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esperanzarising9 said:
What is the difference in terms of the job/responsibilities between an internist who has went through a dermatology fellowship and a regular dermatologist?
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There is no such thing as a dermatology fellowship. There are internists (along with everyone else, lol) that take weekend courses to learn cosmetic procedures like fillers. So they'll typically be doing their specialty specific stuff and then doing their cosmetic stuff on the side.

Edit: I don't even think internists are doing this unless they're doing outpatient medicine.
 
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esperanzarising9 said:
What is the difference in terms of the job/responsibilities between an internist who has went through a dermatology fellowship and a regular dermatologist?
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The difference is that one is a real board certified dermatologist who is an expert at treating disorders of the skin, and the other is an internist who would be incapable of providing comprehensive or quality skin care.

The other difference is that no sane patient would ever go see an IM doctor for dermatologic care if they saw your credentials. The very few who go this route have some of the most aggressive/sleaziest/dishonest marketing and websites in order to fool patients.
 
slowthai said:
There is no such thing as a dermatology fellowship. There are internists (along with everyone else, lol) that take weekend courses to learn cosmetic procedures like fillers. So they'll typically be doing their specialty specific stuff and then doing their cosmetic stuff on the side.

Edit: I don't even think internists are doing this unless they're doing outpatient medicine.
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There are ( were?) actually a few derm fellowships. I think most at least in my perspective were osteopathic programs where you basically did what amounted to a second residency and also on top of that while attending level internist work.
 
Dr. Doctor MD said:
The difference is that one is a real board certified dermatologist who is an expert at treating disorders of the skin, and the other is an internist who would be incapable of providing comprehensive or quality skin care.

The other difference is that no sane patient would ever go see an IM doctor for dermatologic care if they saw your credentials. The very few who go this route have some of the most aggressive/sleaziest/dishonest marketing and websites in order to fool patients.
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I don't think patients really know or judge credentials. If a IM to Derm fellowship person who is boarded in derm likely under the osteopathic boards is hired in a dermatology clinic no one is going to probably know the difference between them and someone who did a regular derm residency which is already more or less 1 year of IM + 3 years of derm.

Hell, we live in a time where our patients dont know what the difference is between an ANP and a MD/DO is.
 
Yesterday I saw a research coordinator with a BSN walking around in a full length white coat. I had her job as a premed, lol. I guarantee they do it because it makes patients assume they're a provider and few to none will know which acronyms on a coat (MD? DO? NP? PA? CRNA? BSN?) are "real." And that's just by looking the part. If anyone thinks patients will be checking your training pathway, or even know that Derm is normally a 1+3 year residency in the first place, I've got a bridge to sell...
 
Currently in Derm residency: I’d like any internist even the smartest ones to give a try to my patient panel for even a day. Would be a humbling experience you wouldn’t see coming for miles.
Likewise, I know my place. I’d never try to be an internist or hospitalist (even though I did actually train for a full difficult year in this prior to Derm residency).
No, there are no actual Derm fellowships after IM (not any that I’m aware of or actually respect anyways).
 
esperanzarising9 said:
Someone on Instagram, Dr. Aaliya Yaqub, is an internist with a dermatology fellowship??
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Well I did a search, and all I see is "board certified in internal medicine". If it truly did exist, which it doesn't, she would be board certified by the ABD in dermatology. I think it's just marketing. Looks like she did a research fellowship in rheum and autoimmune skin diseases. Dunno if that's what she's referring to. She's a self-proclaimed "skincare expert". Ridiculous, imo.
 
esperanzarising9 said:
Also, her Instagram seems to be misleading...she obtained her MD from UCLA but on her instagram, it says "Stanford MD"

I mean, UCLA is an excellent school and it looks like she does work at Stanford. But "Stanford MD" is misleading...
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Just interpreting that as she is an MD at Stanford
 
esperanzarising9 said:
Oh, is this even legal? To do skin care procedures even though you haven't gone through dermatology residency?
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Like I said before, you can technically do anything a physician can do as long as you have a medical degree (MD/DO). You 100% shouldn't, though. There are certain lines that shouldn't be crossed, like an interventional cardiologist attempting to do cardiothoracic surgery.
 
My aunt, a FM physician, owns a medical spa (operating under her license) where they provide dermal base services such as injectables, ultherapy, etc. boy does it make her a lot of money
 
not_me1234 said:
My aunt, a FM physician, owns a medical spa (operating under her license) where they provide dermal base services such as injectables, ultherapy, etc. boy does it make her a lot of money
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There are a lot of scumbags like your aunt who take advantage of patients by trying to pretend they have legitimate derm knowledge. Usually they aren’t even physically in the building and have unsupervised PAs/NPs (or worse yet, RNs) performing procedures beyond their scope/understanding.

It’s like handing a toddler a gun and hoping they know how not to shoot their eye out.
 
slowthai said:
Well I did a search, and all I see is "board certified in internal medicine". If it truly did exist, which it doesn't, she would be board certified by the ABD in dermatology. I think it's just marketing. Looks like she did a research fellowship in rheum and autoimmune skin diseases. Dunno if that's what she's referring to. She's a self-proclaimed "skincare expert". Ridiculous, imo.
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The ABD does not endorse or certify people like this. It should in no way shape or form be conflated with the actual knowledge a board certified dermatologist gains and is responsible for through rigorous study and training.

They’re infants trying to find a seat at the grown ups table for Thanksgiving.
 
username456789 said:
The ABD does not endorse or certify people like this. It should in no way shape or form be conflated with the actual knowledge a board certified dermatologist gains and is responsible for through rigorous study and training.

They’re infants trying to find a seat at the grown ups table for Thanksgiving.
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This is true for basically every non-hospital based specialty - outside of academia it can really turn into the wild wild west. I know FM docs who do ER, ER docs who do botox, dermatologists who do liposuction etc. People do whatever the hell they want, consequences be damned.
 
Lexdiamondz said:
This is true for basically every non-hospital based specialty - outside of academia it can really turn into the wild wild west. I know FM docs who do ER, ER docs who do botox, dermatologists who do liposuction etc. People do whatever the hell they want, consequences be damned.
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Liposuction is a bad example, as it has long been under the purview of derm and can be done quite efficiently with tumescent anesthesia; however, plastic surgeons get to charge more to put people under in their surgery centers.

A dermatologist quite literally invented/pioneered liposuction with tumescent lidocaine.
 
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username456789 said:
There are a lot of scumbags like your aunt who take advantage of patients by trying to pretend they have legitimate derm knowledge. Usually they aren’t even physically in the building and have unsupervised PAs/NPs (or worse yet, RNs) performing procedures beyond their scope/understanding.

It’s like handing a toddler a gun and hoping they know how not to shoot their eye out.
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yes she’s never there; I completely agree it’s Really terrible
 
username456789 said:
Liposuction is a bad example, as it has long been under the purview of derm and can be done quite efficiently with tumescent anesthesia; however, plastic surgeons get to charge more to put people under in their surgery centers.

A dermatologist quite literally invented/pioneered liposuction with tumescent lidocaine.
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And FM founded EM, which is why some FM docs still practice in the ER. Not really good examples.
 
esperanzarising9 said:
Oh, is this even legal? To do skin care procedures even though you haven't gone through dermatology residency?
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You can literally legally do anything within the scope of medicine and surgery with an unrestricted medical license. Now if you aren't trained to do such procedures, good luck finding affordable malpractice or a place willing to insure you/anesthesiologist (although CRNAs might) willing to take the risk along with you.
 
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