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Recently a fax came to my office offering a 2 day course in establishing and running a cosmetic practice featuring no less than eighteen (18) procedures! The course involves lasers, Botox, fillers, pulsed light (whatever that really does), needle free mesotherapy and…. how to market the practice. Wow, that is a lot to learn in two days especially since the course is offered by the American Academy of Family Physicians presumably for family physicians. I wonder how desperate doctors can get, and more importantly how good a care will they provide for their new-found cosmetic population not to mention their family care practice. We need a climate that allows each physician to practice his/her specialty (in which they spent many years training) without worrying about economic survival.