Fellowship Difference

The highest standards of mohs surgery

Fellowship Trained Mohs Surgery

Mohs Surgery offers the highest cure rate for many different types of skin cancer when performed by fellowship-trained hands. It is important to recognize that fewer than 8% of all dermatologists in the United States have actually completed formal fellowship training in Mohs Surgery and Cutaneous Oncology. Yes, there is indeed such specialized training. All of the Mohs Surgery at Coastal Skin Surgery and Dermatology is exclusively performed by Dr. David Adams, a fellowship-trained Mohs Surgeon.


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Intensive Training By Highly Qualified Instructors

Dr. Adams completed a 1-year fellowship in Mohs Micrographic Surgery and Cutaneous Oncology in 1995. His fellowship at Geisinger Medical Center (Danville, PA) was one of the first in the nation to receive formal accreditation by the American Board of Medical Specialties. Dr. Adams mastered the methods and techniques of Mohs Micrographic Surgery, complex microscopic cancer interpretation, and advanced cosmetic reconstruction techniques under the guidance and supervision of Dr. Victor Marks, Dr. Michael Ramsey, and various academic plastic surgeons, oculoplastic surgeons, ENT surgeons, and dermatopathologists. Such intensive training has prepared Dr. Adams to expertly treat many different types of skin cancers and equally to recognize when Mohs Surgery is not the best option and to provide guidance in selecting alternate (even non-surgical) treatments.

Highly Qualified Instructors

Geisinger’s Micrographic Surgery and Dermatologic Oncology Fellowship provides excellent training in the removal of skin cancers, reconstruction of surgical wounds, and performance of a broad range of dermatologic surgical procedures. The volume of patients provides plenty  of opportunities to develop incomparable surgical skills and allows doctors to feel comfortable when faced with difficult surgical cases.

Extensive Experience

Dr. Adams participated in over 700 Mohs surgical cases in training and he has performed more than 16,000 Mohs procedures in private practice.

The Best Results

Although a single procedure may take several hours, the Mohs process enables examination of 100 percent of the tissue margins under the microscope. In contrast, less that 1 percent of the tissue margins are actually examined microscopically during a traditional surgical excision. Mohs surgery provides the highest cure rate while preserving as much of the normal tissue as possible. This procedure results in smaller surgical defects that require less complicated surgical repairs, and enables in faster wound healing and optimized functional and cosmetic outcomes.

It’s not “just” Mohs Surgery…

… it’s FELLOWSHIP-TRAINED Mohs Surgery. Your cardiologist is fellowship trained, your Oncologist is fellowship-trained, and your Plastic Surgeon is fellowship trained.

How about your Mohs Surgeon? Look for the FACMS after the name! Because your face is no place for on the job training!

For additional information about “The Fellowship Difference”, refer to the website of the American College of Mohs Surgery.

As stated in a recent article published in The Skin Cancer Foundation Journal, Mohs surgery is on the rise, for good reasons: It has the lowest recurrence rates, highest cure rates and best cosmetic results of any skin cancer treatment.


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Coastal Skin Surgery and Dermatology

Visit our office today to find out how we can assist you with any medical, surgical, and/or cosmetic dermatology needs.