Mohs Micrographic Surgery (MMS) UK surgical standards & service guidance

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Introduction

In 2019 the British Association of Plastic, Reconstructive & Aesthetic Surgeons (BAPRAS) and the British Oculoplastic Surgery Society (BOPSS) formed a multidisciplinary working party to set these UK Mohs Micrographic Surgery standards and guidance, supported by an advisory panel of experts from a range of relevant specialties and interests.

Published standards or guidelines for Mohs Micrographic Surgery (MMS) currently exist both in the UK and internationally, but these do not adequately encompass the needs and requirements of all MMS practitioners within the UK’s National Health Service (NHS), particularly those practitioners from a surgical training background; whilst Mohs surgery in the UK has traditionally been performed by Dermatologists an increasing number of surgeons have become trained in and practice MMS, to the extent that MMS is now recognised by BAPRAS and BOPSS as being a subspecialist surgical, as well as dermatological, interest. This brings highly specialised clinical workforce expansion to services under increasing demand, and an introduction of additional clinically appropriate surgical skillsets and optimal patient experiences to the specialty. These standards have therefore been produced to allow guidance and representation to these MMS practitioners, whilst equally being applicable for use by practitioners from other colleges or specialties.

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