News & Notes
December 17, 2018
Winter Membership Bulletin e-Newsletter
The Winter 2018 issue of the ACMS Membership Bulletin e-newsletter is now available. Read it here.
In This Issue
- President’s Message
- Viewpoint: Update on Board Certification for Micrographic Dermatologic Surgery
- ACMS Happenings
- Call for Mohs Award Nominations
- ACMS Meets USP Regarding In-Office Compounding
- ACMS Foundation Marks Progress, Builds Structure
- Send Your Tech to Mohs Technician Quality Assurance Training January 24-25
- Ask Glenn: Answers to Your Mohs Coding & Billing Questions
- Hot Topic: Fire Prevention in Mohs Surgery
- Practice Tips and Efficacy: The Utility of Patient Education Videos Prior to Informed Consent for Mohs Surgery
- Highlights from the Literature: Mohs for Invasive Melanoma/AUC Updates
- Fellow-in-Training Perspectives: Use of Digital Patient Photography for Surgical Site Identification
December 11, 2018
Episode 3 of ACMS Podcast Now Available
A new episode of the College’s podcast series, Conversations in Mohs Surgery, is now available at www.mohscollege.org/podcast. Host Dr. Thomas Knackstedt interviews Dr. Sarah Arron, Associate Professor of Dermatology in Residence and Associate Director of the Dermatologic Surgery and Laser Center at the University of California-San Francisco. She discusses her study, “Association of Postoperative Antibiotics With Surgical Site Infection in Mohs Micrographic Surgery,” published in Dermatologic Surgery in August 2018. In addition to listening on the ACMS website, subscribe to the podcast via iTunes/Apple Podcasts and Google Play Music by searching ACMS Podcast and tapping the Subscribe button. If you like what you hear, please take a moment to rate and review the podcast. Listen here.
Monday, November 12, 2018
Mohs Award Nominations Accepted Now
The ACMS Board of Directors requests your nominations for the Frederic E. Mohs, MD Award for career achievement.
This award, which was first presented in 2004, is named in memory of the esteemed physician who developed the micrographic surgery technique and founded the College, Frederic E. Mohs, MD. The objective of this prestigious lifetime achievement award is to honor individuals who promote Mohs surgery throughout their career with his/her teaching, clinical practice, scientific contributions, innovation, mentorship, or service to the organization, in the spirit of Dr. Mohs. The award will be presented at the College’s annual Business Meeting.
Nominations for this award may be submitted by completing this questionnaire. You can re-enter the questionnaire at any time to update your responses, however nominations must be completed by Friday, Jan. 4, 2019.
If you have any questions, contact Mary Riordan at the ACMS office by calling (414) 347-1103 or e-mail firstname.lastname@example.org.
October 30, 2018
ABMS Approves Subspecialty Certification in MDS
The American Board of Dermatology (ABD) has announced that The American Board of Medical Specialties (ABMS) approved the creation of subspecialty certification in Micrographic Dermatologic Surgery (MDS).
We deeply appreciate the strong support of this initiative by our own members, and by numerous other specialty organizations and ABMS member boards. We are also grateful for the remarkable dedication of Drs. Randy Roenigk and Tom Stasko. Their thoughtful and steadfast leadership was instrumental in garnering this momentous recognition. We are hopeful that the divisions within our specialty during the recent comment period will diminish as we experience the positive impact of this certification pathway.
We will continue to communicate with you as we learn more details regarding the certification process. Rest assured the College will be developing an educational program to have you well-prepared for the board examination. Again, we would like to express our gratitude for your pivotal role in supporting this milestone, which has long been a pillar of the College’s Strategic Plan.
Barry Leshin, MD, FACMS, President
Elizabeth Billingsley, MD, FACMS, Vice President
Glenn Goldman, MD, FACMS, Secretary/Treasurer
Allison Vidimos, MD, FACMS, Immediate Past President
October 17, 2018
ACMS Seeks Change to Proposed Compounding Guidelines
The ACMS joins the American Academy of Dermatology in its efforts to ask that the USP adopt at least a 12-hour exemption from its safety equipment and process standards in Chapter 797 affecting compounded sterile preparations. The content below is provided by the AAD and can be accessed on the AAD website here.
On July 27, the United States Pharmacopeial Convention (USP) published its second set of proposed revisions to its General Chapter <797> Pharmaceutical Compounding – Sterile Preparations. Chapter 797 sets forth standards for compounding sterile preparations, including performing manipulations inside a certified ISO 5 area, conducting routine environmental monitoring, and conducting personnel sampling (including glove fingertip sampling). This chapter affects CSPs in dermatology, such as buffered lidocaine (lidocaine with or without epinephrine mixed with sodium bicarbonate), reconstituted botulinum toxins (bacteriostatic saline instead of normal saline), and diluted triamcinolone acetonide.
In its proposed revisions, the USP proposes a one-hour time exemption from the chapter’s standards for in-office preparations, starting with preparation and ending with administration of the CSP. While this is an improvement from the current standards that have no exemptions applicable to dermatology, limiting the exemption to one hour is insufficient. The one-hour exemption would not cover buffering lidocaine at the beginning of the workday to be used throughout the day or ahead of a surgery that lasts longer than an hour. Without a longer exemption, patient access to buffered lidocaine, reconstituted botulinum toxins and diluted triamcinolone acetonide will be impeded.
As dermatologists, our utmost concerns are quality patient care and patient safety. To treat their skin cancers and numerous skin diseases, patients require access to medications prepared and administered in the clinical setting. A longer exemption is needed for buffering lidocaine, which is a common practice in dermatology. Sodium bicarbonate is added to lidocaine with epinephrine using aseptic technique to neutralize the pH of the preparation from approximately 4 to approximately 7.4 in a process called “buffering” to decrease the pain of the injection and increase the onset of the local anesthesia. Having buffered lidocaine syringes prepared in advance of patient visits at the beginning of the day is critical for uninterrupted patient access. Peer-reviewed scientific studies support this practice. We are concerned that physicians would need to step away from caring for patients to buffer lidocaine or comply with the chapter’s standards, which are unreasonably burdensome for a low-risk preparation created by mixing two FDA-approved drugs. For all these reasons, we respectfully request that the USP increase the time-based exemption proposed to at least 12 hours to accommodate the preparation of compounded sterile preparations at the beginning of the day.
If you have any questions about USP’s proposed revisions to General Chapter <797> Pharmaceutical Compounding – Sterile Preparations, please contact Natasha Pattanshetti, Manager, Regulatory Policy at email@example.com.
August 9, 2018
2019 Annual Meeting Call for Abstracts
Submission period open now through January 10, 2019
ACMS members and fellows in training are invited to submit an abstract for consideration of an oral or poster presentation at the 51st American College of Mohs Surgery Annual Meeting in Baltimore, Maryland taking place May 2-5, 2019 at the Baltimore Marriott Waterfront.
The Scientific Program Committee has broadened abstract submission opportunities with the goals of involving more members in the Annual Meeting and encouraging the highest quality of presentations. To learn more about each of these opportunities, please see details in the Call for Abstracts on the ACMS website:
The President's Message is sent monthly via email to ACMS members.
- Read current and past President's Messages (member login required)
Member Research Surveys
From its inception, an essential role of the Mohs College has been to help fellowship trainees become the best Mohs surgeons possible through rigorous fellowship training programs, and in the process advance knowledge in the specialty. Supporting the research they undertake during their fellowships is an important part of their education and development. To support this, open surveys linked to research studies conducted by residents, fellows-in-training and College members are distributed in a monthly email to members. These surveys have been reviewed and approved for distribution by the Executive Committee of the ACMS Board of Directors.
The Cutting Edge
The Cutting Edge provides important ACMS news alongside the latest updates relevant Mohs surgeons. Delivered biweekly via email, this news brief includes scannable summaries of more detailed content available on the ACMS website and elsewhere.
Please note that The Cutting Edge is sent as an email from firstname.lastname@example.org. Please add this domain to your safe senders list to ensure delivery.
Each year's Fellow-in-Training Board Observer also serves as a member of the ACMS Newsletter Committee, in order to participate in discussion of, and provide valuable perspective on, College activities and news for other fellows-in-training.
The ACMS is proud to underscore the high caliber of its members by featuring their professional and scientific achievements, including publications, presentations, awards and other recognition. To help us share your achievement, complete the submission form below with as much information as possible. You may also upload any relevant or supporting documents.
- Publications: Include journal title, publication date, title of your entry, any co-authors, etc.
- Presentations: Include presentation title, date, conference/workshop name, venue, city, state, any co-presenters, etc.
- Awards: Include name of entity bestowing award, what you were awarded/honored for, any relevant award criteria, when and where award was given (date, venue, city, state), etc.
- If applicable, include web links that provide context or contain more information about your achievement.
- Include a headshot to accompany the news item online.
- Please spell out any acronyms or other terminology that may be unfamiliar to readers.
Feel free to contact the ACMS Office at email@example.com or (414) 347-1103 with any questions.