Dr. Shino Bay Aguilera
For Teaching Non-Core Physicians
Shino Speaks (from FaceBook--09/12/2018):
"There is a controversy I would like to address as it affects our industry of Aesthetic Medicine and Cosmetic Dermatology, but that also affects me directly and personally because somehow I have become a focus of attention in this issue.
The controversy concerns the legal right of medical providers, other than Board Certified Dermatologists and Plastic Surgeons to inject patients with fillers and neurotoxins. These legally entitled providers are called “Non-core” providers, meaning anyone other than a Board Certified Dermatologist or Plastic Surgeon.
Just to clarify, this means doctors of all other medical practice, registered nurses, and physicians assistants.
This issue has been created by an exclusive (meaning not including all) group of Board Certified Dermatologists who protest the right of these other medical providers from injecting Aesthetic Medical products. However, they have no problem with these medical providers injecting medicines, and putting up an IV in their day to day medical practice in treating patients who need medical treatment. This indicates to me as a doctor, that the only reason they protest the injection of Aesthetic medical substances into a patient is not lack of trust and not lack of respect for their medical abilities, but rather because these medical providers represent financial competition to their business. I find that to be a double standard.
This group says that is not the case. They say their protest is based on concern that these medical providers are not as highly trained in this specialized field as a Board Certified Dermatologist. They claim safety and unfavorable results are the issue. So if lack of training is their only concern, why are they attacking me and others personally for training these legally entitled medical providers?
I train all legally entitled medical providers BECAUSE safety and optimal results ARE ALL I AM CONCERNED WITH. I have been accused of training these “non-core” practitioners because I am paid by the medical companies and money is my motivation. This is absolutely untrue, as I suffer personal FINANCIAL LOSS on every one of these trainings. The compensation for my time is a fraction of what I earn in income in my private practice and so any time out of my office is a personal financial loss. If I do company trainings on the weekend, I could be earning ten times the amount by hosting private, exclusive in-house trainings, which I do, when I am not committed elsewhere.
WHY THEN DO I DO IT? Because I am extremely dedicated to this industry. Because I love teaching. Because I have many years of very special relationships with the companies who are our partners in our professions.Because it keeps me at the cutting edge of my industry.Because I learn more by teaching and exposing myself to what is happening in the field.Because I am a lecturer and I am constantly asked to teach. BUT MOST IMPORTANTLY OF ALL... I BELIEVE THESE PROVIDERS NEED THE BEST TRAINING IN SAFETY AND OPTIMAL PATIENT CARE AND RESULTS.
I support everyone’s basic right to have an opinion on an issue, but at least one needs to have the respect to know the facts before forming such opinions. I do not do this for the money. I do it because I believe it is the right thing to do.To the greater controversy as to whether or not a legally entitled medical provider SHOULD be allowed to inject Aesthetic Medical products, I have zero control over the law...it stands, and I respect that.
As to the question whether or not a “non-core” provider is not as highly trained in this specialty, I agree, and that is why I train them. The protesters claim that there is a greater risk for adverse events with “non-core” providers, there is no data as yet to support that. Therefore I am doing all I can to ensure that they are as highly trained as they can be.
I do not believe in competition.
But if you fear competition, I have one piece of advice for you. BECOME REALLY, REALLY GOOD AT YOUR CRAFT."