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Assessing Implicit Bias in Dermatology.

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    Dermatologists recognize the need for more diversity in training materials for skin of color (SOC). Educational improvements, including diverse images and cultural competency training, are key to better patient care.

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    Area of Science:

    • Dermatology
    • Medical Education
    • Health Equity

    Background:

    • Patients with skin of color (SOC), Fitzpatrick skin types IV-VI, are underrepresented in dermatology.
    • This underrepresentation spans practitioners, training materials, and clinical studies.

    Purpose of the Study:

    • To assess dermatologists' perceptions impacting patient care for diverse populations.
    • To identify strategies for improving dermatologic education and practice regarding skin of color.

    Main Methods:

    • An online survey was conducted among dermatologists.
    • Participants were screened based on patient volume, time in direct patient care, and proportion of aesthetic patients.

    Main Results:

    • 220 dermatologists participated; 50 identified as SOC.
    • SOC dermatologists reported more diverse racial/ethnic patient populations, but similar Fitzpatrick skin type distributions.
    • Most dermatologists agreed on the benefit of increased diversity in medical training and suggested improved educational materials and cultural competency training.

    Conclusions:

    • While racial/ethnic diversity in practices varies, Fitzpatrick skin type diversity is consistent, highlighting challenges in categorization.
    • Dermatologists believe enhancing educational materials with diverse skin types and increasing cultural competency training are crucial for improvement.