Syder Nicole C, Omar Deega, McKenzie Shanice, Brown-Korsah Jessica B, Taylor Susan C, Elbuluk Nada
Department of Dermatology, Keck School of Medicine, University of Southern California, Los Angeles, California.
Department of Dermatology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania; George Washington School of Medicine and Health Sciences, Washington, DC.
J Am Acad Dermatol. 2023 Nov;89(5):885-892. doi: 10.1016/j.jaad.2022.03.053. Epub 2022 Apr 4.
Various studies have revealed a disproportionately low representation of skin of color (SOC) dermatology in the medical education system of the United States. This disparity contributes to adverse experiences, missed and/or delayed diagnoses, and overall health inequities for individuals of color. The lack of sufficient SOC education begins at the medical school level and continues throughout residency, fellowship, and beyond formal training. This lack of education can be seen in the dearth of images of common and uncommon skin conditions in darker skin in widely used textbooks and educational resources as well as in the lack of formal training in SOC in many residency programs. Thus far, there have been valuable strides to make dermatologic education more inclusive of all skin colors, but there remains significant work to be done. With the population of the United States expected to continue to diversify and with the expectation that SOC will be a trait of over half of the population of the United States by 2050, it is important to strive for health equity by ensuring that comprehensive and inclusive medical training incorporates SOC. This paper will explore the issue of gaps in medical education in SOC dermatology at all levels and offer a strategic call to action to aid in rectifying this situation.
多项研究表明，在美国的医学教育体系中，皮肤颜色较深人群（SOC）皮肤病学的代表性极低。这种差异给有色人种带来了不良体验、诊断延误和漏诊，以及整体健康不平等。SOC教育不足始于医学院阶段，并在住院医师培训、专科培训以及正式培训之后持续存在。这种教育不足体现在广泛使用的教科书和教育资源中深色皮肤常见及罕见皮肤疾病图片的匮乏，以及许多住院医师培训项目中缺乏SOC的正规培训。到目前为止，在使皮肤病学教育更包容所有肤色方面已经取得了宝贵进展，但仍有大量工作要做。鉴于美国人口预计将继续多样化，且预计到2050年SOC将成为美国半数以上人口的特征，通过确保全面和包容性的医学培训纳入SOC来实现健康公平至关重要。本文将探讨各级医学教育中SOC皮肤病学的差距问题，并发出战略行动呼吁，以帮助纠正这种情况。
