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	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

We enjoyed reading the editorial regarding the future of medical dermatology by Lynch.¹ We agree that the continued expansion of dermatology into surgical and cosmetic venues has strengthened our field without a negative impact on medical dermatology, but we disagree on how best to manage hospitalized patients with dermatologic problems.

In contrast to Lynch, we believe that it is in the best interest of our sickest patients whose illnesses are due to skin disease to be cared for by dermatologists. Over the years, dermatologists have treated the sickest of our patients and have done so in an effective manner and, in many countries, continue to do so.² In the United States the shift to nondermatologists caring for hospitalized patients with severe skin disease is not a result of the superiority of care these physicians provide, but due to factors such as the implementation of the diagnosis-related groups. This shift has . . . [Full Text of this Article]

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Medical Dermatology Is Alive and Well
Callen and Robinson
Arch Dermatol 2005;141:825-826.
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