Hi guys, MS3 considering derm right now. ~Top 20 school, step 1 260, H in medicine and surgery so far. Have a couple midauthor basic science pubs from undergrad and did ophtho research in med school with no pubs yet. Don't have any derm dept connections really. Ideally I am interested in academic medicine, would like to have research as part of my career, but am not necessarily dying to go a top derm program (as I understand even if I took a research year that matching, esp at a academic program is not a guarantee) Would you recommend taking a year off for research? How difficult and what would it look like if I applied without a gap year? I can't defer anything for the rest of MS3 for a home rotation, so I assume my MS4 would be a home rotation in July, and then two aways in Aug and Sept? Also just a couple of general derm questions: 1. how many patients is typical for an 'average' half day or day? just trying to get an idea of its pace compared to ophtho where i'd say 20-25/ half day is good, and a retina clinic might hit 30-35/half day. The derm person I shadowed ran ~15 pts in a half day, and am not sure if this is chiller than usual. 2. I understand the derm boards are extremely rigorous, how much it is useful in practice? 3. Along those lines, is it common to mull over a ddx, like x vs y vs z, but in the end not matter because the tx is the same? ie excise it either way, or its a viral exanthem resolves on its own or something.