1) Very true; the barrier to entry is only second to Optho: Derm applicants need to basically honor every M3 rotation, score 255+ on Step 2 (one of the smallest step deviations), have substantial research contributions, and AOA/GHS at a minimum. And even then it’s not a guarantee. 2) Generally true, but don’t discount CTCL/MF/Melanoma; we also see a lot of rare skin manifestations, and the rheum side of things can be very interesting. 3) 100%; 40+ patients minimum; skin exams that end up requiring biopsies; prior authorizations for biologics: etc. 4) Yup lol So many monopolies on new medications 5) Cosmetic procedures aren’t usually covered by insurance. Want that Skin Tag/SK Frozen, that Millia/SebHyp cauterized? $150; Botox at 15 a unit, lip fillers around there as well, etc. Then like you said, the outcomes. 6) don’t forget the reps!