How can we eliminate common mistakes when working up a dermatology case? Improving dermatology skills can help provide better results for our patients and instill a stronger sense of trust with our clients. Various topics are discussed including: setting realistic expectations for clients, utilizing technicians, obtaining an appropriate dermatologic history, performing skin scrapings and cytology, improving biopsy skills, using topical therapies, using antibiotics appropriately, conducting diet trials, and knowing when to refer to a dermatologist.