Intern participation in Mohs Surgery

Bryan K. Chen, MD answers: Can one refuse to allow an intern to participate during Mohs Surgery?

I have a BCC that was about 1 centimeter (on the surface). It has been frozen off but I am now referred to a Mohs Surgeon. The Surgeon is affiliated with a teaching hospital. I have worked adult ICU as an RN and have seen things that have made me cringe when Interns, even with supervision, have participated (I have seen very good work also) too. What is the norm for Mohs Surgery Can I demand that the referred surgeon do all the work? Some surgeons appear magical while working, and the resultant scarring always seems better if the surgeon is very experienced.


Bryan K. Chen, MD
5 months ago

In principle, the Attending physician should be closely overseeing the work of their residents and interns.  In practice, of course, this does not always occur.  I am probably a bit biased regarding this matter since I regularly serve as an attending at a teaching hospital myself.  You might consider discussing your concern with the attending physician.  The bottom line though is that you have the right to demand that you be treated by the attending (supervising) physician only.

Good luck. 

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