I agree; however, my hospital kicked back more than one consult to derm for this type of thing saying that we were fully qualified to provide that service. I continued to refuse; however, some of my colleagues would then do it.
I had one that they kicked back to us because I wouldn't do a biopsy of one on a female's forehead. I didn't want to to it because 1)I thought it was malignant and 2)it was in a place that needed to be well done for scar/cosmetic issues.
So gets kicked back, one of my colleagues decides to go for it and sure enough comes back Basal Cell and ends up going to derm anyway. I was miffed.