Article ; Online: Education and Perspectives on the Use of Oral Skin Cancer Chemoprophylaxis: A Cross-Sectional Survey of Current Fellows in Mohs Micrographic Surgery & Dermatologic Oncology.
Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.
2023 Volume 49, Issue 12, Page(s) 1072–1076
Abstract: Background: According to the curriculum guidelines of the Accreditation Council of Graduate Medical Education and the American Board of Dermatology, Mohs micrographic surgery & dermatologic oncology (MSDO) fellows must demonstrate competency in the use ... ...
| Abstract | Background: According to the curriculum guidelines of the Accreditation Council of Graduate Medical Education and the American Board of Dermatology, Mohs micrographic surgery & dermatologic oncology (MSDO) fellows must demonstrate competency in the use of oral skin cancer chemoprophylaxis. The current level of education in this area is unknown. Objective: To characterize oral skin cancer chemoprophylaxis education for acitretin and nicotinamide among current MSDO fellows and to compare the clinical indications felt most appropriate for prescribing to a previously published expert consensus. Methods: An electronic survey was distributed to all active MSDO fellows by the American College of Mohs Surgery. Results: Responses were received from 63 (69.2%) MSDO fellows. Twenty (31.7%) and 37 (58.7%) fellows reported receiving fellowship training on acitretin and nicotinamide, respectively. Fifty-seven (90.5%) intend to prescribe chemoprophylaxis after training. Sixteen (28.1%) and 43 (75.4%) report feeling very comfortable prescribing acitretin and nicotinamide, respectively. Fellow concordance with a previously published expert consensus opinion on appropriate prescribing indications is variable. Forty-one (65.1%) indicated that additional education would increase the likelihood to prescribe after training. Conclusion: Although most MSDO fellows intend to prescribe oral skin cancer chemoprophylaxis, a standardized curriculum may promote increased use and concordance with expert consensus recommendations. |
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| MeSH term(s) | Humans ; United States ; Mohs Surgery/education ; Cross-Sectional Studies ; Acitretin/therapeutic use ; Skin Neoplasms/prevention & control ; Skin Neoplasms/surgery ; Curriculum ; Educational Status ; Education, Medical, Graduate ; Mouth Neoplasms ; Niacinamide ; Fellowships and Scholarships ; Surveys and Questionnaires |
| Chemical Substances | Acitretin (LCH760E9T7) ; Niacinamide (25X51I8RD4) |
| Language | English |
| Publishing date | 2023-11-02 |
| Publishing country | United States |
| Document type | Journal Article |
| ZDB-ID | 1227586-4 |
| ISSN | 1524-4725 ; 1076-0512 |
| ISSN (online) | 1524-4725 |
| ISSN | 1076-0512 |
| DOI | 10.1097/DSS.0000000000003962 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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