To the Editor: We applaud Joshi and Lewis 1 Joshi TP, Lewis DJ. Moving towards a holistic dermatology application process: importance of holistic review of applicant research output. J Am Acad Dermatol. Published online August 5, 2022. https://doi.org/10.1016/j.jaad.2022.07.054 Google Scholar for their insightful reply to our article characterizing the indexed publication output of matched dermatology applicants underrepresented in medicine. 2 Zheng DX, Narang J, Schrom KP, et al. Peer-reviewed indexed publication output of matched dermatology residency applicants underrepresented in medicine. J Am Acad Dermatol. Published online June 3, 2022. https://doi.org/10.1016/j.jaad.2022.05.060 Google Scholar In their commentary, 1 Joshi TP, Lewis DJ. Moving towards a holistic dermatology application process: importance of holistic review of applicant research output. J Am Acad Dermatol. Published online August 5, 2022. https://doi.org/10.1016/j.jaad.2022.07.054 Google Scholar the authors discussed an important limitation of our study, that is, our analysis excluded nonindexed publication scholarly works. Here, we address Joshi and Lewis’s 1 Joshi TP, Lewis DJ. Moving towards a holistic dermatology application process: importance of holistic review of applicant research output. J Am Acad Dermatol. Published online August 5, 2022. https://doi.org/10.1016/j.jaad.2022.07.054 Google Scholar critique and provide rationale for our study design in the context of broader trends in the dermatology residency match. Moving toward a holistic dermatology application process: Importance of holistic review of applicant research outputJournal of the American Academy of DermatologyPreviewTo the Editor: We read with great interest the research letter by Zheng et al1 and commend them for characterizing the peer-reviewed indexed publication output of matched dermatology residency applicants underrepresented in medicine (UIM). The authors show that while UIM applicants published fewer papers than their non-UIM counterparts, there was no significant difference in match rates between UIM and non-UIM applicants. Such an observation, as the authors assert, likely reflects the multifactorial nature of the residency review process. Full-Text PDF