Many dermatologists complain bitterly about the quality of their professional lives in the changing health care environment. Hence, as a dermatologist-in-training, you will hear negative comments about endless reams of paperwork and the evils of managed care, among other complaints. In response to current economic forces, you may be urged to work faster, seemingly without consideration for either optimal patient care or your educational needs. You may feel reduced to the role of an automaton, with meaningful interpersonal interactions delegated to nursing or paramedical personnel.
Elias PM, Williams ML. Notes to an Aspiring Dermatologist in the Year 2000Inspired by Rainer Maria Rilke's Letters to a Young Poet. Arch Dermatol. 2000;136(1):37-40. doi:10.1001/archderm.136.1.37