• Dermatology is used as just one example to show how medical schools are imposing increasing restrictions on the time devoted to clinical subspecialties. Specialty practice actually represents general practice as applied to a particular organ system. Good grounding in certain special fields is essential to the development of a physician with well-rounded knowledge.
The skin is the site of many common and important allergic diseases as well as drug reactions, which are an increasing source of disability and even death. The physician must have sufficient preclinical, or basic science, knowledge of this body organ in order to distinguish between those reactions that are allergic and those that are not. This philosophy applies not only to all the dermatoses, but to all phases of specialty teaching.
Pillsbury DM. PRECLINICAL TRAINING AND CLINICAL DERMATOLOGY. JAMA. 1957;164(7):726-731. doi:10.1001/jama.1957.02980070008002