There is no doubt that dermatology has undergone a dramatic evolution in the 20th century. Surgery and surgical procedures became popular, particularly in the latter part of the 20th century, signifying the end of dermatology as a predominant medical specialty. More recently, new cosmetics and aesthetic developments have changed our specialty, and it would be fair to say that these activities have become a very important aspect of the average dermatologist's practice. Unfortunately, this change has created a vacuum in traditional (medical) dermatology in the United States, and the greatest impact has been in inpatient dermatology.
Kerdel FA. Hospital DermatologyAre Dermatologists Spectators or Players?. Arch Dermatol. 2000;136(1):65-66. doi:10.1001/archderm.136.1.65