Derm is not a lot better regarding numbers of overall positions. 30 PGY, 7 med/derm, 447 PGY 2, 27 R positions = 511. I'd argue their numbers are worst given that path has more IMG. What would be interesting is to see how many path residents have a J1 visa (requiring 2-year return of service). I would suspect its more than the 90 # of resident difference between the 2.
I think derm is similar to path in uniqueness (radiology also and they take more residents). What is different is advocating for better returns and diversifying their field. If we look at the Medscape data for physician income for 2018 the division between 'hands-on' specialties (or ones that have some components of this) and 'non-hands on specialties is nephro (not much more than path). In descending order of hands-on specialties, plastics (501) made the most and OB (300) made the least from the hands-on specialties. Non-hands on were nephro (294) to public health (199). We need to diversify and find new ways to generate money especially with newer tests taking away slide numbers.
In short, I still think pathologist should push for something unique to them that involves some hands-on work (with living patients hence not including forensics). If not hands-on work, better advocacy and policies to reduce the under budgeting of their wages.