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Using Initial Biopsies and Vertical Sections to Improve Trainees' Confidence in Performing Mohs Surgery.
Jennifer Lee1,2, Edward Bae1,3, Eric J Yang1
1Mohs Micrographic Surgery and Dermatologic Oncology, Roger Williams Medical Center, Providence, Rhode Island.
Summary
Reviewing initial biopsy slides and vertical sections enhances trainee confidence in Mohs surgery. This method improves surgical decision-making without altering standard Mohs surgical procedures.
Area of Science:
- Dermatology
- Surgical Education
- Histopathology
Background:
- Mohs micrographic surgery requires balancing tissue preservation and tumor clearance.
- A standardized method for training Mohs surgeons is lacking.
Purpose of the Study:
- To evaluate the impact of additional histologic information on surgical decision-making for Mohs surgery trainees.
- To assess if enhanced histologic review improves trainee confidence in Mohs surgery.
Main Methods:
- Trainees received initial biopsy slides (IS) and frozen vertical sections (VS) of the first Mohs layer.
- Standard Mohs surgical procedures were followed, with VS taken without disturbing margins.
- Surveys assessed trainee confidence before and after using IS and VS.
Main Results:
- Trainees reported increased confidence in performing Mohs surgery after reviewing IS and VS.
- The use of IS and VS enhanced trainees' self-assurance in surgical execution.
Conclusions:
- Reviewing IS and VS significantly boosts trainee confidence in Mohs surgery.
- These histologic tools can be integrated into standard Mohs surgery training.
- Objective histologic data may be key to improving trainee performance and confidence.
