Basal and Squamous Cell Cancer for Mohs Surgeons

A MERICAN SOCIET Y FOR MOHS SURGERY
Basal and Squamous Cell
Cancer Pathology for
Mohs Surgeons
November 5, 2014
......................................
Fundamentals of Mohs
Surgery November 6-9, 2014
DoubleTree Hotel San Diego, Mission Valley
Directors
Basal and Squamous Cell Cancer
Pathology:
Henry D. Haskell, M.D.
Jason S. Stratton, M.D.
Directors
Fundamentals of Mohs Surgery:
Kenneth G. Gross, M.D.
Howard K. Steinman, M.D.
Alex G. Lutz, B.S.
Mohs Technician Laboratory
Co-Director:
Rick Wolf, L.P.N.
Laboratory Histopathologists:
Antoanella Calame, M.D.
John B. Campbell, M.D.
Valencia D. Thomas, M.D.
Microscope Laboratory
Coordinator:
Andrew H. Weinstein, M.D.
Jointly provided by the American Society for Mohs Surgery and
Scott & White Healthcare
Information
Important Meeting Information
Basal and Squamous Cell Cancer
Pathology for Mohs Surgeons
Overview
Objectives
Basal and Squamous Cell Cancer Pathology
is a one day course developed for physicians
who are already performing or beginning to
perform Mohs surgery, and wish to expand
their knowledge of skin cancer pathology.
After participating in this activity, physicians
should be able to:
This course will cover the most common
entities treated by Mohs surgery: basal cell
and squamous cell carcinoma. Instruction
will incorporate microscope slide study sets
and didactic lectures by Board-certified
dermatopathologists.
■
This “pure pathology” course will emphasize
differentiation between basal and squamous
cell and other anatomic structures, common
mimickers of these two cancers, and reactive
changes frequently seen at the site of
recent biopsies.
Participants may wish to enroll in the
Fundamentals of Mohs Surgery slide review
session for an opportunity to apply new
pathology knowledge to actual Mohs cases. (If
attending the full FMS physician course, the
Mohs slide review laboratory activity is included
in this global registration fee.)
See detailed schedule online at
www.mohssurgery.org.
■
■
Have increased familiarity with all the
different presentations of basal cell and
squamous cell carcinoma under the
microscope.
Identify other non-BCC and SCC tumor
structures that may be present in Mohsexcised tissue.
Demonstrate improved accuracy in the
histopathologic interpretations of BCC and
SCC skin cancer in surgical cases.
AMERICAN SOCIETY FOR MOHS SURGERY
Fundamentals of Mohs Surgery
Overview
This course has been developed for
dermatologists and dermatology Residents who
desire additional instruction in the basics of
Mohs surgery. Physicians will gain important
knowledge in all aspects of the procedure,
including practice in the interpretation of Mohs
histopathology. In addition, the program offers
practical information concerning Mohs office
and laboratory setup and instrumentation,
patient scheduling, insurance billing, and
CLIA-OSHA considerations. A popular feature
of the course is the Mohs “pearls” discussion,
practical tips and pointers presented by a team
of veteran Mohs surgeons.
Concurrent training for Mohs technicians also
is available. Beginners will receive detailed
instruction in Mohs tissue preparation and
processing, and become familiar with important
regulatory and safety standards for the Mohs
lab. More experienced technicians will spend
additional time on troubleshooting techniques
and quality assurance issues. Lab faculty
members are selected from high-volume Mohs
clinics around the country, and share both
their experience and unique dedication to
teaching Mohs lab techniques.
The primary aim of the Fundamentals of Mohs
Surgery course is enhancing patient care in
the treatment of skin cancer. While the course
constitutes a comprehensive overview of the
Mohs procedure, course completion alone
does not imply competency or certification of
any type. The highest level of Mohs competency
is achieved through a combination of rigorous
surgical and skin histopathology training in
dermatology Residency, post-Residency
fellowships or preceptorship opportunities,
regular participation in Mohs-related CME
activities, and/or direct sharing of skills and
knowledge by other experienced Mohs surgeons
and pathologists.
See detailed Physician and Mohs Technician
schedules at www.mohssurgery.org.
Objectives
After participation in this activity, physicians
should be able to:
■ Recognize the appropriate indications for
Mohs surgery based on histologic subtype
and anatomic location.
■ Demonstrate enhanced technical skill and/
or precision in the execution of the Mohs
technique.
■ Describe important Mohs practice efficiencies,
including the use of specialized
instrumentation and the management of
patient flow and tissue specimen transfer.
■ Identify Mohs mapping techniques to
ensure proper orientation and correlate
histologic findings to the surgical wound.
■ Explain the successful integration of surgical
excision and histopathologic interpretation
in Mohs surgery.
Accreditation Statement
This activity has been planned and implemented in accordance with the accreditation requirements
and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint
providership of Scott & White and the American Society for Mohs Surgery (ASMS). Scott & White is
accredited by the ACCME to provide continuing medical education for physicians.
Credit Designation Statement – Basal and Squamous Cell Cancer Pathology for Mohs Surgeons
Scott & White designates this live activity for a maximum of 8.5 AMA PRA Category 1 Credits™.
Physicians should claim only credit commensurate with the extent of their participation in the activity.
Credit Designation Statement – Fundamentals of Mohs Surgery
Scott & White designates this live activity for a maximum of 41.50 AMA PRA Category 1 Credits™.
Physicians should claim only credit commensurate with the extent of their participation in the activity.
Faculty Disclosure
As a provider accredited by the ACCME, it is the policy of Scott & White to require the disclosure of
anyone in a position to control the content of an educational activity. All relevant financial relationships
with any commercial interests and/or manufacturers must be disclosed to participants at the beginning
of the activity.
Mohs Technician Credit
Mohs technicians participating in the Fundamentals of Mohs Surgery course will receive medical education
credit in the form of Contact Hours, provided by the National Society for Histotechnology (NSH).
About the American Society for Mohs Surgery
The ASMS is a professional medical education society with over 1100 active physician and Mohs
technician members. Physician membership is comprised primarily of Board certified M.D. and
D.O. dermatologists who share a strong interest, training background and practical experience in
the Mohs surgical technique. Due to the high incidence of skin cancer and the efficacy of Mohs
surgery in treating certain basal and squamous cell carcinomas, the ASMS advocates high-quality
Mohs training for all surgically-oriented dermatologists, both in Residency training and beyond.
In addition to the current fall courses outlined in this brochure, each Memorial Day weekend the
ASMS sponsors a cutting edge clinical symposium, Dermatologic Surgery: Focus on Skin Cancer.
New and expanded topics are introduced regularly to coincide with members’ ongoing educational
needs. This meeting includes an overview of the latest clinical research in dermatology and skin
cancer, as well as discussion of topics such as melanoma treatment, medico-legal concerns for
dermatologists, and other current controversies in the practice of dermatologic surgery.
Also scheduled in May is the ASMS Closure Course, which focuses on Mohs reconstruction
techniques and considerations such as defect size, anatomic location, and important patient
characteristics. This course includes a hands-on laboratory session, in which participants apply
and practice new reconstruction approaches on high-fidelity visco elastic models, under
the supervision of experienced Mohs surgeon faculty.
The ASMS offers a Peer Review case submission program to foster ongoing quality assurance in
Mohs surgery. Another popular activity is our Clinical Observational Preceptorship program, which
pairs newer Mohs surgeons with highly-experienced surgical mentors. In addition, members have
access to a variety of ASMS patient education resources for use in their practices. A quarterly
newsletter, The Beveled Edge, contains highly detailed recaps of ASMS educational activities and
other items of interest to practicing Mohs surgeons.
Physician Faculty
Antoanella Calame, M.D.
John B. Campbell, M.D.
Carlos A. Garcia, M.D.
Kenneth G. Gross, M.D.
Henry D. Haskell, M.D.
Alexander Miller, M.D.
Rainer E. Sachse, M.D.
Kenneth T. Shimizu, M.D.
Howard K. Steinman, M.D.
Jason S. Stratton, M.D.
Valencia D. Thomas, M.D.
Sharon F. Tiefenbrunn, M.D.
Nicole Watts
Edward H. Yob, D.O.
Microscope Laboratory Faculty
Stephen E. Kessler, D.O.
Kenny R. Malott, M.D.
Diosdado P. Non, Jr., M.D.
Richard J. Ort, M.D.
Lee S. Portnoff, M.D.
Andrew H. Weinstein, M.D.
Mohs Technician Faculty
Debra Beam
Brian Beck
Daniel H. Gong, M.S.
Lawrence Ladd
Alex G. Lutz, B.S.
Joy Marasigan, HT (ASCP)
Sidney McClary
Hung Ngo
Gerald Rydberg
Michael Shelton
Juan (B. J.) Villarreal
Marilyn Weiss, HT (ASCP)
Cindy Wilson
Rick Wolf, L.P.N.
Topic Overview
Basal and Squamous Cell Cancer
Pathology
■
Basal Cell and Squamous Cell Carcinoma
Overview (Non-Mohs “Pure Pathology” Approach)
■
BCC, SCC and other Anatomic Structures
■
Common Mimics of BCC and SCC
■
Extensive Microscope Review of BCC and SCC
■
Inflammatory and Reparative Findings at Recent
Biopsy Sites
Fundamentals of Mohs Surgery
■
Basic Mohs Technique
■
Cryostat Specimen Quality
■
Establishing a Mohs Practice
■
Histopathology of BCC, SCC and Unusual Tumors
■
Indications for Mohs Surgery
■
Insurance/Medicare Coding and Reimbursement
■
Intraneural and Perineural Cancer
■
Laboratory Directorship and Supervision
■
Mapping, Basic to Advanced
■
Mohs Surgical Pearls
■
Office Set-up and Patient Flow Considerations
■
Peer Review: Common Errors and
Recommendations
■
Post-Mohs Radiation Considerations
■
Quality Assurance Issues
■
Small Group Microscope Lab Presentations
■
Tissue Staining Protocols
■
Video Microscope Case Review
Hotel Information
Registration Fee Schedule
Basal & Squamous Cell Cancer Pathology ONLY
Current ASMS Member Physician $500.00
Non-ASMS Member Physician
$650.00
Current Dermatology Resident
$250.00
Doubletree Hotel San Diego, Mission Valley
American Society for Mohs Surgery
Basal and Squamous Cell Cancer Pathology for
Mohs Surgeons – November 5, 2014
Fundamentals of Mohs Surgery Course – November
5-9, 2014
Registration Sign-In Times
Basal and Squamous Cell Cancer Pathology for Mohs
Surgeons – Wednesday, November 5, 6:30 to 7:25 a.m.
Fundamentals of Mohs Surgery – Wednesday, November 5,
6:00 to 8:00 p.m.; Thursday, November 6, 7:00 to 7:45 a.m.
Hotel Registration Cut Off date: October 22, 2014
DoubleTree Hotel San Diego, Mission Valley
7450 Hazard Center Drive
San Diego, CA 92108
Hotel Telephone: 619-297-5466
Check In: 3:00 p.m.; Check out: 12:00 p.m.
Room Rate: $160 per night (Single or Double Occupancy –
2 Queen or 1 King bed options)
Toll-Free Reservations: 1-800-222-TREE (8733)
Online Reservations:
https://resweb.passkey.com/Resweb.do?mode=welcome_
ei_new&eventID=11275618
Registration Form
Basal and Squamous Cell Cancer
Pathology for Mohs Surgeons
Fundamentals of Mohs Surgery
Due to space limitations and other planning considerations, advance
registration is required. There is a $100 additional charge for
registrations received after Monday, November 3.
Cancellation Policy: Full refunds will be granted for cancellations received
in writing by the ASMS no later than October 19. Cancellations received
after this date will result in registration fee(s) being applied to a future
ASMS educational activity.
Special Needs: We encourage participation by all individuals. If you have
special dietary, mobility, etc. needs, please contact Novella Rodgers,
Executive Director, at 800-616-ASMS (2767) or execdir@mohssurgery.
org. (Meeting content will be presented in English; if interpretation is
required, this is the responsibility of the participant and must be
arranged in advance through an independent translation service.)
Membership Application: Qualified participants may apply for ASMS
Resident, Associate, Affiliate, or International membership in conjunction
with course registration. Completed applications and fees must be
received by October 10 to allow time for processing prior to the course.
Once approved, participant may take advantage of the memberdiscounted course fee(s).
Fundamentals of Mohs Surgery ONLY
Current ASMS Member Physician $1350.00
Non-ASMS Member Physician $2000.00
Current Dermatology Resident
$800.00
Slide Review Only
$500.00
(requires past full FMS course attendance
or concurrent BCC/SCC Pathology course
attendance)
Mohs Technician Employed by
Member Physician
$1150.00
Mohs Technician Not Employed
by Member Physician
$2000.00
Joint Course Discount
BOTH Basal & Squamous Cell Cancer and
Fundamentals of Mohs Surgery Courses
Current ASMS Member Physician $1700.00
Non-ASMS Member Physician $2650.00
Current Dermatology Resident
$950.00
Recommended Textbooks
BCC & SCC Pathology Course:
1) Atlas of Mohs and Frozen Section
Cutaneous Pathology (Morgan, Hamill,
& Spencer) PUBLISHER’S PRICE
$150
$169 plus tax/shipping
Fundamentals of Mohs Surgery Course:
1) Mohs Surgery: Fundamentals and
Techniques (Gross, Steinman & Rapini)
Resident Price
$100
Non-Resident Price
$130
2) Mohs Surgery and Histopathology:
Beyond the Fundamentals (Gross &
Steinman) PUBLISHER’S PRICE
$150
$175 plus tax/shipping
Shipping Fee (per book) –
$10.95
Contiguous U.S. only
(Contact ASMS for International Shipping rate)
Initial Membership Application Fee
Associate, Affiliate or International $300.00
Current Resident – No Charge
Total Amount Due
Registrant Information:
Please print as you wish name to appear on course materials/name badge.
Physician Name
Suffix (M.D., D.O.)
Technician Name
Suffix (HT, R.N., M.A., etc.)
Practice Name
Practice Address
City
State
Zip
Country
Practice Telephone
Cell Phone
Practice Fax
Email
Please list any special needs:
Payment Information:
Check Enclosed (U.S. Funds, Payable to ASMS)
Total
VISA/MasterCard/Discover/American Express
Total
Credit Card#
Expiration Date
3 or 4-digit Verification Code
Name on Card
Mail or fax form with check or credit card information to:
American Society for Mohs Surgery
Attn: Novella Rodgers, Executive Director
5901 Warner Avenue, Box 391
Huntington Beach, CA 92649-4659
Online Registration: www.mohssurgery.org
Email: execdir@mohssurgery.org
Phone: 1-800-616-ASMS (2767)
Fax: 714-379-6272 or eFax 714-362-9540
Please contact ASMS office to verify that
faxed registration was received.
Physicians and Mohs technicians must register as a first-time user or log in with existing user name
and password. Then click on Education and select Fundamentals of Mohs Surgery option to submit
online registration form. If any questions, or to register by phone, please call 1-800-616-2767.
(See Complete Program Schedules at www.mohssurgery.org)
Both Physician and Mohs Technician
Educational Sessions Available for
Fundamentals of Mohs Surgery
November 6-9, 2014
Fundamentals of Mohs Surgery
November 5, 2014
Basal and Squamous Cell Cancer
Pathology for Mohs Surgeons
5901 Warner Avenue, Box 391
Huntington Beach, CA 92649-4659
LOS ANGELES CA
PERMIT NO 32365
PAID
PRESORTED
FIRST CLASS
U.S. POSTAGE