PRP Therapy featured on “The Doctors Show” on CBS. View it here.
Outlook for NP’s
All across the country some 155,000 NP’s give physicals, stitch wounds, prescribe drugs and manage chronic illnesses. They do almost everything that a primary care physician does. These Nurse Practitioners are playing an increasingly important role as the pool of primary care doctors shrinks. Many practices are in partnership with a physician, but several states allow NP’s to treat patients independently.
According to recent research, nurse-practitioners have decreased the cost per patient visit by as much as one-third, due to the fact that NPs are paid less than physicians and they typically order fewer tests and don’t have as many return visits due to correct care. Patients also give them good reviews for spending more time with them, according to a 2011 report in Medscape Medical News. As an example, a four-NP team at FamilyCare of Kent, Washington, tends to only 16-20 patients a day. Originally printed in the June 2013 AARP The Magazine.
This was a great article written about AAMEP in 2004, in the years since AAMEP has done some amazing things.
Esthetic Nursing Gets a Face Lift
By Christina Orlovsky, senior staff writer
Sasha Parker, RN, was burnt out of nursing. After more than 15 years working with plastic surgeons in the specialty of plastic peri-operative nursing, she decided to leave the profession. It was only when she learned of sclerotherapy, a cosmetic procedure to remove spider veins, that Parker decided to combine her nursing skills with her interest in esthetics and become an aesthetic nurse.
“Esthetic nursing is a relatively new specialty,” Parker said. “Nurses really weren’t performing these procedures unless they were working in a dermatologist’s office.”
Today, with society’s ever-growing interest in maintaining a youthful appearance, estheticians are in hot demand. To Parker, it only seems natural for nurses to step into the role.
“Nurses are natural at these procedures because of our clinical skills,” she said. “Most nurses just need training in specialized areas.”
These areas include chemical peels, microdermabrasion, dermal fillers (such as Botox), mesotherapy and sclerotherapy.
Recognizing nurses’ need for training, Parker established the Esthetic Skin Institute, in Ft. Lauderdale, Florida, where she trains nursing professionals in these procedures.
However, it is once they are trained that Parker believes aesthetic nurses face the most difficult challenges: legislative dysfunction, professional liability issues, insurance coverage, rapidly advancing technology and undefined standards of specialty esthetic nursing practice.
To help combat these issues, in April 2004 Parker formed the Association of Medical Esthetic Nurses, or A.M.E.N., a nonprofit professional organization dedicated to promoting high standards in medical esthetic nursing, and educating and certifying future aesthetic nurses in a rapidly emerging field.
“We want to come together as a united force to create some standardization,” Parker said.
“State to state, there is so much discrepancy about regulations for esthetic practices,” she added. “In Nevada, for example, estheticians are allowed to perform numerous procedures with just three to six months of training, while nurses, who have degrees in nursing, are not. A.M.E.N. aims to mend that dysfunction.”
In the six months since its inception, A.M.E.N. has recorded a victory in at least one state. The Arizona Board of Nursing’s scope of practice committee composed a draft to establish requirements and practice parameters for nurses performing esthetic skin procedures, Parker explained.
“Arizona has adopted my policies and I am helping them write standards,” she said.
Among the future plans of A.M.E.N. is the creation of a national certification test for RNs, physicians and physician’s assistants that have been working in the field of esthetics without certification. Parker anticipates that the program will be underway by the end of November. (completed in 2009)
In 2005, A.M.E.N. held its first meeting, in Ft. Lauderdale. Already several hundred members strong, Parker hoped the meeting would draw more interest in the association from professionals in the field.
“There are thousands of nurses practicing this specialty,” she said. “They just need to know that they now have a voice.”
For more information about the organization or the annual meeting, visit the AAMEP Website at www.AAMEP.org
The American Academy of Medical Esthetic Professionals, having recognized the need for certification in aesthetic practice, has developed such a program in accordance with commonly accepted aesthetic guidelines. Realizing that many medical practitioners practice medical esthetics and the knowledge required to administer these non-surgical medical aesthetic procedures safely are the same for all medical practitioners, be it an MD, DO, PA, NP, RN, or LPN/LVN. With this in mind, the Association of Medical Esthetic Nurses moved forward to bring together a cohesive group of medical esthetic professionals to form the American Academy of Medical Esthetic Practitioners (AAMEP) (herein known as the “Academy”). The Academy has appointed AMEN as the current administrator for the exam.
The Center for Medical Esthetic Certification (herein known as the “Center”) a division of the American Academy of Medical Esthetic Practitioners (AAMEP) bases its credentialing program on the standards set by other subspecialty credentialing organizations with the goal of promoting and enhancing esthetic practice excellence by certifying professionals.
Certification is reserved for those practitioners who have met requirements for clinical or functional practice in the esthetic field, pursued training beyond basic preparation, and received the endorsement of their peers. After meeting these criteria, professionals take the certification examination based on nationally recognized standards of esthetic practice to demonstrate their special knowledge and skills which surpass those required for licensure.
The credentialing board for the “Center” provides feedback in the following areas: development of the examination, passing scores, eligibility requirements, and certifying practitioners who pass the written examination and meet the requirements for certification.
The certification examinations are objective tests that cover knowledge, understanding, and application of professional aesthetic theory and practice. The examinations are developed by a test development committee which is composed of expert representatives of the various areas of esthetic medicine. Recognized as having familiarity with current practice, these individuals are prepared by education and experience to have a comprehensive knowledge of the field. The committee defines content areas to be covered, relative emphasis, and the nature of professional abilities and skills to be measured by the tests.
Examination items undergo a rigorous process of review and revision to ensure high quality. The subject matter is reviewed and critiqued, and each item is rated for accuracy and relevancy. The “Center’s” staff provides a psychometric and editorial review of test items. The test development committee responsible for the examination then selects an appropriate sample of items representing the specified areas of competency and staff prepares the final printed examination.
Credentialing is an evaluative process that provides practitioners with the medical aesthetic specialties the opportunity to publicly demonstrate what they know and to be recognized for the knowledge they possess. On a voluntary basis, the Center provides certification examinations designed to test entry-level knowledge.
The Center’s credential carries no licensing authority. The ability to practice is regulated by the state boards and the Center has no regulatory power to require states to recognize certification. Practice and educational standards are reflected in the credentialing process, but the responsibility for the development of such standards rests with the professional specialty organizations and the medical and nursing education community.
The Center encourages individual healthcare professionals to seek out information about how certification relates to state licensure requirements and employment opportunities in their community.
Upon successful completion of the exam, the professional may use Medical Esthetics Practitioner-Certified (MEP-C) to designate additional qualifications fulfilled.
The Center plans to seek accreditation by the National Commission for Certifying Agencies, National Organization for Competency Assurance, American Board of Medical Specialties, and/or American Board of Nursing Specialties after the two years of mandatory testing has been satisfied. All aspects of the certification exam are in compliance with the accreditation standards in preparation for this process.
CREDENTIALING EQUALS VALUE-RECOGNITION, VALUE, EXPERTISE
Ask your patients if they value credentialed health care professionals-You bet they do!
Ask a certified colleague what they believe about certification and you are most likely to hear that they think certification is one of the most important milestones in their career.
You owe it to yourself to take the next step in your professional development. Earning your MEP-C will validate your expertise and will give you tangible recognition of your commitment to excellence in medical esthetics.
For more information visit www.aamep.org
The Esthetic Skin Institute, a highly accredited resource for medical aesthetics training and certification for medical professionals, owes its success to its founder’s unique combination of skills and experience.
Working as a registered nurse in Florida in the 1990s, Sasha Parker discovered that she also had a keen interest in skin care and holistic health. “I had a friend who was working as an esthetician,” she explains, “and she was so happy working with healthy, appreciative clients. She was also doing very well.” So Parker obtained licenses both as an esthetician and as an electrologist and started to establish a skin care practice. Soon she was working in both fields with a goal of eventually phasing out of nursing and working full time as a skincare specialist. Her plans changed however after an encounter with a physician at the facility where she worked. Observing his high degree of stress and fatigue, she suggested that he consider incorporating skin care into his practice, explaining the advantages and benefits of doing so. At the time, the concept of aesthetic medicine was so new that the MD was uncertain and declined. Later, after attending one of her educational presentations, he invited her to meet with him and his partner. Convinced of the potential for enhancing his practice with aesthetics, he invited her to join them.
That was the beginning of the Esthetics Skin Institute. As time passed and the medical aesthetics field developed, more and more doctors and nurses contracted with Parker for training. Because she was a gifted and passionate educator, training soon eclipsed all of her other activities and in 1997 she established the Institute.
Today, Parker provides courses for doctors, registered nurses, nurse practitioners, physician assistants, dentists and dental surgeons as well as select courses for licensed practical nurses and licensed vocational nurses. No matter what the subject, her primary goal is training practitioners to provide safe, high-quality care. “It’s amazing how many of us feel that just because we have a license to provide medical care, we are knowledgeable enough to provide aesthetics care,” she says. But this isn’t always the case. “In my state,” Parker reports, “from 1997 to 2003, 244 cases of adverse events were reported from laser treatments. Out of those 244 events, 202 treatments were administered by physicians.” She believes it’s imperative, therefore, for every individual in the medical aesthetics profession—from physicians to nurses to physician assistants—to obtain in-depth, hands-on training. “The key to the good delivery of care,” says Parker, “is a good education.”
Her high standards for Esthetic Skin Institute courses receive continuous praise from her students, and her return and referral rates are high. “My students return for training in all of the aesthetics services they plan to offer in their practices,” she notes. “They also refer colleagues who wish to transition into aesthetics or add aesthetic services to their practices.”
Another indication of the quality of her service is the caliber of physicians who comprise her board of advisers. “Such highly respected physicians do not become affiliated with an organization that is not high quality,” she observes.
Parker has been referred to as “a visionary and a pioneer ahead of her time” for developing this training system. Her response? “I have always been a seeker and giver of knowledge,” she notes, “and I have had some great teachers along the way who helped me, so now I strive to help others.”
Think about adding nutraceuticals to your practice as an adjunct to your current offerings. Learn how to improve your patients’ health and quality of life.
Nutraceutical Therapy is the practice of repairing the body’s faltering defense with neutraceuticals and micro-nutrients that are native to your own biochemistry. Therefore, the use of vitamins, minerals, phytonutrients, and antioxidants are used to increase the body’s enzyme systems. Many neutraceutical companies will private label the products for your practice.