{"schemaVersion":"1.0","exportedAt":"2026-05-15T12:39:55.736Z","occupation":{"soc":"29-1213.00","title":"Dermatologists","group":"Healthcare Practitioners & Technical","sector":"62","jobZone":5,"jobZoneInferred":false},"framework":{"version":"v.26.05","description":"","contextCovered":"This framework covers the full scope of clinical dermatology practice — from supervised entry-level patient examination and documentation through autonomous diagnosis and surgery to organizational leadership, research direction, and trainee development within hospital, outpatient, and academic medical settings.","levels":{"emerging":{"label":"Emerging","statements":["Complete skin examinations — conduct systematically under attending physician supervision in an outpatient dermatology clinic.","Patient health histories — record accurately using structured intake forms and electronic medical record software in a supervised clinical setting.","Common pigmented lesion types — recognize and differentiate, including acquired nevi and blue nevi, during supervised patient encounters.","Diagnostic test recommendations — identify appropriate options based on patient history and physical findings under direct faculty guidance.","Acne, dandruff, and superficial fungal conditions — diagnose and initiate standard treatment protocols with attending oversight in a residency clinic.","Dermatologic medical literature — read and summarize relevant journal articles to support evidence-based care decisions under supervision.","Sun protection and skin cancer awareness — communicate basic counseling points to patients using established educational materials.","Incisional biopsy procedures — assist in performing under direct supervision to support melanoma diagnosis in a hospital or clinic setting.","Medical software and scheduling platforms — navigate to document patient encounters and manage appointment workflows in a clinical environment.","Skin examination findings — document in written clinical notes with attention to detail, following departmental formatting standards."]},"developing":{"label":"Developing","statements":["Complete skin examinations — perform independently and efficiently, identifying normal variants and common pathologies across diverse patient populations in an outpatient clinic.","Dysplastic and congenital nevi — diagnose and develop management plans with reduced oversight, applying dermoscopy in a general dermatology practice.","Skin conditions such as psoriasis, moles, and seborrheic conditions — diagnose and manage routinely, adjusting treatment regimens based on patient response.","Incisional biopsies — perform with technical competence to obtain diagnostic-quality tissue samples for melanoma workup in a clinical or surgical setting.","Patient histories — gather comprehensively, integrating prior records and patient-reported data using electronic health record systems in a practice setting.","Diagnostic imaging and laboratory tests — recommend and interpret results in context of dermatological presentations, coordinating with pathology teams.","Annual dermatologic screening counseling — deliver individualized education to patients on skin self-examination and lymph node monitoring during routine visits.","Minor skin surgical procedures — perform to address early-stage lesions or improve appearance, with appropriate pre- and post-operative care documentation.","Video conferencing and telehealth platforms — conduct remote patient consultations for follow-up and straightforward dermatologic concerns.","Complex problem-solving in familiar clinical scenarios — apply active learning strategies to adapt treatment approaches when first-line therapies prove insufficient."]},"proficient":{"label":"Proficient","statements":["Comprehensive skin examinations — perform autonomously across full patient scope, integrating dermoscopic and clinical findings to detect early-stage malignancies in high-volume practice settings.","Melanoma and complex pigmented lesions including Spitz nevi — diagnose and manage independently, selecting optimal surgical and adjunct treatment strategies.","Skin cancer excisions and reconstructive procedures — perform across a broad range of complexity levels, applying sound surgical judgment to balance oncologic and cosmetic outcomes.","Non-routine dermatologic presentations — resolve through inductive and deductive clinical reasoning, synthesizing patient history, examination, and pathology in an academic or specialty practice.","Patient counseling on skin cancer prevention and screening — tailor evidence-based education to individual risk profiles, demonstrating social perceptiveness and persuasive communication.","Diagnostic workup pathways — design and oversee for rare or atypical skin conditions, coordinating multidisciplinary input from oncology, pathology, and immunology.","Clinical documentation and reporting — produce high-quality written records and referral letters that meet regulatory and medicolegal standards across all patient encounters.","Emerging dermatologic therapies and clinical evidence — critically evaluate and integrate into practice protocols, demonstrating active learning and scientific rigor.","Monitoring of chronic skin conditions — implement systematic follow-up plans using electronic health record tools to track disease progression and treatment efficacy.","Interprofessional coordination — lead case discussions with nursing, pathology, and oncology teams to optimize patient outcomes for complex skin cancer cases."]},"advanced":{"label":"Advanced","statements":["Departmental clinical standards and treatment protocols — develop and implement organization-wide, ensuring alignment with current evidence and specialty guidelines across a dermatology division.","Dermatology residency and fellowship trainees — mentor and evaluate systematically, designing learning strategies and instructional frameworks that accelerate clinical competence.","Complex melanoma and high-risk skin cancer programs — establish and direct, integrating surgical, medical, and supportive care pathways at an institutional or regional level.","Organizational policy on sun safety, skin cancer screening, and public health dermatology — shape through expert advisory roles, influencing community and health system practice.","Quality improvement and patient safety initiatives — lead across the dermatology service line, using monitoring data and outcomes analytics to drive measurable performance gains.","Research agenda for skin disease diagnosis and treatment — define and champion, securing funding and publishing findings that advance the field at a national or international level.","Multidisciplinary tumor board and cancer committee leadership — provide authoritative dermatologic expertise influencing treatment decisions for complex oncology cases at the hospital level.","Workforce development and personnel strategy — design recruitment, credentialing, and continuing education programs for dermatology staff within a large health system.","Health information technology adoption — guide selection and optimization of medical software, telehealth, and EHR platforms to support scalable, high-quality dermatologic care delivery.","Ethical and professional standards in dermatologic practice — model and uphold with integrity, advising institutional leadership on medico-legal, billing compliance, and patient-rights matters."]}}},"sources":{"onet":"v30.2 (CC BY 4.0)","crosswalk":"https://skillscrosswalk.com","generator":"LER.me"},"attribution":"© EBSCOed"}