Mohs surgery requires specialist training and extensive clinical experience in the removal and pathological examination of skin cancers, as well as reconstructive surgery. There are two common training programs for the Mohs surgery technique; namely, a course offered by the American Society of Mohs Surgery or a comprehensive fellowship accredited by the American College of Mohs Surgery (ACMS).
To obtain the ACMS qualification the surgeon must complete a 1 or 2 year fellowship at an approved centre, during which they personally perform more than 500 Mohs cases. This large number of cases ensures competence with all aspects of the Mohs technique, and the subsequent reconstructive surgery. Most of the scientific research validating the success of Mohs surgery has been performed by ACMS fellowship trained Mohs surgeons, and most major Universities in the United States only hire ACMS fellowship trained Mohs surgeons