To the Editor: Defining the role of the primary care provider in the management of skin diseases is a multifactorial issue. Perhaps from the dermatologist's perspective it might seem ideal for dermatologists to manage all cases of acne, as dermatologists have extensive training and experience with the condition. But acne is highly prevalent, and the existing shortage of dermatologists may make having every patient with acne see a dermatologist unfeasible, if not undesirable.1,2
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