An anonymous survey approved by the Institutional Review Board at the University of Florida was distributed to dermatology postgraduate year (PGY) 2–4 residents and program directors (PDs) through the Association of Professors of Dermatology e-mail listserv. The number of questions varied based on respondent answers. The survey evaluated SOC pathology exposure via lectures, on-site clinics, electives, or instruction by SOC experts. Additional questions were asked regarding resident confidence level in treating affected patients of color. PDs also received questions regarding their assessment of resident confidence levels.
Demographics and geographic distribution of respondents are displayed in Supplementary Table and Figure 1, respectively. The anonymous survey received 137 responses (summarized in Supplementary Table) from over 50 residency programs, with 54 PD, 33 PGY-2, 26 PGY-3, and 24 PGY-4 respondents. A Pearson’s χ2 test was used to analyze the relationship between SOC specific experiences and residents’ confidence level in diagnosis and treatment in SOC compared to Caucasian patients (Table 1). Our study found that residents with an expert in SOC in their program are 3.08 (95% CI, [1.12, 8.5]) times more likely to feel equally/more confident in diagnosing skin disorders in SOC versus Caucasian patients compared to residents without an expert attending. However, a statistically significant relationship was not shown when analyzing resident confidence level and SOC clinics, lectures, or electives. The