Years of Evolution

National Report -- In the past 25 years, dermatologists have witnessed a host of innovations that have made their specialty more vital than ever. During that same period, it has become increasingly evident that for the specialty to thrive in 2004 and beyond, two intertwined challenges must be addressed. They are the pervasive impact of managed care and the troubling trend for younger doctors to succumb to the allure of performing cosmetic procedures at the expense of clinical ones.