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    <IdentifierDoi>10.3205/26isls13</IdentifierDoi>
    <IdentifierUrn>urn:nbn:de:0183-26isls134</IdentifierUrn>
    <ArticleType>Meeting Abstract</ArticleType>
    <TitleGroup>
      <Title language="en">Skin of Colour representation in a Swiss undergraduate dermatology curriculum: Gap analysis and action plan</Title>
    </TitleGroup>
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        <PersonNames>
          <Lastname>Galdos</Lastname>
          <LastnameHeading>Galdos</LastnameHeading>
          <Firstname>Ainoa</Firstname>
          <Initials>A</Initials>
        </PersonNames>
        <Address>
          <Affiliation>University Hospital of Bern, University of Bern, Department of Dermatology and Venerology, Bern, Switzerland</Affiliation>
        </Address>
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      <Creator>
        <PersonNames>
          <Lastname>Banz</Lastname>
          <LastnameHeading>Banz</LastnameHeading>
          <Firstname>Yara</Firstname>
          <Initials>Y</Initials>
        </PersonNames>
        <Address>
          <Affiliation>University of Bern, Institute of Tissue Medicine and Pathology, Bern, Switzerland</Affiliation>
        </Address>
        <Creatorrole corresponding="no" presenting="no">author</Creatorrole>
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      <Creator>
        <PersonNames>
          <Lastname>Seyed Jafari</Lastname>
          <LastnameHeading>Seyed Jafari</LastnameHeading>
          <Firstname>Seyed Morteza</Firstname>
          <Initials>SM</Initials>
        </PersonNames>
        <Address>
          <Affiliation>University Hospital of Bern, University of Bern, Department of Dermatology and Venerology, Bern, Switzerland</Affiliation>
        </Address>
        <Creatorrole corresponding="no" presenting="no">author</Creatorrole>
      </Creator>
      <Creator>
        <PersonNames>
          <Lastname>Bauer</Lastname>
          <LastnameHeading>Bauer</LastnameHeading>
          <Firstname>Daniel</Firstname>
          <Initials>D</Initials>
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        <Address>
          <Affiliation>University of Bern, Institute for Medical Education, Bern, Switzerland</Affiliation>
        </Address>
        <Email>daniel.bauer&#64;unibe.ch</Email>
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        <Corporation>
          <Corporatename>German Medical Science GMS Publishing House</Corporatename>
        </Corporation>
        <Address>D&#252;sseldorf</Address>
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    <SubjectGroup>
      <SubjectheadingDDB>610</SubjectheadingDDB>
      <Keyword language="en">skin of colour</Keyword>
      <Keyword language="en">dermatology education</Keyword>
      <Keyword language="en">curriculum analysis</Keyword>
      <Keyword language="en">representation bias</Keyword>
      <Keyword language="en">undergraduate medical education</Keyword>
    </SubjectGroup>
    <DatePublishedList>
      <DatePublished>20260507</DatePublished>
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    <Language>engl</Language>
    <License license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/4.0/">
      <AltText language="en">This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License.</AltText>
      <AltText language="de">Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung).</AltText>
    </License>
    <SourceGroup>
      <Meeting>
        <MeetingId>M0648</MeetingId>
        <MeetingSequence>13</MeetingSequence>
        <MeetingName></MeetingName>
        <MeetingTitle>20. Internationales SkillsLab Symposium 2026</MeetingTitle>
        <MeetingSession>Posters 2: Ready to Grow &#8211; Innovative Impulse</MeetingSession>
        <MeetingCity>Mannheim</MeetingCity>
        <MeetingDate>
          <DateFrom>20260312</DateFrom>
          <DateTo>20260314</DateTo>
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      <MainHeadline>Text</MainHeadline><Pgraph><Mark1>Background:</Mark1> There is increasing international concern that dermatology teaching materials insufficiently represent conditions as they present in individuals with darker skin tones (&#8220;Skin of Colour&#8221;, SoC), potentially contributing to diagnostic uncertainty and health inequities. While this issue has been described in Anglo-American contexts <TextLink reference="1"></TextLink>, empirical data from Swiss medical curricula are lacking. This study aimed to systematically assess the representation of SoC in the undergraduate dermatology curriculum at the University of Bern and to develop an action plan to address identified gaps.</Pgraph><Pgraph><Mark1>Methods:</Mark1> A cross-sectional analysis of dermatology teaching materials was conducted. All images contained in 24 dermatology lecture podcasts from a total of 16 lecturers, supplemented by the clinical skills training script and supplementary video materials, were included. In total, 1,821 images were analysed. Images were independently classified by two raters as Skin of Colour <TextLink reference="2"></TextLink> (phototypes V-VI), non-Skin of Colour (phototypes I-IV), or indeterminate; disagreements were resolved by a third rater. Images were further categorized by underlying pathology (inflammatory, infectious, neoplastic, other, unclear). Absolute and relative frequencies were calculated.</Pgraph><Pgraph><Mark1>Results:</Mark1> Of 1,821 images, 72 (3.95&#37;) depicted Skin of Colour, 1,695 (93.08&#37;) depicted non-Skin of Colour, and 54 images (2.97&#37;) were classified as indeterminate. Regarding underlying pathology, 43&#37; of images were inflammatory, 22&#37; infectious, 21&#37; neoplastic, 7&#37; other, and 7&#37; unclear. Skin of Colour images were most common in the &#8220;infectious&#8221; category. In the absence of population-based prevalence data for the construct &#8220;Skin of Colour&#8221; in Switzerland, the identified proportion of Skin of Colour images (3.95&#37;) remains substantially lower than estimates derived from commonly used demographic surrogates <TextLink reference="3"></TextLink>, <TextLink reference="4"></TextLink>.</Pgraph><Pgraph><Mark1>Discussion:</Mark1> This analysis demonstrates a marked underrepresentation of Skin of Colour in the undergraduate dermatology curriculum at a Swiss medical faculty. In response, an action plan is being formulated, including structured feedback to teaching staff, access to a curated image databases with higher proportions of Skin of Colour, and the development of a written syllabus addressing dermatologic assessment in Skin of Colour. Pending implementation, explicit communication of identified gaps to students is planned to promote critical awareness.</Pgraph><Pgraph><Mark1>Competing interests:</Mark1> The authors declare that they have no competing interests.</Pgraph></TextBlock>
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