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Modernizing the Mohs Surgery Consultation

Instituting a Video Module for Improved Patient Education and Satisfaction

Newsom, Emily, MD*; Lee, Erica, MD; Rossi, Anthony, MD; Dusza, Stephen, DrPH; Nehal, Kishwer, MD

doi: 10.1097/DSS.0000000000001473
Original Article

BACKGROUND Studies show that patients recall less than half of the information given by their physicians. Use of video in medicine increases patient comprehension and satisfaction and decreases anxiety. However, studies have not elaborated on video content.

OBJECTIVE To use principles of learning with multimedia to improve the Mohs surgery consultation.

MATERIALS AND METHODS The authors developed 2 informational videos on Mohs surgery: traditional versus narrative. The focus of the traditional video was purely didactic. The narrative video included patient testimonials, patient–physician interaction, and animations. New Mohs surgery patients viewed either the traditional (n = 40) or the narrative video (n = 40). Existing Mohs surgery patients (n = 40) viewed both videos. Both groups answered questionnaires about their satisfaction.

RESULTS For new Mohs surgery patients, no significant difference was found between the traditional and the narrative video groups because respondent satisfaction was high for both video formats. For existing Mohs surgery patients, all respondents (100%) reported that videos were helpful for understanding Mohs surgery; however, the majority would recommend the narrative over the traditional format (72.5% vs 27.5%, p = .01).

CONCLUSION Technology is useful for patient education because all patients preferred seeing a video to no video. Further research is needed to optimize effective multimedia use in patient education.

*Division of Dermatology, University of California, Los Angeles (UCLA), Los Angeles, California;

Dermatology Service, Memorial Sloan Kettering Cancer Center, New York, New York

Address correspondence and reprint requests to: Emily Newsom, MD, Division of Dermatology, UCLA, 200 Medical Plaza, Los Angeles, CA 90035, or e-mail:

Recipient of 2015 ASDS Cutting Edge Research Grant; funded in part through the NIH/NCI Cancer Center Support Grant P30 CA008748.

The authors have indicated no significant interest with commercial supporters.

Supplementary video files can be provided for reference at the reviewer's request.

© 2018 by the American Society for Dermatologic Surgery, Inc. Published by Wolters Kluwer Health, Inc. All rights reserved.
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