Across the U.S. Skin of Color (SOC) clinics have been established with the goal of providing medical care and supporting research related to patients with skin of color. There have been no formal studies evaluating why patients seek medical care at SOC clinics or treatment outcomes. Reasons may include past experiences with other providers, the perception that providers working in these clinics have a special interest or knowledge in caring for patients with skin of color and thus may provide better care, the expectation of cultural sensitivity, the hope that their provider may have a similar ethnic background, and/or ease of communication with their provider. Through focus group discussions we aim to identify the factors influencing a patient's choice to seek medical care at a SOC clinic and to gain insight into the presence and impact of racial concordance between provider and patient. The current study will focus on self-identified African American patients with interest in conducting similar sessions with patients of other ethnicities and races in the future.

Inclusion Criteria:

• Evaluated in the Northwestern Center for Ethnic Skin between February 1, 2015 and February 1, 2016.
• Evaluated by Drs. Stavonnie Patterson or Roopal Kundu
• Age 18 or older
• Self identified as African American/Black
• All subjects must have given signed, informed consent prior to participation in study.

Exclusion Criteria:

• English speaking as interpreters not available
• Existing mental health conditions that may interfere with focus group discussion

African American patients evaluated at the Northwestern Center for Ethnic Skin