In an article published in Allure, experts discussed the potential impact of and attitudes toward the new proposal to eliminate and replace the American Academy of Dermatology’s (AAD) Diversity, Equity, and Inclusion (DEI) programs. Currently, the field of dermatology is the second least-diverse medical specialty, a status that represents significant disparities in the treatment of patients with darker skin tones. There is often a disconnect between patients and dermatologists who are trained with textbooks and other materials that rarely portray dermatologic conditions in patients with darker skin tones. The new Resolution AAD/A 003—entitled “Sunsetting All DEI Programs”—comes in the wake of Hamas’ attack on Israel on October 7, 2023. Members of the AAD in support of the proposal suggested that a more inclusive and unifying ideology should be adopted by the organization, and claimed that the DEI movement has weaponized antisemitism as a means of undertaking a political stance, labeling Jewish individuals as oppressors, as well as justifying hate speech and violence. As a result, the supporters stressed that the DEI programs may now hinder the initiative’s original objectives, such as improving participation in academic research among patients with darker skin tones, enhancing dermatologic offerings for underserved communities, and increasing the number of and professional opportunities for racially and ethnically underrepresented dermatologists. However, the resolution has not yet defined an alternative program, and its introduction has already sparked a widespread and divisive online debate within the dermatology community. Those in opposition of the resolution insisted that instances of antisemitism and discrimination be presented to the AAD Board of Directors and DEI Committee so they can be addressed without dismantling the current DEI programs. Opposers of sunsetting the current programs also underscored that the DEI initiatives have cultivated a greater racial balance in dermatology. For instance, the AAD reported that between 2016 and 2022, the rate of Hispanic, Latino, and Spanish representation among dermatology resident graduates increased from 3.3% to 7.5%, and the rate of Black dermatology resident graduates increased from 3.4% to 5.1%. Nonetheless, representation among individuals with darker skin tones has remained low. Other dermatologists have advocated for changes to the DEI diversity initiatives and the creation of a task force to eradicate antisemitism, anti-Arab bias, and Islamophobia. They emphasized that despite becoming more political in recent years, the DEI programs have made dermatology more expansive, improved community trust and cultural competence, increased awareness of how dermatologic conditions present in patients with darker skin tones, and allowed for more varied voices and perspectives in the field of dermatology. The experts noted that the proposal to eliminate the DEI programs was discussed at the 2024 AAD Annual Meeting, which took place from March 8 to 12; if the resolution is approved, it will be voted on by the AAD’s board of directors in May.


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