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Dermatologist Job Description
Dermatologist Job Description
Dermatologists are medical doctors who diagnose and treat ailments of the
largest organ of the human body and advise patients on achieving healthy and
attractive skin. During patient visits, dermatologists take medical histories and
use a dermoscope, or magnifying or illuminated device, to detect abnormalities
or malignancies. They might use diagnostic techniques, such as biopsies, to
identify diseases and determine appropriate therapies. Areas of specialization
include cosmetic dermatology, pediatric dermatology, and dermatopathology
(also known as the study of skin diseases).
Board-Certified Dermatologist
General Dermatologist
Research Dermatologist
Cosmetic Dermatologist
Examples of Dermatologist responsibilities
Bachelor's Degree
Getting an undergraduate/bachelor's degree from a four-year university is the first step to becoming
a dermatologist. This can include pre-med courses in biology, organic chemistry, physics, and
general chemistry. Some students must also complete math and biochemistry coursework
depending on the medical school they wish to attend.
Step 3
Medical School
After completing an undergraduate/bachelor's degree, aspiring dermatologists need to take and
perform well on the Medical College Admissions Test (MCAT). They must then attend a four-year
accredited medical school. A high undergraduate GPA is essential, as admission to medical school
is extremely competitive.
Step 4
Residency
Following medical school, aspiring dermatologists must complete a dermatology residency. A
residency in dermatology involves one year as an intern in either general surgery or internal
medicine, followed by three years of clinical residency in dermatology.
Step 5
Fellowship
After the completion of residency, many dermatologists choose to pursue further training in sub-
specialized fields such as cosmetic surgery, laser medicine, dermatopathology, phototherapy,
immunodermatology, or Moh's micrographic surgery. This is done through a one or two year
fellowship.
Step 6
Licensing/Certification
Dermatologists must obtain and keep a current license to practice. After successfully completing
medical school and dermatology residency, they are eligible to sit for the Dermatology Board
Examination (administered by the American Board of Dermatology (ABD)) and can finally be
deemed “board-certified”. Dermatologists who have completed a fellowship and passed the general
board examination can get further certification and take the appropriate Subspecialty Board
Examination through the ABD. To maintain board certification, a dermatologist must re-take and
pass the board examination every ten years, and complete continuing medical education (CME)
requirements throughout his or her career.
It can take up to 13 years to become a dermatologist. This includes time spent as an undergrad, in
medical school, and in residency. Medical school programs take four years to complete and include
courses such as cell biology, pathology, anatomy, physiology, genetics, immunology, and
pharmacology. Students also learn how to examine, interview, diagnose, and build positive
relationships with patients.
The National Resident Matching Program matches prospective dermatologists with a residency
(which takes three years to complete). Residents learn how to diagnose conditions of the skin, hair,
and nails and learn surgical techniques such as cryotherapy, biopsies, and excisions. Completing a
fellowship after residency is available for those who want to pursue specific specialties such as
immunodermatology, phototherapy, dermatopathology, cosmetic surgery, laser medicine, or Mohs
surgery.
According to Medscape’s 2014 Physician Lifestyle Report (a survey of more than 31,000 U.S.
physicians) dermatologists emerged as the specialists who are happiest both at home and at work.
At 53 percent, dermatologists topped the list by a considerable margin in reporting a high level of
happiness at work.
Dermatology is a very good specialty to get into for a lot of reasons. The work schedule is very
'normal' compared to other medical careers (typically 8:30am to 5:00pm Monday through Friday),
the salary is excellent, the patients generally aren't in an emergency situation like they are in
oncology or medicine, and people are usually happy because they end up looking better and feeling
better.
When you enter into the field of dermatology you can expect to reap rewards such as an extremely
good paycheque and a work schedule that doesn't have you tied to a desk for hours on end.
However, obtaining a medical degree in dermatology is a very long process and extremely
competitive.
If you think you'd love to learn about the diagnosis and treatment of diseases of the skin, hair and
nails and would enjoy helping people regain their self-esteem, then dermatology may be a good
career to consider. As with any profession, it’s important to know what you’re getting yourself into
before you decide to commit to it.
PROS
In demand career
Great career for those who are friendly and have a good bedside manner
Most cases are not emergencies or time sensitive (like other medical careers)
CONS
Cost of undergraduate and medical school can range from $225,000 to $525,000
Difficult/competitive to match with a dermatology residency program
Bachelor's Degree
How to become a Dermatologist
Skin conditions are often associated with internal conditions and other external factors. Therefore,
dermatologists should be knowledgeable in fields such as genetics, oncology, mycology,
immunology, histology, bacteriology and others.
Show Me Schools
Career Requirements
Degree
Doctor of Medicine
Level
Degree
Pre-med degrees can include chemistry, biology, or math
Field
Experience Internships and volunteer positions may advance education and career
Licensure Must pass state licensure exam. Board certification is not required, but preferred.
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11. No matter how long you're in this specialty, there will still
be things that shock you. Dermatology is a very visual specialty. I had
a patient who was a little boy and he was born as a collodion baby —
when they're born, they almost look like they're wrapped in plastic wrap
— and the skin on his face was so tight and inflamed that it pulled his
lower eyelids down. His skin is red and it just peels off, and he just flakes
all the time. As an infant, there were some mistakes made in the hospital
and he lost his hand. But you can't ever let your "oh my god" reaction to
patients that are dripping and oozing stuff show. You just can't.
13. It's better to be honest with patients if you know you can't
help them. Rather than tell people it's going to be OK when you know
it's not going to get better, just assure them that you will be there to help
them manage the disease along the way. Psoriasis, for example, is so
common, and there's a reason it's referred to as the "heartbreak of
psoriasis": for most people it doesn't get better. I think just being there to
let them know you're on their side and that you're going to do whatever
you can to make it better is the best thing you can do.
18. Your patients' problems are more than skin deep. It's
important to remember that the skin itself reflects what's happening on
the inside. "I don't think I realized how much of psych there was in
dermatology," says Dr. Nazarian. "I think that sometimes you see a lot of
psychiatric diseases manifesting in dermatology whether it be picking
out of anxiety or malnourishment because of depression or drug abuse."
As a dermatologist, you need to know how to interpret how physical or
mental ailments may affect the skin. If you choose to specialize in
dermatology in medical school, chances are you're also learning about a
lot of internal medicine. "Skin itself is an extension of everything else
and so I find myself diagnosing a lot of things that are not just skin,"
explains Dr. Nazarian. "It goes so much deeper than what you see on the
outside."
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Also, I’ve had patients tell me, “I guess I should go to my real doctor for that problem.”
What? I, like most dermatologists was at the top of my medical school class and patients
seem to think we’re glorified aestheticians. Not sure who to blame for this one.
Overall, the benefits far outweigh the downside. I’m happy with my practice and my patients
and I feel like I make a difference. I save a life from melanoma weekly. I do 8–12 skin cancer
surgeries weekly. I treat debilitating autoimmune diseases that no other specialty knows
anything about. It is rewarding both personally and financially. People will discount how
their internist treats their hypertension or type 2 diabetes because they can’t see their
hypertension or diabetes. But patients are usually really grateful when I fix something on
their skin—an organ they look at every day.
Having to spend your nights and weekends with your loved ones instead of saving lives in
the hospital. Wondering which brokerage firm will give you the best financial advice.
Seriously, though, I can think of a few. The dermatologists were the top students in medical
school, but they are not well respected by other physicians, who feel the job is too cushy.
For example, I'm an anesthesiologist. I work long hours, nights, weekends, etc. I make
moment to moment decisions that impact a patient’s survival. I'm exposed to blood and
body fluid pathogens and radiation daily. So if the respect of yo...
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I don't see many. Quite contrary, there are not emergencies in the hospitals, flexible hours,
….Cosmetic dermatology is specially lucrative.
Its kind of sad, many dermatologists are focusing on cosmetic enhancements, Botox
treatments, fillers….rather then what is their original calling.Skin problems. Other thing, skin
reflects whats going on in the body. Good dermatologist respects it. But many just playing
guessing game with prescriptions medications and creams. If one doesn't work, prescribe
other one.
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ERMATOLOGISTS - PREPARATION
To work as a dermatologist, you typically need to: