Background Incidence of surgical site infection (SSI) following Mohs micrographic surgery (MMS) amongst patients with diabetes is largely unknown. Objective Evaluate diabetes as a potential SSI risk factor in MMS by comparing SSI incidence in a cohort of patients with and without diabetes. Methods A 5‐year retrospective review to determine SSI rate in patients with diabetes compared to patients without diabetes. SSI incidence in patients with diabetes was further compared by A1c, and the impact of antibiotics on SSI rate was also examined. Results Overall rate of SSI was 1.47% (53/3597 cases). SSI rate amongst patients with diabetes was 1.95% (14/719 cases) compared to 1.35% (39/2878 cases) in patients without diabetes, with a non‐significant odds ratio for SSI of 1.45 (95% CI = 0.78–2.68, P = 0.241). Multivariable logistic regression analysis revealed no difference in SSI. Stratification of diabetic patients by A1c into ≥7.0 and <7.0 compared to patients without diabetes yielded no statistically significant difference in SSI amongst all groups (P = 0.815). Whether an antibiotic was prescribed did not significantly impact SSI rate between groups. Conclusion No significant difference in postoperative SSI was found in patients with diabetes compared to patients without diabetes following MMS regardless of degree of glycaemic control.

Correspondence e252evaluation and decision making in darker skin. Conversely, lower likelihood to biopsy malignancies is of significant concern as it could contribute to advanced staging at initial diagnosis in SOC patients. Further investigation around bias in clinical decision making is essential as we strive for health equity.

content by cataloging diseases and topics covered in our preexisting curriculum (Table 1). To assess photographic content, lecture photographs were classified as appearing in lighter (non-SOC: FST I-III) or darker skin tones (SOC: FST IV-VI) by two trained reviewers. Discrepancies were resolved by an attending dermatologist. We found that disorders such as acne, dyschromia, and alopecia were not represented in our thematic content, yet are top conditions for which SOC patients seek dermatologic care. 3,4 SOC photographic content varied across lectures, ranging from 0-42%. Overall, however, a total of 84/399 images (21%) shown were in darker skin tones. This classification of photographs does have limitations, yet was our best surrogate to approximate photographic diversity.The second step is to diversify lecture content and photographs.

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