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Initial Biopsies Required to Achieve Competency in Mohs Surgery - Training Analysis

Lee J, Bae E, Yang EJ, et al.
Dermatologic Surgery (2024)

JC: May 2024

This training analysis investigated the number of initial biopsies required for trainees to achieve competency in Mohs micrographic surgery. The study established minimum case thresholds for developing proficiency in histologic interpretation and surgical decision-making during Mohs fellowship.

Take-Home Messages

  • •A minimum number of interpreted Mohs slides is needed to achieve competency, supporting structured training volume requirements.
  • •Tracking trainee performance metrics during Mohs fellowship helps ensure adequate skill development before independent practice.

Topic

Training & Education

Mohs training, fellowship, workforce, simulation

Abstract

Tissue preservation and tumor clearance are hallmarks of Mohs micrographic surgery, but no standardized method currently exists to guide trainees on how to balance the two. The authors provided residents and fellows with additional histologic information to enhance their surgical decision-making without changing the standard methodology of Mohs surgery. Trainees were provided initial biopsy slides (IS) and frozen vertical sections (VS) of the first Mohs layer. All Mohs layers were excised in ...

Literature review only. This summary is an editorial interpretation and may not reflect the complete findings of the original publication. Always refer to the full-text article for clinical decision-making.