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Related Experiment Video

Updated: Jun 26, 2026

Apparatus for Harvesting Tissue Microcolumns

Apparatus for Harvesting Tissue Microcolumns

Published on: October 25, 2018

Recent changes in the workforce and practice of dermatologic surgery.

Emily P Tierney¹, C William Hanke, Alexa Boer Kimball

¹Department of Dermatology, Henry Ford Health System, Detroit, Michigan, USA.

Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [Et Al.]

|January 30, 2009

Summary

Mohs fellowship-trained surgeons are increasingly common among younger dermatologists. These surgeons perform more Mohs cases weekly and are more likely to be in academic positions.

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Area of Science:

Dermatologic Surgery
Surgical Workforce Analysis

Background:

The number of American College of Mohs Surgery (ACMS) fellowship positions has grown significantly.
This growth has led to an increase in fellowship-trained surgeons in dermatologic surgery.

Purpose of the Study:

To compare Mohs micrographic fellowship-trained surgeons (MMFTSs) with non-Mohs fellowship-trained surgeons (NMMFTSs).
To analyze demographic shifts and practice patterns within dermatologic surgery.

Main Methods:

Utilized the American Academy of Dermatology Practice Profile Survey (2002/05).
Conducted an analysis of recent Mohs fellowship classes.

Main Results:

In 2005, MMFTSs and NMMFTSs were equally represented in the workforce (ratio 0.9).
The youngest cohort (29-39) showed a higher proportion of MMFTSs (ratio 1.55) in 2005.
Younger MMFTSs were more likely to be female (47.1%) compared to all MMFTSs (24%).
MMFTSs were 5 times more likely to hold academic positions and performed 2-3 times more Mohs cases weekly.

Conclusions:

Demographic shifts in dermatology have created distinct profiles for MMFTSs and NMMFTSs.
Increased ACMS fellowship positions result in a greater proportion of MMFTSs among younger surgeons.
The impact of increased fellowship trainees on the dermatologic surgery workforce requires ongoing monitoring.