previously published by our group [7]. As before, we utilized a wrist pain case with a melanoma moulage painted on the second digit of the SP's hand where it would be easily visible during an examination of the hands (Fig.1). Four non-Hispanic white (referred to as white) actors and 4 African American actors presented our case after a board-certified dermatologist (CH) reviewed the moulage for realism.During the SP training sessions, a dermatologist (CH) helped coach the SPs on how to answer questions about the clinical history and symptoms of the simulated melanoma. The SP was instructed not to mention the lesion unless the student noticed the moulage. It is only if the student mentions the simulated lesion that the SP would answer specific questions posed by the student. The SPs were to provide the following information if asked by the student: the lesion was noticed approximately 6-8 months prior, the lesion has been growing in size; the patient grew up in Florida with heavy sun exposure, had no prior history of skin cancer, experienced no symptoms of pain or bleeding, and noticed no other changes in any other nevi.