Program Director Perspectives on DEI Initiatives in the Dermatology Residency Selection Process

Area of Science:

• Medical Education
• Dermatology Workforce Diversity

Background:

• The American Academy of Dermatology (AAD) has historically supported diversity, equity, and inclusion (DEI).
• Recent US Supreme Court rulings on affirmative action have raised questions about DEI program viability.
• Understanding program director (PD) perspectives is crucial for navigating these changes.

Purpose of the Study:

• To assess dermatology PDs' perceptions of DEI programming.
• To investigate the integration of DEI into dermatology residency selection processes.
• To identify challenges and facilitators for DEI in dermatology graduate medical education.

Main Methods:

• A cross-sectional survey was distributed to PDs of US dermatology residency programs.
• Data were collected between April 2024 and July 2024.
• Thirty PDs participated in the survey.

Main Results:

• A majority of PDs expressed strong support for advancing DEI in dermatology.
• PDs reported persistent challenges, including legal restrictions and knowledge deficits regarding DEI implementation.
• Support for DEI exists despite perceived barriers.

Conclusions:

• Sustained commitment and strategic planning are necessary to foster a diverse and inclusive dermatology workforce.
• Addressing legal uncertainties and enhancing PD knowledge are key to overcoming current challenges.
• Aligning the dermatology workforce with national demographic diversity remains an important goal.