Greaves M W
St Thomas's Hospital, London.
J R Coll Physicians Lond. 1990 Apr;24(2):87-9.
The advent of new drugs including 'over the counter' (OTC) drugs, the increasingly aged population with its special requirements for skin care, and environmental and occupational factors will affect the nature of future dermatological practice in developed countries. The role of sub-specialists is likely to increase, and the case for expansion of the dermatological consultant grade is debatable. Consultant training should place more emphasis on highly specialised training in specific areas, including occupational dermatoses, environmental dermatology, dermatopharmacology, dermatological surgery and dermato-oncology. A strategy for dermatological research in Europe needs to be established which is based upon fewer, larger groups of a multi-disciplinary character. Corporate support could well help achieve this aim.
包括非处方药（OTC）在内的新药的出现、老龄化人口对皮肤护理的特殊需求以及环境和职业因素，将影响发达国家未来皮肤科的业务性质。亚专科医生的作用可能会增加，而扩大皮肤科顾问级别职位的理由值得商榷。顾问培训应更加强调在特定领域的高度专业化培训，包括职业性皮肤病、环境皮肤病学、皮肤药理学、皮肤科手术和皮肤肿瘤学。需要建立一种基于更少、规模更大的多学科性质研究团队的欧洲皮肤病学研究策略。企业支持很可能有助于实现这一目标。
