The MAPA blog has a new post up with a number of comments about dermatologists, non-core Physicians and non-core physician extenders competing for cosmetic medical dollars. Here's a blurb:

For years, dermatologists and plastic surgeons have been arguing about whether noncore physicians have a place in cosmetic medicine. Now, it seems more competition is likely, as nurse practitioners (NPs) and physician assistants (PAs) are pursuing careers in this lucrative field.

One way to thwart this trend is to deny them access to MD-directed training.

(Name Deleted) MD, also gave his viewpoint. Just because more NPs and PAs are assisting physicians doesn't mean doctors should give them even more control, said the clinical professor of dermatology.

"The more you promote them, the more problems we'll see," said (Name Deleted), alluding to NPs and PAs who act independently without physician supervision. Others set up their own practices with a name-only ­doctor on the payroll. The result, said Dr. (Name Deleted), is the potential for increased patient complications and a watering down of the expert skills dermatologists provide.