On a recent kayaking trip on the lower portion of the Queen Charlotte Islands off the west coast of British Columbia, I was struck by the relentless pounding of the beach by the ocean breakers coming from the orient (Figure 1). The degree of change they caused impressed me. Like a crazed monster, they repeatedly stirred, cauldron-like, portions of the shore. Every so often, an enormous wave crashed onto the coast, as if to say "you ain't seen nothing yet." And all this with a cacophony of smashing sounds. This repeated attack of the beach by the breakers suggested to me an analogy with the outlook for dermatology in the year 2000 and beyond.
Jackson R. The Beach of Dermatology. Arch Dermatol. 2000;136(1):60-61. doi:10.1001/archderm.136.1.60