Derm wasn't popular 20 years ago?

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LoveandHate

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Was Derm as popular/competitive 20 years ago as it is today? If not what has changed?

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So it wasn't as popular 20 years ago because they didn't get paid as much? All the dermies I know tell me that cosmetics is a relatively small part of their practice...
 
From what attendings have said I think it was definitely competitive. It may be somewhat more competitive now but I feel like everything is...
 
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