Welcome to Conversations in Mohs Surgery, where Dr. Thomas Knackstedt, dermatologist and fellowship-trained Mohs surgeon, takes a closer look at articles published in the micrographic dermatologic surgery literature by speaking with the authors and researchers involved. The podcast is an extension of the College’s online bibliography, a searchable, high-yield article reference library aligned with the Micrographic Surgery and Dermatologic Oncology fellowship curriculum. Have ideas for show guests or articles for the bibliography? Let us know.
Dr. Knackstedt is director of dermatologic surgery at MetroHealth Dermatology in Cleveland, where he runs the Mohs surgery unit and leads a weekly nail disease clinic. He received his medical degree at the Medical University of South Carolina College of Medicine, followed by residency at Dartmouth Hitchcock Medical Center in New Hampshire and fellowship training in Micrographic Surgery and Dermatologic Oncology with Dr. Nathaniel Jellinek at Dermatology Professionals in Rhode Island.
Drs. Brandon Beal and Blake Steele discuss their introduction to Mohs surgery, and the decisions and opportunities that led to fellowship training. Dr. Beal will soon complete his Micrographic Surgery and Dermatologic Oncology fellowship training, and Dr. Steele has recently matched, and will soon begin fellowship training.
Episode 17 features Dr. Murad Alam, Vice-Chair of Dermatology; Professor of Dermatology, Otolaryngology, and Surgery; and Chief of the Section of Cutaneous and Aesthetic Surgery, at Northwestern University’s Feinberg School of Medicine. Dr. Alam discuses Sebaceous Carcinoma: Evidence-Based Clinical Practice Guidelines, published in Lancet Oncology in December of 2019.
Episode 16 features Dr. Ian Maher, ACMS Board Director, Professor of Dermatology and Director of Dermatologic Surgery at the University of Minnesota. Dr. Maher discusses the unique benefits of the ACMS registry, MohsAIQ, and several studies including Epidemiology and Survival of Microcystic Adnexal Carcinoma by Sex in the United States, Survival and Demographic Differences of Periocular and non-Periocular Sebaceous Carcinomas and Improved Overall Survival of Melanoma of the Head and Neck Treated with Mohs Micrographic Surgery Versus Wide Local Excision.
Episode 15 features Paul T. Nghiem, MD, PhD, chaired professor of Dermatology at University of Washington School of Medicine, Affiliate Investigator at Fred Hutchinson Cancer Research Center, and Director of Skin Oncology Clinical Program at Seattle Cancer Care Alliance. Dr. Nghiem discussed "Patterns of Distant Metastases in 215 Merkel Cell Carcinoma Patients: Implications for Prognosis and Surveillance", published in Cancer Medicine, February 2020, and merkelcell.org, a site created for patients and physicians looking for information about Merkel cell carcinoma.
Episode 14 features Brian Gastman, MD, the Medical and Surgical Director for Cleveland Clinic Foundation's Melanoma and High Risk Skin Cancer Program. Dr. Gastman is a double boarded Plastic Surgeon and Otolaryngologist who has published more than 100 articles related to melanoma and merkle cell carcinoma. The article discussed, Malignant Melanoma: Diagnostic and Management Update was published in Plastic Reconstructive Surgery.
Episode 13 features Drs. Jerry D. Brewer, MD, MS, FACMS Professor of Dermatology and Mohs Surgeon at Mayo Clinic in Rochester, MN and Nathaniel J. Jellinek, MD, FACMS, Assistant Clinical Professor in the Department of Dermatology at Brown University, Adjunct Assistant Clinical Professor in the Department of Dermatology at the University of Massachusetts and member of Dermatology Proffesionals staff. Drs. Brewer and Jellinek discuss the ACMS Foundation, Foundation grant opportunities and the impact of leadership and mentorship within the College.
Episode 12 features Nitin Pagedar, MD, MPH, Associate Professor of Otolaryngology and Co-Leader of the Head and Neck Cancer MOG at University of Iowa Hospitals & Clinics. Dr. Pagedar discusses the article Survival Outcomes for Advanced Cutaneous Squamous Cell Carcinoma of the Head and Neck recently published in the Annals of Otology, Rhinology, and Laryngology.
Episode 11 features Dr. Thomas Knackstedt's conversation with Dr. Ravi Chokshi, Chief of Surgical Oncology at Rutgers Cancer Institute and Associate Professor of Surgery at Rutgers New Jersey Medical School. Dr. Chokshi discusses the article, Cost Effectiveness of Sentinel Lymph Node Biopsy for Head and Neck Cutaneous Squamous Cell Carcinoma, published in The Journal of Surgical Research.
Episode 10 features ACMS member Emily Ruiz, MD, MPH, Director of High Risk-Skin Cancer Clinic, Dana-Farber/Brigham and Women's Cancer Center, Assistant Professor at Harvard Medical School. Dr. Ruiz discusses her article, Performance of the American Joint Committee on Cancer Staging Manual, 8th Edition vs the Brigham and Women's Hospital Tumor Classification System for Cutaneous Squamous Cell Carcinoma, published in the JAMA Dermatology in July of 2019.
Episode 9 features ACMS Associate member Jeffrey Scott of Johns Hopkins University. Dr. Scott is an Assistant Professor of Dermatology at Johns Hopkins University School of Medicine, and he discusses the article, Characteristics of State and Federal Malpractice Litigation of Medical Liability Claims for Keratinocyte Carcinoma published July 2019 in JAMA Dermatology. This study reviews malpractice litigations for keratinocyte carcinoma and looks to identify factors that impact appellate decisions.
Episode 8 features Drs. Lindsey Collins, Director of Dermatologic Surgery at the University of Oklahoma Health and Sciences Center and Sean Condon, a Mohs surgeon in private practice at The Center for Dermatology Care in Thousand Oaks, California. Recorded live at the ACMS Annual Meeting in Baltimore, Drs. Collins and Condon discusses their individual experiences as Mohs surgeons working 1-2 years out of fellowship; one in an academic setting and the other in private practice.
Episode 7 features Dr. Barry Leshin, immediate past president of the ACMS, who discusses the past year leading the College, his career as a Mohs surgeon, starting his own practice, and lessons learned in 30+ years of practice.
Episode 6 features Shlomo Koyfman, MD, Assistant Professor of Radiation Oncology at Cleveland Clinic. Dr. Koyfman discusses his study, Suboptimal Outcomes in Cutaneous Squamous Cell Cancer of the Head and Neck with Nodal Metastases, published in Anticancer Research, the International Journal of Cancer Research and Treatment, in October 2018.
Episode 5 features Christopher J. Miller, MD, FACMS, Director of the Penn Dermatology Oncology Center and Associate Professor of Dermatology at the Hospital of the University of Pennsylvania. Dr. Miller discusses two recent studies, Melanomas of the head and neck have high local recurrence risk features and require tissue rearranging reconstruction more commonly than BCC and SCC: A comparison of indications for microscopic margin control prior to reconstruction in 13,664 tumors and The 'Rule of 10s' versus the 'Rule of 2s': High complication rates after conventional excision with postoperative margin assessment of specialty site versus trunk and proximal extremity melanomas. Both were published in the Journal of the American Academy of Dermatology in late 2018.
Episode 4 features Gerardo Marrazzo, MD, of The Skin Surgery Center in Hickory, NC. Dr. Marrazzo discusses his study, Clinical Outcomes in High-Risk Squamous Cell Carcinoma Patients Treated with Mohs Micrographic Surgery Alone, published in the Journal of the American Academy of Dermatology in September 2018.
Episode 3 features Sarah T. Arron, MD, PhD, FACMS, Associate Professor of Dermatology in Residence and Associate Director of the Dermatologic Surgery and Laser Center at the University of California-San Francisco. Dr. Arron discusses her study, Association of Postoperative Antibiotics With Surgical Site Infection in Mohs Micrographic Surgery, published in Dermatologic Surgery in August 2018.
Episode 2 features Jonathan Lopez, MD, of Tampa Bay Dermatologic Surgery in Tampa, Florida. Dr. Lopez discusses his study, Opioid Prescribing for Acute Postoperative Pain After Cutaneous Surgery, published in the Journal of the American Academy of Dermatology in October 2018.
Episode 1 features Jeremy Bordeaux, MD, MPH, FACMS, professor in the Department of Dermatology at Case Western Reserve University and director of dermatology at University Hospitals Cleveland Medical Center in Cleveland, Ohio. Dr. Bordeaux discusses his study, Retrospective Evaluation of the Safety of Large Skin Flap, Large Skin Graft, and Interpolation Flap Surgery in the Outpatient Setting, published in Dermatologic Surgery in June 2018.