Ethical issues arise in patient care when an attending physician is accompanied by a learner. Educating patients of the level of experience of all those involved in their care, as well as the importance of allowing trainees to participate is imperative. Obtaining ongoing patient consent to allow physicians in training to participate in patient care is necessary to ensure the professional and ethical competence of the next generation of dermatologists. Additionally, the clinical setting in dermatology offers numerous teaching opportunities to address ethical issues vis-a-vis patient care and the learner. To the student, real-time education in ethics and pragmatic ethical practice equips her with the tools to skillfully handle her own ethical dilemmas in the future. Trainees learn from role modeling, engaged discussion, and immediate feedback, acquiring the tools to make them effective ethical and professional dermatologists. For practicing dermatologists, teaching ethics in this setting provides not only new insights into their beliefs and actions, but forces them to analyze and verbalize their thought processes rather than following ingrained behavior patterns. Cases that illustrate typical ethical dilemmas seen in day-to-day dermatology practice are used to illustrate how effective teaching in ethics and professionalism can occur in the clinic. Additionally, a form/table for recording ethical cases in a standardized way for future reference is provided.