Current landscape and future directions: a cross-sectional study of diversity among dermatology leadership in Canada.

Background/objectives: Medical leadership and education which reflects the diversity of patient populations are crucial to equitable healthcare experiences and outcomes. This study aims to assess the current landscape of diversity in dermatology leadership and educational curricula in Canada. We also sought to collect and summarise recommendations made by current dermatology leaders about how to improve diversity in the field.

Methods: This cross-sectional study assessed the self-reported racial/ethnic backgrounds and Fitzpatrick skin types of Canadian dermatology leaders. Individuals who held one or more leadership positions in the past 10 years were identified and sent an anonymous, online survey. Respondent's demographic information and perspectives on diversity in dermatology were analysed with proportions and thematic analysis, respectively.

Results: The survey response rate was 50.0% (55/110). 65.5% (36/55) of respondents identified as White/Caucasian. More respondents identified as having Fitzpatrick skin types 1-2 (65.5%) compared with Fitzpatrick skin types 3-6 (34.5%). More respondents (68.9%) holding leadership positions in national, provincial or regional societies identified as White/Caucasian compared with leaders in academic or research roles (56.5%). Most respondents believed that Black, Indigenous and people of colour are not sufficiently represented in Canadian dermatology leadership and that skin of colour is not adequately represented in dermatology educational curricula.

Conclusions: Our study suggests a potential underrepresentation of racial and ethnic minorities in Canadian dermatologists in national, provincial and regional society leadership positions. Most Canadian dermatologists previously or currently holding leadership roles believe that further efforts are necessary to improve equity, diversity and inclusion in the field.