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Skin biopsies are as important to dermatologists as radiographs are to orthopedists and as electrocardiograms are to cardiologists. But students and primary care physicians are usually sheltered from dermatopathology. Many do not realize that training in dermatopathology makes up about one fourth of a dermatology residency, and questions on this topic constitute about a fourth of the specialty-board examination. A large portion of the examination for certification by the American Board of Dermatology consists of examining microscope slides and making diagnoses. In practice, the best dermatologists do not send their biopsy specimens to any laboratory they examine the specimens
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