Mohs Histology Consulting Services, LLC

Mohs Histology Consulting Services

Training, Consultaton & Mohs Lab Staffing

Mickie Johnson, B.S., HTL(ASCP)

Mohs Histology Services Offered

Timely and accurate Mohs dermatology specimen preparation for tissue excised using the Mohs frozen section technique, insuring you see epithelial and deep margin sections within the first 50 - 100 microns of the surgical margin. Sections routinely available in less than 30 minutes of receipt of specimen including mapping. Mohs Lab Staffing, , is providing emergency, periodic and vacation/maternity leave coverage.

Mohs Technician Training:
- Mohs specimen orientation and mapping. Principles of dividing, mapping and relaxing specimens taught to insure accuracy and consistency. The key to obtaining early complete epithelial and deep margins is to insure all margins are embedded simultaneously down at the same plane. This is key training all my students receive.
- Proper Mohs specimen handling to insure highest quality slides from difficult tissues such as from the canthus, eyelid, nose and lip where cosmetic repair is critical.
- Embedding of large and small Mohs specimens with speed and accuracy to insure earliest sections of epithelial and deep margins on a timely basis. First complete sections taken within the first 50 -100 microns of the deep surgical margin. Training with the use of the glass slide technique and the Cryo-Embedder(the best device for speeding up turn-around time and eliminating ice crystal artifact).
- Cutting techniques to insure quality sections and minimize artifacts including superior sections of fatty specimens. I provide training so you receive sections which look like they were cut from a paraffin block!
- Equipment operation, maintenance and troubleshooting, including cryostat operation and adjustment, stainer set-up and use and troubleshooting of fixatives and stains.
- Optimization of H & E stain set-up to improve contrast and cellular detail. My experience can help overcome problems with uneven or dark staining, bleeding of eosin in finished slides and common cutting artifacts including folded edges, holes in the fatty areas of the deep margin and lifting of areas of sections from the slide including cartilage.
- Training Manual provided to trainees.
- Certificate of Training provided to all trainees.
- I teach the principles so your technician can trouble-shoot problems themselves.

Review of laboratory documentation to insure compliance with professional, state and national regulatory agencies, including CLIA and OSHA provided at no extra charge. Complete procedure manual available including forms for Quality Control and Quality Assurance documentation to meet CLIA requirements.

Consultation for Mohs laboratory design and improvement for efficiency and ease of operation. The correct choice of equipment can play a significant role in the smooth and efficient operation of your Mohs laboratory. I would welcome the opportunity to use my years of experience to insure your laboratory meets the needs of your unique practice.
I am a Mohs and histology specialists consulting with the Belair Instrument Company. Belair Instrument Company has over 30 years specializing in providing the best equipment and supplies for the Mohs practice. They have a well known reputation for standing behind every piece of equipment they sell or service and provide a one year unconditional guarantee, parts and labor for all new and re-manufactured equipment. I would welcome the opportunity to discuss with you how a small investment in quality refurbished/new histology equipment can reap substantial financial rewards.
**I provide ongoing phone support after training for as long as you need it at no additional charge.

Whether you have an established Mohs practice or are setting up a new Mohs histology laboratory, Mohs technician training will provide a benefit in improved efficiency, accuracy and turn-around time you will see in both your bottom line and peace of mind reading high quality slides showing complete margins with less artifact. Please see my References page for a list of highly satisfied clients.

Please look for my booth at the following meetings:

The Annual Fundamentals of Mohs Surgery - Training Course presented by the American Society for Mohs Surgery in San Diego, November 2008. I will be on faculty and exhibiting at this course again this year.

I will be attending the 2008 American Society of Mohs Histotechnology meeting in May 2008.

I will be attending the 2008 Spring Fundamental of Mohs Surgery Course in Williamsburg, VA and giving a talk on HIPAA as well as demonstrating the CryoEmbedder.

I will be exhibiting at the ACMS meeting in Vancouver, BC in May 2008

I will be happy to discuss services with you at these meetings or please call when convenient.