The Proper Future for Medical Dermatology

Werth, Victoria P.; Sontheimer, Richard D.; Piette, Warren W.; Lee, Lela A.

doi:10.1001/archderm.134.9.1159-b

Cited by 10 publications

(3 citation statements)

References 3 publications

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“…11 Whereas some have expressed concern that this increase in procedural dermatology will lead to a signif-icant decline within medical dermatology, both in the number of dermatologists who perform medical dermatology and in access to care, others embrace this new facet of our field as a natural extension of the care dermatologists provide for all aspects of the skin. 5,9,10,[12][13][14][15] When dermatologists first broadened the scope of their practices to include surgical procedures, some thought that this would create a dichotomy between medical and surgical practitioners. In most cases, what has occurred is only a few practitioners performing solely medical or surgical dermatology, whereas most dermatologists have combined these areas, selecting the new procedures they choose to integrate as they are developed.…”

Section: Discussionmentioning

confidence: 99%

Increase in Procedures Performed at Dermatology Office Visits from 1995 to 2001

Neville

Housman

Letsinger

et al. 2006

Dermatologic Surgery

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Section: Discussionmentioning

confidence: 99%

Increase in Procedures Performed at Dermatology Office Visits from 1995 to 2001

Neville

Housman

Letsinger

et al. 2006

Dermatologic Surgery

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“…Family physicians may receive more dermatology-specific training depending on interest and program, but there are no specific requirements set by the ACGME [ 6 ]. Dermatology has historically been separated from medicine and vice versa, but the value in holistic and integrative care was recognized more than 20 years ago [ 7 ]. Now five combined internal medicine-dermatology residencies exist in the US for physicians to be able to sit for both board exams [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Multidisciplinary Training in Dermatology: Exploring the Spectrum of Board Certifications Among Physicians Practicing Dermatology in Texas

Lee,

Hatch

et al. 2024

Cureus

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Dermatology, a medical specialty focused on skin, hair, and nail conditions, often overlaps with various medical specialties. Although most physicians practicing dermatology are board-certified in dermatology, there are physicians practicing dermatology who are board-certified in a variety of different medical specialties. This cross-sectional study examines the board certifications of physicians who reported practicing dermatology in Texas. Data were sourced from the Texas Medical Board database updated in August 2023. The data showed that out of 1,614 practicing physicians declaring dermatology as a specialty in Texas, 1,080 (66.91%) physicians had one board certification, 200 (12.39%) had two, and 15 (0.93%) had three. Of the physicians with one board certification, 1,053 (97.5%) were board-certified in dermatology, with the remainder primarily being a mix of a variety of primary care specialties but also including other specialties. This study confirmed that while the vast majority of physicians practicing dermatology are board-certified in dermatology, there are opportunities for physicians board-certified in other specialties to practice dermatology as well.

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“…In 1986, changes in Medicare reimbursement for graduate medical education restricted funding for dermatology trainees to an internship and three years of dermatology residency, eliminating payment for those seeking broader training in medicine. This change, coupled with expanded numbers of minor surgical and cosmetic procedures, was felt to contribute to the redistribution of treatment of dermatologic diseases with significant systemic manifestations to other medical specialties, including rheumatology, oncology, and infectious disease [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

A national survey of residents in combined Internal Medicine and Dermatology residency programs: educational experience and future plans

Mostaghimi

Wanat²,

Crotty³

et al. 2015

Dermatology Online Journal

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Importance: In response to a perceived erosion of medical dermatology, combined internal medicine and dermatology programs (med/derm) programs have been developed that aim to train dermatologists who take care of medically complex patients. Despite the investment in these programs, there is currently no data with regards to the potential impact of these trainees on the dermatology workforce.Objective: To determine the experiences, motivations, and future plans of residents in combined med/derm residency programs. Design, Setting, and Participants: We surveyed residents at all United States institutions with both categorical and combined training programs in spring of 2012. Respondents used visual analog scales to rate clinical interests, self-assessed competency, career plans, and challenges.Main Outcomes and Measures: The primary study outcomes were comfort in taking care of patients with complex disease, future practice plans, and experience during residency.Results: Twenty-eight of 31 med/derm residents (87.5%) and 28 of 91 (31%) categorical residents responded (overall response rate 46%). No significant differences were seen in self-assessed dermatology competency, or comfort in performing inpatient consultations, cosmetic procedures, or prescribing systemic agents. A trend toward less comfort in general dermatology was seen among med/derm residents. Med/derm residents were more likely to indicate career preferences for performing inpatient consultation and taking care of medically complex patients. Categorical residents rated their programs and experiences more highly.Conclusions and Relevance: Med/derm residents have stronger interests in serving medically complex patients. Categorical residents are more likely to have a positive experience during residency. Future work will be needed to ascertain career choices among graduates once data are available.

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The Proper Future for Medical Dermatology

Cited by 10 publications

References 3 publications

Increase in Procedures Performed at Dermatology Office Visits from 1995 to 2001

Increase in Procedures Performed at Dermatology Office Visits from 1995 to 2001

Multidisciplinary Training in Dermatology: Exploring the Spectrum of Board Certifications Among Physicians Practicing Dermatology in Texas

A national survey of residents in combined Internal Medicine and Dermatology residency programs: educational experience and future plans

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