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    How to become a Dermatologist - A step-by- step guide from high school to Dermatology licensure

    Posted by Callie Torres
    October 18, 2021

    steps to becoming a DermatologistIf you are considering a career as a Dermatologist, or just looking for up to date information about the Medical specialty of Dermatology, then you are in the right place! As a Medical school with students in Dermatology clinical rotations, we have first hand experience with this subject!

    We wrote this article as an introduction to Dermatology, but also to provide a detailed step-by-step guide for future Medical students looking for accurate information about how to become a Dermatologist.

    We would like to convey to the reader, the level of dedication necessary to complete a residency in Dermatology, get licensed, and then have a career as a Dermatologist.

    Quick Navigation Links to 10 FAQ's about Dermatology and Dermatologists

    Dermatologists education - how to become a Dermatologist?

    The education and training path to become a Dermatologist takes 12 years or longer to complete. Obviously, this takes an enormous amount of dedication and sacrifice. Assuming that a high school education or GED is already complete, here are the necessary steps to become a Dermatology specialist:

    Step 1: Enroll in a college or University and complete the coursework needed for admission into Medical school

    Most medical schools require the following prerequisite courses: mathematics, physics, chemistry, biology, organic chemistry, anatomy, and English. To be competitive, medical admissions specialists suggest earning a B or higher in all classes. In addition to receiving good grades, other experiences such as volunteering, leadership roles, research, and shadowing are definitely taken into account by admissions specialists.

    Step 2: Take the MCAT (Medical College Admissions Test)

    The Medical College Admissions Test (MCAT) is required for entrance into all US medical schools. The MCAT is an eight hour, computer based examination. However, during the COVID 19 Pandemic, this requirement was waived by many schools.

    Scoring well on this test is an essential component of being considered as a medical school applicant. Many Universities use computer algorithms that automatically filter and reject applications immediately if a predetermined MCAT score is not met.

    Step 3: Get accepted and attend an Allopathic (MD degree) or Osteopathic (DO degree) Medical school

    After undergraduate prerequisites are complete, students wanting to become Dermatologists must apply and be accepted to an Allopathic (MD degree) or Osteopathic (DO degree) medical school. Because Medical school admission is highly competitive, high grade point averages and MCAT scores are very important. Most med schools use computer based algorithms to screen applicants, so it is vital to have good scores in order to even be considered for admission.

    Medical school curriculum is broken down into two distinct parts. The first two years are spent doing classwork, where the basic sciences of Medicine are learned. The last two years of Medical school is spent in teaching hospitals where students become familiar with clinical skills and procedures.

    During Medical school, all students must pass two national board examinations. For Allopathy students these are the USMLE Step 1 and Step 2 exams. There are similar board examinations for D.O. students, called the COMLEX tests.

    During their final year at medical school, students submit applications and interview for various residency programs in their chosen career. Of course for this topic, this includes Dermatology residencies. Following the interview process, Medical school students are matched into residency training programs using a computer algorithm method termed “The Match”. Finally, medical students complete their studies and prepare to begin residency.

    dermatologic laser procedure


    pediatric skin doctor looking at skin abnormality


    Step 4: Begin and complete Internship and Residency

    After Medical school is officially complete, graduates now get a limited license to practice and see patients. However, they must do so under supervision. All future Dermatology residents must complete a one year Internship, also known as transitional or preliminary year. During this time, trained students, who now have a M.D. or D.O. degree work in teaching hospitals, clinics, and emergency departments to see patients and learn skills for a broad understanding of medicine. The USMLE Step 3 or COMLEX Level 3 must also completed during this time.

    Dermatology residency is highly competitive three year program. It is during this time, that Residents in Dermatology finally participate in a comprehensive program that focuses entirely upon Dermatologic Medicine. During this time resident physicians practice in many different areas including consulting with inpatient and outpatient dermatological problems, dermatologic surgery, dermatology electives, dermatopathology, and in dermatologic research. Residents also participate in conferences, national and international events, and are encouraged to publish their findings.

    Step 5: Board Certification

    Although board certification in Dermatology is not technically required for obtaining a professional license, it is a desirable credential that demonstrates knowledge and exceptional expertise. Nearly every hospital, clinic or educational institution demands board certification for employment.

    Certification for Dermatology residents can be obtained through several governing bodies including the American Board of Dermatology (ABD) and the American Osteopathic Board of Dermatology.

    Step 6: Fellowship Training (optional)

    Dermatologists have the option to pursue additional training in one of the three to four subspecialties of Dermatology. This is not necessary in order to find a job. To learn more about Dermatology subspecialties and fellowship continue to the next section.

    What are the Subspecialties on Dermatology?

    There are three recognized subspecialties of Dermatology. These include:

    • Dermatopathology – 1 year fellowship
    • Mohs Micrographic Surgery and Dermatologic Oncology – 1 year fellowship
    • Pediatric dermatology- 1 – 3 year fellowship
    • Cosmetic dermatology – 1 year program (while this is not a recognized subspecialty of Dermatology, it is a popular path that many residents choose to pursue)

    More information about Dermatology subspecialties and fellowships can be found here.

    dermatologist looking at a skin lesion


    cosmetic dermatologist doing an injection


    What is a Dermatologist?

    A Dermatologist is an Allopathic (MD) or Osteopathic (DO) trained Physician that has completed a 1 year internship followed by a 3 year Dermatology residency. They specialize in the diagnosis and treatment of medical conditions that affect the skin, nails, hair, and mucous membranes. Dermatologists are commonly known as “skin doctors.” The skin is the largest organ on the human body, so Dermatologists have a high level of education and training to provide patients with the proper medical skin care.

    What do Dermatologists do?

    Dermatologists are trained to provide medical, surgical and cosmetic services that involve the skin. The types of procedures they choose to provide is dependent upon each individual Dermatologist’s mode of practice. Of course, this is influenced by any additional subspecialty training they may have obtained during fellowship. According to the Centers for Disease Control and Prevention (CDC), the most common reasons why a person would see a Dermatologist include:

    • Acne or skin blemishes
    • Rashes on the skin
    • Discoloration of the skin
    • Lesions on the skin

    Other common conditions that Dermatologists see patients for include:

    • Skin cancer
    • Hair loss
    • Infections of the skin
    • Fingernail or Toenail problems
    • Inflammatory skin conditions such as Eczema and Psoriasis

    How long does it take to become a Dermatologist?

    On average, it takes at least 12 years of education and training after high school to become a licensed Dermatologist. This includes:

    • Undergraduate College Education: 4 years
    • Medical School: 4 years
    • Internship: 1 year
    • Residency: 3 years
    • Fellowship training (optional): 1+ years

    Do Dermatologists do surgery?

    All Dermatologists are trained to do basic surgery on the skin. Surgeries can be minor, such as doing skin biopsies or removing warts and moles. Dermatologists also perform more advanced surgeries requiring anesthesia and post operative care. Many Dermatologists obtain additional training to perform advanced skin surgery such as Mohs surgery.

    Is it worth it to become a Dermatologist?

    Dermatology is a wonderful career path in terms of job satisfaction, pay, and future job outlook. The Journal of the American Academy of Dermatology mentions that nearly fifty percent of their Dermatologist members feel more Dermatologists are needed in the field due to the aging population.

    Financially, Dermatologists are one of the most highly paid Physician specialties. There are multiple online sources that report pay for Dermatologists. According to the Medscape Physician Compensation Report of 2020, $411,000 is the average salary.

    Another highly reputable source, AAMC Careers in Medicine, which tracks income for Dermatologists in Academia gives the following estimates:

    Assistant professor: $299,00
    Associate/Full professor: $362,000

    cosmetic dermatology evaluation


    skin doctor removing skin lesion


    What should I major in to get into Medical school if I am thinking about becoming a Dermatologist?

    Most schools of Medicine do not require prospective students to have a specific major. Many students choose a related field such as Biology or Chemistry though. As long as applicants have completed all the required courses, they are eligible to apply. Students considering becoming a Dermatologist will have the same pre-requisites as any other Medical school applicant.

    Dermatologist vs Esthetician - What's the difference?

    Estheticians and certain types of Dermatologists specialize in cosmetic skin care. Both work to enhance the appearance of a person’s skin using simple, minimally invasive procedures. However, there are major differences in the training and scope of practice between Dermatologists and Estheticians.

    The training for Estheticians may vary slightly from state to state, but in general, to become a licensed Esthetician an individual must complete a minimum of 600 hours of training within a 6 month period of time. Some states require 750 hours of training. The prerequisites to enroll into these programs usually only require a high school education or a GED certificate.

    In contrast, Dermatologists must complete at least 12 years of coursework and patient care including Medical school and residency as mentioned above. It is estimated that an average of 40,000 hours of training is spent to become a Dermatologist.

    How to pursue a career as a Dermatologist?


    You may be eager to get started on your career in medicine and plan your path to become a Dermatologist now that you understand the steps needed. Ultimately, the first step is to get your Doctor of Medicine degree by getting accepted into an accredited Medical school like UMHS. Click on the underlined link to find out more about UMHS Medical school in the Caribbean.



    Posted by Callie Torres

    Callie Torres is a Captain in the United States Air Force and a resident at Wash U/Barnes Jewish Hospital in St Louis. She is a freelance writer with many published medical articles as well as multiple peer-reviewed medical publications

    Topics: Feature Medical Practice

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