Dermatopathology is a very unique field in pathology/dermatology that should be performed by physicians with specialized training in this area and who spend the majority of their professional time as a dermatopathologist. Dermatologists and pathologists can both become dermatopathologists. In dermatology residency, 1/3 of all educational time is spent learning dermatopathology. Those dermatologists who plan on practicing dermatopathology typically enter a one year dermatopathology fellowship, in which one can become board certified in dermatopathology following the fellowship. Pathologists spend a portion of their total pathology training in dermatopathology and can enter a one year dermatopathology fellowship as well. Dermatopathology requires a special talent, and I’ve encountered outstanding dermatopathologists from a core dermatology and a core pathology background. I send my pathology specimens to an excellent group of board certified dermatopathologists at Baylor College of Medicine. They work very closely with the dermatopathologists at MD Anderson and once a week have a joint consensus conference where the most difficult dermatopathology cases are evaluated by all of the dermatopathologists so a consensus diagnosis can be achieved.