Advancing Dermatology


Note #1
Dermatology still relies on observation for first impression. The first impression has a heavy influence on the final diagnosis of the core problem. We are always looking for ways to increase our observation skills Even the seasoned mature observer can usually improve.
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An innovative way to enhance looking skills is the use of ART and the liberal arts. Hard science learns from a sister skill. These were first developed in the 20th century in Ivy League dermatology. Acceptance was high. The aim: study local available art and with instruction become more astute observer of visible skin lesions.
Note #2
Some dermatologists believe that natural sunlight allows for the best view of subtle skin tone and texture change of the skin. Hence often exam rooms are often arranged so the sunlight is directed toward the patient. This counters any distortion involved with artificial light. This is one constant in the clinical exam that will remain. (C: "A New Theory of Light and Colors", Isaac Newton)
Note #3
Observation with other the naked eye requires magnification. This of necessity involved some sort of optical lens that could both enlarge and enhance an image. Also the image would have to be prepped in such a manner that a focus was possible.
The early lens grinders were involved in Astronomy, eye glasses and the early Microscopes. Think Galileo, Leeuwenhock and Jansen. The first wearable eyeglasses were developed by D'Armante in 1284. 300 years would pass before the development of the first usable microscope.