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Black-skinned people make up a significant percentage of the French population. Skin pathologies are frequent and varied in general practice, and their management requires training. The aim of this study was to assess the knowledge needs of general practitioners regarding dermatology of black skin, based on their own practices. A cross-sectional quantitative survey was conducted online. The results reveal that for the most common pathologies (atopic dermatitis, candidiasis, psoriasis, scabies, and pityriasis versicolor), only just over 50% feel confident about their diagnosis. For less common pathologies (melanoma and Kawasaki syndrome), the level of diagnostic certainty plummets. This study highlights the complexity faced by general practitioners when performing a dermatological examination of patients with black skin. It is essential to enrich initial and in-service training programs for these professionals. Doctors should be supported by a widely distributed digital aid.