Mohs Resident
Surgery days begin at 7 am. Residents are responsible for primary assessment of the patient, preparation of the patient for surgery, assisting and performing surgeries and completing the medical records including the surgical operation notes for the patients in whom they were involved in their care. The residents are assisted by the Mohs staff, including the micrographic surgery and dermatologic oncology fellow, medical assistants, nurses, and faculty. There are templates provided to assist in data collection, but do not prohibit the resident from additional documentation that is required for a complete medical note. Melanoma conference is coordinated by the Mohs resident and fellow and occurs on the third Thursday of each month. In coordinating this conference, the resident is responsible for providing a list of patients to the Mohs histology technician who will assist in obtaining slides and to the Program Coordinator who will finalize the list for distribution to the attendees. The resident is also responsible for contacting pathology ten days prior to the conference to confirm the patient list, for generating copies of the patient list and staging sheet for distribution to conference attendees, for organizing a presentation of the patients, for sending update letters to referring physicians, and completing the index conference tumor registry data forms and sending them to the appropriate administrative staff member.
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SLU Dermatologic Surgery Resident and Fellows Handbook
General information
• Attendings: Ramona Behshad, MD and Alexander Aria, MD
• Hours: Patients are scheduled at 7:30 AM - if didactics are cancelled, residents are expected at
arrive at this time. Otherwise, residents are expected to arrive after didactics
• Fellow should arrive ~15 minutes early to begin site identification as patients arrive
• CSM Thursdays start time will differ based on the week of the month, please monitor the EPIC
schedule
• Double check EPIC for start time and location
• Locations:
• Center for Specialized Medicine (CSM): 1225 S. Grand Blvd, 3rd Floor, St. Louis, MO
63104
• SLUCare Des Peres Medical Arts Pavilion II: 2315 Dougherty Ferry Road, Suite 200A
• Des Peres, MO 63122
• Contact:
• CSM: 314-977-3420
• Des Peres: 314-617-2191
Daily duties
• Arrive on time and ready to actively participate in surgical cases
• See consultations prior to attendings and formulate a basic surgical plan
• Assist in surgical procedures as directed
• Actively participate in Mohs slide interpretation with fellow and attendings
• Assist on charting on patients
• When asked, participate in patient call-backs and management plans
• When asked, prepare grand rounds and tumor board presentations on select patients
• Maintain a log of ALL cases performed and observed in the ACME online case log system
Appropriate attire:
Clean scrubs, closed-toed shoes. Masks should be worn with all surgical procedures and eye protection
is recommended (appropriate goggles worn depending on the laser)
Mohs Days:
- Mornings: Mohs, follow-ups /// Afternoons: Consultations, excisions, follow-ups
- Mornings begin by taking Mohs stages. Nurses room the patients and will notify you when patients
are ready for site identification. Utilize the dry erase marker board in the Mohs lab as well as the
labeled flags to know when particular rooms are ready for each step as well as to communicate with
the nurses. Also, always be sure a nurse is aware when a patient is in need of numbing, a bandage,
etc. Always tell a nurse after you finish cauterizing and a bandage is needed. You can also write this
on the dry erase marker board and indicate with a labeled flag, but be sure to tell someone in
addition to writing it down.
Same Day Consults/Site Identification: Patients may or may not have had a prior Mohs consultation.
Most patients who have had previous Mohs are scheduled as “same-day consults”. The fellow and
Updated 7/3/2023
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rundamentals lecture series is an excellent resource, particulary tor tirst-year residents.
• American Academy of Dermatology (AAD) Dialogues in Dermatology podcast series is
complementary to residents and contains surgical, general dermatological, and practice
management content
• The American College of Mohs Surgery offers a monthly online journal club. To be
included in the invitation email, please contact Kira Burk at kburk@nm.org.