Dermatologic Surgery University Hospital Zurich

dermazentrumzuerich.ch
derma.usz.ch

REQUIREMENTS

– Must have completed their residency in dermatology and must be board-certified dermatologists in a European country
– At least 2 years experience in dermatosurgery is required
– Must have the oportunity to practice Mohs surgery or build up a new Mohs surgery unit after the fellowship upon their return to their home country
– ESMS associate membership
– Fluency in English language. Only applicants who are also fluent in German (level B1) will also be able to treat patients without direct supervision.
– EU / EFTA citicenship, proof of no criminal record

PROGRAMME DESCRIPTION

The duration of the fellowship is 6 months and must be completed in one consecutive period. Fellows will be given the opportunity to participate in a high volume of frozen section Mohs procedures, including the lab procedures, as well as assist in some slow Mohs and other dermatosurgical procedures.
The fellowship will take place in 2 centers: Outpatient clinic „Circle“ (Uninversity Hospital, Zurich Airport) and Dermatologisches Zentrum Zürich AG. The fellow will be able to participate in > 200 Mohs cases under supervision of the program director or another ESMS-certified surgeon. A majority of the cases will include flap or graft reconstruction. > 50 complex cases can be expected. Furthermore, > 20 cases of slow Mohs will be performed. The fellow will be involved in reading of pathology slides of all cases of frozen section Mohs surgery.
Infrastructure: In both venues there is a dedicated Lab within easy walking distance in the same building complex as the operating rooms, with lab technicians trained in Mohs surgery. In both venues there are > 2 operating rooms fulfilling local requirements for dermatosurgical procedures, including flap and graft reconstructions. Some hospitalized patients at the University Hospital, Zurich will be operated and there is a documented collaboration with other specialities as well as the possibility to discuss patients at a tumor board (University Hospital).

The Erasmus University Medical Center

The Erasmus University Medical Center (Rotterdam, The Netherlands) is among the largest MMS centres in Europe. They perform approximately 1700 MMS procedures annually and have a formal training program for MMS.

https://www.erasmusmc.nl/en/education/education-opportunities/mohs-fellowship

REQUIREMENTS

– EADV European specialist member
– Sufficient knowledge and skills in surgery
– The awardee must have the possibility to put MMS into practice after finishing the fellowship either by opening a Mohs unit or by contributing to an existing unit in an academic hospital-based department of dermatology within Europe
– Must be HBV and Covid vaccinated

PROGRAMME DESCRIPTION

– 6 months duration.
– Mohs procedures 5 days per week, with 5 different supervisors and a dedicated team of nurses and lab technicians.
– We ususally perform 6 Mohs procedures a day (75% BCC, 25% SCC and occasionally rare tumors). Two Mohs fellows are supervised by one Mohs surgeon, each fellow performs 3 Mohs procedures a day. We review the slides together (with a dual head microscope). You will learn performing Mohs in all its aspects including different types of reconstructions and you will get an extensive training in histology.
– We also perform Mohs for rare tumors such as Merkelcell carcinoma, sebaceous carcinoma, dermatofibrosarcoma protuberans.
– We have specially trained Mohs supervisors and an ophthalmologist who operate tumors on the eyelids.
– The minimal amount of cases that a Mohs fellow should perform is 200, you will have 2 exams: one half way and one at the end of the training. The first exam consists of assessing the slides of 10 Mohs cases and the final exam consists of 20 cases. The Mohs fellow should pass the final exam in order to get the Mohs certificate.