Abstract
A dearth of skin of color (SOC) education exists among dermatology residency programs
despite the increasingly diverse United States population; a 2008 study reported that
52% of dermatology residency programs had didactic sessions or lectures focusing on
diseases in SOC. In the last decade, no new studies have examined the state of residency
SOC education. In this study, dermatology residents across the United States were
surveyed anonymously about SOC education at their residency program, satisfaction
with SOC education, opinions on improving SOC education, and perspective on cultural
competence. Of the 125 respondents, 63.2% reported their program provides SOC-related
didactics; 44.0% had a rotation where residents primarily saw patients with SOC, although
only 11.2% had a dedicated SOC rotation. While more than 60% of residents reported
being satisfied or very satisfied with their SOC education, residents’ satisfaction
with their knowledge of diseases primarily seen in SOC was lowest (56.8%) of all categories.
Thematic analysis revealed four major themes for improvement of SOC education, including
curricular reform, clinical exposure, emphasizing determinants of health, and opportunities
to learn from faculty with diverse interests and expertise about SOC. These findings
highlight unique opportunities for dermatologists to enhance SOC education and care
for patients of all backgrounds.
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References
- Skin of color education in dermatology residency programs: does residency training reflect the changing demographics of the United States?.J Am Acad Dermatol. 2008; 59: 615-618
- Assessment of black patients’ perception of their dermatology care.JAMA Dermatol. 2019; 155: 1129-1134
- Assessing dermatology resident confidence in caring for patients with skin of color.Clin Dermatol. 2021; 39: 873-878
Dermatology Milestones. The Accreditation Council for Graduate Medical Education. Available at: https://www.acgme.org/Portals/0/PDFs/Milestones/DermatologyMilestones.pdf?ver=2020-09-01-145430-480. Accessed May 5, 2021.
- Resident burnout: evaluating the role of the learning environment.BMC Med Educ. 2018; 18: 54
- Burnout during residency training: a literature review.J Grad Med Educ. 2009; 1: 236-242
- Training satisfaction for subspecialty fellows in internal medicine: findings from the Veterans Affairs (VA) Learners’ Perceptions Survey.BMC Med Educ. 2011; 11: 1-9
- Residency program trainee-satisfaction correlate with results of the European board examination in neurosurgery.Acta Neurochir (Wien). 2016; 158: 1823-1830
- Cultural competence for the 21st century dermatologist practicing in the United States.J Am Acad Dermatol. 2017; 77: 1159-1169
- Cultural competence and unique concerns in patients with ethnic skin.J Drugs Dermatol. 2012; 11: 460-465
- Evaluating cultural competency and patient satisfaction in an urban dermatology clinic.Dermatol Online J. 2017; 23 (13030/qt7sv5g42q)
- Multiethnic training in residency: a survey of dermatology residents.Cutis. 2020; 105: 310-313
- Skin color in dermatology textbooks: an updated evaluation and analysis.J Am Acad Dermatol. 2021; 84: 194-196
- Elective time during dermatology residency: a survey of residents and program directors.Dermatol Online J. 2017; 23: 13030
- Dermatology applicant perspectives of a virtual visiting rotation in the era of COVID-19.J Am Acad Dermatol. 2021; 84: 1699-1701
- A survey study of resident experiences of sexual harassment during dermatology training.J Am Acad Dermatol. 2020; 83: 594-596
Article info
Publication history
Published online: November 24, 2021
Edited by Stephen P. Stone, MDIdentification
Copyright
© 2021 Elsevier Inc. All rights reserved.
