I recently returned from a "dermatologist" appointment to continue treatment for a chronic condition I have had for over 40 years. Instead of a doctor, I saw an FNP-C. I had no idea I would not be seeing a board certified dermatologist until I googled the name of who I would be seeing.
The Family Nurse Practitioner was up to date on treatments available and her prescriptions and course of action were nearly identical to those, often heads of their department, dermatologists I have seen throughout the years. I am now curious how much my insurance will be billed for not seeing a doctor.
The FNP explained that extra years of study and "internships" (forgot the exact wording) were done to specialize in derm. I feel ok about the results of the appointment as I was already very knowledgeable on my options. I don't think I would feel as confident had I come in for a diagnosis, however my last "real" dermatologist was the worst I have ever had (prescribing novel medication combination delivery systems that were both costly and specifically advised against for the target area).
They need ER doctors in the ER.