Lynch's editorial1 is laudable in its attempts to maintain an optimistic perspective as it relates to medical dermatology. Lynch's contributions to dermatology are significant and we have long admired his insights and leadership. However, after reading his essay, we believe a key issue has not been fully addressed. Medical dermatology is seriously ill and in danger of dying. The declining interest in medical dermatology is reflected in the attendance at medical dermatology course offerings at American Academy of Dermatology meetings for the past decade, and although improvements in medical information science are desirable and may improve the delivery of care to patients, these improvements will likely not be sufficient to rescue this dying patient.
Swerlick RA, Caughman SW. Declining Interest in Medical Dermatology. Arch Dermatol. 1998;134(9):1160-1161. doi: