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47 points bookofjoe | 1 comments | | HN request time: 0.212s | source
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NameError ◴[] No.42172647[source]
When my primary care doc referred me to a dermatologist for a suspicious mole, I could not find an actual dermatologist who would see me in less than ~8 months. I ended up seeing a physician's assistant, which I'm still uneasy about since there's been a study that shows that PA's seem to have a lower success rate vs. doctors [1], and the educational requirements are very different for PAs.

As a layperson, it seems like we (patients / society) would benefit from having more doctors, i.e. opening up more residency slots and admitting more people to med school, but there's probably a lot I don't understand about the issue. Not sure if it's a lack of political willpower to do this, or if there are other reasons why the number of doctors we train is so restricted.

[1] https://pubmed.ncbi.nlm.nih.gov/29710082/ ("PAs performed more skin biopsies per case of skin cancer diagnosed and diagnosed fewer melanomas in situ, suggesting that the diagnostic accuracy of PAs may be lower than that of dermatologists")

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1. TheNewsIsHere ◴[] No.42181633[source]
I recently had the exact same experience.

When I actually got my appointment within 30 days, due to calling and advocating for myself politely, I started wondering how much ground medical dermatology has ceded to elective and cosmetic dermatology. I am concerned that dermatology is becoming centered around the personal appearance of affluent people rather than medical need.

Try requesting appointments during December or January. A little birdie told me that appointment cancellations go through the roof at some practices during those months.