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Journal of the American Academy of Dermatology
Volume 72, n° 2
pages 340-344 (février 2015)
Doi : 10.1016/j.jaad.2014.10.022
accepted : 16 October 2014
Dermatologic Surgery

Shared medical appointments for the preoperative consultation visit of Mohs micrographic surgery

Thomas J. Knackstedt, MD a, Faramarz H. Samie, MD, PhD a, b,
a Section of Dermatology, Department of Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire 
b Geisel School of Medicine, Dartmouth College, Hanover, New Hampshire 

Reprint requests: Faramarz H. Samie, MD, PhD, Section of Dermatology, Department of Surgery, Dartmouth-Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, NH 03766.

Shared medical appointments (SMAs) allow patients with similar diagnoses to be simultaneously educated and cared for by 1 provider. SMAs appear well suited for Mohs micrographic surgery because all patients receive similar information about skin cancer pathophysiology, prognosis, prevention, treatment, reconstructive options, and wound care.


We sought to create a SMA for the preoperative consultation visit of Mohs micrographic surgery and to evaluate patient satisfaction with this model.


A pilot SMA was implemented. Patient satisfaction was assessed via a 13-question survey over a 6-month period.


In all, 149 patients were seen in our SMAs. The survey response rate was 65.8%. Respondents answered Likert scale questions with a mean value of 4.29 ± 0.09 (on a 1-5 scale, where 5 is the best). Patients found the SMA model useful (84.7%) and would attend another SMA in the future (80.6%).


Limitations include the sample size of the study, relatively homogenous patient population, possible response bias, and a potential selection bias (as all participants in the SMA chose this type of appointment rather than a conventional one).


SMA can be successfully used for the Mohs preoperative consultation visit with high patient satisfaction.

The full text of this article is available in PDF format.

Key words : dermatologic surgery, Mohs micrographic surgery, outcomes research, patient satisfaction, shared medical appointments, skin cancer

 Funding sources: None.
 Conflicts of interest: None declared.

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