I'm just guessing but here are my theories:
1) The outpatient portion of dermatology is probably the easiest to address. Strengthening core deficiencies in pediatric dermatology, dermatopathology, and consultative dermatology is going to take a lot of time to correct
2) What happens to deficient program is really anyone's guess at this point. I doubt they will be absorbed into an ACGME program. My guess is they would allow all current residents to graduate (or transfer), prohibit the matching of new residents, and then close the program at that point?