It is clearly a breach of the standard of care for physicians or their assistants to perform procedures for which they are not adequately trained. Melanomas have been incompletely excised by unskilled physicians. In one case, a woman's face was badly scarred by a physician who was trained in the use of a laser by a salesperson. The physician's prior experience involved an orange. Botox injections have caused nerve damage. Unskilled endoscopists have perforated organs. Soft tissue injections around the scapula or into an intercostal muscle have perforated lungs. Joint injections by those not properly trained have caused destructive septic arthritis. These and similar misadventures have led to lawsuits that are very difficult to defend.
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