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With the economy in the gutter, businesses closing left and right, and hundreds of thousands of Americans being laid off or losing their jobs, owners of medical practices are starting to worry how the slumping economy will affect their practices short- and long-term.

If your practice hasn't jumped on the eco-friendly bus already, maybe it's time to catch a ride. 'Going green' can make good business sense. Savvy dermatology practices recognize that consumers gravitate to businesses they perceive as socially conscious. In addition to attracting patients and helping the environment, being environmentally friendly may also help you reduce costs.

With increasing frequency, I have noticed that many audience members at medical meetings are dividing their attention between the speakers and their Blackberries and laptops. Some audience members keep both their Blackberries and laptops running throughout the meeting, and are not engaged at all in the meeting - but I am sure they will claim CME credit for "being there."

National standards for ranking physicians may be on the horizon, but many dermatologists doubt that they can be implemented fairly and accurately. Insurance companies have proposed ranking physicians in tiers that could be used to determine levels of reimbursement or the amount of co-pays for patients to see the physician of their choosing.