Not a good first impression. I have been to other dermatologist because I have had skin cancer. I know what a through exam should include. My entire screening exam took less than 5 min. I had to point out the area that my pcp was concerned about to Brian the PA. The room was dim and he checked out the back of my legs standing a few feet behind me. I am a nurse practitioner and Will definitely not refer to this practice. Will be looking for a new dermatologist!