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Quo Vadis Dermatology?
From a German Perspective, Cloudy
Arch Dermatol. 2000;136:50-51.
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INTRODUCTION
During the past 100 years, dermatology was continuously influenced by and dependent on changes of society, technical innovations, and abrupt downturns in the economy. In the following paragraphs, some structural aspects of German dermatology on the threshold of the new millennium will be considered, and a rather clouded forecast of the future will be given. In many other European countries the situation is, by and large, similar. With regard to some developments, I would be happy if my perspective turns out to be wrong.
THE NUMBER OF DERMATOLOGISTS WILL DECREASE IN GERMANY
At present, about 4000 dermatologists are practicing in Germany. Patients are allowed to go directly to one of these specialists. At present, however, there is strong political movement against this system. It is possible, and even likely, that within the first years of the next century Germany will switch to the British or Dutch system: the patient will have to go to a first-line physician who . . . [Full Text of this Article]
DERMATOLOGY WILL BE TAKEN OVER BY NONDERMATOLOGISTS
ENDANGERED SUBSPECIALTIES
LESS MONEY AND MORE BUDGETING
TWO-CLASS DERMATOLOGY
COSMETOLOGY AS AN ESCAPE
IRRATIONAL MEDICINE AS AN ESCAPE
AN OPTIMISTIC PROSPECT
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