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Dermatology care is nearly non-existent for American Indian and Alaska Native (AIAN) youth. The Indian Health Service (IHS) currently employs a single dermatologist for more than 2 million patients, which suggests that AIAN youth face substantial barriers to accessing dermatology. Limited treatment for skin disease may explain health disparities in prevalence and severity of skin disease among AIAN youth compared to the general United States (US) youth population. The consequences of such disparities are well-established. Skin disease has significant and long-term impacts on affected youth and their families. For example, untreated skin diseases among youth populations are associated with poorer quality of life, sleep disruptions, learning difficulties, mood disorders, and school absenteeism. The short-term goal of this study is to obtain actionable evidence regarding AIAN youths" access to dermatology care by analyzing a national healthcare database and through AIAN stakeholder interviews.