Thanks for the response.... I have some shadowing opportunities coming up soon: One with a private practice dermatologist and possibly another with a dermatopathologist who has a group lab but also works in academic medicine. I am just starting to get interested in dermatology (starting med school in the Fall); I think I would really like it if I could balance clinic and procedures without having a great deal of cosmetic work.
Alternatively, does anybody think that the cosmetic stuff greatly improves your patient's quality of life, and get a lot of satisfaction from that? Or is it mostly seen as a way to make money, where the actual outcome is high on your patients priority list but not yours?