Agree with Guest8 - I'm also a path-trained dermpath, and was a de-facto derm resident during my 6 months of derm (did the biopsies and evaluations and was treated as a first year derm resident). I still would not feel comfortable running a medical derm clinic - way too much hassle, liability and "customer" care. Also, the $$ is in cosmetics anyway (cash practice). I do know of pathologists who have cosmetic clinics.
I do know of one path-trained dermpath who has a derm practice and reads their own slides - however, this pathologist did one year of medical internship prior to path residency.
What are the thoughts of the dermpaths in your group about this proposed endeavor?