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In this panel, we will have a detailed discussion with experts about the medical directorship in the field of aesthetic medicine.

In this session we will focus on:

– Ways find a medical director. (for nurses)
– How to protect yourself as a medical director if you work with other service providers.
– What is the best approach in the agreement between the medical director and the service provider which would benefit both sides.
– What are the best practices to provide the safest environment for the patient and at the same time to protect the medical director and the service provider.

This discussion panel is recommended to all practitioners who are working in the field of aesthetic medicine (in Canada) or planning to get into the field. Either you are a medical director or a service provider who works with a medical director, this session is suited to you.


Today we are going to talk about the challenges that medical directors and nurses have in terms of the relationship in field of their medical directorship. Chelsey Brown, Dr. Tarek Chbat and Dr. Reza Akef will be joining us too.

The CPSO is committed to ensuring that physicians in Ontario provide the highest quality of care to patients to insure the timely delivery of health care and to promote optimal use of resources and personnel. You must always consider the best interests of the patient, your acts must be safe and effective and responsibility for a delegated controlled act always remains with the delegating physician.

But what are the acts? Performing a procedure on tissue below the dermis, below the surface of a mucous membrane, in or below the surface of the cornea, or in or below the surfaces of the teeth, including the scaling of teeth are all examples of an act.

Now, what is a delegation? Delegation is a physician who is AUTHORIZED to perform a controlled act to confer the authority to another person who is independently authorized to perform the act. Delegation requires either a direct order or a medical directive which will be discussed further.

The hosts will discuss about the best approach to communicating medical director as a starter aesthetic nurse. One approach is to talk to somebody that is already doing the job and ask them for advices. The other way is to be hired by clinics or doing some kind of shadowing or mentorship. If a clinic hire you, you will be introduced to the medical director by the clinic owner.

There are some key points that medical directors consider in accepting or not accepting nurses. Dr. Tarek Chbat says that he most see the nurses inject multiple times in different situations to decide whether to accept or not accept them. Anybody can do a simple injection so it is the complicated situations that are important for decision making. Nowadays we know that aesthetic medicine is not as simple that we taught. If you want to be confident and comfortable about your injections it takes time and needs experience.

Building a good relationship between medical director and nurse will protect both sides and also is beneficial for both sides. Maybe the most important thing here is trust. You should make sure that you are on the same plan, you are both very aware of how to deal with the complications and be aware of each other responsibilities. It’s all about communication, the better you communicate, the better plan you have and the patient is more protected. There are much more details that will be talked about.

You can’t be confident without training. You can’t be confident if you don’t have the knowledge. So get your knowledge, stay in the knowledge and find the way that will make you confident to go for the job and do it perfectly.