Mohs for Melanoma
Thursday, May 25, 2017, 7:00 pm CT
Mohs micrographic surgery (MMS) has long been determined to be appropriate for the treatment of primary and locally recurrent melanoma in situ and lentigo maligna on the head and neck, genitalia and acral sites. Additionally, recent data has determined low rates of local recurrence after MMS for both melanoma in situ and invasive melanoma. Rapid frozen section immunohistochemical stains allows accurate identification and precise excision of subclinical melanoma on the same surgical day, however, adequate training and accomplishment of the surgeon is necessary in order to insure therapeutic success. This webinar aims to address the skills necessary for the Mohs surgeon to learn in order to accurately assess the entire surgical margin by combining frozen section or permanent section pathology of the central debulking excision with complete microscopic margin evaluation of a Mohs layer, using melanoma antigen recognized by T cells (MART)-1 immunohistochemical staining. Variability of practice patterns discussing advantages and disadvantages with respect to width of appropriate margin and examination of the central debulking tissue will also be addressed.
Presenters: Fiona M. Zwald, MD, MRCPI, FACMS and Rajiv I. Nijhawan, MD
MACRA for Mohs Surgeons
The Centers for Medicare and Medicaid Services (CMS) recently released its long-awaited final rule implementing the Merit-Based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive under the Medicare Physician Fee Schedule (MPFS), programs established in the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). These unified policies to promote greater value within the healthcare system are referred to as the Quality Payment Program (QPP), and are set to begin on January 1, 2017. This webinar will provide an overview of the final rule, highlighting key provisions of interest for Mohs surgeons. Don’t miss out on this opportunity to learn about the future of Medicare physician payment. Presented by Emily L. Graham, RHIA, CCS-P, VP of Regulatory Affairs for Hart Health Strategies, Inc.
This free webinar is available on the Advocacy & Public Policy page (ACMS Member login required) for on-demand viewing.
Click a link below to learn more about, access, or purchase recordings of past ACMS anatomy webinars.
Fees for purchase of webinar recordings:
- ACMS Members, Associate Applicants, Fellows-in-training: $75
- Non-members: $250
Upper Limb and Nail Bed Anatomy for Mohs Surgeons
Improved surgical confidence in the use of Mohs surgery to treat SCC, BCC and invasive tumors of the upper extremity may be influenced by improved understanding of key regional areas that present challenging anatomy. This webinar is designed to provide participants with a view of the anatomy of the upper extremity through a combination of micro-dissected unembalmed cadaveric material, anatomic description of superficial regions relevant to dermatologic surgery and overview of points of vulnerability for traversing neurovascular structures. CME: 1.00 Credit Hour
The webinar will cover facial anatomy relevant to the dermatologic surgeon, highlighting anatomical danger and safe zones through an interactive live lecture supplemented by video footage of dissections of unembalmed cadaveric specimens. CME: 1.00 Credit Hour