Practice Patterns and Job Satisfaction of Mohs Surgeons

Kohli, Nita; Golda, Nicholas

doi:10.1097/dss.0000000000001301

Cited by 9 publications

(8 citation statements)

References 5 publications

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“…Female surgeons report experiences of gender discrimination and maternal discrimination in MMS. Consistent with a previous survey of ACMS members, 2 female surgeons also report lower career satisfaction compared with their male counterparts.…”

Section: Discussionsupporting

confidence: 85%

Unique Challenges Faced by Women in Mohs Micrographic Surgery: A Survey of Members of the American College of Mohs Surgery

et al. 2021

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Section: Discussionsupporting

confidence: 85%

Unique Challenges Faced by Women in Mohs Micrographic Surgery: A Survey of Members of the American College of Mohs Surgery

et al. 2021

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“…Of the 1150 ACMS members reviewed, 122 (10.6%) were employed in an academic setting. 10.6% is within estimates in dermatology as a whole, ranging from 6% to 15%, 5,6 and probably more realistic than the 29% estimate of ACMS members in an academic setting by Kohli and colleagues, 7 which was based on survey responses from 227 ACMS members. However, of 421 Micrographic Surgery and Dermatologic Oncology fellowship graduates from 2012 to 2017, 127 (30.2%) were employed by an academic setting for their first job.…”

mentioning

confidence: 68%

Commentary on “Publication Productivity Using H-Index to Evaluate Academic Success Among Fellowship-Trained Mohs Surgeons”

Klein

Nijhawan

2023

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“…Integration of the vast amount of data present in a pathology report through automation will decrease the amount of work on the back end and also provide both written and visual outputs that can be used either in real-time or post-operatively. Excessive charting and documentation result in pathologist burnout, limiting the amount of manual documentation will both increase productivity and decrease administrative burden [52][53][54] .…”

Section: Discussionmentioning

confidence: 99%

ArcticAI: A Deep Learning Platform for Rapid and Accurate Histological Assessment of Intraoperative Tumor Margins

Levy

Davis

Chacko

et al. 2022

Preprint

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Successful treatment of solid cancers relies on complete surgical excision of the tumor either for definitive treatment or before adjuvant therapy. Radial sectioning of the resected tumor and surrounding tissue is the most common form of intra-operative and post-operative margin assessment. However, this technique samples only a tiny fraction of the available tissue and therefore may result in incomplete excision of the tumor, increasing the risk of recurrence and distant metastasis and decreasing survival. Repeat procedures, chemotherapy, and other resulting treatments pose significant morbidity, mortality, and fiscal costs for our healthcare system. Mohs Micrographic Surgery (MMS) is used for the removal of basal cell and squamous cell carcinoma utilizing frozen sections for real-time margin assessment while assessing 100% of the peripheral and deep margins, resulting in a recurrence rate of less than one percent. Real-time assessment in many tumor types is constrained by tissue size and complexity and the time to process tissue and evaluate slides while a patient is under general anesthesia. In this study, we developed an artificial intelligence (AI) platform, ArcticAI, which augments the surgical workflow to improve efficiency by reducing rate-limiting steps in tissue preprocessing and histological assessment through automated mapping and orientation of tumor to the surgical specimen. Using basal cell carcinoma (BCC) as a model system, the results demonstrate that ArcticAI can provide effective grossing recommendations, accurately identify tumor on histological sections, map tumor back onto the surgical resection map, and automate pathology report generation resulting in seamless communication between the surgical pathology laboratory and surgeon. AI-augmented-surgical excision workflows may make real-time margin assessment for the excision of more complex and challenging tumor types more accessible, leading to more streamlined and accurate tumor removal while increasing healthcare delivery efficiency.

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Practice Patterns and Job Satisfaction of Mohs Surgeons

Abstract: Gender differences exist in practice patterns and job satisfaction of Mohs surgeons. This study demonstrates factors that could influence job satisfaction among female Mohs surgeons-knowledge that is important to individuals who lead, mentor, or supervise female Mohs surgeons.

Cited by 9 publications

References 5 publications

Unique Challenges Faced by Women in Mohs Micrographic Surgery: A Survey of Members of the American College of Mohs Surgery

Unique Challenges Faced by Women in Mohs Micrographic Surgery: A Survey of Members of the American College of Mohs Surgery

Commentary on “Publication Productivity Using H-Index to Evaluate Academic Success Among Fellowship-Trained Mohs Surgeons”

ArcticAI: A Deep Learning Platform for Rapid and Accurate Histological Assessment of Intraoperative Tumor Margins

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