| The examples and perspective in this article deal primarily with Western culture and do not represent a worldwide view of the subject. You may improve this article, discuss the issue on the talk page, or create a new article, as appropriatAttested in English in 1819, the word dermatology derives from the Greek δέρματος (dermatos), genitive of δέρμα (derma), "skin"[7] (itself from δέρω dero, "to flay"[8]) and -λογία -logia.
History
In 1801 the first great school of dermatology became a reality at the famous Hôpital Saint-Louis in Paris, and the first textbooks (Willan's, 1798–1808) and atlases (Alibert's, 1806–1814) appeared in print around the same time.[9]
Training
 Hôpital Saint-Louis in Paris, and the first textbooks (Willan's, 1798–1808) and atlases ( Alibert's, 1806–1814) appeared in print around the same time. [9]
Training
DermatologistOccupation |
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Names< After earning a medical degree (M.D. or D.O.), the length of training in the United States for a general dermatologist to be eligible for Board Certification by the American Academy of Dermatology, American Board of Dermatology or the American Osteopathic Board of Dermatology is a total of four years. This training consists of an initial medical, transitional, surgical, or pediatric intern year followed by a three-year dermatology residency.[2][10][11] Following this training, one- or two- year post-residency fellow ships are available in immunodermatology, phototherapy, laser medicine, Mohs micrographic surgery, cosmetic surgery, dermatopathology, or pediatric dermatology. For the past several years, dermatology residency positions in the United States have been one of the most competitive to obtain.[12][13][14]
The United States has been experiencing a national shortage of dermatologists for more than a decade. A study published by the Journal of the American Medical Association reported fewer than 3.4 dermatologists for every 100,000 people.[15]
United Kingdom
In the UK, a dermatologist is a medically qualified practitioner who has gone on to specialize in medicine and then sub-specialize in dermatology. This involves:
- Medical school for five years to obtain an MBBS, MBBCh or MB, BChir degree.
- Two years of Foundation rotations in various specialties.
- Two to three years training in general medicine to obtain a higher degree in medicine and become a member of the Royal College of Physicians.
- Having obtained the MRCP examination, applying to become a Specialty Registrar (StR) in Dermatology and training for four years in dermatology.
- Passing the Specialty Certificate Examination (SCE) in Dermatology before the end of training.
Upon successful completion of the four-year training period, the doctor becomes an accredited dermatologist and is able to apply for a consultant hospital post as a consultant dermatologist.
Fields
Cosmetic dermatology
Dermatologists have been leaders in the field of cosmetic surgery.[16] Some dermatologists complete fellowships in surgical dermatology. Many are trained in their residency on the use of botulinum toxin, fillers, and laser surgery. Some dermatologists perform cosmetic procedures including liposuctiThe United States has been experiencing a national shortage of dermatologists for more than a decade. A study published by the Journal of the American Medical Association reported fewer than 3.4 dermatologists for every 100,000 people.[15]
In the UK, a dermatologist is a medically qualified practitioner who has gone on to specialize in medicine and then sub-specialize in dermatology. This involves:
Fields
Cosmetic dermatology
[16] Some dermatologists complete fellowships in surgical dermatology. Many are trained in their residency on the use of botulinum toxin, fillers, and laser surgery. Some dermatologists perform cosmetic procedures including liposuction, blepharoplasty, and face lifts. [17][18] Most dermatologists limit their cosmetic practice to minimally invasive procedures. Despite an absence of formal guidelines from the American Board of Dermatology, many cosmetic fellowships are offered in both surgery and laser medicine. [19]
Dermatopathology
A dermatopathologist is a pathologist or dermatologist who specializes in the pathology of the skin.[20] This field is shared by dermatologists and pathologists. Usually, a dermatologist or pathologist will complete one year of dermatopathology fellowship. This usually includes six months of general pathology, and six months of dermatopathology.[21] Alumni of both specialties can qualify as dermatopathologists. At the completion of a standard residency in dermatology, many dermatologists are also competent at dermatopathology. Some dermatopathologists qualify to sit for their examinations by completing a residency in dermatology and one in pathology.
This field specializes in This field specializes in the treatment of immune-mediated skin diseases such as lupus, bullous pemphigoid, pemphigus vulgaris, and other immune-mediated skin disorders.[22] Specialists in this field often run their own immunopathology labs.[citation needed]Immunodermatology testing is essential for the correct diagnosis and treatment of many diseases affecting epithelial organs including skin, mucous membranes, gastrointestinal and respiratory tracts. The various diseases often overlap in clinical and histological presentation and, although the diseases themselves are not common, may present with features of common skin disorders such as urticaria, eczema and chronic itch. Therefore, the diagnosis of an immunodermatological disease is often delayed. Tests are performed on blood and tissues that are sent to various laboratories from medical facilities and referring physicians across the United States.
Mohs surgery
Mohs surgery focuses on the excision of skin cancers using a technique that allows intraoperative assessment of most of the peripheral and deep tumor margins developed in the 1930s by Dr. Frederic E. Mohs. The procedure is defined as a type of CCPDMA processing. Physicians trained in this technique must be comfortable with both pathology and surgery, and dermatologists receive extensive training in both during their residency. Physicians who perform Mohs surgery can receive training in this specialized technique during their dermatology residency, but many will seek additional training either through preceptorships to join the American Society for Mohs Surgery [23] or through formal one to two years Mohs surgery fellowship training programs administered by the American College of Mohs Surgery. [24]
This technique requires the integration of the same doctor in two different capacities: surgeon as well as pathologist. In case either of the two responsibilities is assigned to another doctor or qualified health care professional, it will not be considered to be Mohs surgery.
Pediatric dermatology
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