Teach-back Method on Patient Satisfaction and Adherence to Wound Care Regimen

Patients undergoing Mohs Micrographic surgery for skin cancers on the lower extremities for the first time that are left to heal by secondary intention are randomized either to receive a scripted teach-back session or a standard of care wound care education. This study wishes to compare wound care adherence, patient experience, wound complications, and the number of phone calls made by patients to the office between the two cohorts

primary objective is to determine whether study participants who have received the teach-back method have an increase wound care adherence at one week post-operatively, compared to those who received the standard of care.

To characterize differences in the patient experience between the two interventional groups 2 weeks after surgery.

To determine whether the number of phone calls made post-operatively by patients will decrease in a 2 week follow-up time period.

To characterize the differences in patient wound care adherence at 2 weeks after surgery.

To determine whether there is a difference in complication incidence post-operatively

Inclusion criteria

• Presenting to outpatient Mohs clinic at University Department of Dermatology, Two Chagrin Highlands for the first time
• Have excision(s) from Mohs Micrographic Surgery on the lower extremities that are left to heal by secondary intention
• English-speaking

Exclusion criteria

• Non-English speaking
• A clinical diagnosis of mental, learning, and visual disabilities
• A clinical diagnosis of dementia
• Those who have received Mohs Micrographic Surgery before regardless of area