Abstract
Dermatologists of color have long championed skin of color representation in education and workforce diversity. For health equity, we must reconsider even fundamental and accepted terminology. The Fitzpatrick skin type (FST) scale, with both disproportionate focus on white skin tones and inconsistent use, perpetuates skin color bias. Indeed, since FST does not purely objectively estimate skin pigmentation, it may inaccurately assess patients regarding risks for skin cancer and from interventions. Dermatology must seek an objective classification system, and given the rise of artificial intelligence (AI), technology-based approaches may be solutions.
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