employees to never try to start their own business.

When someone asks you what you're doing this weekend you say "Working, of course, just like any other day."

You go to the gym once every six months and kid yourself that it makes a difference. 

Every six months you see the same guy at the gym who's obviously in shape and think "How in the world does anyone have time for that?"

6pm feels like 1pm.

Your staff clocks out while you're having lunch.

You drive home in the dark every night of the year.

You drive 60k miles between clinic each year.

You're ear aches at the end of the day from having a cell phone pressed against it for hours.

When people ask what you do you answer," I answer questions all day".

You have a bet with yourself on how long after meeting a woman and telling her what you do she asks, "What do you think I should have done?"

You learn never to answer the above question.

You have the most overwhelming sense of Deja Vu every time a physician with any type of rinky-dink cosmetic practice tells you that he's thinking about franchising his business.

Your wife is reduced to tears at a fourth of July parade when a patient accosts her demanding to know why your physician, Dr.Y, has ruined her life.

The physicians complain that the front desk is booking too much time for something and changes the default in the schedule. The front desk complains that the physicians take that much time and change it back.

You've closed, locked the doors and gone home leaving a patient still sitting in a treatment room.

You walk into the clinic kitchen while the staff is discussing horror stories of performing Brazilian hair removal in graphic detail.

You wonder if the computers ever actually work when you're not there.

You have to chase down a woman who's attending a free seminar and trying to make off with $600 in product samples. 

You feel almost euphoric just thinking about what it would be like to not owe anyone any money.

You develop a deep and abiding hate of yellow page salesmen.

You wonder why, when every salesperson on earth is deeply committed to helping you 'grow your business', they're never around when you're signing payroll checks. 

You've told someone not to start a new medical spa on their own because you sincerely can't bear the thought of someone going through what you've been through.

Just closing the doors and moving to South America seems like a perfectly viable option.

You've worked multiple Christmas days.

A physician you've trusted and put in a position of power starts having patients pay him directly inside the treatment room and sets up a secret merchant account so that he can swipe a card and have the money deposited directly into his personal account.

After you fire the above physician, he breaks into the clinic and steals equipment. While you're on the phone the next morning with the police, his wife calls and leaves a hysterical message asking 'How you could do this to us?" and threatening to sue you.

A patient asks "Why is ________ at the front desk insisting that she deliver deliver products and take payment at my house?" 

You've paid the federal government more in business taxes than you've paid yourself.

A physician calls you and asks for your help since American Laser Clinics has an armed guard in his waiting room to prevent him from seeing his own patients while at the same time their performing treatments using him as their medical director.

The same physician tells you that he's been doing this for thirty years and know how to run a clinic better than anyone while dismissing reports showing his declining performance as a 'computer problem' and asking you for money so that his kids can continue to go to private school and he doesn't have to sell his airplane.

The same physician thinks that all his new patients are coming through excellent word of mouth and his superior charisma while dismissing the $16,000 you spent last month advertising his services.

You have to deal with this physicians office manager who's decided to get even with you for not hiring her so she takes every opportunity to sabotage you.

You find yourself expanding to a physician why you can't advertise in a fashion magazine using before & after images of extremely unattractive sagging bellies and thighs from 80 year old morbidly obese patients even though 'the results are good'.

You don't worry about filing taxes late because you know you're not in a situation where you could possibly owe the government any more money.

You've felt a sense of relief when an employee has quit because now you don't have to lay them off.

You're an expert on what does and doesn't count as a business expense.

You've slept on the floor of your office or on the couch in a waiting area more than once.

You've seriously considered buying a cot for your office.

You wonder where the last five years went.

You realize your wife must be a very special person because what other woman would put up with all this and still like you?

You have 6 horses you never ride, a gym membership you never use, children you hardly see, and family vacations you don't go on. 

You look at every medical spa you drive by in your car thinking, "I bet the guy running that medspa is making a lot more money than I am."

You have a surge of bile when you're at a medical convention and a consultant says to a packed room of physicians, "Of course you can make $250,000 per treatment room right now," and then proceed to tell everyone that the key is to 'not let any patient leave until they've bought product and booked another appointment.

You wonder how the above consultant got anyone to listen to her, ever. 

You're able to write a list like this in a half hour right off the top of your head.

This just a partial list of course. I may add to it. And of course these are all in the past.

How to: Hire estheticians for your medical spa or clinic. Part 1

How to hire an esthetician for your medspa or laser clinic.

Click to read more ...

Book: Marketing To Women

Marketing To Women: How to Understand, Reach, and Increase Your Share of the World's Largest Market Segment

Link to Marketing to Women on Amazon.com

Marketing To Women is the business marketing book that I give to physicians. It's really that good and since our client base is 90% women, that's the market I'm after.

While most docs think they know everything there is to know about patient interaction and consultations, my experience is that they don't. Drink the Cool Aid and read this boot. The book offers some useful insights as to why women make the decisions they do. Understanding why women make choices, it's easier to address the hurdles and obstacles that prevent women from purchasing.

Key truisms:

• Women are much more loyal than men.
• Where men are searching for the best solution, women are searching for the perfect solution.
• Women are much harder to please than men because their list of requirements is longer.

Click to read more ...

Medical Spa Business Success - Straight From Google

David Drummond, Google's General Counsel, spoke at Stanford Law School about what has made Google successful. While Google is not providing Botox to the populace, it's undeniably doing something right as a business. Where many physicians are business-challenged, Google is not. Good business works and is applicable whether it's paid search or dermatology.

Click to read more ...