General Information

Upon completion of a dermatology residency, a physician can apply to participate in a Micrographic Surgery & Dermatologic Oncology (Mohs) fellowship training program. Qualified applicants undergo an extremely competitive review and selection process to obtain a 1- to 2-year fellowship position with a program accredited by the ACMS (international programs), the Accreditation Council for Graduate Medical Education (ACGME; U.S. programs), or the Australasian College of Dermatologists.

 ACGME and ACD programs are recognized by the ACMS, and fellowships accredited by these organizations safeguard the standards of Micrographic Surgery & Dermatologic Oncology (Mohs) by ensuring that fellows-in-training are properly trained and acquire the necessary expertise to perform the Mohs procedure. Accredited programs follow a structured curriculum that includes graded responsibility, operative and non-operative education, and exposure to long-term results, recurrences, and complications.

MSDO Fellowship Application Forum (April 2024)

The American College of Mohs Surgery (ACMS) and the Association of Professors of Dermatology (APD) presented a virtual educational forum for Dermatology Residents to learn about the Micrographic Surgery & Dermatologic Oncology (MSDO) Fellowship and application process.

The linked recording above covers the following MSDO fellowship topics:

Accreditation Council for Graduate Medical Education (ACGME) Program Requirements
Application process via SF Match
Common Letter of Recommendation (CLOR); Snapshot CV; Signaling
How to navigate a virtual interview
Current fellow's perspective
Match exemptions; Dermatology Resident resources
Membership application forum

https://vimeo.com/938653575/e07b9c8204?share=copy

Why Choose An ACMS Surgeon

Mohs surgery is a delicate, intricate, highly effective treatment for skin cancer. While many physicians may perform Mohs surgery, board certification is not required. If you are interested in treatment of your skin cancer through Mohs surgery, how do you choose a qualified doctor?

The American College of Mohs Surgery (ACMS) was founded by Dr. Frederic Mohs himself. ACMS-approved fellowship training programs are significantly more rigorous than other Mohs programs.  Fellows-in-training undergoes months of extensive, hands-on direction from highly qualified instructors. By choosing a fellowship-trained Mohs surgeon you can be assured that you will receive the highest standard of quality and competency, as well as an optimal outcome.

Mohs surgery is an effective treatment for most types of skin cancer. To learn more about your options, find a fellowship-trained Mohs surgeon in your area.

The difference between a Mohs clinic and a skin care clinic

Mohs Skin Cancer Clinics specializes in treating skin cancer, mainly basal and squamous cell carcinoma, using the Mohs surgery technique. This method removes cancerous tissue layer by layer, ensuring minimal healthy tissue is lost and achieving high cure rates, especially for cancers in delicate or cosmetically sensitive areas.

In contrast, dermatology clinics, including a skin clinic in London, offer a wider range of services, such as diagnosing and treating conditions like acne and eczema. Dermatologists sometimes perform skin cancer screenings and provide preventive care, including mole checks and sun protection education, offering comprehensive care for all skin concerns.

Intensive Training

Upon completion of a dermatology residency, a physician can apply to participate in a Micrographic Surgery & Dermatologic Oncology (Mohs) fellowship training program. Qualified applicants undergo an extremely competitive review and selection process to obtain a 1- to 2-year fellowship position with a program accredited by the ACMS (international programs), the Accreditation Council for Graduate Medical Education (ACGME; U.S. programs), or the Australasian College of Dermatologists.  

ACGME and ACD programs are recognized by the ACMS, and fellowships accredited by these organizations safeguard the standards of Micrographic Surgery & Dermatologic Oncology (Mohs) by ensuring that fellows-in-training are properly trained and acquire the necessary expertise to perform the Mohs procedure. Accredited programs follow a structured curriculum that includes graded responsibility, operative and non-operative education, and exposure to long-term results, recurrences, and complications.

Highly Qualified Instructors

Each fellow-in-training is paired with an accredited, veteran ACMS surgeon who has demonstrated proficiency and expertise in Mohs surgery. The fellow-in-training receives direct Mohs surgery direction and mentoring for the duration of the program. To ensure adherence to the ACMS academic and clinical requirements, training centers are re-evaluated every 1 to 5 years.

Extensive Experience

Fellowship training programs are designed to impart experience and judgment into each graduate. By design, these programs are comprehensive and rigorous because skin cancer itself occurs in a diversity of forms, degrees, and areas of the body. To complete an ACMS-approved fellowship, a physician must:

Participate in a minimum of 600 Mohs surgery cases
Learn to accurately interpret slides of tissue samples that have been removed during Mohs surgery
Perform a wide breadth of reconstructions, ranging from simple closures to complicated multi-step repairs
Because fellows-in-training undergo training over months, they gain a breadth of exposure – under the guidance of a qualified Mohs surgeon – that includes rare tumor pathology, difficult tumor locations, and complex wound reconstruction. This fellowship training provides a depth of experience unmatched by other Mohs programs.