344DEMOGRAPHIC DISPARITIES AND CAREER ASPIRATIONS IN DERMATOLOGY: A STUDY OF ALLOPATHIC MEDICAL GRADUATESMedical dermatology remains relatively homogenous, despite ongoing disparities in healthcare access and the challenges faced by underserved racial, ethnic, and disadvantaged populations. This study investigated the demographic profiles and career aspirations of allopathic medical graduates who chose dermatology as a specialty compared to those who selected. The research explored variations based on gender, racial and ethnic background, and sexual orientation. By utilizing a repeated cross-sectional analysis of data from a national medical education organization’s Graduation Questionnaire, 58,077 allopathic medical graduates were surveyed. The study examined the proportions of female, underrepresented minority (URM), and sexual minority (SM) students who pursued dermatology versus other specialties. Both percentage distributions and adjusted odds ratios (controlling for confounding variables) were assessed to understand how the career goals of dermatology-bound graduates differed from those of their peers in other fields. Among the participants, 28,489 (49.0%) were female, 8,447 (14.5%) were URM students, and 3,641 (6.3%) were SM students. Female dermatology applicants were found to have a lower percentage of URM (11.6%) and SM (1.9%) students than those choosing other specialties (17.2% URM; 5.7% SM) (P < .001). Adjusted analyses indicated that, compared with graduates entering other specialties, those pursuing dermatology were less likely to intend to serve underserved populations (18.3% vs. 34.0%; adjusted odds ratio [aOR], 0.40; 95% confidence interval [CI], 0.35–0.47; P < .001), work in underserved regions (12.7% vs. 25.9%; aOR, 0.40; 95% CI, 0.34–0.47; P < .001), or engage in public health efforts (17.0% vs. 30.2%; aOR, 0.44; 95% CI, 0.38–0.51; P < .001). However, dermatology students had higher odds of pursuing careers focused on research (64.7% vs. 51.7%; aOR, 1.76; 95% CI, 1.57–1.97; P < .001). For dermatology clinicians planning to serve underserved communities and work in public health, factors such as female gender, URM status, and SM identity were positively associated (URM aOR 4.05, 95% CI 2.83–5.80; SM aOR 2.55, 95% CI 1.51–4.31). URM dermatology students were nearly four times as likely to prioritize practice in underserved areas compared to their non-URM peers (aOR 3.93; 95% CI, 2.66–5.80)Rasineni@gmail.comResearch1022020 Dermatology, Allopathic Medical Graduates, Career Aspirations, Underrepresented Minorities, Healthcare Disparities.Dr. Rasineni Neelakanta BabuAssociate Professor, Department of Dermatology, Dr. Pinnamaneni Siddhartha Institute of Medical Sciences & Research Foundation PSP Medical College and hospitals, Chennai, Tamil Nadu, India