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Running head: A DEEP DIVE INTO DERMATOLOGY DeLoach 1

A Deep Dive into Dermatology

Brandon DeLoach

Harrison High School, Kennesaw, GA

Advanced Scientific Research

Paulette Allard

March 8, 2021
Running head: A DEEP DIVE INTO DERMATOLOGY DeLoach 2

Table of Contents

A Deep Dive into Dermatology.....................................................................................1

Chapter 1: Dermatology........................................................................................................3

I – Introduction......................................................................................................................3

II – Job description.................................................................................................................4

III – A Day in the Life..............................................................................................................5

IV – Pros and Cons.................................................................................................................6

Chapter 2: From Here to There..............................................................................................7

I – Profession Profile..............................................................................................................7

II – Education.........................................................................................................................8

III – Budgeting......................................................................................................................10

Chapter 3: Personal Assessment..........................................................................................11

I – My Skills..........................................................................................................................11

II – My Personality...............................................................................................................12

III – My Motivation..............................................................................................................13

Chapter 4: Productivity........................................................................................................15

I – My Project.......................................................................................................................15

II – Career Connection..........................................................................................................16

Works Cited.........................................................................................................................18
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Chapter 1: Dermatology

I – Introduction

Choosing the right career is an important choice for any individual in their lifetime and

the chosen career will depict the outcome of the rest of the person’s life. Dermatology is

considered to be one of the top 7% of happiest careers in the United States according to

CareerExplorer’s surveys (Career Explorer, 2019). I decided to explore this career because I used

to have a lot of skin problems and my dermatologist was very helpful in my treatment. I really

enjoyed how satisfying this career is because dermatologists are able to help patients gain the

confidence in their appearance back. I have always wanted to help people with my career and

what better way than to help treat skin diseases that are the cause of so many people’s

insecurities. I also enjoy the concept of being able to perform less risky surgeries than most other

medical professions. I enjoy the concept of surgery and helping people in that way; however, I

don’t like the risk that comes along with most surgeries in other fields. Dermatology comes with

the surgery aesthetic minus most of the surgery risk. I believe I could be a dermatologist and also

live a very happy life because, while this job is demanding, it is not nearly as demanding as most

medical field jobs. I would also be able to help people and see the happiness on people’s faces

after treatment. The self-assessment and SWOT analysis assignment showed my career interests

as almost all medical related including anesthesiologists, hospitalists, nurse practitioner, and

dermatologists and showed my RIASEC results as investigative, social, and realistic (DeLoach,

2021). These results are almost perfectly portrayed in the dermatology career with investigative

depicted in the logical thinking and analysis of problems skills, social represented in my want to

help people and serve the community, and realistic shown in the systematic thinking and

independent personalities needed in the everyday tasks and duties of this job.
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II – Job description

The dermatology field is one of the larger professions in the medical field with almost

400,000 employed dermatologists in just the United States (Career Explorer, 2017).

Dermatologists consist of a few types of medical professionals that focus on skin related diseases

and ailments. These professions include general dermatologists that treat almost all skin

conditions, research dermatologists that focus on the new and upcoming research in the

dermatology field to better the health services, Mohs surgeons that are focused on treating and

removing skin cancers through Mohs micrographic surgery, and cosmetic dermatologists who

treat skin issues that affect appearance. Most dermatologists work in either a hospital setting or a

private practice which changes the tasks they do daily. The job generally consists of a patient and

a doctor in a sterile, medical environment in which the dermatologist talks to and attempts to

treat/diagnose the patient. The dermatologist will study their chart and provide the best treatment

they deem necessary. This career has a wide range of salaries that are all high-paying. Entry level

dermatologists can make a salary anywhere from $108,400 to $301,300 while an average salary

is around $350,800 (Career Explorer, 2017). Depending on the experience and training, a

dermatologist’s salary can increase to around $464,143 (Career Explorer, 2017). The

dermatology field is at an all-time high with a positive job growth of 7% demand increase and an

expected market growth of 11.4% until 2026 (Career Explorer, 2017).

The educational requirements for this job are four years of college, four years of medical

school, a medical license from passing the USMLE, a one-year internship, and a three-year

residency consisting of 12,000 to 16,000 hours of hands-on dermatology experience (DeLoach,

“Profession Profile 1 – Career Overviews,” 2021). After the necessary requirements many

dermatologists seek out a board certification as this allows them access to more opportunities and
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higher salaries. Many skills are learned through the 12 years of education requirements such as

medical knowledge, surgical skill, and empathy for the patient; however, many skills are not

taught, but expected such as leadership, critical/logical thinking, oral and written communication

skills, and a need to help people. While most knowledge is taught during schooling,

dermatologists still have to keep up with the most recent breakthroughs in dermatological

science.

III – A Day in the Life

A typical day in the life of a dermatologist is dependent on both the type of dermatologist

they are and who they work for. Doctor David Weeks, a board-certified general dermatologist,

states that his day to day career life is an 8AM-5PM shift in which he sees 20-25 patients a day

(personal communication, line 680-681, 2021). He charts for all of the patients and keeps their

medical history organized. Depending on the day, dermatologists might preform surgeries or just

see individual patients. They preform surgeries such as Mohs micrographic surgery, endoscopic

sinus surgery, and rhinoplasty surgery. Depending on their specialty they will also perform many

skin cancer reconstruction surgeries day to day. They are expected to be courteous and

empathetic with their patients and make them feel safe in their care. Compassion skills are some

of, if not the most necessary skills a medical professional can have. The ability to make a patient

feel comfortable with getting treated will change the entire treatment outcome. They also

regularly have to research new information to keep themselves up to date with the newest

technologies and advancements in dermatology.

Dermatology environments range widely depending on the specialty; however, the

general environment is a medical facility or office. Many dermatologists work in a group of

dermatology professionals at a single office, but treat their patients separately. Since almost all
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but a few surgeries can be completed on an outpatient basis, the need for a hospital environment

is not necessary. Transportation is not required other than the commute to and from the place of

work. Dermatologists have a moderately set schedule depending on the place of work. Some

offices will require the professional to be on call off their scheduled shifts, but generally a

dermatologist works a set schedule Monday through Friday (DeLoach, “Profession Profile 1 –

Career Overviews,” 2021). In an interview with Dr. Weeks, he states that in his office, they

rotate being on call throughout the month and he will only end up being on call “five or six

nights a month” (personal communication, line 524-546, 2021). When he is on call, even if he is

not at work, he will have to come in at any time in between his shifts, 5PM-8AM, if he is called

in to help with the urgent matter. Dermatologists, depending on the place of work, do not work

on weekends unless something urgent comes up.

Personally, I will enjoy almost all parts of this job as it has almost everything I look for in

a good job. I enjoy the set schedule of most offices and even if on call that is only a few nights a

month. I also like the aspect of just being able to help people and fix their insecurities to make

them more confident. I don’t think I will enjoy all of the schooling leading up to the job or if I

were to work in an office where I was constantly on call; however, I would try to just work

somewhere that meets the needs I want.

IV – Pros and Cons

Dermatology being one of the highest rated careers in happiness is bound to have

numerous positive aspects of the job, however it has many negative qualities to go along with it

as well. When working in dermatology one can expect to be rewarded with a high salary and a

work schedule that does not require one to sit at a desk for long periods of time. Obtaining a

medical degree in dermatology, on the other hand, is a lengthy and competitive operation that
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can be a heavy financial burden. However, the salary potential compensates for this, with

averages among the highest of any specialty and continuing to rise (Career Explorer, 2017). As

health care continues to evolve, there is a potential for compensation decrease; however,

dermatologists are currently among the most satisfied workforce. Job growth is predicted to be

very promising and the unemployment rate is very low compared to other job fields. To many

professionals in the field, dermatology has a low level of esteem in the physician society. It could

be because dermatology is seen as one of the more cheerful specialties, with an emphasis on sun

damage and other lifestyle issues rather than critical health issues. This can be good as there are

lower stress and tension levels in the job because most cases are not urgent, unlike many medical

physicians that require time-sensitive problem-solving skills. One of the most important positive

aspects of this job is the ability to help others regain their confidence in their appearance. The

satisfaction of seeing a patient’s face light up when they see their post treatment results is the

most exciting thing about the dermatologist career.

Chapter 2: From Here to There

I – Profession Profile

Dermatologists enter their careers with many skills, both from life experience and their

many years of medical education. However, some skills are not taught but are still necessary.

Dermatologists need to be empathetic, detail-oriented people with a solid work ethic. They need

to have a strong attention to detail with an even stronger understanding of medicine. They should

be able to recognize and understand texture, form, hues, shapes, colors, and other aspects of art.

This ability aids them in recognizing skin diseases and keeping track of lesions and rashes to see

whether they are improving or getting worse. In order to do this, they need to be a good visual

learner and understand the different types of skin diseases. Dermatologists are mostly
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investigative professionals, which means they are inquisitive and curious people who enjoy

spending time alone with their own thoughts (DeLoach, “Reflective Exercise 4 – My Self-

Assessment with SWOT Analysis,” 2021). They are also social creatures that excel in

environments where they can communicate with, persuade, or assist others. Dermatologists also

need to have a resilient and compassionate personality to allow their patients to feel safe and

cared for. They should also have excellent social skills, with the capacity to make patients feel

welcomed and cared about even during their brief 10–15-minute visits (Weeks, personal

communication, 2021). A dermatologist should have empathy, reverence, cultural maturity,

kindness, and curiosity. They need to be a very thorough person and willing to do anything to

help treat the patient, even sacrificing a great amount of their time and energy for them.

Maintaining a nonjudgmental, transparent relationship with patients helps them to feel

comfortable and able to share openly with the dermatologist any details that may affect their

recovery plan. A patient who is respected and encouraged by their doctor is more likely to go

through with their recovery plan, return for follow-up appointments, and have a good outcome

that they can tell people about. A dermatologist’s work becomes more valuable as they combine

sincere caring and respect for their patients with their years-worth of medical skills.

II – Education

A dermatologist must have qualifications specific to his specialty in order to treat any

patient effectively. Any medical professional will begin their educational career in high school

by taking science classes such as anatomy, forensics, and other advanced science courses

(Weeks, Personal Communication, lines 55-76, 2021). Then, during college, they will major in a

scientific field or pre-med in order to meet the prerequisites needed for medical school. Most

dermatologists receive their bachelor's degree and then focus on entering medical school;
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however, some dermatologists will stay in college to receive a higher degree, such as a master's

in biology, in order to ensure they will make more money in the long-term. Towards the end of

their college career, dermatologists will need to take and pass the Medical College Admissions

Test (MCAT) in order to go to medical school. The MCAT assesses their “problem solving,

critical thinking, and knowledge of natural, behavioral, and social science concepts and

principles prerequisite to the study of medicine” ("Taking the MCAT® exam," 2016). Without

the proper prerequisites and MCAT scores, a student will not be able to easily, if at all, get into

medical school. Medical school lasts four years and is when most professionals learn what they

would like to do in the field if they do not already know. They learn in-depth medical

information that prepares them for the medical field no matter the subject they plan to specialize

in. A professional will receive adequate training since performing any kind of procedure without

the requisite experience and training is extremely difficult and can even be deadly. After medical

school, professionals enter into a residency where they learn and intern with practicing

professionals that already have years of experience. In a residency, interns will receive 12,000-

16,000 hours of hands-on dermatology experience that will get them ready for their independent

careers (DeLoach, “Professional Profile 1 - Career Profiles,” 2021). After residency,

dermatologists, like all physicians, must complete their state's medical license tests in order to

gain approval from the American Board of Dermatology and be able to legally practice

medicine. Once they have their license, they will be able to practice dermatology in their state;

however, their education is not yet complete as the medical field is constantly evolving. It is

important for a physician to attend lectures in order to gain additional expertise or to stay up to

date on advances in the medical or scientific fields. In this way, they will provide excellent

service to their patients and have a thorough understanding of their issues.


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III – Budgeting

Going into the medical field is an enormous financial burden. The time-consuming

education required to succeed in the field not only takes up a majority of a professional’s time

but also of their money. An average college debt without scholarships or financial aid can range

anywhere from 25,000-50,000 dollars (DeLoach, “Professional Profile #4: Post College Budget,”

2021). This cost can be offset with grants, scholarships, and work-study programs; however, that

is not the case for everybody, and most professionals end up taking out thousands of dollars in

student loans. Once out of college, the next financial burden is the cost of medical school. Over

the four years of school, a student can expect to pay anywhere from 150,000 to 250,000 dollars

depending on the medical school chosen (College Ave Student Loans, 2020). Medical school

finances are a lot harder to offset because many schools have very few opportunities for

scholarships and financial aid. Also, during medical school, it is a lot harder to balance school

and work compared to college. Therefore, a lot of students don’t have time to work during the

school year, which makes their debt even higher and harder to pay off. During the four-year

residency and internship, residents get paid for their work which can help offset a lot of the debt

made up until then. A first-year resident makes on average about 60,000 dollars as salary;

however, this is more than most medical school students make (The DO Staff, 2020). The

financials start becoming less worrisome once the professional obtains their medical license.

Entry-level dermatologists normally start with an average salary of 108,400 dollars which can

increase over time with experience. With an average salary of 200,000-300,000 dollars,

dermatologists are easily able to start affording to pay off their debts. In a few years’ time, most

dermatologists are fully out of the massive hole of debt they created and can begin buying things

they want and enjoy. I believe the insane financial burden is worth the years of schooling and
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entering this career due to the amount of knowledge they will gain, the satisfaction of finishing

an excruciatingly long goal, and the pleasure of not having to worry about money for the rest of

their career.

Chapter 3: Personal Assessment

I – My Skills

A dermatologist should have many skills gained and learned throughout their entire

lifetime. I have been fortunate enough to have gained many skills throughout both my emotional

experiences and my educational experiences. A skill that will be most important in going into

this career is the background knowledge and experience I have with in-depth medical and

scientific information. Through Harrison High School’s Project Lead the Way Biomedical

Engineering STEM cohort, I have gained essential background knowledge into the medical field

that most students in this field do not have. I will only build off of this knowledge once I’m in

higher education, as this is the field I will be focusing on. Another skill I have gained in the

STEM program is the ability to think logically, rationally, and quickly. This skill will be

imperative in almost all parts of my future career plan. While in college and med school, I will

be able to quickly and reasonably solve problems that come my way, whether they are

educational, financial, or emotional. In dermatology, being able to treat patients quickly and

calmly makes all the difference in their outlook on obtaining treatment and returning to the

office. Another great skill I have is I am very good at communicating and calming people down

while still telling them the truth. I am a very blunt person; however, over my life, I have learned

how to be more compassionate when telling people the truth. I still need to work on this skill, but

by the time I enter this job, I will have had the experience needed to truly use this skill with
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expertise. When giving a patient their diagnosis, it can be a very difficult time for the patient, and

being able to both reassure them but not hold any truth back from them is a critical skill to have.

One weakness I have that I need to work on for this career is my independence. I am

often a very independent person and require little to nothing from others when performing a task.

In the dermatology field, this can be both a great skill and a terrible flaw. Often, I want to take

over the task and complete it single handily; however, that is not always the best option. Many

procedures require a dermatologist to work with multiple other professionals to complete the

patient’s treatment plan (Weeks, personal communication, 2021). During college and medical

school, many people become very outgoing as they branch away from their childhood and

parents, and I am planning on joining many organizations and clubs in college and branching out

tremendously. This will help me to overcome my extreme independence and become more

flexible in dependent situations.

II – My Personality

Dermatologists need to have many personality traits in order to help ensure their success

in the field. Some of the most important traits are compassion, empathy, curiosity, and

thoroughness. A dermatologist needs to be able and willing to actively listen and respond to their

patient’s questions and concerns with an understanding attitude that makes the patient feel

comfortable (Weeks, personal communication, 2021). The communication skills required in this

job encompass almost all of the personality traits a dermatologist would have. They need to be

practical, fact-minded people who are astonishingly helpful, caring, and reliable. A person who

is gentle and encouraging has the perfect traits to become a dermatologist as they often work

with diseases and ailments that “can be emotionally taxing on patients, often having drastic

effects on self-confidence” (Capone, 2020).


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Along with the caring personality traits, a professional in the dermatology field should be

investigative, social, and realistic (O*NET OnLine, n.d.). Investigative supports the logical,

intellectual, and problem-based thinking a dermatologist must have to make it in the medical

field. Social interests explain how a dermatologist must be able to communicate well with their

patients and colleagues to give everyone the best experience possible. Realistic explains the

technical skills involved in dermatological surgery, such as tool precision and use; it also

explains the systematic and practical thinking skills a dermatologist needs to make on-the-spot

decisions (DeLoach, “Reflective Exercise 4 – My Self-Assessment with SWOT Analysis,”

2021).

I match the dermatology field in almost every aspect. The results of my RIASEC test

showed that I am an investigative, social, and realistic individual, the exact traits and order of

traits that the dermatology field has (DeLoach, “Reflective Exercise 4 – My Self-Assessment

with SWOT Analysis,” 2021). I am a very inquisitive person and love to learn new things about

the topics I am interested in. Also, I am very logical and rational when put in quick-thinking

settings, which is a great trait to have as a dermatologist. I perfectly match the career according

to RIASEC and my personal traits. I am a very caring individual and love to help anyone I can. I

have many of the same personality traits needed to be a dermatologist and actively use them

every day, meaning they will only get stronger and more effective as I age.

III – My Motivation

Throughout all of the research I have conducted regarding dermatology as a future career,

I have determined that I would love to work in this field. While the requirements for this career

are extreme and time-consuming, I am willing and motivated to pursue them. My first step on the

path to this career will be attending the University of Georgia in the fall of 2021. I will be
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majoring in Biology, one of the best majors to pursue for this career (Weeks, personal

communication, 2021). I am planning on joining multiple clubs and organizations that are

medically related, such as the UGA pre-health club (University of Georgia, n.d.). After four

years of college to receive my bachelor’s degree, I will take the MCAT and then apply for

medical schools to get certified. Most medical schools are relatively the same in terms of

education quality which means that I could apply to almost any medical school. Depending on

where I get accepted, I will either stay in-state or move to be near the school. The biggest

obstacle with medical school will be the financial aspects. It is an extreme financial burden and

can cost upwards of 250,000 dollars for all four years (College Ave Student Loans, 2020). I

could apply for grants ad financial aid, but most students have to take out loans to pay for this

education. It is also an extra four years of education on top of the four years of college already

preferred as a prerequisite. Although it will be a huge time commitment, I am dedicated to taking

this path as the final satisfaction will be boundless. Once I have graduated medical school, I will

have to take my United States Medical Licensing Examination (USMLE) to receive my medical

license so I can join a residency for four years to gain the necessary experience and then

eventually become a full-time dermatologist.

Some skills I have gained and developed in researching throughout this class are time

management, how to create a budget, and how to plan for the future. Having a set schedule for

the entire semester given to me at the beginning of the semester allowed me to easily manage my

time around this class as I could see when things were due weeks ahead of time. It helped me to

create simple time management habits that I will be able to use in my future educational career.

In “Professional Profile #4: Post College Budgeting,” I was able to practice making an in-depth

budget which will be an essential skill to perfect in college, medical school, and my career
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(DeLoach, 2021). This will be very useful in my future when I need to make a budget to save my

money. The main skill I have gained through this class is the ability to thoroughly think about

my future. Before this class, I had never thought this in-depth about my future and had never

planned this far in advance. This will be a great skill to use as now I can make sure I am on the

right path going forward because I know where I want to be.

Chapter 4: Productivity

I – My Project
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For my learning project, I created a dermatology dichotomous key with numerous

diseases of the skin, hair, and nails. This tool can be used to identify over one hundred

dermatological diseases by a series of simple questions such as “where is the problem located?”

(DeLoach, 2021). Ideally, the key can be used in both a professional and informal setting,

whether a dermatologist needs on-the-spot help with a diagnosis or a person wants more

information about the random rash they woke up with. I formatted it on a Weebly website using

their buttons and subpages features which makesFigure


it very2:easy
An to
example of the
navigate, types
read, and of questions
find in the

first place. While there was not a huge need for abeing asked
resource in the
such key.one,
as this Theityes
willand
be no buttons
very helpful

for anyone who needs it. There are many websites fulllink to more questions/the
of dermatological diagnosis.
diseases; however, most
Figure 1: The main page of the website with a
of them list the diseases in an alphabetical list with no visuals. This formatting can make it very
button linking to the rest of the key.
difficult and stressful for people with minimal medical knowledge to find what they are looking

for. On my website, even people with no medical background can find what they are looking for

because instead of having to search through an extensive list, they can slowly narrow the list

down until they receive the final diagnosis. Once a diagnosis is offered, the user is given four

key pieces of information regarding the disease: description, location, symptoms, and common

treatments (both medical treatments and at-home remedies) of the disease. This subpage also

includes a picture of what the disease commonly looks like. Overall, I am very satisfied with

how this project turned out and I thoroughly believe that it is a very useful resource to have. One

thing I could have done to improve the website was to add more diseases; however, with the

amount of time I was given I believe I researched plenty of diseases. Furthermore, I am planning

on continuing it and furthering the amount of information contained on the website even after I
Figure 3: An example of the diagnosis page.
graduate. One thing I am very satisfied with is the ease of use of the website. My biggest fear at

the start of the project was that the final product would be difficult and confusing to use;
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however, in the end, the website is very sleek and simple to use, and the information given about

the diseases is also easy to understand for any non-medical person.

II – Career Connection

My project is very connected to the dermatology field because one of the most important

topics in this field is the diseases of the hair, skin, and nails, and my project compiled an

extensive list of those diseases that could be used for diagnosis and research. Throughout doing

this project, I also thoroughly improved my researching skills. I had to use numerous different

sources to find the types of information I needed, especially when researching the treatment

plans. This tool can be used in the dermatology field to help diagnose patients, find treatment

plans, and give patients an easy resource to use for further information. Ultimately, the website

can even be adapted for use in other medical fields by including diseases from those fields.

Through completing this project, I learned the value of research in all aspects of medicine. There

are so many diseases in medicine, and many of them are nearly identical to others which makes

researching and knowing the small differences very important in giving a correct diagnosis. For

example, one of the only differences between a boil and an abscess is the size, and without

knowing that, a dermatologist could easily diagnosis them incorrectly ("Boils, abscess &

cellulitis," 2015). Also, the treatment plans for a disease can range anywhere from chemotherapy

three times a week to taking a shower. With this wide range of treatment plans, it is very

important to know why there are so many different treatments and what they are all used for in

order to provide the patient with the best experience. It is also critical to understand the severities

of the diseases and the stages at which they progress in order to give the patient the best

treatment plan regarding their specific situation. I also learned that a dermatologist has to stay up

to date on research in the field because there is new information, treatments, and cures coming
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out every single day. If they do not stay up to date on research, then they could misdiagnose,

mistreat, or even cause harm to the patient unknowingly.


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References

Boils, abscess & cellulitis. (2015). HealthyChildren.org.

https://www.healthychildren.org/English/health-issues/conditions/infections/Pages/Boils-

Abscess-and-Cellulitis.aspx

Capone, C. (2020, August 24). Here’s what your specialty says about you. MDLinx.

https://www.mdlinx.com/article/here-s-what-your-specialty-says-about-

you/3or4goXc4qrw9QcZzp6VDV

Career Explorer. (2017, August 22). Are dermatologists happy? CareerExplorer.

https://www.careerexplorer.com/careers/dermatologist/satisfaction/

Career Explorer. (2017, August 22). Dermatologist salary in Georgia. CareerExplorer.

https://www.careerexplorer.com/careers/dermatologist/salary/georgia/

Career Explorer. (2017, August 22). The job market for dermatologists in the United States ‐

CareerExplorer. CareerExplorer.

https://www.careerexplorer.com/careers/dermatologist/job-market/

College Ave Student Loans. (2020, July 14). How much does medical school cost? | Average

cost | College Ave. College Ave. https://www.collegeavestudentloans.com/blog/how-

much-does-medical-school-cost-average-medical-degree-tuition-costs/

DeLoach, B. (2021). Dermatology Dichotomy. https://dermatologydichotomy.weebly.com

DeLoach, B. (2021). Professional Profile 1 – Career Overviews.

DeLoach, B. (2021). Professional Profile 4 – Post College Annual Budget.

DeLoach, B. (2021). Reflective Exercise 4 – My Self-Assessment with SWOT Analysis.

The DO Staff. (2020, November 24). What residents are getting paid in 2020. The DO.

https://thedo.osteopathic.org/2018/07/what-residents-are-getting-paid-in-2018/
Running head: A DEEP DIVE INTO DERMATOLOGY DeLoach 21

O*NET OnLine. (n.d.). 29-1213.00 - Dermatologists.

https://www.onetonline.org/link/summary/29-1213.00?redir=29-1069.02

University of Georgia. (n.d.). Clubs & organizations. Welcome | Division of Biosciences.

https://biosciences.uga.edu/clubs-organizations

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