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Mohs Workforce Adequacy

Drs. Howard W. Rogers and John G. Albertini

Project Summary:
The MSLF Workforce Adequacy group from 2022-2023 developed a supply model to predict board certified Mohs surgeons and a demand model to predict how demand will change over the next thirty years. Our group plans to update the supply model based on new board certification data available in late 2023. Additionally, supply and demand are important factors in determining workforce adequacy, but geographic supply of the workforce is also an important factor in determining whether or not patient needs are met. Our group aims to analyze how geographic distribution of Mohs surgeons affects surgical scheduling wait times for both low and high risk skin cancers. Through direct contact with Mohs practices and surveying of the current ACMS workforce, we will be able to examine how the geographic distribution of the Mohs surgery workforce may affect patient care.

Program Participants:

Christine Ahn, MD is an Assistant Professor of Dermatology and Pathology at Wake Forest School of Medicine in Winston Salem, NC. Originally from New York, she graduated from Harvard College and Wake Forest School of Medicine. She completed fellowships in dermatopathology and Mohs micrographic surgery at Wake Forest School of Medicine before joining the faculty. She serves as the director of the Pigmented Lesions Clinic and has special interests in melanoma and challenging melanocytic lesions.


Misty Eleryan, MD, MS completed her dermatology residency at George Washington University and Mohs Micrographic Surgery and Dermatologic Oncology fellowship at UCLA. She currently practices Mohs surgery and cosmetic dermatology in the Ventura County area and also travels to several rural practices in CA and AZ to perform Mohs surgery to meet the needs of skin cancer patients in those underserved communities. Her special interests are high-risk skin cancers, hair transplant surgery, medical education, advocacy work that addresses: healthcare disparities, access to dermatologic care and advancing health equity


Rachel Kyllo, MD, FACMS is a founder and owner of Meramec Dermatology, LLC, an independent dermatology private practice with multiple locations in the Saint Louis, Missouri area. Originally from Minnesota, Dr. Kyllo earned a BS from the University of Minnesota and an MD with honors at Washington University in St Louis. She completed dermatology residency at Washington University in St. Louis, followed by fellowship training in Mohs micrographic surgery and cosmetic dermatology at Northwestern University. Prior to founding Meramec Dermatology, Dr. Kyllo provided Mohs surgery services to veterans at the John Cochran
VA in St. Louis.


Franki Lambert Smith, MD, FACMS is an Associate Professor of Dermatology at the University of Rochester Medical Center in Rochester, NY. She was born and raised in Kansas and graduated from Dartmouth College and Loyola Stritch School of Medicine. She completed her dermatology residency at the University of Rochester and Mohs training at the University of Colorado. She worked in the Mayo Clinic Health System before returning to URMC as faculty. Her interests include resident and fellow education and improving systems to provide excellent patient care.



Laboratory Troubleshooting Flipbook

Dr. Thomas J. Knackstedt

Project Summary:
Creation of a digital flip book resource for Mohs histotechs and surgeons illustrating common slide processing issues, slide artifacts, and troubleshooting methods, as well as pearls for harvesting and processing Mohs layers at challenging anatomic sites. The resource will include high quality photographs and videos organized and indexed by topic. This will allow histotechs and surgeons to easily locate sections of interest in real time in the clinical setting.

Final Project:

  • Click here to view the tissue processing guidebook

Program Participants:

Patricia Richey, MD, is double fellowship-trained Mohs surgeon and cosmetic dermatologist. After graduating Georgetown University magna cum laude, she attended medical school at Georgetown University, where she had been accepted as part of the competitive “Early Assurance Program.” After medical school, she completed her dermatology residency (serving as chief resident) and Mohs micrographic surgery and dermatologic oncology fellowship at The University of Iowa Hospitals and Clinics. She then moved to Boston for a clinical and research fellowship in laser and cosmetic dermatologic surgery with Dr. Rox Anderson and Dr. Mathew Avram at The Wellman Center for Photomedicine and Massachusetts General Hospital/Harvard. She practices Mohs and cosmetics and is currently conducting research at The Wellman Center for Photomedicine.


Laura Rosenzweig, MD, FACMS is a board-certified dermatologist with specialized training in skin cancer surgery. She grew up in Columbia, SC and later attended the University of South Carolina School of Medicine where she was inducted into the Alpha Omega Alpha honor society. Her dermatology training was at a large metropolitan hospital where she treated acute, life-threatening skin disease, to chronic dermatologic problems. While in residency, Dr. Rosenzweig completed externships at the National Institute of Health and the Armed Forces Institute of Pathology and was named chief resident in her final year. She completed an American College of Mohs Surgery fellowship where she trained to precisely identify skin cancer, remove it with minimal damage to the surrounding healthy tissue, and reconstruct the wound. Dr. Rosenzweig treats anyone from newborns to the elderly. She is also a volunteer in the community, lecturer to medical residents and involved in free skin cancer screenings.


Kathryn Shahwan, MD is a board-certified dermatologist and fellowship trained Mohs micrographic surgeon. She specializes in the diagnosis and treatment of skin cancer, as well as advanced cutaneous reconstruction. She regularly publishes on skin cancer, with research interests including high risk squamous cell carcinoma, extramammary Paget disease, cutaneous sarcoma, and reconstructive techniques. Dr. Shahwan also loves to teach, and holds assistant professorships at both the University of North Dakota and The Ohio State University medical schools. Outside of work, she enjoys spending time with her husband and two dogs, exploring Grand Forks, and mentoring the next generation of physicians.


Ramone Williams, MD, MPhil is a dual-fellowship trained Mohs Surgeon and Cosmetic Dermatologic Surgeon. Dr. Williams is double board certified in Dermatology and Micrographic Surgery. After graduating summa cum laude from Emory University, Dr. Williams received a Master of Philosophy in Translational Medicine and Therapeutics from the University of Cambridge and medical degree from Harvard Medical School. Dr. Williams completed her training at Albert Einstein/ Montefiore Medical Center including dermatology residency and a combined fellowship in Mohs Micrographic Surgery and Cutaneous Oncology and Cosmetic Dermatologic Surgery- one of only 4 fellowship programs in the country with dual accreditation. Dr. Williams’ clinical interests include Mohs micrographic surgery, medical and cosmetic excisions, laser, neurotoxin, chemical lipolysis, chemical peels, surgical and non-surgical scar revision and skin of color dermatology. Dr. Williams is experienced in treating all skin types and is an expert in skin of color dermatology. A dedicated patient advocate and surgeon, Dr. Williams is devoted to fostering lasting relationships with her patients. Dr. Williams has been recognized internationally for her commitment to improving the lives of others with the prestigious Gates Cambridge Scholarship from the Gates Cambridge Trust. She has presented her research nationally and internationally and her articles and medical illustrations have been published in high impact dermatologic journals. Professionally, Dr. Williams is a member of several associations including the American Academy of Dermatology and the American College of Mohs Surgery, the American Society of Dermatologic Surgery and the Skin of Color Society.



Sarah Arron, MD, FACMS is originally from New York City. A graduate of Harvard University and Cornell University Medical College, she moved to the San Francisco Bay Area in 2003 for her dermatology residency and Mohs micrographic surgery fellowship at UCSF. Before joining Peninsula Dermatology in Burlingame, she served for twelve years on the faculty in Dermatology at UCSF, where she was the Associate Director of the UCSF Dermatologic Surgery and Laser Center, and Chief of Mohs Micrographic Surgery at the San Francisco VA Medical Center. Dr. Arron is board certified in dermatology and clinical informatics, and is fellowship trained in Mohs micrographic surgery. She is a Fellow of the American Academy of Dermatology and the American College of Mohs Surgery. She has served on the Board of Directors of the ACMS and as President of the International Transplant Skin Cancer Collaborative. Dr. Arron has a special interest in treating skin cancer and the expertise to offer a variety of therapeutic options to her patients. She has published extensively in the field and spoken at numerous national and international conferences. She is also an expert in aesthetic dermatology, including Botox, fillers, lasers, and chemical peels.


Elizabeth M. Billingsley, MD, FACMS




Jeremy Bordeaux, MD, MPH, FACMS currently serves as the Director of Dermatologic Surgery, the Director of the Multidisciplinary Cutaneous Oncology Tumor Board, and the Micrographic Surgery and Dermatologic Oncology Fellowship Director at University Hospitals Cleveland Medical Center. In addition he is a Professor of Dermatology at Case Western Reserve University School of Medicine. He received his MD from Duke University School of Medicine and his MPH from the University of North Carolina at Chapel Hill. He then completed his residency in Dermatology and his fellowship in Mohs Micrographic Surgery, Cutaneous Oncology and Cutaneous Reconstruction at Umass Medical School. His clinical and research interests include advanced cutaneous reconstruction and the epidemiology and prevention of skin cancers. He also enjoys mentoring medical students, residents, fellows, and faculty.


Jerry Brewer, MD, MS, FACMS has been a member of the Mayo Clinic staff since 2009, currently serves as the Micrographic Surgery and Dermatologic Oncology Fellowship program director and is a Professor of Dermatology. Dr. Brewer’s areas of interest include cutaneous oncology with a focus on melanoma, high risk nonmelanoma skin cancer, vein surgery, and hyperhidrosis. Dr. Brewer received the Penfil Award as a 4th year medical student, the Mayo Brothers Distinguished Fellowship Award as a graduating resident and the Karis Award in 2012 by the Saint Mary’s Hospital Sponsorship Board in recognition of exceptional performance in demonstrating Mayo Clinic values. Dr. Brewer has been on various subcommittees of the American Academy of Dermatology, has served as president of the Minnesota Dermatologic Society (MDS) as well as on the board of directors of the international transplant skin cancer collaborative (ITSCC) and the American College of Mohs Surgery (ACMS). Dr. Brewer’s interests outside of medicine include running (he has successfully completed 4 marathons, and a few half marathons), cooking (is an avid fan of Bon Appetite Magazine), coaching soccer, taekwondo, medical humanitarian missions, and traveling and spending time with his wife and 7 children.


Marc Brown, MD, FACMS is an upstate New York native, born in Watertown and raised in Auburn. He graduated from LeMoyne College in Syracuse, N.Y. in 1975 earning a degree in biology. Dr. Brown studied at Georgetown Medical School in Washington, D.C. and following completion in 1979, completed residency training in internal medicine at Strong Memorial Hospital in 1982. He began his career as a primary care physician in western Pennsylvania in the Public Health Service and developed an interest in dermatology and skin cancer. He subsequently performed and completed dermatology residency training at the University of Michigan in Ann Arbor, MI. in 1987. Dr. Brown then spent an additional two years in fellowship training for Mohs Surgery and Cutaneous Oncology which he completed in 1989. He joined the faculty at the University of Rochester Medical Center in 1989 and is a tenured professor of Dermatology and Oncology and is a member of the Wilmot Cancer Center. He has served as the director of the Dermatology Residency Program and the Mohs Surgery Fellowship Program at the Medical Center. Dr. Brown has been included in the Best Doctors in America directory and has published more than 50 articles and two books and serves as an editorial reviewer for several major dermatologic journals. He lectures and teaches peers and students at local and national meetings focusing on Mohs surgery, melanoma, facial reconstruction, and challenging and unusual skin cancers. Dr. Brown performs Mohs surgery on over 2,000 patients per year and has performed a total of more than 25,000 Mohs procedures.


Christopher J. Miller, MD, FACMS is a Professor of Dermatology and the Director of the Penn Dermatology Oncology Center at the Hospital of the University of Pennsylvania. He earned his medical degree at Jefferson Medical College of Thomas Jefferson University in 2000 and his bachelor’s at the University of Notre Dame in 1996. Dr. Miller’s clinical practice focuses on the use of Mohs micrographic surgery and reconstructive surgery to treat patients with skin cancers, particularly melanomas of the head and neck and advanced tumors. He supplements his clinical practice with research concentrating on the clinical and epidemiologic aspects of various skin cancers. Dr. Miller’s recent research evaluates the efficacy of Mohs surgery for melanomas of the head and neck and advanced reconstructive surgery techniques. He also continues to investigate his special interests in advanced techniques of Mohs micrographic surgery, dermatologic surgery education, and service excellence in health care delivery.


Thomas Stasko, MD, FACMS




Christine H. Weinberger, MD, FACMS is an Associate Professor at the University of Vermont Larner College of Medicine/UVM Medical Center, where she also serves as the Associate Fellowship Director of the MSDO fellowship. She received her undergraduate degree from Duke University, and her MD from Dartmouth Medical School. She completed her dermatology residency at the University of Minnesota and her Mohs fellowship with Drs. John Zitelli and David Brodland in Pittsburgh. She has been on faculty at UVM since 2010 and has a special interest in Mohs surgery for melanoma, treating high-risk skin cancers in the immunosuppressed transplant population, and advanced cutaneous reconstruction, on which she frequently lectures. She enjoys mentoring medical students, residents, and fellows. Dr. Weinberger’s interests outside of medicine include skiing, hiking, biking and traveling with her husband and two children.