title: Shared medical appointments for the preoperative consultation visit of Mohs micrographic surgery.
abstract: BACKGROUND
  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.
  
  
  OBJECTIVE
  We sought to create a SMA for the preoperative consultation visit of Mohs micrographic surgery and to evaluate patient satisfaction with this model.
  
  
  METHODS
  A pilot SMA was implemented. Patient satisfaction was assessed via a 13-question survey over a 6-month period.
  
  
  RESULTS
  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%).
  
  
  CONCLUSIONS
  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).
  
  
  CONCLUSIONS
  SMA can be successfully used for the Mohs preoperative consultation visit with high patient satisfaction.
authors.affiliation: Section of Dermatology, Department of Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire.
authors.forename: Thomas J
authors.initials: TJ
authors.lastname: Knackstedt
authors.affiliation: Section of Dermatology, Department of Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire; Geisel School of Medicine, Dartmouth College, Hanover, New Hampshire. Electronic address: Faramarz.h.samie@hitchcock.org.
authors.forename: Faramarz H
authors.initials: FH
authors.lastname: Samie
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001071:Appointments and Schedules; D002280:Basal Cell Carcinoma / Q000601:surgery; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D005260:Female; D006126:Group Processes; D006801:Humans; D033181:Information Dissemination; D008297:Male; D008875:Middle Aged; D017146:Models, Organizational; D015580:Mohs Surgery / Q000379:methods*; D009819:Office Visits; D017063:Outcome Assessment, Health Care; D010353:Patient Education as Topic / Q000379:methods / Q000458:organization & administration*; D017060:Patient Satisfaction; D010865:Pilot Projects; D011159:Population Surveillance; D010818:Practice Patterns, Physicians' / Q000458:organization & administration; D011300:Preoperative Care / Q000379:methods*; D012017:Referral and Consultation / Q000458:organization & administration*; D012878:Skin Neoplasms / Q000601:surgery
keywords: Mohs micrographic surgery; dermatologic surgery; outcomes research; patient satisfaction; shared medical appointments; skin cancer