Objective:

To examine the evolution and implications of the term 'skin of color' (SOC) in dermatology and propose a more precise framework for its use.

Approach:

Key Findings:

• The Fitzpatrick scale inadequately represents darker skin types.
• SOC is often used as a catch-all term that can obscure clinically meaningful differences.
• A more granular approach is needed to enhance individualized care in dermatology.

Interpretation:

While SOC has advanced equity in dermatology, its broad application can lead to imprecision in clinical settings, necessitating a more detailed understanding of its components.

Limitations:

• The proposed tools for measuring SOC components are underused due to integration challenges.
• Refining the term SOC may create tension regarding its visibility and importance in dermatology.

Conclusion:

The authors advocate for a nuanced application of SOC in clinical and research contexts to improve patient care and outcomes.

Sources:

• JAMA Dermatology
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