Association Between Surgeon-Specific Features and Number of Stages, Flaps, and Grafts in Mohs Micrographic Surgery: A Retrospective Observational Study of 59 Early-, Mid-, and Advanced-Career Mohs Surgeons

Abstract

The result of this study showed that more years of experience was significantly associated with reported utilization of flaps or grafts in practice. Furthermore, no significant difference was observed between years in practice and number of stages per case.

Surgeon Experience Level and Number of Mohs Stages: A Prospective Observational Study of In-training Surgeons

“…This data is comparable to previously published data examining experience level influence on MMS outcomes (Table 1). 5,6 Independent samples t-tests for mean stages between experience level cohorts for all types of skin cancer is revealed in Figure 1. The fellow cohort reported a lower mean number of stages as compared to the attending cohort (1.8 vs. 1.94, respectively; p=0.005).…”

“…3,6 Although previously hypothesized to be an important factor, the number of stages performed has not been shown to be influenced by MMS surgeon experience level (Table 1). 5,6 This study aimed to expand on the previously examined influence of surgeon experience level on the number of stages performed during MMS by prospectively investigating Mohs fellows in-training compared to attending Mohs surgeons. The lower experience level of fellows was hypothesized to result in a higher mean number of stages required during MMS as compared to the higher experience level and hypothesized lower mean number of stages for attendinglevel surgeons.…”

“…7 Descriptive statistics on the number of stages of each experience level cohort were analyzed using a computer software program (R version 4.0. Alhaddad et al 5 • Early (less than five years in practice) • Mid (five-to-ten years in practice)…”

“…Factors influencing the number of stages can be oversimplified into two broad categories: tumor-specific and surgeonspecific factors. 3,4,5 Tumor specific factors include challenging anatomical sites with ABSTRACT Background: Comparisons of Mohs surgeons by experience level (early-, mid-, late-career) and their respective number of stages taken during Mohs have not detected any difference. However, data comparing the number of stages for attending Mohs surgeons to Mohs fellows is non-existent.…”

Keep it simple. A ten-year experience in reconstructions after Mohs micrographic surgery

“…The choice of type of closure after MMS can be a real challenge, and the “ furor operandi ” described by Max Thorek 8 as a furious urge to operate and perform huge procedures can sometimes affect Mohs surgeons. Alhaddad et al 9 showed that more years of experience was significantly associated with higher uses of flaps and grafts in practice.…”