Demystifying the dermatology residency application process, part three-the path forward: Holistic review, equity and inclusion, and postmatch solutions.

Abstract

This third contribution of a three-part literature review aimed at demystifying the dermatology match addresses improving access for applicants from disadvantaged backgrounds, such as those underrepresented in medicine, without a home program, or lacking strong mentorship, and those who have had an unsuccessful match cycle. Part III examined the evolving dermatology residency application process through the lens of equity and cost. Although reforms such as holistic review and preference signaling aim to reduce overreliance on standardized metrics, persistent challenges, including opaque selection criteria and heightened emphasis on research productivity, continue to disadvantage applicants from underrepresented or nonacademic backgrounds. Diversity, equity, and inclusion initiatives, including targeted mentorship and pipeline programs, show promise in expanding access and representation within the field. Postmatch pathways, such as research fellowships, reapplication, and dual-application strategies, provide viable alternatives for unmatched applicants but require strategic planning and institutional support. Broader systemic reforms, including early acceptance programs, expansion of residency positions, and increased transparency in the review process, have been proposed to address application volume and promote equity. The dermatology match process, ultimately, requires a sustained commitment to inclusivity, transparency, and access for all qualified applicants, ensuring that the future dermatologic workforce reflects the diversity and needs of the populations it serves.