Leave it to a resident to tell us how the job market is when they've never looked for one. But it's a "blog" so I guess they can spout whatever they want. Saying there's a "pathologist shortage in terms of misdistribution geographically" is a bit of an oxymoron and doesn't equate to, nor should be interpreted as an overall shortage of total number of pathologists in rural areas. Of course there are more docs concentrated in big cities just like any other specialty and the rural places are going to require a fewer total number of physicians including pathologists. And these places usually have some old stalwart who's been hunkered down there for the past thirty plus years with surrounding practices chomping at the bits waiting till they retire or kick the bucket so they can be taken over.
They also state that there is not a surplus in dermpath compared to heme, but there's not exactly a dearth either. I remember having dinner awhile back with a dermpath colleague and his dept. chairman who both practiced in a hospital located in a small town. This colleague was recently hired because the practice specifically wanted a dermpath and the job was advertised as such. When I asked the chair if he got a lot of applications, I was a slightly surprised when he said yes; given this being more subspecialized, and no less being located in a non-urban area. He said he figured the job market must be bad because he received many CV's including those from general pathologists as well as dermpaths who were coming from places like WashU, HMS, etc. to Smalltown, USA. Of course this is anecdotal, and it's not to say that everbody from the ivory towers is going to wind up stuck in Texarkana, Arkansas where the best meal around town is pig ear sandwiches and moon pies at the local truck stop, but you get the drift...