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Wokeness in Our Practice.

Ralph Michel Trüeb1, Natalia Caballero Uribe1

  • 1Center for Dermatology and Hair Diseases Professor Trüeb and University of Zurich, Zürich, Switzerland.

International Journal of Trichology
|November 27, 2025
PubMed
Summary
This summary is machine-generated.

The term "woke" has evolved from racial awareness to broader social justice issues. Its application in medical practice, particularly dermatology, requires further attention regarding discrimination and specialized care for diverse populations.

Keywords:
Ethnic skin and hairgender-affirming cosmetic dermatologyintersexlesbian gay bisexual transqueerwokeness

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Area of Science:

  • Medical Ethics
  • Dermatology
  • Social Sciences

Background:

  • The term "woke" originated as awareness of racial prejudice and discrimination, evolving to include broader social inequalities like sexism and LGBTQI+ rights.
  • The political right has co-opted "woke" as a pejorative, associating it with performative activism.
  • The implications of "wokeness" in medical practice, including discrimination and specialized care, remain underexplored.

Purpose of the Study:

  • To explore the evolving definition and socio-political usage of the term "woke."
  • To examine the relevance and implications of "wokeness" within the field of medical practice, specifically dermatology.
  • To highlight the need for increased attention to discrimination in medical employment and care, and specialized dermatologic care for diverse populations.

Main Methods:

  • Literature review and analysis of the term "woke" and its socio-political evolution.
  • Examination of existing literature on diversity, equity, and inclusion within medical practice, with a focus on dermatology.
  • Discussion of dermatologic considerations for ethnic skin and hair, and gender-affirming care.

Main Results:

  • The term "woke" has undergone significant semantic shifts, becoming a politically charged term.
  • Dermatology demonstrates a historical and ongoing interest in ethnic skin and hair, and is increasingly involved in gender-affirming cosmetic procedures.
  • Dermatologists possess expertise in managing conditions prevalent in specific ethnic groups and in providing cosmetic procedures for gender-diverse individuals.

Conclusions:

  • The concept of "wokeness" necessitates careful consideration within medical practice to address potential discrimination and ensure equitable care.
  • Dermatology is well-positioned to address the unique dermatologic needs of diverse ethnic and gender populations.
  • Further research and dialogue are needed to fully integrate principles of social justice and equity into medical practice and training.