Foundational academic medical texts facilitate foundational understanding of disease recognition in medical students. Significant underrepresentation of darker skin tones and overrepresentation of lighter skin tones in dermatologic texts, general medical texts, and scientific literature is observed. This compromises the clinical tools of trainees when it comes to darker skin tones. Text publishers and editors are steadily beginning to address these disparities, but bottom-up change from trainees is necessary to comprehensively address this issue. In this article the authors propose institutional review panels as a framework for building awareness of underrepresentation of darker skin tones and ensuring that faculty intentionally share diverse presentations in didactics. They also propose trainee engagement in building diverse medical image libraries and including texts on skin of color in institutional libraries. Empowering trainees to be advocates and call out any implicit or explicit biases in image selection can engender change in this area of medical education.

基础学术医学文本有助于医学生对疾病识别的基础理解。观察到皮肤病学文本、一般医学文本和科学文献中较深肤色的显着代表性不足和较浅肤色的过度代表性。当涉及到较深的肤色时，这会影响受训者的临床工具。文本出版商和编辑正在稳步开始解决这些差异，但要全面解决这个问题，需要从学员中进行自下而上的改变。在本文中，作者建议将机构审查小组作为一个框架，以提高对深色肤色代表性不足的认识，并确保教师有意分享教学中的各种演示。他们还建议学员参与建立多样化的医学图像库，并在机构图书馆中纳入有关肤色的文本。使受训者成为倡导者并指出图像选择中的任何隐性或显性偏见可能会导致医学教育领域发生变化。