Patient Education on Scarring Following Mohs Micrographic Surgery: Patient Preference for Information Delivery

Abstract

BACKGROUND There are multiple modalities for patient education ranging from written to audiovisual formats. However, little is known regarding which modality is optimal. OBJECTIVE To assess patient preference for educational materials about scar care following surgery for facial skin cancer using the FACE-Q Skin Cancer patient reported outcome measure. MATERIALS AND METHODS On the day of Mohs surgery, patients were given a written handout or viewed a 3-minute animation video regarding best practices in scar improvement. Afterward, patients received the FACE-Q Skin Cancer—Satisfaction with Information: Appearance scale. Three months later, patients were called and given the same scale and additional questions regarding scar care. RESULTS A total of 75 patients were enrolled. There was no difference between the 2 groups' preoperative information scores (p = .85) and the three-month postoperative scores (p = .37). The change in preoperative and postoperative score showed no significant difference between the 2 groups (p = .21); but there was a trend of higher satisfaction in the video group on the day of Mohs surgery. After the 3-month timepoint, there was a higher satisfaction trend observed with the written handout group. CONCLUSION Patient preferences in information delivery and accessibility will contribute to greater information retention and satisfaction.

ChatGPT Improves Readability of Clinical Responses to Questions About Mohs Surgery but May Misinform

“…2 Patient preferences for information accessibility and delivery can affect postoperative satisfaction and information retention. 3 As such, we strove to challenge ChatGPT 4.0 to provide medically accurate responses to common patient questions regarding Mohs micrographic surgery (MMS) to determine if this technology has potential to help create accurate, readable patient education content for patients undergoing MMS.…”

“…1,2 However, complete margin assessment, clearance, and reconstruction can be challenging and time-consuming in these locations. 3 The authors present a case of a challenging ear tumor excised using a single-stage wedge excision, complete circumferential peripheral and deep margin assessment (CCPDMA) using frozen sections and primary ear wedge repair.…”