Interstate dermatopathology interpretations--50 separate licenses?

J Am Acad Dermatol. 2004 Sep;51(3):454-7. doi: 10.1016/j.jaad.2004.03.041.


The increasing bureaucracy of health care has had a serious negative impact on physicians and patients for the last fifteen years. We report an example of this trend involving the interstate interpretation of dermatopathology specimens, which resulted in a significant interruption of diagnostic services to a large number of dermatologists. Temporary and long term solutions are discussed with the hope that dialogue and political consensus-building can bring resolution to the problem.

MeSH terms

  • Accreditation
  • Biopsy
  • Dermatology / legislation & jurisprudence*
  • Diagnostic Services / legislation & jurisprudence*
  • Humans
  • Laboratories / legislation & jurisprudence*
  • Licensure, Medical / legislation & jurisprudence*
  • North Carolina
  • Ohio
  • Pathology, Clinical / legislation & jurisprudence*
  • Skin / pathology
  • Telemedicine / legislation & jurisprudence*
  • United States