Derm has been a very very popular specialty in the US for many decades. Some of this reflects work / life stuff, the ability to mix surgery and physician-like diagnostic skills, and because skin disease matters to patients a great deal, and if they purchase their own care, they put a big value on it. (And in truth the fact that acute medicine is deeply unpopular and unsustainable as a longterm career). I have been told similar changes are playing out in the UK, but I hadn’t seen any figures. Here is a summary for ‘medical’ (sic) specialities from the RCP just published in ‘Clinical Medicine’ showing, as for lots of domains, the winds blow east across the Atlantic.