my derm looks at every inch of my skin, even bottom of my feet, top of my scalp. I did have a squamous cell carcinoma on my nose 2 yrs ago and i take Humira and Imuran (which i guess slightly increases your risk of certain cancers) and so she inspects me every 6 months. The derm i went to before did not and after he left the room and the nurse was asking if i had questions, i said "yes, is he going to examine me?" she looked surprised and said "he didnt examine you", I said" he acted like he was, but i have no faith in that exam" she went back out and brought him back in and watched him examine me a bit more thoroughly but begrudgingly. At that point, i said never mind, i will find a new doctor who wants to take care of me, and walked out.