A structured histotechnology curriculum for Mohs micrographic surgery trainees

Area of Science:

• Dermatology
• Surgical Pathology
• Medical Education

Background:

• Mohs surgery offers high skin cancer cure rates via frozen section analysis.
• Histotechnology training for Mohs fellows is inconsistent and often informal.
• Lack of standardized training impacts laboratory oversight and quality.

Purpose of the Study:

• To develop and implement a structured, competency-based histotechnology curriculum for Mohs surgery trainees.
• To standardize laboratory training and assessment for fellows.
• To improve the quality of histotechnology skills essential for Mohs surgery.

Main Methods:

• A modular curriculum was created with didactic instruction and hands-on practice.
• Training included laboratory operations, tissue processing, cryostat sectioning, and staining.
• Competency was assessed using a standardized checklist under senior histotechnologist supervision.

Main Results:

• The curriculum was implemented successfully during fellowship training.
• Trainees demonstrated proficiency in key laboratory oversight tasks.
• Training sessions did not disrupt clinical workflow.

Conclusions:

• A structured, competency-based curriculum offers a practical framework for standardized Mohs fellowship laboratory training.
• This approach can enhance the skills of future Mohs surgeons in histotechnology.
• Standardized training is crucial for maintaining high standards in Mohs surgery practice.