I think derm-trained people are great at the clin-path correlation aspect of dermpath, but they suffer a fair amount when it comes to IHC work-up of complicated cases since they basically only learn IHC during their dermpath year. On the other hand, as a path-trained dermpather, I struggle a bit with the complicated inflammatory cases, but the tumor stuff I feel very comfortable with. So it's a mixed bag, but each has their strengths. I will say that derm trains using a fair amount of dermpath during the whole residency whereas dermpath training in path residency can be hit or miss depending on where you go. My $.02.