Abstract
To the Editor: The US population is becoming more racially and ethnically diverse, yet medical textbooks have not reflected this change. A study of general medicine textbooks showed minimal skin type diversity, with 4.5% of images showing dark skin.1 In dermatology, visual diagnosis and pattern recognition are affected by the background skin type. Previous work showed limited representation of skin of color in dermatology textbooks.2 We aimed to update and evaluate any changes in the representation of skin phototypes in core dermatology texts used to educate trainees, dermatologists, and generalists.
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