DermTwitter (since it started) world is quite different from the real Derm world in terms of emphasis in the specialty. I wouldn't say take it w/a grain of salt but they're not the majority academic Derm faculty view (which is still relatively traditional), so keep that in mind. If you're someone who does not have a home dermatology residency program at your medical school, DermTwitter can be very helpful there when it comes to building an application.

All I'll say is that it is pretty weird when your residency is in a city with 70-80% black people and NONE of the residents that you match are black. The reason they're attacked is because it's not like it's because of a lack of interest from URMs < I imagine that most cities/urban cores aren't majority white. This idea that black residents of a city can only get good medical care from a dermatologist of the same race is weird. Academic medical centers by default treat marginalized communities. Outside of racial quotas (which are unconstitutional) for Derm there is really nothing that can be done about a derm residency not matching a black applicant. The only cities that are greater than 70% black are Detroit, Michigan and Jackson, Mississippi.