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10 Ways to Earn Extra Income With Medical Activities

Leigh Page Dec 17, 2012

Introduction
If you're looking for extra income, you have several options other than expanding your practice. You can look beyond
your practice and find a variety of interesting part-time jobs that utilize your clinical skills.

Outside jobs are a welcome change for many physicians, says

Michael McLaughlin, MD, founder of Physician Renaissance Network,
a consultancy in Pennington, New Jersey, which helps physicians
with their careers.

"Doctors looking for extra money may not want to expand their
practice and work longer hours doing the same thing," he says.
“There are a wide variety of jobs to choose from. Some outside jobs
pay quite well -- for example, supervising midlevel practitioners or
working for attorneys -- whereas other jobs are more fun than
lucrative, such as serving as a cruise physician or staffing a medical
tent at an outdoor event.

Making money is important, but Dr. McLaughlin says it may not be the chief reason that physicians are looking for an
outside job. "They may be feeling burned out or in need of more varied intellectual challenges," he says. "Having
another job can restore enthusiasm for your career."

What an Extra-Income Job Can Do for You

Some physicians take on quite a few outside jobs. In addition to his internal medicine practice in Highland Park,
Illinois, Jordan Grumet, MD, works in a nursing home and a hospice, serves as an expert witness in legal cases, and
writes a blog for an online physician community.

"Having other jobs is a great way to balance your worklife," he says. In a typical week, he spends 20 hours seeing
patients in his office, 15-20 hours visiting the nursing home, 5 hours visiting the hospice, and 3-5 hours working on his
blog or writing articles. And he occasionally takes on work as an expert witness. Dr. Grumet says these jobs provide
new insights into clinical medicine, making him a better physician, and can also make him more efficient. When
appointments slow down at his practice, he has other work to turn to.

Even though Dr. Grumet's blog-writing brings in only a few thousand dollars a year, he wouldn't give it up for the world.
"Writing, in particular, helps you avoid burnout," he says. The blog he writes for, Freelance MD, focuses on
physicians looking for extra kinds of work. "In your practice, you can get to a point where you want to try new things,"
he says. "You need to find something new and refreshing."

To find the jobs he wanted, Dr. Grumet developed a wide network of potential employers and constantly reached out
to the community. "I see myself as a serial entrepreneur," he says. "I'm always looking for new opportunities." This
means "getting outside of your comfort zone," he says. Physicians who can't do this on their own and need help
looking for outside jobs can turn to consultants for help.

Before you jump at a part-time job opportunity, however, Dr. McLaughlin suggests taking some time to consider what
sort of work would fit your needs. "People have very different wants," he says. "Some think that sitting at a desk,
reviewing charts, is the last thing they want to do. Others say, 'I've been seeing 80 patients a day, and I want some
peace and quiet.'"

On the basis of your own search, you may come up with your own choices, but here are 10 part-time clinical jobs to
consider.

Activities in Your Realm

1. Supervise Midlevel Providers

Midlevel providers -- nurse practitioners (NPs) and physician assistants (PAs)-- are entering independent practice or
working in retail clinics that have no doctors on-site. Midlevel providers are often required to designate a supervising
physician and work with him or her. They pay the supervising physician as much as $15,000 a year for basically
several hours of work each month.

"This is very viable work for busy physicians, because it can be done in their discretionary time," says Philippa
Kennealy, MD, owner of The Entrepreneurial MD, a career-coaching consultancy for physicians, based in Los
Angeles, California.

Physician assistants require supervision in all 50 states, and nurse practitioners need it in most states. AARP
reports that as of 2009, supervision was required for NPs in 25 states (including California, Texas, New York, and
Florida), and 7 more states (including Indiana, Michigan, and New Jersey) required supervision only if the NP
prescribes.[1] Most of the states that don't require physician supervision for NPs are in the West (eg, Oregon and
Washington).

Physician supervision of independent midlevel providers involves several basic tasks. First, the doctor sits down with
the midlevel to create supervision protocols. Then, he or she regularly reviews a sampling of the midlevel's charts,
meets with the midlevel provider to discuss the findings, and is available for phone calls and emails from the midlevel
on an ongoing basis. The number of calls can range from virtually none to 10-15 per month, according to Fitzgerald
Health Education Associates, a provider of test review courses for nurse practitioners, based in North Andover,
Massachusetts.

Fitzgerald estimates the work takes up 30-35 hours a year for a payment of $10,000-$15,000 to the doctor. The
payment is usually a flat fee, but it can also be based on the number of charts reviewed or a percentage of the
midlevel's revenue.

Because supervising physicians are accountable for the midlevel provider's actions, they can be subject to
disciplinary action by the state medical board and could be sued for malpractice for the midlevel's actions.
Malpractice lawsuits against PAs are still relatively rare, but the number of these suits has been rising, according to
a study by Jeffrey Nicholson, PhD, a PA in Milwaukee, Wisconsin.[2]

In some cases, supervision of midlevel providers may raise your malpractice premium, according to Monte Shields,
manager of agency marketing at the Keane Insurance Group, a medical malpractice insurance broker in St. Louis,
Missouri. To make sure you are covered, Shields advises checking with your carrier. The carrier may require doctors
to put the midlevel on their policy as an additional named insured.

How do physicians find midlevels to supervise? NPs looking for physician-supervisors sometimes advertise on
Craigslist, or you might be able to connect with them on LinkedIn, Twitter, or Facebook, according to the Nurse
Practitioner Business Owner Website. This site also offers discussion groups.

Pros: Payments are generous, and oversight activities can be performed in your downtime.

Cons: Supervising physicians assume some malpractice liability for their midlevels, and their premium costs may
rise. However, lawsuits for such situations are relatively rare.
Consider This Growing Field
2. Provide Telehealth Consults

Sitting at your own home office, you can provide telehealth consults to distant patients. This work -- done by phone or
over the Internet -- generally uses part-time physicians. You can arrange to take the calls in your off hours.

Telehealth doctors, who advise patients whom they will never meet in person, deal with a variety of simple
complaints. Because procedures are not involved, the work is a good fit for primary care physicians. They can even
write short-term prescriptions. If the telehealth physician decides that the complaint cannot be handled over the
phone, the patient is directed to a local doctor or the emergency department.

On its Website, San Francisco-based Ringadoc says that physicians are paid $20 per telehealth encounter. Each
encounter takes 8-12 minutes, but the physician also needs to review the patient's medical history, write a brief
summary of the encounter, and provide patient instructions. Dr. Kennealy says that rate could be worthwhile if you
could see a lot of patients quickly.

Some states, such as Texas, prohibit telehealth consults, on the grounds that physicians need to have a face-to-face
encounter to understand a complaint. But resistance has been eroding. Telehealth consults are legal in at least 21
states, including California, Illinois, New York, Ohio, and Pennsylvania.

Many patients pay out-of-pocket for telehealth consults. Medicare won't cover this kind of telehealth service, but
some major private insurers -- such as United Healthcare, Aetna, and Cigna -- have begun to cover the charges. At
least a dozen states had passed laws requiring private insurers to pay for telehealth.

Providing telehealth services across state borders, however, raises issues of state licensure. Twenty states have
licensure laws specifically addressing telehealth, usually requiring licensure for physicians who practice telehealth
frequently with patients in that state, according to a state-by-state review in Telemedicine Today.[3] However,
Alabama and Tennessee instituted a special-purpose license based on licensure in another state.

Caring for a patient whom you cannot see or touch might seem risky, but so far the work has run into little
malpractice activity. To reduce risks, physicians starting telehealth consults have to undergo training in telephone
best practices and use protocols, such as those devised by David A. Thompson, MD.[3]

In addition to Ringadoc, you can check out American Well, Teledoc, and iSelectMD. Another company, NowClinic,
hires physicians to provide telehealth consults for United Healthcare members in 22 states. And Soliant Health, an
online recruiting organization, has been looking for doctors to make telehealth consults for hospitals.

Pros: You can work in your home and set your own hours. It's a growing field, and there are many outlets to choose
from.

Cons: Payments seem somewhat low, and you may be barred from doing this work in your state.

3. Work as an Expert Witness

Serving as an expert witness for attorneys is almost always part-time rather than full-time work. Full-time expert
witnesses would be viewed by jurors as "hired guns" who have lost touch with clinical practice. Physicians' clinical
experience is the value they bring to legal cases.

Karen Josephson, MD, a solo geriatrician in Long Beach, California, has been moonlighting as a geriatrics expert at
law firms for many years. "I really enjoy the work," she says. "It makes me a better doctor because I have a chance
to see what other physicians have done and think about how I could have done it better." Also, "the payment will
always be better than in my medical practice," she says. She makes an average of $2000-$5000 per case.
To avoid the "hired gun" accusation, lawyers prefer that physicians restrict their legal work to no more than 3%-5% of
their overall income, according to American Medical Forensic Specialists (AMFS), a recruitment firm for medical
expert witnesses based in Emeryville, California.

Expert witnesses can work directly for law firms or work for services that supply expert witnesses; these include
AMFS or the TASA Group. SEAK Inc., an expert witness training company in Falmouth, Massachusetts, offers
seminars and other resources for physicians interested in this line of work.

Steve Babitsky, President of SEAK, advises fledgling expert witnesses to start a Webpage and establish their
expertise. "Develop a niche -- a small area of expertise where you can dominate your market," he advises.

Dr. Kennealy, the career coach, warns that medical experts who go to court have to be prepared for tough cross-
examinations. "You have to have the stomach for this kind of work," she says. If not, you can always review cases
out of court, which she says pays $200-$300 an hour or more. You can evaluate claims to determine whether they
have merit or write reports that are used to settle or adjust cases.

Pros: This work is geared toward part-timers, and payments are quite generous.

Cons: If you go to court, you may face rough treatment by opposing attorneys.

Tapping Your Existing Expertise

4. Perform Claim Reviews

Reviewing insurance claims is another part-time job that can be done at home, or just about anywhere. Your work will
be delivered to your computer, via the Internet, by an independent review organization (IRO).

IROs are unbiased outside companies that health insurance companies engage to address concerns that they might
be improperly denying claims, says Heather Fork, MD, owner of Doctors Crossing, a career consulting firm for
physicians. The National Association of Independent Review Organizations, which represents these groups, provides
a list of IROs on its Website.

"All of this work can be done online," says Barry Korn, MD, national medical director of one of the IROs, Concentra
Physician Review, based in Addison, Texas. Dr. Korn says a few hundred physicians work for Concentra as part-time
reviewers. These doctors determine the medical necessity of coverage requests that have been flagged by
Concentra's nurse-reviewers. These doctors also perform more extensive reviews that involve looking back over the
treatment for a particular patient for an extended period, he says.

Dr. Fork says IROs usually pay $85-$200 or more per hour. Dr. Korn says Concentra's payments range from $100 to
$150 an hour or more, on the basis of the physician's qualifications and specialty.

"Physicians who do this work need to be prompt, accurate, and reliable," Dr. Fork says. "These companies often
want a 24-hour turnaround." They have to meet deadlines they have made with the insurance companies. "Many IROs
also require some degree of continued clinical practice," she adds.

"If there is insufficient information in the clinical record, the reviewer calls the physician to have a peer-to-peer
conversation," Dr. Korn says. "The call has basically two purposes: to obtain information and to educate the
physician on current evidence-based guidelines."

To obtain this work, Dr. Korn says physicians need to fill out applications, which go through a rigorous credentialing
process that takes a month or two. If accepted, the physician starts with online training at home.

Pros: You can do this work at home and make decent money.
Cons: You may need to meet tight deadlines.

5. Perform Independent Medical Examinations for Insurer Organizations

Physicians can perform independent medical examinations (IMEs) part-time, but be forewarned: You'll be performing
a history and physical examination that is very different from what you do with your own patients. Don't expect a
warm and cozy relationship with the person you're examining. You will be trying to establish whether this person
merits a payout for worker's compensation, auto insurance, health insurance, or Social Security.

In some cases, patients may be hiding some aspect of their physical condition so that they can qualify for a payout,
says David P. Kalin, MD, a family physician and independent medical examiner in Oldsmar, Florida. If that is the
case, the physician doing the IME will try to uncover it. "You don't just do a simple history and physical
[examination]," Dr. Kalin says. "You have to be pretty thorough about it."

"I've being doing independent medical exam[ination]s for quite a long time, and it's a good business," he says. His
fees range from as little as $100 an hour for a Social Security examination to $500 an hour for private payers. The
IME work involves about one quarter of his professional time. He says some cases can take him an hour or 2 of work,
whereas others take a full day.

"The way you write your report has to be geared to the way a lawyer thinks," Dr. Kalin says. For example, if the
doctor reports that the patient's medical condition was "exacerbated" by a car accident, the patient will probably get
very little compensation. But if he reports that it was "aggravated" by the accident, "there is money around that," Dr.
Kalin says.

Learning this new medical language and understanding the goals that physicians doing IMEs are supposed to meet
requires training. Dr. Kalin advises taking some courses approved by the American Board of Independent Medical
Examiners (ABIME) and then getting ABIME certification.

Physicians seeking IME work can contact worker's compensation, auto insurers, and other companies and agencies.
Many state worker's compensation programs, such as those in in Washington and New Mexico, require IME
physicians to be approved by the state. SEAK, the expert witness training company, also works with IME physicians
and provides a national directory of IME physicians on its Website.

Some companies, such as Scope Medical in Stoneham, Massachusetts, engage physicians for IME work. Scope
Medical says that physicians typically examine 6-10 patients at a time at a Scope facility, following a specified
format.

Pros: Payments can be generous, and you can create your own schedule.

Cons: The people you examine may feel antagonistic toward you.

Surprising Opportunities With Pharma

6. Work With Pharmaceutical Companies

"The list of part-time jobs for doctors in the pharmaceutical industry is endless," says Dr. McLaughlin, career
consultant. "There are so many different aspects of the work. You could speak for them or serve as an advisor. If you
don't want to be a speaker, you can write up a report in your home. You could help the company present data to the
FDA (US Food and Drug Administration). Or you could make your practice a site that participates in clinical trials."

For many of these functions, he says, you'll need to have good presentation or writing skills. You'll also need to get
training on the drug company's product line, FDA-approved product labeling, and other regulatory requirements.
The payment for a half-hour speech can range from $500 to $2500 and the opportunity is available to many
physicians. Pfizer, the second-largest drug manufacturer, paid 4500 doctors to work as "thought leaders" in the
second half of 2009 alone.[4]

The sector continues to provide rich opportunities for part-time work by physicians, even as consumer groups argue
that pharma money is biasing physicians and companies are under pressure reveal who gets paid. The Affordable
Care Act will require drug manufacturers to release information on payments to individual physicians.

Dr. McLaughlin does not believe this exposure will harm the reputation of physicians who work for drug
manufacturers. "Patients would not be upset about this," he says.

Drug manufacturers seem to be paying doctors somewhat less than they used to. The business intelligence firm
Cutting Edge Information reported that pharmaceutical companies paid individual thought leaders $20,000-$100,000 in
2011, a lower amount than in 2008, when yearly rates were as high as $200,000.[5]

Dr. McLaughlin doubts that the payments will shrink any more. "Opportunities to work with pharma won't go away,
because this is important work," he says. "Getting the information about a drug out to physician audiences is
crucial."

Pros: Drug companies make generous payments to physicians who advise them and give speeches about their
products. Physicians have a wide variety of work to choose from.

Cons: Companies are limiting their payments (although these are still significant). They are also releasing the names
of the doctors whom they pay, but it is not clear how this would affect the physicians' reputations.

7. Make House Calls

The resurgence of house calls provides a new way to make extra money. A variety of fledgling companies offer part-
time employment, reviving a tradition that seemed all but dead in the 1990s.

Today, about 4000 US doctors make house calls, and the number is still growing, according to the American
Academy of Home Care Physicians (AAHCP), which represents these doctors. The AAHCP reports that people aged
85 years or older, a key constituency, is one of the fastest-growing population segments.

Chris McAdam, senior vice president for operations at American Physician Housecalls in Dallas, Texas, says that
companies such as his are taking over house calls because medical practices aren't providing them. Meanwhile,
hospitals and insurers are pushing for more home visits as a way to reduce readmissions. Medicare has improved
reimbursements for house calls, and the Affordable Care Act has mandated a large pilot study on them.

Lou Pavelchik, practice manager at MD at Home in Chicago, Illinois, says the company pays physicians $50-$70 per
visit, in addition to covering their malpractice insurance and reimbursing them for the driving. He says his part-time
physicians are expected to work 1 or 2 days a week. In the home visit, the physician examines the patient, provides
some basic care with mobile equipment, and writes up a plan of care.

Pavelchik says this work appeals to 3 kinds of doctors: those just coming out of residency, those frustrated with the
red tape of running a practice, and semiretired physicians who are rolling back their practices.

Physicians who do house calls should have strong empathy and have to put up with a fair amount of driving. Often,
they travel with a medical assistant. Rather than the black bag of yesteryear, their chief tool is a laptop computer,
used to call up the patient's electronic medical record and other information. Chicago-based Mobile Doctors also
provides its physicians with equipment for mobile radiography, echocardiography, carotid Doppler imaging,
ultrasonography, and phlebotomy.
The companies have varying business models. Some are local physician practices entirely dedicated to house calls,
such as Doctors Making Housecalls; others are national companies, such as Inn House Doctor, which operates in 8
major cities, and WhiteGlove House Call Health, with offices in 3 states. Whereas many companies focus on
Medicare patients, some are boutique operations that depend on cash payments from traveling business people;
others contract with businesses to cover their employees.

Insurers have also gotten into the house call business. United Healthcare has been running ads in many parts of the
country, looking for doctors to make house calls.

Pros: You won't have an overhead or insurance paperwork. Some house call companies provide a great deal of
technology.

Cons: The pay is low, and a great deal of driving is required.

Options in Nursing Homes and at Special Events

8. Work at a Nursing Home

There is a reason why physicians caring for nursing home patients usually do it part-time, says Reuben Tovar, MD, a
hospitalist who serves as medical director at 2 nursing homes in Austin, Texas. "If you're working full-time, going to
many different facilities," he says, "you lose your focus, and the quality of care suffers."

Dr. Tovar says that the best way to work in a nursing home is to serve as medical director and see patients there as
well, which is what he does. The medical directorship is necessary, he says, because Medicare and Medicaid do not
pay well for patient visits. But nursing homes prefer their medical directors to be engaged in patient care because
they are more engaged with operations, he says.

A medical director job requires at least 20 hours of work per month, usually in regular meetings with staff and to
comply with deadlines for regulations, Dr. Tovar says. The medical director would spend another 10 hours a month
seeing patients in the facility, which can be done in a single afternoon, he says.

Nursing home medical directors can earn $70,000-$80,000 a year, according to the Website Simply Hired. In
addition, reimbursements for treating individual patients can bring in $75-$150 an hour if coded correctly, according to
a 2010 report published by the Kaiser Family Foundation.[6]

Nursing homes are looking for medical directors who are empathetic and reliable and have a lot of older patients in
their practice who might consider using the facility, Dr. Tovar says. Physicians who want to be medical directors
should go to classes endorsed by the American Medical Directors Association (AMDA), which represents nursing
home medical directors, and obtain AMDA certification, he says. Dr. Tovar did not take that route, though. He began
by visiting a nursing home when one of his patients was admitted, which led to the administration asking him to be
medical director.

Nursing homes are frequently sued for malpractice or elder abuse, but only one fifth of these lawsuits name a
physician, according to a 2003 study published in Health Affairs. [7] Dr. Tovar says that's because these cases often
involve problems that occur when the physician is not in the facility, such as patient falls.

Certain physicians thrive in a nursing home, said Robert Milligan, MD, a family physician in Buffalo, Minnesota, and
AMDA member, who spoke in an AMDA sound clip.[8] "They have to love people and be extremely compassionate,
and you have to like a good puzzle," he said. "The average individual we care for in a nursing home has 7 medications
and 10 diagnoses."

Nursing home physicians also have to deal with numerous phone calls from staff and demands from family members.
"The main talent you need to have is patience," Dr. Tovar says. "The conversations are slower for these patients, and
the family needs to be involved."

Pros: Work in nursing homes is usually part-time, and it can pay well if you combine it with a medical directorship.

Cons: Physicians may be overwhelmed with calls from staff and families' demands. Facilities face numerous lawsuits
for malpractice and elder abuse, but doctors are usually not named in them.

9. Staffing Special Events or Screenings

Physicians can get short-term locum tenens jobs to staff special events, such as walks and runs, music festivals,
and health screenings.

The work, also called "nontraditional locum tenens," may provide a novel way for doctors to travel and practice
medicine outside of just taking extra hospital shifts.

While "the vast majority" of locum tenens assignments are longer term, there are some opportunities for work that
lasts just a day or 2, says Jason Daeffler, marketing director at Barton Associates, a locum tenens staffing company
in Peabody, Massachusetts. "Recently, we've seen some demand from music festivals and other festivals."

In May, for example, Barton Associates was looking for locum tenens dermatologists to perform free cancer
screenings for a few days at an event. The dermatologists performed an 8- to 10-minute scan of each person, and if
they found any lesions, they were instructed to ask patients to see a local dermatologist.

Daeffler would not reveal payments for these short-term engagements, but he said, "It's a very competitive hourly rate.
Providers can definitely earn more than they would at a permanent position."

Dr. Kennealy, the career coach, believes these short-term offerings are rare. "Being paid for special events is very
limited," she said. Some marathons have an all-volunteer staff working their medical tent.

However, physicians may inadvertently run into opportunities. Dr. Kennealy remembers once being paid to serve as
physician to an opera singer from abroad while she was performing in town. Because the singer lived in Europe and
did not have US coverage, she paid out of pocket.

Professional sports is another matter. Doctors often pay for the distinction of being the official team physician, in the
hope that the publicity will enhance their practice. Orthopedic surgery and other practices reportedly pay professional
teams as much as $1.5 million annually to be listed as team physicians.[9]

Pros: Working at special events or screenings takes up just a few days of a physician's time.

Cons: Don't count on many of these opportunities.

Enjoy the High Seas?

10. Work on a Cruise Ship

For many years, Charles Pexa, MD, a Minneapolis-area emergency physician, has been taking free cruises. In
return, he puts in a few hours each day as the ship's doctor, and gets paid for it. "It's an adventure," Dr. Pexa says. "I
can travel really inexpensively, and it's usually pleasant work. People on cruises are very easygoing." He serves as a
cruise physician several times a year.

The cruise physician works with nurses in a sick bay that is fitted out with state-of the-art equipment, such as
radiography equipment, an ECG, and laboratory testing devices. In addition to running 1-hour clinics in the morning
and afternoon, the cruise physician is usually on call the rest of the time. Most times that the ship is in port, Dr.
Pexa says he has to stay on board.
"This is not a money-making proposition," Dr. Pexa cautions. The pay is about $150 a day, but he and his wife cruise
for free. The cruise lasts anywhere from a few days to a month.

"Most of the patients just have aches and pains, but you have to be available in case someone gets really sick," Dr.
Pexa says. A medical emergency can be a big problem on the high seas. Once, when a passenger had sepsis, the
captain had to turn the ship around and go back to port, Dr. Pexa recalls. Every so often, a cruise ship reports an
outbreak of bacteria or a virus, but he has not had to deal with that.

Dr. Pexa has found work on many different cruise lines, but he concedes that finding a job might be more challenging
for a doctor with no experience and in another specialty. Cruise lines favor emergency physicians for this work, but
they also hire family physicians and internists who have had experience dealing with serious medical emergencies,
Dr. Pexa says.

To find out more about becoming a cruise physician, contact the major cruise companies. The Carnival Corporation,
the largest cruise line, owns Carnival Cruise Lines, Princess Cruises, Holland America, and Cunard Line. Royal
Caribbean International owns Royal Caribbean, Celebrity Cruises, and Azamara Cruises. Another option is Norwegian
Cruise Line.

Pros: In addition to a modest payment, you and your guest get a free cruise. Patients are friendly and relaxed, and
you have a lot of free time.

Cons: You can't make much money from this work, and openings are limited. You have to stay on the ship when it is
in port.

Taking the Next Step

Once you know what kind of job you want, you'll need to check out offerings and begin applying.

Dr. McLaughlin says this step does not come easy for a lot of doctors. "Physicians don't like asking for help," he
says. He suggests asking friends and acquaintances for contacts and getting onto social networking sites, such as
LinkedIn. Also check out Freelance MD, the blog on freelance work for physicians, and DocCafe, a physician hiring
service that lists job opportunities.

If the part-time job you choose turns out to be very fulfilling, you may decide to expand the work or even make it a full-
time career. "Part-time work can blossom into something more permanent and change your whole life," Dr.
McLaughlin says.

References

1. Center to Champion Nursing in America. Map: Physician-Nurse Practitioner Restrictive Collaboration

Requirements By State. http://championnursing.org/aprn-practice-map Accessed Nov. 20, 2012.

2. Nicholson J. Does the employment of physician assistants and nurse practitioners increase liability? Expert
Pages. http://expertpages.com/news/DOES_THE_EMPLOYMENT_OF_PHYSICIAN_ASSISTANTS_

%20AND_%20NURSE_%20PRACTITIONERS_%20INCREASE%20LIABILITY.htm Accessed November 3,

2012.

3. Gobis L. An overview of state laws and approaches to minimize licensure barriers. Telemedicine Today.
http://www2.telemedicinetoday.ccom/statelawguide/index.shtml Accessed December 4, 2012.

4. Wilson D. Pfizer gives details on payments to doctors. New York Times. March 31, 2010.
http://www.nytimes.com/2010/04/01/business/01payments.html?emc=tnt&tntemail0=y Accessed November
 9, 2012.

5. Hard limits on thought leader compensation employed less often by pharma. Cutting Edge Information.July 22,
2010. http://www.cuttingedgeinfo.com/2011/annual-thought-leader-compensation-limits/ Accessed November
4, 2012.

6. Desmarais H. Financial Incentives in the Long‐Term Care Context: A First Look at Relevant Information. The
Henry Kaiser Family Foundation. October 2010. http://www.kff.org/medicare/upload/8111.pdf Accessed
October 24, 2012.

7. Stevenson D, Studdert D. The rise of nursing home litigation: findings from a national survey of attorneys.
Health Aff (Millwood). 2003;22:219-229.

8. Milligan R. Role of the physician in long-term care. American Medical Directors Association.
http://www.amda.com/consumers/physicianrole.cfm Accessed October 23, 2012..

9. Pennington B. Sport medicine; sports turnaround: the team doctors now pay the team. New York Times. May
18, 2004. http://www.nytimes.com/2004/05/18/sports/sports-medicine-sports-turnaround-the-team-doctors-
now-pay

-the-team.html?pagewanted=all&src=pm Accessed November 4, 2012.

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Cite this article: 10 Ways to Earn Extra Income With Medical Activities. Medscape. Dec 17, 2012.