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Beyond the surface: unveiling gaps in medical education through eyes of diverse learners
Journal article   Peer reviewed

Beyond the surface: unveiling gaps in medical education through eyes of diverse learners

Alexis Arza, Zane Sejdiu, Matthew Viveiros, Alaina James, Michael Weingarten and Carolyn Giordano
Archives of dermatological research, v 316(5), 187
22 May 2024
PMID: 38775979

Abstract

Adult Clinical Competence - statistics & numerical data Curriculum Dermatology - education Education, Medical - methods Education, Medical, Undergraduate - methods Female Humans Male Skin Diseases - diagnosis Skin Pigmentation Students, Medical - statistics & numerical data Surveys and Questionnaires - statistics & numerical data
Inadequate education regarding disease manifestations in diverse skin colors hinders diagnosis and exacerbates health disparities. All levels of medical trainees report low confidence in accurately identifying disease in skin of color (SOC). To help further elucidate these concerns, our research aims to assess medical student confidence in recognizing cutaneous diseases in SOC and their viewpoints regarding SOC education within their institution. An eight-question, open-ended survey was provided to medical students before and after a SOC presentation. The survey assessed participants' confidence in their diagnostic ability and perspectives on educational material. Among the 70 attendees, 58 (82.8%) and 64 (91.4%) completed the pre- and post-seminar surveys, respectively. There was a significant discrepancy in confidence levels when assessing cutaneous manifestations of internal pathology in light (Monk Skin Colors 1-5) versus dark (Monk Skin Colors 6-10) skin (p < 0.009). Notably, 78.7% (37/47) perceived the institutional learning materials as insufficient for SOC. Post-seminar reflections indicated that 87.2% (40/46) of students lacked confidence in diagnosing SOC, with 78.7% (32/46) citing inadequate curriculum coverage as the cause. An additional 8.5% (6/46) identified the predominance of white-centric medical descriptions as a hindrance. Students collectively called for improved educational approaches, including better visual representation of diseases in darker skin. Medical education must continue to strive for increased SOC representation to train competent physicians in treating a diverse patient population and reduce disparities in SOC patients.

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Collaboration types
Domestic collaboration
Web of Science research areas
Dermatology
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