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I would like to offer my thoughts regarding Lynch's editorial¹ and subsequent letters to the editor^2-4 concerning the demise of medical dermatology.

During the first week of medical school, the doers and thinkers, the surgeons and internists were already being distinguished in the anatomy laboratory. The gadgeteers, doers, and dissectors were enthralled with the mechanics of the scalpel and forceps, while the thinkers, talkers, and philosophizers were reading the text, memorizing every list, and extolling the wonderments of all this knowledge.

The readers and thinkers became medical dermatologists and, I hope, raised the science to a higher level in the last 40 years. They solved difficult cases, attended meetings, discussed various therapies, and enjoyed their status as astute physicians. The dissectors became surgeons and specialized their craft. The 2 groups meet, but they are at different ends of the philosophical spectrum. One group is not better than the other; the . . . [Full Text of this Article]

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