ABD Mohs Surgery study materials
ABD Mohs Surgery study resources

ABD Mohs Surgery study plan

ABD Mohs Surgery · Give each week a clear focus.

8 weeks · About 7 hours per week

Week 1

Cutaneous Oncology and Tumor Biology

  • Build a one-page reference table comparing basal cell carcinoma, squamous cell carcinoma, melanoma, and rare cutaneous tumors by incidence, anatomic distribution, and metastatic risk

  • Explain perineural, perivascular, and lymphatic spread patterns and predict which tumor features raise recurrence risk

  • Describe frozen-section artifact effects on margin interpretation and list which tumor subtypes are poorly suited to Mohs

  • Self-quiz 40 mixed cutaneous oncology items and log every miss with a one-line correction

Your checkpoint

A completed tumor-biology comparison table plus a scored 40-item self-quiz log with error notes

Week 2

Mohs Micrographic Surgery Technique and Indications

  • Diagram the Mohs workflow from preoperative mapping through closure, labeling each step's purpose

  • Compare Mohs against wide local excision and staged excision using cure rates, tissue conservation, and cost

  • List absolute and relative indications and contraindications for Mohs by tumor type and location

  • Walk through the mapping and inking process for a multi-stage case and identify where errors occur

Your checkpoint

A labeled Mohs workflow diagram with a written indications/contraindications list of at least 15 entries

Week 3

Histopathology and Frozen-Section Interpretation

  • Identify normal skin layers and adnexal structures on frozen sections and distinguish them from tumor

  • Classify common frozen-section artifacts and state how each affects margin calls

  • Practice calling margins on 20 self-generated histology descriptions and justify each call

  • Explain the role of immunostains and when permanent sections are required

Your checkpoint

A 20-case margin-call practice set with written justifications and a score

Week 4

Cutaneous Oncology and Tumor Biology & Histopathology and Frozen-Section Interpretation

  • Re-test the weakest tumor-biology and histopathology areas from weeks 1-3

  • Integrate tumor subtype with frozen-section behavior in 10 combined vignettes

  • Teach back the margin-interpretation process aloud in under 5 minutes

Your checkpoint

A 30-item integrated quiz covering domains 1 and 3 with a target score of 80% or higher

Week 5

Reconstructive Surgery and Wound Management

  • Map reconstructive options to defect location, size, and depth using a decision framework

  • Compare primary closure, second-intention healing, grafts, and flaps on tissue match, scar, and risk

  • Outline postoperative wound care and signs of flap compromise with escalation steps

  • Sketch three reconstruction plans for hypothetical facial defects and defend each choice

Your checkpoint

A reconstruction decision framework plus three written case plans with rationale

Week 6

Perioperative Care, Anesthesia, and Complications & Surgical Anatomy of the Head and Neck

  • Review local anesthetic dosing limits, vasoconstrictor use, and adverse reaction management

  • Identify high-risk anatomic zones of the head and neck and the structures at risk in each

  • List intraoperative and postoperative complications with prevention and management steps

  • Describe anticoagulation and perioperative medication considerations in Mohs patients

Your checkpoint

A head-and-neck danger-zone map paired with a complication prevention-and-management checklist

Week 7

Practice Management, Quality, and Patient Safety & Ethics, Professionalism, and Health Policy

  • Outline quality metrics, documentation standards, and specimen-tracking safety practices for a Mohs lab

  • Summarize informed consent, shared decision-making, and conflict-of-interest obligations

  • Explain billing, coding, and compliance fundamentals relevant to Mohs practice

  • Analyze two ethics scenarios and write defensible responses

Your checkpoint

A one-page quality-and-safety checklist plus two written ethics scenario responses

Week 8

Cutaneous Oncology and Tumor Biology & Mohs Micrographic Surgery Technique and Indications & Histopathology and Frozen-Section Interpretation & Reconstructive Surgery and Wound Management

  • Take a timed 100-item mixed practice exam weighted to the heaviest domains

  • Review every missed item and categorize errors by domain and cause

  • Re-drill the two weakest domains until accuracy exceeds 85%

  • Consolidate high-yield facts into a final one-page review sheet

Your checkpoint

A scored 100-item practice exam with an error-analysis log and a final one-page review sheet

Milestones

Week 2: Score 80% or higher on a 30-item quiz covering domains 1 and 2

Week 4: Score 80% or higher on the integrated domains 1 and 3 quiz and complete all error notes

Week 6: Score 75% or higher on a 25-item quiz covering domains 4, 5, and 6

Week 8: Score 80% or higher overall on the timed 100-item exam, with no single domain below 70%