The Business of Dermatology

In this episode of Derms and Conditions, host James Q. Del Rosso, DO, welcomes Cory Rubin, MD, for a candid look at the business of dermatology. Drawing on his experience building an independent practice, Dr Rubin discusses what it takes to move from clinician to practice owner, from the freedom to pursue new opportunities to the responsibility of leading a team, managing finances, and making decisions that extend far beyond patient care.

Dr Rubin begins by sharing what motivated him to establish his own practice, including his interest in complex medical dermatology and clinical research and his desire for greater freedom to pursue those interests. He emphasizes that independence comes with significant responsibility: Practice ownership requires commitment, resilience, and a willingness to accept both the benefits and consequences of the decisions you make.

The conversation turns to lessons Dr Rubin has learned as a leader. While clinical practice often rewards quickly identifying a problem and acting on it, he found that business decisions sometimes require slowing down, listening, and allowing time before choosing a course of action. He discusses the importance of consistency in setting expectations for staff, developing a strong workplace culture, and training PAs and NPs over time rather than expecting immediate independence.

Drs Del Rosso and Rubin also explore the operational considerations of incorporating clinical research into a dermatology practice, including the need for appropriately trained research staff and clear separation of clinical and research functions. They close with Dr Rubin’s approach to structuring interactions with pharmaceutical representatives and his broader perspective on practice ownership as an ongoing process of adaptation and learning.

Tune in to the episode for an inside look at the realities of building and running a dermatology practice, the lessons that come with leadership, and why setbacks can become some of the most valuable experiences for a practice owner.