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The first thing a clinician sees is the skin, so the examination of the skin should be part of any thorough physical examination. Most skin disorders are relatively benign, but a few, including melanomas, can be fatal if untreated. A couple of the more noticeable disorders, albinism and vitiligo, affect the appearance of the skin and its accessory organs.
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Updated: Oct 3, 2025

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Navigating the Evolving Landscape of the Dermatologic Workforce.

Soraya Azzawi1

  • 1Department of Dermatology, University of Miami/Jackson Memorial Hospital, Florida.

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|February 15, 2022
PubMed
Summary

Physician extenders can help meet patient demand in dermatology, but patient safety is crucial. More research is needed to ensure diagnostic accuracy and procedural safety across all providers.

Area of Science:

  • Dermatology
  • Health Policy
  • Healthcare Workforce

Background:

  • Growing patient demand necessitates innovative care models in dermatology.
  • Physician extenders, including physicians not board-certified in dermatology, physician assistants, and nurse practitioners, offer potential solutions for healthcare disparities and cost reduction.
  • Adapting the dermatologic workforce requires prioritizing patient safety amidst evolving scope of practice.

Purpose of the Study:

  • To review the role of physician extenders in dermatology.
  • To highlight the importance of patient safety in evolving dermatologic care models.
  • To identify the need for further evidence guiding healthcare policies and care models involving diverse providers.

Main Methods:

  • Literature review of current practices and safety data.

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  • Analysis of diagnostic accuracy and procedural safety among different provider types.
  • Examination of healthcare disparities and expenditures in relation to provider models.

    • Main Results:

    • Physician extenders can potentially bridge healthcare disparities and reduce costs.
    • Existing literature indicates concerning variations in diagnostic accuracy and procedural safety between provider types.
    • Further evidence is required to inform policy and optimize care models.

    Conclusions:

    • While physician extenders are valuable, patient safety must be paramount.
    • Differences in provider expertise necessitate careful consideration of scope of practice.
    • Robust evidence is essential for developing safe and effective dermatologic care models.