Dermatologic surgery training in dermatology residency programs in Saudi Arabia: A cross-sectional survey

Background: Dermatologic surgical procedures are expanding. Residents' training in procedural dermatology must evolve with the changes in the field. Purpose: We assessed the current status of surgical dermatology training in all Saudi Commission for Health Specialties (SCFHS)-accredited dermatology residency programs in Saudi Arabia. Methods: The survey was mailed to all 4th-year dermatology residents who completed the full 4 years of training at 5 SCFHS-accredited dermatology residency programs in December 2020. Statistical software SPSS (Version 22) was used to analyze responses. Results: A total of 26 4th-year residents participated, with a response rate of 89.6%. About 53.8% of the participants were equally assigned as the primary surgeons in laser for acne scar treatment and botulinum toxin for hyperhidrosis. Most of residents reported higher levels of nonexposure, especially for hair transplant procedures at 88.5%, fat transfer at 84.6%, fillers injection, and chemical peels at 65.4%. Regarding Mohs surgery, 73.1% of them are only knowledgeable through lectures and observations, without any hands-on training. The majority of residents (92.3%) were not satisfied with their dermatologic surgery training during residency. Conclusion: Residents express dissatisfaction with procedural and surgical dermatology training. Exposure in important areas of dermatologic surgery training could be better.