Being a dermatologist is a dream for many, especially among female post-graduate aspirants in India. Undoubtedly one of the most coveted branches of specialization worldwide. However, behind the allure of being a glamorous field lies a challenging and demanding profession which requires dedication, intelligence, a keen eye, and perfect skills.
As an individual who has studied Dermatology for three years and experienced the realities of this field for the past ten years, I want to share my experience of Dermatology residency and my perspective on the life of a dermatologist.
In this blog, we will explore the competition to secure a dermatology residency, the misconceptions associated with it, the challenges we face, the learning strategies required, the opportunities that lie ahead and the satisfaction and work-life balance while working in this field.
The Battle for Dermatology Residency –
Dermatology attracts numerous aspirants in India and competition for securing a residency seat is fierce. The number and data available at present demonstrate the ever-increasing demand and limited availability of seats, which intensifies the competition.
The Misconceptions, Expectations vs Reality and Challenges –
Contrary to popular belief that dermatology is a "chilled out/laid back" branch with
“no emergencies” and “no night duties”, Dermatology is one of the toughest specializations to crack/pass. Leave alone the subject, the terminology itself is so daunting and difficult to pronounce and I remember being the butt of jokes by my seniors to pronounce the name of the difficult diagnoses.
The subject is vast, extensive, and volatile, so studying is very challenging. Since dermatology is minimally covered during undergraduate education and the few rotations in Dermatology OPD makes it entirely an alien subject in PG. While dermatology may appear glamorous from the outside, the reality during postgraduate studies is far from it. As a visual specialty, we often encounter situations that test our composure and ability to examine patients without feeling
nauseous.
Dermatology residency comes as a combined branch with Dermatology,
Venereology and Leprosy as MD-DVL. Our teachers and seniors are better than any textbooks for learning the way to correct diagnosis and management. I have personally learnt everything from the art of history taking, examinations, analysis, making diagnosis, treatment, to advanced
procedure/skill from them. Observe and learn from them – the more you mimic
them, the better you get – it’s the only way out.
Unlike some other medical specialties, Dermatology relies less on extensive
investigations and more on our ability to observe and interpret visual cues. A sharp
eye combined with skilled history taking allows us to piece together the puzzle and
make accurate diagnoses. In this sense, we dermatologists can be compared to
detectives unravelling the mysteries of the skin.
I studied my MD-DVL from Osmania Medical college, where the Derma department is akin to a museum. Even the rarest of the syndromes from the textbooks is not missed during the residency of three years. It is like an ocean of knowledge and make sure you utilize the ample clinical cases available there because once we pass out, we have no chance to see such classic/rare cases in our practice.
Building a strong Portfolio –
During residency, it is essential to focus on building a robust portfolio. Engaging in research, attending workshops and presenting at conferences contribute not only to knowledge enhancement but also to demonstrate dedication to professional growth. These experiences provide a solid foundation for future career prospects.
Scope after Residency –
Dermatology earlier was considered an end branch with no further “super specialization” but not anymore. It opens a wide range of opportunities. We can pursue fellowships to specialize in specific areas such as dermatopathology, dermatosurgery, or paediatric dermatology. Job opportunities are abundant including options for private practice, academic positions, and research endeavours. You can even consider pursuing foreign studies to expand your horizons and gain additional expertise.
Being a dermatologist is a continuous learning journey. The field is constantly evolving, with advancements and discoveries occurring every day. Despite the challenges and misconceptions, dermatology offers a fulfilling career with a good work-life balance, immense satisfaction from helping patients, and opportunities for professional growth.
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