Hear, hear. It's a fool's errand to believe you will naturally land a full time job in your chosen field in either dermpath or MMS -- at least "busy" as we would want to be. It's been that way for 15 years now; I mean, I know we can be slow to catch on, but damn....
I remember a few years back at the Mohs college meeting they did an informal survey with the little handheld ballot device (think trivia night at the bar - ha). They asked how many were full time defined as 4 full patient days per week. They then asked how many were full time MMS. They then asked annual volume. A relatively high percentage claimed full time work, a smaller but still significant majority claimed full time MMS, but -- and by no small margin -- the median and most frequent case load was 500-750 cases annually. Sorry, but that math does not compute, someone was not being honest (either with self or group, who knows). Only a small minority, mostly old guys, admitted to routinely performing more than 1000 cases annually. Granted, this was immediately following a keynote speaker decrying the increased utilization... and someone who won't be named getting up and saying that the grand increase was largely by college folks, not the society -- so I'm not sure of the validity of the polling -- but one thing that I am quite sure of: complaints of simply being overcome and looking to add an associate (Mohs) provider were scarce. As in, non-existent.
I'd have a job lined up before agreeing to the fellowship.