--- title: Resource Library | Practice Drift description: Practice Drift | The Resource Library offers a broad spectrum of resources and actionable insights to help you manage your healthcare business, increase patient safety, and help your practice thrive. --- - [Sign In](https://secure.proassurance.com?hsLang=en-us) - g Search Site [Contact Us](https://www.proassurance.com/contact-us/?hsLang=en-us): **844-466-7225** [![PRA-MMI-Logo®-RGB](https://www.norcal-group.com/hs-fs/hubfs/PRA-MMI-Logo%C2%AE-RGB.png?width=215&height=62&name=PRA-MMI-Logo%C2%AE-RGB.png)](https://www.norcal-group.com?hsLang=en-us)   - [About](https://norcal-group.com/about) - [About Us](https://norcal-group.com/about) - [Coverages](https://norcal-group.com/state) - [Claims](https://www.proassurance.com/report-a-claim/) - [Resources](https://www.norcal-group.com/resources) - [HIPAA Resources](https://proassurance.com/hipaa) - [Website Accessibility](https://proassurance.com/accessibility) - [Pay](https://www.norcal-group.com/pay) # [Resource Library](https://www.norcal-group.com/library) ## [Supervision of Non-Physicians Performing Cosmetic Procedures](https://www.norcal-group.com/library/supervision-of-non-physicians-performing-cosmetic-procedures) June 22, 2017 The number of medical spas (also referred to as medi-spas or medspas) has been increasing as the desire for cosmetic procedures increases.1 A medical spa combines the atmosphere and traditional offerings of a day spa (e.g., facials, massages, manicures) with the provision of medical treatments such as injectable facial fillers (e.g., Botox), laser procedures, and even liposuction. [Learn More »](https://www.norcal-group.com/library/supervision-of-non-physicians-performing-cosmetic-procedures) Filed under: [Practice Drift](https://www.norcal-group.com/library/topic/practice-drift), [Plastic & Cosmetic Surgery](https://www.norcal-group.com/library/topic/plastic-cosmetic-surgery), [Article](https://www.norcal-group.com/library/topic/article), [Practice Manager](https://www.norcal-group.com/library/topic/practice-manager), [Physician](https://www.norcal-group.com/library/topic/physician), [Cosmetic & Reconstructive Procedures](https://www.norcal-group.com/library/topic/cosmetic-reconstructive-procedures) ## [Breast Implant Removal and Mastopexy by an OB/GYN - Practice Drift Risks](https://www.norcal-group.com/library/breast-implant-removal-and-mastopexy-by-an-ob-gyn-practice-drift-risks) June 22, 2017 When cosmetic breast surgery performed by a physician who has not gone through formal plastic surgery training has an unintended result and a lawsuit results, the plaintiff and defendant will most likely seek the opinions of plastic surgeons on whether the defendant physician comported with the standard of care. As the following case study indicates, it can be difficult for plastic surgeons to support such surgery. [Learn More »](https://www.norcal-group.com/library/breast-implant-removal-and-mastopexy-by-an-ob-gyn-practice-drift-risks) Filed under: [Practice Drift](https://www.norcal-group.com/library/topic/practice-drift), [Plastic & Cosmetic Surgery](https://www.norcal-group.com/library/topic/plastic-cosmetic-surgery), [Case Study](https://www.norcal-group.com/library/topic/case-study), [Physician](https://www.norcal-group.com/library/topic/physician), [Cosmetic & Reconstructive Procedures](https://www.norcal-group.com/library/topic/cosmetic-reconstructive-procedures) ## [Lipodissolve Administration by a Pediatrician - Practice Drift Risks](https://www.norcal-group.com/library/lipodissolve-administration-by-a-pediatrician-practice-drift-risks) June 16, 2017 Lipodissolve (also referred to as injection lipolysis, mesotherapy, lipolysis, lipostabil and other terms) is not FDA approved. Informed consent is particularly important when using any type of cosmetic technology that is not FDA-approved or has not been generally accepted by the plastic surgery and dermatology communities and professional associations. [Learn More »](https://www.norcal-group.com/library/lipodissolve-administration-by-a-pediatrician-practice-drift-risks) Filed under: [Practice Drift](https://www.norcal-group.com/library/topic/practice-drift), [Plastic & Cosmetic Surgery](https://www.norcal-group.com/library/topic/plastic-cosmetic-surgery), [Case Study](https://www.norcal-group.com/library/topic/case-study), [Physician](https://www.norcal-group.com/library/topic/physician), [Cosmetic & Reconstructive Procedures](https://www.norcal-group.com/library/topic/cosmetic-reconstructive-procedures) ## [Laser Tattoo Removal by a Family Practitioner Presents Practice Drift Risks](https://www.norcal-group.com/library/laser-tattoo-removal-by-a-family-practitioner-practice-drift-risks) June 16, 2017 [![](https://files.norcal-group.com/hubfs/laser-tattoo-removal-procedure-on-young-woman-on_soc.jpg) ](https://www.norcal-group.com/library/laser-tattoo-removal-by-a-family-practitioner-practice-drift-risks) The composition of tattoos varies widely. Even when tattoo removal is done correctly, tattoo pigment may not respond predictably to laser treatment.1 The type of laser to use, the power setting, the number of treatment sessions and other issues vary from patient to patient based on a variety of patient and tattoo characteristics. The following are some of the patient/tattoo characteristics that should be evaluated: Fitzpatrick skin type, tattoo ink colors, whether the tattoo was done by a professional or amateur, and the location and age of the tattoo. Ensuring realistic expectations through proper patient education and informed consent is a critical aspect of tattoo removal — one retrospective study showed that less than two percent of tattoos could be entirely cleared.2 [Learn More »](https://www.norcal-group.com/library/laser-tattoo-removal-by-a-family-practitioner-practice-drift-risks) Filed under: [Practice Drift](https://www.norcal-group.com/library/topic/practice-drift), [Plastic & Cosmetic Surgery](https://www.norcal-group.com/library/topic/plastic-cosmetic-surgery), [Case Study](https://www.norcal-group.com/library/topic/case-study), [Physician](https://www.norcal-group.com/library/topic/physician), [Cosmetic & Reconstructive Procedures](https://www.norcal-group.com/library/topic/cosmetic-reconstructive-procedures), [Business of Medicine](https://www.norcal-group.com/library/topic/business-of-medicine), [Patient Care](https://www.norcal-group.com/library/topic/patient-care) ## [Practice Drift to Cosmetic Procedures: Case Studies and Best Practices](https://www.norcal-group.com/library/practice-drift-to-cosmetic-procedures-case-studies-and-best-practices) June 15, 2017 [![](https://files.norcal-group.com/hubfs/fat-reducing-procedure-in-medical-clinic_soc.jpg) ](https://www.norcal-group.com/library/practice-drift-to-cosmetic-procedures-case-studies-and-best-practices) “Practice drift” or “physician drift” are terms used to describe the phenomenon of physicians practicing outside their specialties. The drift to cosmetic procedures is a popular one, possibly in part because such procedures are performed on a patient self-pay basis. When insurance reimbursements don’t keep pace with overhead costs, cosmetic procedures can be viewed by providers as an effective way to increase practice revenue.1 Also, there are plenty of customers for cosmetic procedures, and the number of patients and types of procedures keeps growing. According to the American Society for Aesthetic Plastic Surgery, patients spent more than 15 billion dollars on cosmetic procedures in 2016.2 [Learn More »](https://www.norcal-group.com/library/practice-drift-to-cosmetic-procedures-case-studies-and-best-practices) Filed under: [Practice Drift](https://www.norcal-group.com/library/topic/practice-drift), [Plastic & Cosmetic Surgery](https://www.norcal-group.com/library/topic/plastic-cosmetic-surgery), [Article](https://www.norcal-group.com/library/topic/article), [Practice Manager](https://www.norcal-group.com/library/topic/practice-manager), [Physician](https://www.norcal-group.com/library/topic/physician), [Cosmetic & Reconstructive Procedures](https://www.norcal-group.com/library/topic/cosmetic-reconstructive-procedures), [Patient Care](https://www.norcal-group.com/library/topic/patient-care) | |  \|  | | | --- | --- | --- | ###  Topics  Please select Bad Outcomes & Complications Business Continuity Business Operations Community Health Consultations Cosmetic & Reconstructive Procedures Cultural Competency & Cultural Respect Cybersecurity Diagnosis & Testing Digital Practice Electronic Health Records (EHR) General Liability HIPAA Privacy & Confidentiality Industry Trends Information Security Informed Consent Leadership Litigation & Claims Marketing & Practice Building Medical Errors & Apology Medical Ethics Medical Records & Documentation Medication Errors Opioids Pain Management Patient Communication Patient Relationship Personal Finance & Career Philanthropy & Community Involvement Physician Burnout Physician Ratings Physician Wellness Practice Communication Practice Drift Practice Management Prescribing & Medication Public Relations & Communication Regulation & Compliance Reputation Management Unanticipated Outcomes Vicarious Liability ###  Specialties  Please select Emergency Medicine Family Practice Mental & Behavioral Health Obstetrics & Gynecology Oncology Ophthalmology Orthopedics Pain Management Specialist Pediatrics Plastic & Cosmetic Surgery Radiology ### Recently Added Interested in NORCAL Group? **Contact Your Agent/Broker** or call 844.4NORCAL today * NORCAL Group, now part of ProAssurance, includes NORCAL Insurance Company and its affiliated companies. 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