Alhaddad Marwan, Zade John, Nabatian Adam, Kriegel David, Khorasani Hooman
*All authors are affiliated with the Department of Dermatology, Icahn School of Medicine at Mount Sinai, New York, New York.
Dermatol Surg. 2017 Nov;43(11):1358-1362. doi: 10.1097/DSS.0000000000001187.
There is limited data available to correlate Mohs surgeons' behavior and years of experience. Moreover, the recent standardization of Mohs surgery training programs may allow for the prediction of future trends in Mohs micrographic surgery surgery based on the current behavior of recently trained Mohs surgeons.
To better understand the relationship between surgeon-specific characteristics and the number of Mohs micrographic surgery total cases, stages per case, number of grafts, and number of flaps performed by each surgeon.
Procedure data of 59 early-career, mid-career, and advanced-career Mohs surgeons were obtained from the website of the Centers for Medicare & Medicaid services.
No statistically significant differences were identified in the number of stages per case between the 3 groups. Two-proportion testing between advanced-career surgeons and early-career surgeons indicated a statistically significant difference in the number of surgeons performing flaps or grafts (p < .05). Similarly, a statistically significant difference was noticed between mid-career surgeons and early-career surgeons (p < .05).
The result of this study showed that more years of experience was significantly associated with reported utilization of flaps or grafts in practice. Furthermore, no significant difference was observed between years in practice and number of stages per case.
目前用于关联莫氏外科医生的行为与经验年限的数据有限。此外，莫氏外科培训项目最近的标准化可能有助于根据近期培训的莫氏外科医生的当前行为预测莫氏显微外科手术的未来趋势。
为了更好地理解外科医生特定特征与每位外科医生进行的莫氏显微外科手术总病例数、每例分期数、移植数和皮瓣数之间的关系。
从医疗保险和医疗补助服务中心网站获取了59名初、中、高级职业生涯莫氏外科医生的手术数据。
三组之间每例分期数未发现统计学上的显著差异。高级职业生涯外科医生与初职业生涯外科医生之间的双比例检验表明，进行皮瓣或移植手术的外科医生数量存在统计学上的显著差异（p <.05）。同样，中级职业生涯外科医生与初职业生涯外科医生之间也存在统计学上的显著差异（p <.05）。
本研究结果表明，更多的经验年限与实践中皮瓣或移植的报告使用率显著相关。此外，实践年限与每例分期数之间未观察到显著差异。
