Dermatology has rested on the foundation of clinical observation and microscopic correlation. The founders of the American Dermatological Association and their successors were clinical microscopists, and much of the discussion at the yearly meetings has been concerned with dermatopathology.
The microscope was not a tool of an isolated scholar who delivered judgment from afar, but was part of the common experience of the clinic. This egalitarian approach to dermatopathology was codified by the requirement of the American Board of Dermatology that all candidates must demonstrate proficiency with the microscope. For 40 years, all training programs have incorporated continued study of the microscopic patterns of skin disease into the three years of residency and some have included as much as one full time year of experience in this training. The emphasis on pathology of the skin has been a major strength of American dermatology and has accounted for the many
Winkelmann RK. Perspectives on Dermatopathology. Arch Dermatol. 1976;112(ANIVERSARY):1674-1678. doi:10.1001/archderm.1976.01630360042012