Choosing Between University and Private Dermatologists for Rare Skin Conditions - Dermatology

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Choosing a physician issue?


Hello! I would like to ask if choosing a specialist at a university is better than seeing a private specialist for some rare skin diseases.
I have heard from others that private physicians, due to having many patients, may not spend much time on atypical cases, whereas university doctors might be different because they may use cases for medical research and provide more attentive care, resulting in better quality.
Is this true? I hope the physician can provide me with a professional answer, as I am currently confused and unsure of what to do.
Additionally, I would like to ask if it is problematic to see another physician for a second opinion after an initial consultation if I am uncertain about the diagnosis.
Could this lead to confusion regarding the medications prescribed? Thank you for your response.

Xigua Zai, 20~29 year old female. Ask Date: 2004/07/14

Dr. Chen Yiying reply Dermatology


Hello: In response to your question.
Many physicians at university teaching hospitals are specialists with expertise in certain diseases, but first, I would like to ask how you determined that you have a "rare" skin disease? If a physician at a private clinic has already informed you that it is a special rare disease, you can further ask that physician to recommend an expert in this area.
Of course, if you have never seen a physician before, it is also acceptable to go directly to a large hospital for consultation, although it may be more complicated.
It is also fine to seek a second opinion from another physician, but it is best to provide the previous physician's diagnostic reports and medication history for the other physician's reference.

Reply Date: 2004/07/14

More Info


When it comes to choosing between university dermatologists and private dermatologists for rare skin conditions, there are several factors to consider. Both types of practitioners have their strengths and weaknesses, and the best choice often depends on your specific needs and circumstances.

University dermatologists, typically affiliated with medical schools, are often involved in research and education. This means they may have access to the latest treatments and clinical trials, which can be particularly beneficial for rare or complex skin conditions. They are usually well-versed in the latest medical literature and may have more experience with unusual cases due to their academic environment. Additionally, university hospitals often have a multidisciplinary approach, meaning that if your condition requires input from other specialties, it can be coordinated more easily.

On the other hand, private dermatologists may offer a more personalized experience. They often have smaller patient loads, which can allow them to spend more time with each patient. This can lead to a more thorough examination and a more tailored treatment plan. However, the concern you mentioned about private practitioners having many patients and potentially not dedicating enough time to rare cases is valid. Some private dermatologists may not have the same level of exposure to rare conditions as those in academic settings.

In terms of quality, both university and private dermatologists can provide excellent care, but it may vary by individual practitioner. It’s essential to research the specific dermatologist’s background, experience, and patient reviews. If you have a rare skin condition, you might want to seek out a dermatologist who specializes in that area, regardless of whether they are in a university or private practice.

Regarding your second question about seeking a second opinion, it is perfectly acceptable to consult another dermatologist if you are unsure about a diagnosis or treatment plan. In fact, getting a second opinion can provide you with more information and help you feel more confident in your treatment decisions. However, it’s important to communicate with both doctors about the medications you are taking. Most dermatologists will be able to manage potential interactions between different treatments, but it’s always best to ensure they are aware of all medications you are currently using.

In summary, both university and private dermatologists have their advantages. If you have a rare skin condition, a university dermatologist may have more resources and experience, but a private dermatologist may offer a more personalized approach. Don’t hesitate to seek a second opinion if you are uncertain about your diagnosis or treatment; just ensure that all your healthcare providers are informed about your current medications to avoid any potential conflicts. Ultimately, the best choice is one that aligns with your comfort level and specific medical needs.

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