I've spoken to many in the field with their ear to the grindstone and evidently the new wave of derm in the next 5 years will be a "Derm procedures" fellowship (i.e MOHS combined with a couple of other months of lasers, cosmetics, etc.). Anyone have any further insight into this? Also, the term "derm surgery" is pretty vague. I read that some dermatologists or derm surgeons can do "flaps" and other invasive procedures. 1. How common is this? 2. Do colleagues in the field frown upon this? 3. How do the plastics and ENT docs feel about this (assuming that the procedures are what I am perceiving them to be and might enfringe on some turf?) 4.How receptive are patients out there to having these procedures done by their dermatologist? Appreciate any input and hopefully this will start a good thread.