Diversity in the Selection of Dermatology Applicants

To the Editor In the name of diversity, Drs Chen and Shinkai propose eliminating Step 1 scores and research experience, among other things, as selection criteria for dermatology residency. However, Step 1 scores objectively test knowledge-based learning in the basic science years of medical school and are the only standardized assessment for all applicants to residency positions. Among the possible reasons that underrepresented minorities (URMs) have low Step 1 scores presented is that "studying for a good grade…can significantly undermine…learning for the joy of learning."^(p259) Why would joyful learning preclude attaining good grades and demonstrating competency by Step 1 performance? In addition, research experience is important for residency applicants and for dermatology as a specialty. If URMs cannot afford to do research, then perhaps medical student research needs better funding. Rather than discouraging research by medical students and the mentorship provided by the faculty member, it behooves the specialty to find a way to support such research, especially by URMs.

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