[w10-1]

(Pretty familiar with PA's.)

Biopsy stats might differ because PA's are used in large (cough private equity) practices to do a lot of checks esp. in old-folks homes, and medicare pays. Patients per week can average 120+; no doctor does that. Plus, the PA is supposed to err on the side of caution, meaning more biopsies. DR's are more willing to ignore possible risks.

That said, most anyone (Dr. or PA) who is recently trained at a good school is often better than people with 15+ years of experience.

Also, derm exam skills are not enhanced by the depth of medical education or even much by experience (by contrast to the cardio exam). It's mostly a function of pattern recognition and patient skills.