This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
DERMATOLOGISTS IN the United States and in the United Kingdom treat the same diseases with similar therapies, with similar success. We speak the same language—almost. However, the postgraduate training and administration of dermatology is vastly different on both sides of the Atlantic. Another common factor is that both the American and British systems are undergoing changes mandated by their central governments—possibly too quickly, and without adequate professional consultation. Historically, our systems have been very different for many years.
Let us first consider training. In the United Kingdom, most medical students have a 5-year course at the end of which the graduate receives the degree of MB, ChB (or something very similar). This is followed by a 1-year junior house position in which the junior physician is in day-to-day charge of the patients' immediate practical needs. The work is predominantly related to inpatients. This first 12-month period is divided
Cunliffe WJ. Dermatology in England. Arch Dermatol. 1994;130(10):1305-1307. doi:10.1001/archderm.1994.01690100089015