Dermatologists play a significant and multifaceted role in caring for sexual and gender minority (SGM) patients, an expansive population that includes individuals who identify as lesbian, gay, bisexual, asexual, queer, transgender, and gender nonconforming and those with differences in sex development. Multiple social determinants, including stigma and discrimination in health care and a lack of knowledgeable clinicians, have created health inequities for SGM individuals, leading the National Institutes of Health in 2016 to designate SGM individuals as a health-disparity population.^1,2 Sexual and gender minority patients also face dermatology-specific disparities, ranging from increased rates of skin cancer among sexual minority men to higher rates of human papillomavirus infection among sexual minority women.³ To provide excellent care for SGM individuals, dermatologists must be able to deliver culturally competent care to SGM individuals with routine dermatologic conditions and address their population-specific health needs. These health needs include, but are not limited to, the screening for and prevention of certain sexually transmitted infections among high-risk SGM individuals, the management of cutaneous effects of gender-affirming hormone therapy, and the use of minimally invasive, gender-affirming procedures.^3,4 In this issue of JAMA Dermatology, Jia and colleagues⁵ address a key component of improving clinical care and mitigating health disparities for SGM individuals—dermatology graduate medical education.

皮肤科医生在照顾性少数和性别少数（SGM）患者方面起着重要且多方面的作用，这些人群包括以下人群：同性恋，双性恋，双性恋，无性恋，同志，变性者和性别不符合以及性别发展差异的人群。多种社会决定因素，包括医疗服务中的污名和歧视以及缺乏知识渊博的临床医生，造成了SGM个人的健康不平等，导致国立卫生研究院在2016年将SGM个人指定为健康差异人群。^{1 ，2}性少数群体和性别少数群体的患者也面临皮肤病方面的差异，从性少数群体中男性的皮肤癌发病率上升到性少数群体女性中的人乳头瘤病毒感染率上升。³为了给SGM个人提供出色的护理，皮肤科医生必须能够为具有常规皮肤病状况的SGM个人提供具有文化能力的护理，并满足其特定人群的健康需求。这些健康需求包括但不限于筛查和预防高危SGM个体中的某些性传播感染，性别确认激素疗法对皮肤的管理以及使用微创，性别确认的方法程序。^{3 ，4}。在这个问题上JAMA皮肤病学，贾和同事⁵解决了改善SGM个人临床护理和减轻健康差异的关键组成部分-皮肤病学研究生医学教育。