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Assessing Telemedicine Competencies: Developing and Validating Learner Measures for Simulation-Based Telemedicine Training
AMIA ... Annual Symposium proceedings. AMIA Symposium
immunohistochemical ihc staining used alongside mohs micrographic surgery aid margin assessment subtle tumors yet existing estimates ihc utilization primarily relied survey older data lacks stratification characterize national ihc utilization trends mohs surgeons stratifying surgeon characteristics modeling future adoption longitudinal analysis 2014 2021 medicare public use files 2021 158 2058 mohs surgeons 77 used ihc compared 40 2014 average annual growth rate aagr 36 adoption change highest northeast aagr 199 whereas volume growth greatest west aagr 252 multivariable regression revealed significantly greater utilization propensity among mohs surgeons academics adjusted odds ratio aor 336 american college mohs surgery acms members aor 212 micrographic dermatologic surgery mdscertified surgeons aor 166 mohs surgeons steadily incorporating ihc practice across regions volume growth driven higher adoption rates greater utilization among acms members recipients mds certification academics suggests value formalized training enhancing comfort additional educational opportunities conferences may aid recognition value help identify solutions address integration challenges