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Arch Dermatol. 2000;136:60-61.

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

On a recent kayaking trip on the lower portion of the Queen Charlotte Islands off the west coast of British Columbia, I was struck by the relentless pounding of the beach by the ocean breakers coming from the orient (Figure 1). The degree of change they caused impressed me. Like a crazed monster, they repeatedly stirred, cauldron-like, portions of the shore. Every so often, an enormous wave crashed onto the coast, as if to say "you ain't seen nothing yet." And all this with a cacophony of smashing sounds. This repeated attack of the beach by the breakers suggested to me an analogy with the outlook for dermatology in the year 2000 and beyond.

Figure appears in full text version. Figure 1. The author (R.J.) on South Beach of Bowles Point in Queen Charlotte Islands, British Columbia. Photograph by Anne Jackson, Ottawa, Ontario.

What has the tide brought in? What has the tide taken . . . [Full Text of this Article]