American Mohs: A Critical Review

PREPRINTAmerican Mohs: A Critical ReviewArticle Type: ReviewAuthors: Brett M. Will1, MS; David J. Elpern2, MD; Roy Grekin3, MD; Douglas W. Johnson4, MD Affiliations: 1Medical Student, Georgetown University School of Medicine, Washington, DC; 2Practicing Clinical Dermatologist, Williamstown, Massachusetts; 3Department of Dermatology, Clinical Professor, University of California San Francisco School of Medicine, San Francisco, California; 4Department of Dermatology, The Queen’s Medical Center, Honolulu, HI Keywords: Basal cell carcinoma, Cost effectiveness, Economics, History, Mohs, Squamous cell carcinoma Funding Sources: NoneConflict of Interest Disclosure: None declared Capsule Summary Mohs Micrographic Surgery (MMS) is a valuable tool in the treatment of skin cancer whose indications and implementation have changed significantly since its inception Improved understanding … Continue reading

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Implicit Bias in Medicine: Case Report and Literature Review

by Kory M. Johnson, Emma Fixen, David J. Elpern, Douglas W. Johnson Mount Sinai Health System, New York, NY John A. Burns School of Medicine, PGY1, Honolulu, HI David Elpern MD: The Skin Clinic, Williamstown, MA University of Hawaii School of Medicine, Honolulu, HI Keywords: implicit bias, explicit bias, immigrant, indigent, psoriasis, lymphoma, healthcare A 46-year-old Micronesian woman with history of severe disabling psoriasis and psoriatic arthritis had been our patient for many years (Figures 1 and 2). Her psoriasis started as an adolescent and had been treated with numerous therapies including topical steroids, phototherapy (sunlight exposure in Micronesia), methotrexate, cyclosporine, acitretin, apremilast, etanercept, infliximab, ustekinumab, secukinumab, ixekizumab, IL-23 blocker, … Continue reading

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