Issues facing dermatology in the United States

Abstract

Artigo Especial During my four years on the Board of Directors of the American Academy of Dermatology (AAD) and two years as the organization's Vice-President Elect and Vice-President, I had the opportunity to work with many Academy leaders in identifying and attempting to resolve many of the important issues facing our specialty in the United States. In this manuscript, I attempt to identify 13 critical issues (a "baker's dozen") facing dermatology and the progress, or lack of progress, we have experienced over the past several years. It is quite likely that many of these problems are not unique to the United States but are experienced by dermatologists worldwide. THE DERMATOLOGY WORKFORCE Few would disagree that there is a shortage of dermatologists in the United States, with patients often waiting months for an appointment. The severity of the shortage differs from region to region, and it is most acute in poor, rural areas and less so in more wealthy, heavily-populated cities. The scarcity of dermatologists can be attributed to a number of factors which are listed below.

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