The dermatologist is the doctor who specializes in the diagnosis and treatment of diseases related to skin, hair, nails, hair and mucous membranes. The dermatologist therefore deals with problems as varied as eczema, psoriasis, hair loss, moles, skin cancers, wrinkles. As part of the implementation of the coordinated care path, it is necessary to consult your doctor who might then decide whether or not to refer the patient to a dermatologist. The consultation will then be 70% covered by Social Security. If the patient consults directly with the specialist, then the consultation is reimbursed only 60%. Dermatology is the medical specialty dedicated to the care of the skin, mucous membranes, nails, hair and hair. Dermatologists reduce the pain and itching associated with dermatological conditions, sweating problems, and often sexually transmitted infections. Dermatological treatments may be local, in the form of cream or antiseptic, antibiotic or sometimes surgical. The conditions treated in dermatology are very numerous.
Who Should Consult a Dermatologist?
Who are the people most at risk?
Anyone with a family history of dermatology is particularly susceptible to skin conditions. This is also the case of people sensitive to external aggressions such as cold or sun. In general, these patients have clear and/or thin skin. Prevention visits should be made regularly and especially in people who have many moles, which can sometimes turn into melanoma.
Things to Know before visiting
X-rays: bring all the radios from the hands or feet you have made if you have been subject to rheumatism. Indeed, some redness or size of the skin can find its origin in a joint problem;
Medical treatment: List the medications that are regularly prescribed and even those that you have stopped taking. The dermatologist may indeed consider possible toxidermias (cutaneous reactions due to drugs).
Cleaned skin: Ladies, do not forget to remove your makeup before the consultation, the exam will be more refined.
How does the first consultation take place?
The consultation begins with a patient-doctor discussion that focuses on various issues. First the family history: skin diseases in the family, the patients’ own medical or surgical history. He will also ask what the skin undergoes regularly: sun, creams. Then will come the moment of the examination. It can be particular (just the face) or general (back, soles of the feet, legs …). The examination can be performed with instruments such as a magnifying glass, a camera or a caliper, to measure the size of the moles.
Important keywords to know:
The skin is composed of two tissues: an outer layer called epidermis and an inner layer called dermis or corium. The epidermis is composed of dead cells, which are eliminated when the subject moves, when he puts on clothes or when he is washing. The epidermis consists of four layers: the basal layer, the Malpighi layer, the granular layer and the stratum corneum. Just below, the epidermis is the dermis, in which every second the cells multiply to replace those that are eliminated.
Herpes is a virus that affects 12 million French people. Mouth ( visitez ce site ), genitals, fingers, eye, meninges … the locations are varied. Once in the body, the virus stays there for life and reappears as “flare-ups” characterized by itching, burning and tingling;
Melanoma is a particularly dangerous skin cancer. It presents itself as a task of the skin with irregular contours, uneven surface and colors ranging from bluish black to light pink;
The nevus is a mole. It is akin to a small patch of skin, mostly brown, common and commonplace. The nevi are beige to very dark brown in color;
The hyperpigmentation of the skin corresponds to the appearance of brown spots on the cleavage, the face or the hands. Nothing to do with cancer. The melanocytes, responsible for the color of the skin, are overloaded by the sun and are not distributed more regularly.
Some important numbers
With an average surface of 2m2 and a weight between 3.5 and 10 kilos, the skin is the largest and heaviest of our organs. The risk of developing skin cancer was 1 in 100 in 2004 compared to 1 in 1500 in 1930; More than 8 in 10 French people suffer from or have suffered from skin problems, nearly half of them in the last two years 3,800 dermatologists practice in France.
Brief History and Present of Dermatologists in France
There are nearly 3,400 dermato-venerologists (a category of dermatologist) in France, specialized in the treatment of skin and hair. It is all the external aspect of your body that you entrust to the practitioner when you go through the door of his office. Whatever your skin type and background, advanced techniques and the constant advancement of knowledge in this area ensures optimal support. It is strongly recommended to consult your usual doctor before planning a visit to the dermatologist, especially because in the course of a course of care, you will be better reimbursed by social security. When was the first research on skin diseases? Before the dizzying progress of medicine after the Renaissance, it was difficult to detect a disease if it did not cause any apparent symptoms. What are the diseases that most mark our body in a visible way to all? Those of the skin, of our epidermis that envelops our body. It is therefore quite logical that the first medical research focused on the study of the skin. Thus, we find writings on epidermal pathologies as early as 5000 BC and a first classification of skin diseases in 25 BC, under the Roman Empire. You can also consult two books published in the 19th century that have had a profound impact on research on skin diseases in France and that gave birth to modern dermatology.
Dermatologists in France across the ages
If we omit technological evolution and the growth of knowledge through centuries of scientific research, there is one thing that does not change: the place of dermatology in all the civilizations that have succeeded on Earth. Indeed, several millennia BC, one already began to understand skin diseases as they physically mark the body. The study of epidermal pathologies has always been at the center of medical issues and debates, and even today it occupies a preponderant place in the production of research documents.
The skin is an excessively powerful sensory organ, it plays a fundamental role in protecting our body against disease. But the skin is also a criterion of beauty and can generate attraction or disgust by its appearance. It also informs about the person, his age, his experience (scars, hematomas), his membership in a social group (tattoos, piercings) and finally on his health (yellow complexion, measles, allergies, fatigue). The skin is therefore “communicating”: dermatology and cosmetic care help us to control the image it reflects.
The dermatologist practitioner has a dual skill. He must have a thorough knowledge of the field of health in general and his specialty, but he must also have manual skills. Because a dermatologist must be able to perform surgical procedures. Thus, in addition to the standard equipment that he must install in his office, he will very often have a large liquid nitrogen balloon known to terrify children who have warts, various tools specific to surgery, and sometimes sophisticated equipment for practice laser procedures.
Where to Find Dermatologists in France
A spot on the skin that gets bigger? A nail with a strange appearance? Do not panic: make an appointment with your dermatologist and he will treat you. There are more than 3400 dermatologists in France but their distribution in France is very uneven depending on the region, the waiting time to have an appointment can sometimes be very long and exceed several months. The dermatologist closest to you (in France) is not necessarily the best choice. On the other hand, it may be more convenient for you to consult the one closest to your workplace, but especially because it is not necessarily the cheapest. Also, it is advisable to learn about the different options available to you, ie to consult a liberal practitioner or a hospital doctor. Indeed, many hospitals have specialized services where you can find a competent professional to cure your ailments. It is then necessary to distinguish the sector (agreement or not) in which exercise the doctors in office that you wish to consult. With more than 3,400 dermatologists working in France, it is not always easy to know where to turn to entrust our skin. That’s why there are a number of directories listing all dermatologists in each region of the country, to allow easier and faster access to care. In addition to the traditional phone book, the internet now offers the opportunity to learn more about the characteristics of each practitioner so as to consult knowingly. Remember that it is still advisable to go through your doctor before consulting.
Refund on Dermatologist Consultation by Social security and Mutual in France
Social security reimburses dermatology fees up to 70% of the social security rate. It is still necessary to hold a prescription from your doctor, and thus enter the course of coordinated care. If you decide to go there on your own, the health insurance will only refund you 30% of its tariff. Depending on the sector in which your dermatologist practices, and the type of consultation, social security will apply the same percentages of reimbursement, but not the same basic rates. As part of regular monitoring, and for dermatologists in sector 1 and 2 with coordination option, the basic social security tariff is 28 €. If you decide to go to a dermatologist in sector 2, with free fees, and who can therefore apply overruns, the social security reimbursement rate is 23 €. The consultation of a dermatologist of the sectors 1 and 2, with option of coordination or not, gives right to a reimbursement on the basis 46 €.
Once deducted, the repayment that provided by Social Security, a certain amount will remain at your expense. Your mutual health will be able to compensate. If you benefit from 100% reimbursement of the social security rate, the mutual will supplement the missing sum, provided that the dermatologist respects the safe rates. With this type of formula, excess fees will remain your responsibility; it is perfectly suitable for someone who wants to go only to a dermatologist in sector 1.
Overrun Fees Mutual
Note that dermatologists are increasingly practicing certain cosmetic surgery operations. To be covered by health insurance, you must then meet one of the 3 conditions:
The injury follows a serious illness
Health is questioned
Your social or psychological harm is important, If the health insurance decides to reimburse the operation of cosmetic surgery, your mutual health will certainly follow, within the limits of your contract.
Dermatologist Qualifications and Salary
As a doctor, the dermatologist has gone through all the stages of the medical studies curriculum:
Paces (1st year common to health studies): Less than 20% of students pass the competition,
2nd and 3rd year: common core integrating lectures, practical and directed studies, internships. On the program: semiology, physiology, anatomy and optional subjects. Sanctioned by the DFGSM (Licensed General Medical Education Diploma), 4th, 5th and 6th year (externship): complete medical training (pathologies, therapeutic and prevention) sanctioned by the DFASM (diploma of advanced training in medical sciences) of master level. ECN (national classifications): the classification at the end of the ECN determines the more or less wide possibility of choosing its specialty. € 3,700 gross per month on average for a dermatologist with mixed activity (hospital + liberal) and recently installed. Official statistical data give the range € 6,000-7,000 gross per month.
It is one of those jobs that exists since renaissance times and is extremely needed in today’s life. People are more susceptible to skin diseases since it’s the envelope that covers our body and at the same time being largest organ onto the human body, ranging from 3.5kg to 10kg. Overall it’s a necessary as well as a rewarding job both monetarily and mentally in the gratification of helping people.