Top 10 Questions for MOHS Surgeon/General Dermatologist Interview

1. Describe the key steps involved in Mohs micrographic surgery?

Mohs micrographic surgery is a specialized technique used to remove skin cancer with high precision and minimal damage to surrounding healthy tissue. The key steps involved include:

• Examining the lesion: The surgeon carefully examines the skin lesion to determine its size, shape, and location.
• Excision and mapping: The surgeon removes a thin layer of tissue from the lesion and creates a map of the excised area to track the margin of the cancer.
• Processing and staining: The excised tissue is processed and stained to highlight the cancer cells.
• Microscopic examination: The surgeon examines the stained tissue under a microscope to determine if cancer cells are present at the margins of the excision.
• Further excision (if necessary): If cancer cells are found at the margins, the surgeon repeats the excision and mapping process until clear margins are achieved.
• Reconstruction: Once clear margins are achieved, the surgeon repairs the surgical site using techniques such as flaps, grafts, or direct closure.

2. What are the advantages and limitations of Mohs micrographic surgery compared to traditional excision?

Advantages:

• High cure rate: Mohs surgery allows for the precise removal of skin cancer, resulting in a high cure rate compared to traditional excision.
• Preservation of healthy tissue: The meticulous mapping and microscopic examination during Mohs surgery allows the surgeon to remove only the cancerous tissue, preserving more healthy surrounding tissue.
• Improved cosmetic outcomes: By sparing healthy tissue, Mohs surgery often leads to better cosmetic results with less scarring and disfigurement.

Limitations:

• Longer procedure time: Mohs surgery can be a more time-consuming procedure compared to traditional excision due to the multiple excision and examination steps.
• Cost: Mohs surgery can be more expensive than traditional excision, especially if multiple excisions are required.
• Availability: Mohs surgery requires specialized training and equipment, which may not be widely available in all locations.

3. Describe the different types of skin cancer and their common clinical presentations.

Basal cell carcinoma (BCC): BCC is the most common type of skin cancer. It typically appears as a pearly or waxy lump or a flat, reddish patch on sun-exposed areas of the skin.

Squamous cell carcinoma (SCC): SCC is the second most common type of skin cancer. It usually presents as a red, scaly, or crusty patch on sun-exposed areas or on pre-existing skin lesions.

Melanoma: Melanoma is the most serious type of skin cancer. It can appear as a dark, irregular mole or a new, rapidly growing spot on the skin. Early detection and treatment are crucial for a favorable prognosis.

4. How do you approach the diagnosis and management of a patient with suspected skin cancer?

• History and examination: I would obtain a detailed medical history, including sun exposure, family history of skin cancer, and any relevant symptoms.
• Dermatoscopy: I would use a dermatoscope to examine the lesion for specific features that may indicate skin cancer.
• Biopsy: If necessary, I would perform a biopsy to obtain a tissue sample for pathological examination.
• Treatment: Once the diagnosis is confirmed, I would discuss the treatment options with the patient based on the type, location, and stage of the skin cancer. This may include Mohs micrographic surgery, traditional excision, radiation therapy, or chemotherapy.

5. What are the most common complications associated with Mohs micrographic surgery and how do you manage them?

• Bleeding: Bleeding is a common complication that can usually be controlled with pressure or local anesthesia with epinephrine.
• Wound infection: I would manage a wound infection with appropriate antibiotics and wound care.
• Scarring: The risk of scarring is minimized with Mohs surgery, but I would use techniques such as flap reconstruction or tissue expansion to improve cosmetic outcomes if necessary.
• Keloid formation: I would discuss the risk of keloid formation with the patient and take steps to prevent or treat keloids if they occur.

6. How do you stay up-to-date with the latest advancements in Mohs micrographic surgery and dermatology?

• Attending conferences and workshops: I attend professional conferences and workshops to hear from experts and learn about new techniques and research.
• Reading medical journals: I regularly review medical journals and research articles to stay abreast of the latest advancements in my field.
• Participating in continuing medical education programs: I participate in continuing medical education programs to receive updates on best practices and new technologies.

7. What are your research interests in Mohs micrographic surgery?

My research interests lie in exploring novel techniques to improve the precision and outcomes of Mohs micrographic surgery. I am currently involved in a study investigating the use of three-dimensional imaging to enhance the visualization and mapping of skin lesions.

8. How would you advise a patient who has received a diagnosis of melanoma?

• Explain the diagnosis and prognosis: I would clearly and compassionately explain the nature of melanoma and the patient’s prognosis.
• Discuss treatment options: I would review the available treatment options, including surgery, radiation therapy, and immunotherapy, and discuss the benefits and risks of each.
• Provide emotional support: I would recognize the emotional impact of a melanoma diagnosis and offer support and empathy throughout the process.
• Emphasize the importance of regular follow-up: I would stress the importance of regular follow-up appointments to monitor for any potential recurrence or spread of the disease.

9. What are your career goals in Mohs micrographic surgery?

• Advance clinical practice: I aim to advance the clinical practice of Mohs micrographic surgery by incorporating innovative techniques and research findings.
• Educate and train others: I am passionate about educating and training future Mohs surgeons to ensure the highest standards of care.
• Contribute to research: I aspire to contribute to research that enhances our understanding and treatment of skin cancer.

10. Why are you interested in this position at our clinic?

• Reputation and expertise: I am drawn to your clinic’s reputation for excellence in Mohs micrographic surgery and skin cancer care.
• Collaborative environment: I believe that the collaborative environment at your clinic would foster my professional growth and allow me to work alongside experienced colleagues.
• Opportunity for innovation: I am excited about the opportunity to contribute to the ongoing research and innovation in Mohs micrographic surgery within your clinic.

As a MOHS Surgeon/General Dermatologist, you will be responsible for a wide range of duties, including but not limited to:

1. Patient Care

Conduct thorough physical examinations and assessments to evaluate skin conditions.

• Diagnose and treat skin cancers, such as basal cell carcinoma, squamous cell carcinoma, and melanoma.
• Perform surgery using MOHS micrographic surgery technique, a specialized technique for removing skin cancer with minimal scarring.
• Provide comprehensive skin care services, including acne treatment, eczema treatment, and psoriasis treatment.

2. Surgical Expertise

Perform a variety of surgical procedures, including excision of cysts and moles, skin grafts, and laser treatments.

• Interpret pathology reports and determine appropriate treatment options for patients with skin lesions.
• Perform biopsies to evaluate skin conditions and assist in the diagnosis of skin diseases.

3. Patient Education

Educate patients about skin conditions and treatment options.

• Provide guidance on skin care routines and sun protection measures.
• Offer emotional support and reassurance to patients undergoing treatment.

4. Professional Development

Maintain knowledge of current skin care practices and advancements in dermatology.

• Attend conferences and workshops to stay up-to-date on the latest techniques and treatments.
• Participate in research and clinical trials to contribute to the field of dermatology.

To prepare for your interview as a MOHS Surgeon/General Dermatologist, consider the following tips:

1. Research the Company and Position

Before the interview, thoroughly research the clinic or hospital where you are applying and the specific position you are seeking.

• Understand their patient demographics, service offerings, and approach to patient care.
• Read testimonials from patients and staff to gain insights into the company culture and work environment.

2. Highlight Your Skills and Expertise

During the interview, emphasize your surgical skills, diagnostic abilities, and patient care experience.

• Provide specific examples of successful surgeries or complex cases you have handled.
• Describe your approach to patient care and how you build rapport with your patients.

3. Demonstrate Your Passion for Dermatology

Convey your genuine interest in dermatology and your passion for helping patients.

• Share examples of your involvement in research projects, volunteer work, or professional organizations.
• Explain how your values align with the company’s mission and your desire to make a positive impact on patients’ lives.

4. Prepare for Common Questions

Be prepared to answer common interview questions, such as:

• Why are you interested in this position and our clinic?
• Can you describe your experience in MOHS micrographic surgery?
• How do you handle complex or challenging patient cases?
• What are your strengths and areas for improvement as a dermatologist?