I think overall dermpath market is getting better as compared to 5-6 years ago. Starting salaries are higher too based on what I have heard from some colleagues and recruiters. If you are interested in a specific geographical area prob the most practical thing would be to reach out to the independent derm groups in the area and let them know you are interested. If they don’t have a lab and have enough volume (8-10 k specimens) offer them to set up the lab yourself or get the TC processed elsewhere and read and bill for professional. With 10K specimens, your professional reads itself could generate $400-500K in revenue with stains, plus you will generate additional revenue from gen derm. The only significant overhead for PC only will be buying a microscope and reporting software. I would suggest staying away from PE owned groups if possible. For academics, I would recommend reaching out to derm department chairs in your geographical area of interest even if they are not advertising for a position. Depending on where dermpath is based in the hospital it might be a good idea to get in touch with the path department too.
Reg academic vs private practice dermpath. It really depends on what your career goal is, it takes time to get established in academic dermpath but if you like research and can publish, in the long run it can possibly be quite lucrative particularly if you are able to establish an outreach practice or can become an expert in one area. Some of the academic dermpaths that I trained and worked with were the highest compensated physicians in their hospital system and I am NOT talking about LeBoit and McCalmont. A high volume dermpath practice is a money maker for the hospital particularly if the dermpath is able to get outside consults. But it takes time to get established.