ABD Mohs Surgery study plan
ABD Mohs Surgery · Give each week a clear focus.
8 weeks · About 7 hours per week
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
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
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
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
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
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
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
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%