The Importance of Service Learning in Dermatology Residency: An Actionable Approach to Improve Resident Education and Skin Health Equity

Humphrey, Victoria; James, Alaina J.

doi:10.12788/cutis.0199

Cited by 6 publications

(10 citation statements)

References 8 publications

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“…Efforts are thus needed to increase engagement with underserved care among all trainees in the dermatology workforce pipeline. Such efforts may include increasing service-based learning opportunities in undergraduate and graduate medical education in dermatology 28,29 ; emphasizing the importance of a demonstrated commitment to underserved care, including through research, in dermatology residency recruitment policies and practices 30 ; formal residency training tracks focused on health equity and/or community-based care [31][32][33] ; and financial incentives that encourage careers in underserved care. 34,35 Finally, this study found that SM students pursuing dermatology had increased interest in careers focused on academic practice, leadership, and research.…”

Section: Discussionmentioning

confidence: 99%

Diversity and Career Goals of Graduating Allopathic Medical Students Pursuing Careers in Dermatology

et al. 2023

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ImportanceDermatology is one of the least diverse specialties, while patients from minority racial and ethnic groups and other underserved populations continue to face numerous dermatology-specific health and health care access disparities in the US.ObjectivesTo examine the demographic characteristics and intended career goals of graduating US allopathic medical students pursuing careers in dermatology compared with those pursuing other specialties and whether these differ by sex, race and ethnicity, and/or sexual orientation.Design, Setting, and ParticipantsThis secondary analysis of a repeated cross-sectional study included 58 077 graduating allopathic medical students using data from the 2016 to 2019 Association of American Medical Colleges Graduation Questionnaires.Main Outcomes and MeasuresThe proportion of female students, students from racial and ethnic groups underrepresented in medicine (URM), and sexual minority (SM) students pursuing dermatology vs pursuing other specialties. The proportions and multivariable-adjusted odds of intended career goals between students pursuing dermatology and those pursuing other specialties and by sex, race and ethnicity, and sexual orientation among students pursuing dermatology.ResultsA total of 58 077 graduating students were included, with 28 489 (49.0%) female students, 8447 (14.5%) URM students, and 3641 (6.3%) SM students. Female students pursuing dermatology were less likely than female students pursuing other specialties to identify as URM (96 of 829 [11.6%] vs 4760 of 27 660 [17.2%]; P &lt; .001) or SM (16 [1.9%] vs 1564 [5.7%]; P &lt; .001). In multivariable-adjusted analyses, students pursuing dermatology compared with other specialties had decreased odds of intending to care for underserved populations (247 of 1350 [18.3%] vs 19 142 of 56 343 [34.0%]; adjusted odd ratio [aOR], 0.40; 95% CI, 0.35-0.47; P &lt; .001), practice in underserved areas (172 [12.7%] vs 14 570 [25.9%]; aOR, 0.40; 95% CI, 0.34-0.47; P &lt; .001), and practice public health (230 [17.0%] vs 17 028 [30.2%]; aOR, 0.44; 95% CI, 0.38-0.51; P &lt; .001) but increased odds of pursuing research (874 [64.7%] vs 29 121 [51.7%]; aOR, 1.76; 95% CI, 1.57-1.97; P &lt; .001) in their careers. Among students pursuing dermatology, female, URM, and SM identities were independently associated with increased odds of caring for underserved populations (eg, URM: aOR, 4.05; 95% CI, 2.83-5.80) and practicing public health (eg, SM: aOR, 2.55; 95% CI, 1.51-4.31). URM students compared with non-URM students pursuing dermatology had increased odds of intending to practice in underserved areas (aOR, 3.93; 95% CI, 2.66-5.80), and SM students compared with heterosexual students pursuing dermatology had increased odds of intending to become medical school faculty (aOR, 1.60; 95% CI, 1.01-2.57), to pursue administrative roles (aOR, 1.60; 95% CI, 1.01-2.59), and to conduct research (aOR, 1.73; 95% CI, 1.01-2.98).Conclusions and RelevanceThe findings of this cross-sectional study suggest that diversity gaps continue to exist in the dermatology workforce pipeline. Efforts are needed to increase racial and ethnic and sexual orientation diversity and interest in careers focused on underserved care and public health among students pursuing dermatology.

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Section: Discussionmentioning

confidence: 99%

Diversity and Career Goals of Graduating Allopathic Medical Students Pursuing Careers in Dermatology

et al. 2023

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“…Since tattoo removal is a time-consuming process, these findings point to a clear need for institutionalization of tattoo removal programs with protected funding and staffing. For example, the program which underlies this study is sustainable due to its integration within a medical school’s dermatology residency program; by training dermatologists in laser medicine through a service learning opportunity, the program is able to provide free tattoo removal services to JIA ( Ojeda et al, 2019 ) while also building awareness among medical professionals regarding the dermatological needs of JIA ( Humphrey & James, 2021 ). Technological improvements are also needed to shorten treatment period in order to better support clinical engagement ( Kent & Graber, 2012 ).…”

Section: Discussionmentioning

confidence: 99%

“…Characteristics at Follow-Up Among Justice Involved Adults (JIA) Receiving Free TattooRemoval, Southern California, 2016to 2021.…”

mentioning

confidence: 99%

Motivations for Seeking Laser Tattoo Removal and Perceived Outcomes as Reported by Justice Involved Adults

Ojeda

Magana

Hiller-Venegas

et al. 2022

Int J Offender Ther Comp Criminol

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The goal of this study is to describe reasons for desiring removal of unwanted tattoos and self-reported outcomes among justice-involved adults (JIA) receiving free laser tattoo removal in Southern California. Between 2016 and 2021, JIA completed voluntary anonymous surveys at baseline ( n = 53) and follow-up ( n = 113) visits. Descriptive analyses were generated for quantitative items. Themes were identified from open-ended questions. Patients were predominantly male (74%) and most (81%) reported tattoo-related discrimination. Adjusted multivariate analyses showed that a higher number of domains in which patients reported tattoo-related discrimination was associated with having more tattoos to remove and citing reasons for removal related to employment and stigma by association (e.g., gang membership and police interactions). At follow-up, 48% of patients felt they were treated better in their community, and nearly a quarter of patients (25%) reported greater confidence and self-esteem. JIA seek tattoo removal due to stigma and discrimination. While JIA reported diverse benefits, tattoo removal should likely be considered as one element of comprehensive programing that addresses JIA’s diverse emotional, social, and economic needs. Longitudinal research is needed to clarify the long-term effects of tattoo removal for JIA.

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“…4,5 Service learning, pipeline programs aimed at early exposure to dermatology, and increased access to care for diverse patient populations are important measures to improve diversity in the dermatology workforce. [13][14][15] Residency programs should consider how to incorporate these aspects into didactic and clinical curricula to better recruit diverse candidates to the field. Equity in the Application Process-We found that Black applicants were more likely than non-UIM applicants to be reapplicants to dermatology; however, Black applicants in our study also were more likely to receive more interview invites, match into dermatology, and match into one of their top 3 programs.…”

Section: Commentmentioning

confidence: 99%

Differences in Underrepresented in Medicine Applicant Backgrounds and Outcomes in the 2020-2021 Dermatology Residency Match

Rinderknecht¹

2022

Cutis

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Ms. Rinderknecht reports no conflict of interest. Dr. Brumfiel and Ms. Jefferson held leadership roles in the Dermatology Interest Group Association while work was being done on this study. Drs. Worswick and Rosman are dermatology residency program directors at their respective institutions and serve on the Association of Professors of Dermatology Residency Program Directors Section steering committee. Dr. Rosman also is the chair of the committee. These are elected positions without financial compensation.

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The Importance of Service Learning in Dermatology Residency: An Actionable Approach to Improve Resident Education and Skin Health Equity

Cited by 6 publications

References 8 publications

Diversity and Career Goals of Graduating Allopathic Medical Students Pursuing Careers in Dermatology

Diversity and Career Goals of Graduating Allopathic Medical Students Pursuing Careers in Dermatology

Motivations for Seeking Laser Tattoo Removal and Perceived Outcomes as Reported by Justice Involved Adults

Differences in Underrepresented in Medicine Applicant Backgrounds and Outcomes in the 2020-2021 Dermatology Residency Match

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