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Researching
Your Jaw Augmentation Surgeon
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Now that you have a list
of candidates to perform your surgery, you must now research their
credentials, and malpractice history. Not all information is
made available to the public, so relying on word of mouth of real
patients can be invaluable. This may be a lot of information
to absorb but it is very important, your life and physical
well-being may depend upon it.
State
Licensure
State licensure is very important. Your
surgeon must hold a valid license to practice medicine for the state in which he performs
your procedure. These licenses may be a Medical Doctor (M.D.) which is an
allopathic physician or a Doctor of Osteopathy (D.O.) which is an osteopathic
physician. Most plastic surgeons tend to be medical doctors, but sometimes you
may find one that is an osteopathic doctor. |

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"Licensure is designed as
minimum standard necessary to practice medicine. It is a public
function, administered by the states, the standards are established through
a public process and all actions taken, both in granting a license and in
restricting or withdrawing a license, are matters of public record.
Licensure is not specialty specific and permits an individual to provide to
the public any medical or surgical service he/she desires." Source:
American Board of Plastic Surgery
We have provided information on both
license types for
your convenience. There are many similarities in being an M.D. or a
D.O.:
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"Applicants to both D.O. and M.D. colleges typically
have a four-year undergraduate degree with an emphasis on scientific
courses.
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Both D.O.s and M.D.s complete four years of basic medical
education.
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After medical school, both D.O.s and M.D.s can choose to
practice in a specialty area of medicine -- such as psychiatry, surgery or
obstetrics -- after completing a residency program which requires an
additional two to six years of training.
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Both D.O.s and M.D.s must pass comparable state licensing examinations.
- D.O.s and M.D.s both practice in fully accredited and licensed health care
facilities.
- D.O.s comprise a separate, yet equal branch of American medical care.
Together, D.O.s and M.D.s enhance the state of care available in America."
- However, "D.O.s receive extra training in the musculoskeletal system, your body's interconnected system of nerves, muscles and bones that
make up two-thirds of its body mass." source: http://www.aoa-net.org/
Osteopathic
physicians usually become primary care physicians, however some may choose
to be dermatologists or plastic surgeons. D.O's are taught to focus on
preventive health care and treat the body as a whole. The American
Osteopathic Association has special requirements to achieve certification
for specialty boards, such as Dermatology, Plastic Surgery and
Anesthesiology. Please see http://www.aoa-net.org/Certification/certification.htm
for more information. To read more on a comparison of certification
boards, please see the American
Association of Physician Specialists (AAPS).
Most states have online
verification, while others may require a written request or even a request
by telephone.
Verifying Your Surgeon's
Certification
Although not every good surgeon will be listed on the American Board of Medical
Specialties (ABMS). The ABMS website provides
you with the means to determine if your surgeon is in fact certified by any of
their boards (commonly The American Board of Plastic Surgery and/or The American
Board of Surgery). Click the below link-button to access the American
Board of Medical Specialties' online certification verification database.
It will require registration, however registration is free.

Alternatively, you can verify a surgeon's
certification over the phone by calling 1-866-ASK-ABMS
(or 1-866-275-2267). Both of these options are provided to you at no charge so
feel free to utilize this service.
Additionally, some
surgeons you come across will not be certified by the American Board of Plastic
Surgery and will instead be members of American Board of Otolaryngology with a certification
in Facial Cosmetic Surgery. The ABOto is recognized by the ABMS, and lot of widely known
jaw augmentation surgeons are members. More information about the
differences in boards and their certifications,
please see our How To Find A Good Plastic
Surgeon section.
Professional
Liability Insurance
Not all surgeons carry
liability insurance and not all states require it. You can contact your
state's Department of Insurance (D.O.I), or also the states for which your
surgeon has been licensed to practice in in the past. Not all states are
created equal, in fact, you may not be able to find much information from
state to state. You may also wish to ask whether or not your doctor
carries professional liability insurance, although you may detect a note of
uneasiness in the room regardless of the answer. It's just an awkward
question, so don't be alarmed. It's kind of like if you were to invite
someone over to your house for dinner and before they stepped into your house
they asked if you had insurance. You'd wonder to yourself if they had the calculated
intention of suing you if they didn't like the meal. But it is your right
to know.
Some surgeons may
choose to utilize a surety bond instead of carrying insurance if they
have the resources to do so. Some states have very high insurance premiums
and it is often easier and less expensive in the long run to carry a bond
instead. This basically means the surgeon either has the funds/liquid
assets, or maintains an irrevocable letter of credit equal to the maximum award
amount for that state set aside instead of paying high premiums for liability
insurance. However, several states require liability insurance.
Factors which may
determine whether or not your surgeon chooses to have insurance may be, region,
state requirements, risk of specialty, assets, or requirements of group
practices or premises. So do not be alarmed if your surgeon does not carry
liability insurance as his medical license will more than likely require that he
has comparable coverage in asset form. Also, doctors who choose not to
carry traditional liability insurance are usually required to post such
information in plain view in their office, or on documents made readily
available to their patients.
Researching
A Surgeon's Malpractice History
This is a very
scary subject for many people. Unfortunately today there are plenty
of surgeons who go into practice and many frivolous lawsuits as well which
cloud us from determining educated decisions for ourselves. This is also
a very difficult area to research, it takes many, many dedicated hours of
effort.
There are wonderful surgeons who have been sued and there
are shoddy surgeons who haven't been sued-- yet. It is certainly
enough to scare us in to hiding when seeking the right doctor for our
surgery. If you do find that your surgeon has been involved in a
recent lawsuit, inquire as to why. Hearing one side of the story
often isn't fair but you have a right to know unless there is a specific
gag order regarding the details. However the gag order is usually
regarding the amount settled, not why. Just know that anyone
can file a lawsuit (even the surgeon) at anytime, whether they have reason
or not.
Please also know
that lawsuits should not be, but are, filed because the results were not what
the patient expected or if something unforeseen (undiagnosed medical
conditions, anesthesia complications, etc.) arose. Most cases must prove
negligence to be viable but there are winning cases where no negligence is
proven. Negligence is where a case where the attending surgeon(s)
administered care which was substandard in that particular medical
community/specialty (plastic surgery). Unfortunately it is becoming
increasingly difficult to determine the cases where the patient was a victim
from the ones where the victim turned out to be the surgeon, these cases
should be addressed and considered before your choosing to undergo
surgery. Like I said, many surgeons will NOT tell you if they have been
involved in a lawsuit although you do retain the right to ask, especially with
recent suits.
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You can go to
the courthouse for the county in which your surgeon practices and perform
a search for litigations, arbitrations, trials, etc in the "civil
index." You can ask the county clerk for specific instructions
and etiquette on how to do this as this office is where this information
is usually held. Some courts ask that you pay a fee for copies of
the documents. Please also know that it is quite possible that
malpractice information may be found instead at the Superior Court Office.
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You can
contact the Department of Insurance (D.O.I). for your own state (or states
for which your surgeon has been licensed and/or practice in. Just
know that not all states are created equal - in fact you may not get
anywhere at all in your own state. If not, ask your surgeon if you
feel comfortable. Ask whether or not he carries malpractice
insurance, although you may detect a note of uneasiness in the room once
you ask this question regardless of possible guilt.
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You may also
seek the services of private and semi-private firms such as www.WestLaw.com,
www.USLaw.com, www.e-law.com
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Even
"Find Out Anything About Anyone" Websites such as KnowX.com
(free & pay per search) may have
information. Just be careful, you may only find out that what you
thought was going to be "juicy" information, is a simple
divorce.
Verifying
A Surgery Center's Accreditation
If your surgery is to be
performed at an on-site Ambulatory Surgery Center make sure they are
accredited! Accreditation associations ensure that Surgery Centers are
well equipped, have equipment to properly sterilize instruments, have an
emergency protocol, proper emergency equipment such as a crash cart and are easily
accessible to emergency vehicles. Below are the four accreditation
associations in the United States, and one in Canada:
Accreditation Association for Ambulatory Health Care
(AAAHC)
3201 Old Glenview Road, Suite 300
Wilmette, Illinois 60091
Telephone: (847) 853-6060
Fax: (847) 853-9028
Website: www.aaahc.org
American Association for Accreditation for Ambulatory Surgery Facilities
(AAAASF)
1202 Allanson Road
Mundelein, Illinois 60060
Toll-free: (888)
545-5222
Fax: (847)
566-4580
Website: www.aaaasf.org
American Osteopathic Association
(AOA)
142 East Ontario Street
Chicago, IL 60611
Telephone: (312)
202-8000
Fax: (312)
202-8200
Website: www.aoa-net.org
Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
One Renaissance Boulevard
Oakbrook Terrace, Illinois 60181
Telephone: (630)
792-5000
Fax: (630)
792-5005
Website: www.jcaho.org
Canadian Association for
Accreditation of Ambulatory Surgery Facilities
2334 Heska Rd.,
Pickering, Ontario Canada L1V 2P9
Telephone: (905) 831-5804
Fax: (905) 831-7248
Website: www.caaasf.org
Other
Boards and
Professional Organizations
The
American Board of Plastic Surgery
The American Society for Aesthetic Plastic Surgery
American Society of
Plastic Surgeons
American College of Surgeons
(often seen as FACS)
AMA
- American Medical Association Home Page
ABMS Certified Doctor Home Page
The American Academy
Of Cosmetic Surgeons
Asociacion
Mexicana de Chirurgia Plastica, Esthetica y Reconstructiva
Australian Society
of Plastic Surgeons
Buenos Aires Society
of Plastic Surgery
Canadian Society of
Plastic Surgeons
Dutch Society for Plastic Surgery
French Society of Aesthetic
Plastic Surgery
International Society of
Aesthetic Plastic Surgery
Netherlands Society for Plastic
Surgery (NVPC)
Spanish Society for Plastic,
Reconstructive and Esthetic Surgery
Swiss Society of
Plastic Reconstructive and Aesthetic Surgery
Turkish Society of Plastic
Surgeons
Wound
Healing Society
Further
Researching Your Surgeon
Thanks to the Internet we can
find out just about everything on everybody, if you know what
you're doing. Some of these sites aren't free so watch out! You can also
just type in your surgeons name in:
...and it may pull up all kinds
of information. Google indexes the contents on the actual page rather
than just the metatags resulting in all sorts of interesting tid-bits about a
subject, even posts on message boards. You can even click 'cached' and
your search words will be
highlighted. In
other words, you get what you ask for and not a lot of rubbish. Good luck,
your almost there!

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This page was last updated: 11/16/2004

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