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Scott W. Fosko, M.D. Professor and Chairman

A. Personal Information:

Office Address: Department of Dermatology

1402 S. Grand Blvd. Saint Louis, MO 63104

Place of Birth:

Fairfield, California

Citizenship: United States Citizen

B. Education: 1982 Bachelor of Science University of Notre Dame 1986 Doctor of Medicine University of Maryland

Postgraduate Training and Fellowship Appointments: 1986-1989 Residency Internal Medicine University of Virginia 1989-1992 Residency Dermatology Yale University 1992-1993 Fellowship Mohs and Dermatologic Surgery University of Pennsylvania

C. Specialty Boards and Certification: 1989 American Board of Internal Medicine 1992 American Board of Dermatology 2003-2013 Recertification, American Board of Dermatology

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2008 Leaders Society Campaign – Vice President Dermatology Foundation

D. Current Appointments (Including Secondary Appointments):

Saint Louis University School of Medicine Department of Dermatology 1993-99 Assistant Professor of Dermatology 1993 Director, Mohs Surgery and Cutaneous Oncology and Dermatologic Surgery Unit 1999-2004 Associate Professor of Dermatology 2001 Acting Chairman (January-December) 2002 Chairman 2002 Program Director, Dermatology Residency Program 2003 Director, Mohs Surgery and Cutaneous Oncology Fellowship 2004 Professor of Dermatology Department of Otolaryngology (Secondary) 1996-2002 Assistant Professor of Otolaryngology 2002 Associate Professor of Otolaryngology Department of Ophthalmology (Secondary) 1995 Assistant Professor of Ophthalmology Department of Internal Medicine (Secondary) 1993 Assistant Professor of Internal Medicine Saint Louis University Cancer Center 1998 Director, Saint Louis University Multidisciplinary Melanoma Conference 2002 Member

E. Previous Professional Positions:

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Yale University School of Medicine Department of Dermatology

1991-1992 Instructor, Dermatology

F. Hospital Staff Privileges: 1993 Staff physician, Saint Louis University Hospital 1993 Staff physician, Saint Mary’s Hospital 1995 Staff physician, Cardinal Glennon Children’s Hospital 1999 Staff physician, Saint John’s Mercy Medical Center

G. Memberships in Professional and Honorary Societies: 1986 American Medical Association 1989 American Academy of Dermatology, Fellow 1989-1992 New England Dermatologic Society 1992-1993 Philadelphia Dermatologic Society 1993 American College of Mohs Micrographic Surgery and Cutaneous Oncology, Fellow 1993 Association of Academic Dermatologic Surgeons 1993 American Society of Dermatologic Surgery 1993 St. Louis Dermatologic Society 1993 St. Louis Facial and Plastic Reconstruction Society 1996 American Society for Laser Medicine and Surgery 1997 Missouri Dermatologic Society 1998 American College of Physician Executives 2000 The Skin Cancer Foundation 2002 St. Louis University School of Medicine White Coat Society

H. Honorary Societies, Awards and Honors: 1980 Alpha Epsilon Delta

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1986 Alpha Omega Alpha 2001 Saint Luke’s Award, Saint Louis University Hospital 2002 White Coat Charter Member, Saint Louis University Hospital 2004 National Register’s Who’s Who in Executives and Professionals 2004 Best Doctors in America 2005 Best Doctors in St. Louis 2005 Best Doctors in America 2006 Best Doctors in St. Louis 2006 Best Doctors in America 2007 Best Doctors in St. Louis 2007 Best Doctors in America 2008 Best Doctors in St. Louis 2008 Best Doctors in America

I. Professional Services:

Saint Louis University School of Medicine 2001 Executive Committee of the Faculty

Department of Dermatology

School of Medicine 2000 Member Search Committee, Department of Dermatology Chairperson (March-September) 2001 Member Search Committee, Department of Dermatology Chairperson (January – December)

St. Louis University Hospital 1996-2001 Member, Anheuser-Busch Operating Room Committee

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1996-1999 Member, Invasive Care Review Committee 1997-1998 Member, Cancer Committee 1998-2001 Chairman, Cancer Committee Directed first hospital application and successful accreditation as a Teaching Hospital Cancer Program by the American College of Surgeons Commission on Cancer Published Annual Reports 1998 Annual Report Colorectal Cancer 1999 Annual Report Breast Cancer 2000 Annual Report Melanoma 2000 Member, Executive Committee 2003 Member, Cancer Center Internal Advisory Committee 2007 Cancer Center Director Melanoma and Skin Cancer Section University Medical Group 1994 Member, Multi-disciplinary Head and Neck Cancer Team 1996-2000 Member, Preparation Task Force Committee for Accreditation Association for Ambulatory Health Care at Saint Louis University (July 2000-AAAHC Reaccreditation for SLUCare Ambulatory Practice. March 1997-First AAAHC accreditation for SLUCare Ambulatory Practice) 1998 Director, Founder and Member, Multi-disciplinary Melanoma Group 1998 Member, Liaison Compliance Committee 2001-2002 Member, Governing Board 2002 Member, Physician Compensation Committee 2003 Member, Planning Committee 2006 Chairman, Compensation Committee Oversaw revision of UMG revised Compensation Plan effective July 1, 2006

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2007 Member, Strategic Planning Committee

National American College of Mohs Micrographic Surgery and Cutaneous Oncology 1997 Site Inspector, Fellowship Training Program 1998-1999 Member, Task Force on Information Systems and Tumor Registry 2002-2005 Board of Directors

Association of Academic Dermatologic Surgeons 1996-1998 Member, Curriculum Committee 1998-1999 Chair, Quality Assurance Committee 1998-2000 Member, Task Force on Membership 1998-2000 Member, Task Force on Recommended Training for Verifying Competency in New Procedures Curriculum Committee 2001-2005 Board of Directors American Board of Dermatology 2001-2005 Member, Recertification Examination Test Committee, Dermatologic Surgery Module Missouri Dermatologic Society 1997-1998 Board of Directors 1998-1999 Secretary/Treasurer 1999-2000 President-Elect 2000-2001 President Accreditation Association for Ambulatory Health Care (AAAHC) 1997-2002 Surveyor American Society for Dermatologic Surgery 1997-2000 Member, Office Accreditation/AAAHC Committee Dermatology Foundation 2003 Board of Trustees

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Editorial Boards and Review Panels

1996 Dermatologic Surgery, Reviewer 1996 Journal of the American Academy of Dermatology, Reviewer 2000 Archives of Dermatology Surgical Advisory Board 2004 Panel member, Clinical/Medical/Surgical Panel Grant Reviewer, Dermatology Foundation

J. Research, Grants, Contracts, Awards, Projects: Research Interest

• Cutaneous Oncology • High Risk Cutaneous Neoplasms • Facial Reconstruction • Melanoma and Lentigo Maligna • Mohs’ Cutaneous Micrographic Surgical Technique • Quality Improvement in Mohs Surgery • Correlation of Wood’s Lamp and Histopathologic Assessment of

Melanoma

Funded Research Support (Principal Investigator) 1995 IRB # 8223 The effect of alpha-hydroxy acid on epidermal growth factor expression Herald Pharmacal $4,000.00

2001 IRB # 11666 1444-IMIQ: Vehicle-Controlled, Double –Blind

Study to Assess the Safety and Efficacy of Imiquimod 5% Cream for the Treatment of Actinic Keratoses on the Head 3M Pharmaceuticals $89,000 2001 IRB # 12016; A Phase II Multi-Center, Double-Blinded, Placebo Controlled, Dose Response Study of PN106 Gel Administered Topically to Subjects with Actinic Keratosis Pro-Neuron, Inc $80,000 2003 Skin Cancer Screenings Are Serving As Substitutes for Appointments with Dermatologist. The Skin Cancer Foundation $10,000 2008 Research Expansion at Saint Louis University Dermatology.

Dermatology Foundation, 2008 Program Development Grant. $10,000. July 1, 2008-June 30, 2009

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Investigator Initiated Research Activity Principal Investigator IRB # 11318 Correlation of Wood’s Lamp and Histopathologic Assessment of Melanoma 11/00 IRB # 13403 Correlation of Wood’s Lamp and Histopathologic Assessment of Melanoma 12/04 – 6/06 IRB # 13859 Correlation between the size of a melanoma lesion and the presence of invasive disease. 8/05 – ongoing IRB # 14168 Melanoma Database: SLU Melanoma Database and Evaluation of Epidemiological Trends. 1/06 – 12/06 IRB # 13893 Association of Asymmetrical Skin Cancer Prevalence with Time spent in an Automobile. 2/06 – 1/08 Increased Prevalence of Left-Sided Skin Cancer. 2/22/2007-ongoing IRB # 15026 Determination of the Therapeutic Value of Imiquimod Therapy on Lentiginous Melanoma and the Associated Cellular Infiltrate Before, During, and After Treatment. 7/07- ongoing IRB # 15233 A Blinded Comparison of Nylon vs. Braided Polyglactin 910 (Vicryl®) Suture for Epidermal Wound Closure Following Mohs Micrographic Surgery. 11/20/07-11/19/08

Sub-Investigator IRB # 13346 Collection of Blood and Tissue Samples from Subjects with Biopsy-proven or Suspected Malignancy and from Health Volunteers for Cancer research (PI – Eddy Hsueh) 10/05-ongoing. IRB # 14808 Sun Protection Outreach Teaching by Students (PI Summer Youker) 2/07-Ongoing. IRB # 14822 The Importance of Reviewing Pathology Specimens Before Mohs Micrographic Surgery (PI Summer Youker) 2/07-ongoing. IRB # 15197 Patient Safety Practices in Mohs Surgery (PI Summer Youker; PI Asst. Professor Susan Butler; Sub Investigators Scott Fosko, Dana Oliver) 10/08-ongoing IRB # Cosmetic Satisfaction After Mohs Surgery: Does It Matter If The Patient Saw the Defect? (PI Samuel J Pruden; Sub Investigators Joel Crockett, Dana A Oliver, Summer R Youker, Scott W Fosko) 6/08-ongoing

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IRB # Comparison of Patients who have undergone Phone Consultation Vs. Office Consultation for Mohs Surgery. (PI Sharone K Askari; Sub Investigators Sarah Jensen, Scott W Fosko, Contact Rosemary King)

K. Bibliography:

Peer Reviewed Publications Fosko SW, Kohn SR. Scaly Rashes. Emergency Medicine 23 (7):19-32, 1991. Fosko SW, Bolognia JL, Stenn KS. Ectodermal dysplasias associated with clefting-significance of scalp dermatitis. J Am Acad Dermatol 27:249-56, 1992. Fosko SW, Perez MI, Longley BJ. Acral persistent papular mucinosis. J Am Acad Dermatol 27:1026-29, 1992. Fosko SW, Cuono CB, Leffell DJ. Skin as an adjunct in the repair of radiation-compromised wound. Arch Dermatol 129:293-95, 1993. Fosko SW. Management of actinic damage in the elderly. J Geriatric Dermatol 1:38-44, 1993. Fosko SW. Maintaining the alar groove. J Am Acad Dermatol 32:777-8, 1995. Fosko SW, Stecher J. The role of home health nursing: A dermatologic case study. Dermatol Nursing 7: 185-6, 1995. Fosko SW, Adams SR. A frozen tissue block organizer for Mohs’ surgery. Dermatol Surg, 22:191-2, 1996. Fosko SW, Dzubow LM. Nasal reconstruction with a direct cheek island pedicle flap. J Am Acad Dermatol 35:580-7, 1996. Connor CD, Fosko SW. Local Skin Flap Anatomy and Physiology. Facial Plastic Surg Clin North Am 4; 447-54, 1996. Fosko SW, Gibney MD, Holds JB. Basal cell carcinoma involving the lacrimal apparatus-a mechanism for tumor spread. Dermatol Surg 23:203-206, 1997. Rioridan A, Gamache MC, Fosko SW. Electrosurgery in dermatologic surgery. J Am Acad Dermatol 37:250-5, 1997.

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Fosko SW. Electrosurgery and implantable cardiac defibrillators. J Geri Dermatol 5:295-6, 1997. Fosko, SW, Cook TF. Skin Lesions of the Head and Neck. Part I: Nodular Basal Cell Carcinoma. Int On J of Otorhinolaryng- Head Neck Surg www.orl-hns.org/vol12 /grand.dir/grand.html;1 (2), 1998. Gibney MD, Fosko SW, Segal RJ. Traumatic tattoo from battery-operated earrings. Cutis 61:34-6, 1998. Cook TJ, Fosko SW. Unusual Cutaneous Tumors. Semin Cutan Med Surg 17:114-32, 1998. Fosko SW, Gibney MD, Harrison B. The use of shaking to minimize pain of local anesthetic injection. J Am Acad Dermatol 39-74-8, 1998. Omidi, J, Fosko, SW. Skin Lesions of the Head and Neck. Part II: Superficial Basal Cell Carcinoma. Int On J of Otorhinolaryng- Head Neck Surg www.orl-hns.org/vol13 /grand.dir/grand.html;1 (3), 1998. Fosko SW, Heap D. An economical means of skin closure with absorbable suture. J Am Acad Dermatol; 39:248-50, 1998. Allen A, Fosko SW. Lymphangitis as a complication of bleomycin injection. J Am Acad Dermatol 39 295-7, 1998. Fosko, SW. Skin Lesions of the Head and Neck. Part II: Superficial Basal Cell Carcinoma. Int On J of Otorhinolaryng- Head Neck Surg http://www.orl-hns.org/vol13 /grand.dir/grand.html;1 (3), 1998. Fosko SW, Branham GH. Reconstruction Issues after Mohs Surgery. Facial Plastic Surg Clin North Am 6;379-385, 1998. Fosko, SW, Hose S. Skin Lesions of the Head and Neck. Part IV: Basal Cell Carcinoma Developing in a Nevus Sebaceous of the Scalp and Medial Canthus Int On J of Otorhinolaryng- Head Neck Surg www.orl- hns.org/vol16/grand.dir/grand.html;2 (1), 1999. Fosko, SW, Glaser DA, Rogers CJ. Eradication of angiolymphoid hyperplasia with eosinophilia by copper vapor laser. Arch Dermatol 7(7):863-5, 2001. Kokoska MS, Olson G, Kelemen P, Fosko SW, Dunphy F, Lowe VJ, Stack BC. The use of lymphoscintigraphy and PET in the management of head and neck melanoma, Otolaryngol Head Neck Surg 125:213-20, 2001.

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Margenthaler JA, Fosko SW, Virgo KS, Johnson DY, Johnson FE. Evaluation of Patients with Clinically Suspected Melanoma Recurrence: Current Practice Patterns. Int J Oncol 21:591-596, 2002. Smith AA, Cole AB, Fosko SW. Melanoma from the Dermatologist’s Perspective, Facial Plastic Surg Clin North Am 11.2;277-286, 2003. Fosko SW, Hu W, Cook TF, Lowe VJ. Positron Emission Tomography for basal cell carcinoma of the head and neck. Arch Dermatol 139(9):1141-1146, 2003. Rouse CR, Allen A, Fosko SW. Review of the 2002 AJCC Cutaneous Melanoma Staging System, Facial Plastic Surg Clin North Am 11.1;1-8, 2003. 31. Bowman PB, Fosko SW, Hartstein MA. Periocular Reconstruction. Semin Cutan Med Surg. 22:263-72, 2003. Walling HW, Fosko SW, Geraminejad PA, Whitaker DC, Arpey CJ. Aggressive basal cell carcinoma, Presentation, pathogenesis and management. Cancer Metastasis Rev. 23 (3-4):389-402, 2004. Kling CW, Jones EC, Fosko SW. Surgical Pearl: The cotton-tipped applicator as a suture scissors stabilizer in cutting suture. J Am Acad Dermatol. 2005 Aug;53(2):330-1. Jones E, Youker S, Fosko S. Nasal trumpet orthosis to maintain nares opening during a melolabial interpolation flap. Dermatol Surg. 2006 Jan;32(1):96-9. Missall TA, Fosko SW The use of imiquimod to minimize the surgical defect when excising invasive malignant melanoma surrounded by extensive melanoma in situ, lentiginous type. Accepted by Dermatologic Surgery. Butler S, Fosko SW, Youker S. The Importance of Reviewing Pathology Specimens Before Mohs Surgery. Accepted by Dermatologic Surgery. Shah MR, Mavers MM, Bree A, Fosko SW. Quality of Life and Depression Assessment in Nevoid Basal Cell Carcinoma. Submitted to Health and Quality of Life Outcomes. Lickerman SH, Chu MB, Jeffe DB, Brant JA, Fosko SW, Cornelius L, Youker S, SPOT Working Group. SPOTS (Sun Protection Outreach Teaching by Students): A novel program instructing teenagers and medical/allied health students about skin cancer and sun protection.

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Submitted to Archives of Dermatology. Journagan SL, Blake HM, Virgo KS, Johnson FE, Fosko SW. Risk Factors, Motivations, and Access to Dermatologists Among Attendees at Free Skin Cancer Screenings. Submitted to J Am Acad Dermatol

Letters Fosko SW. Reply. J Am Acad Dermatol.1999 Dec;41(6):1048-1049.

Book Chapters/Invited Works Book Chapters

Fosko SW. Cancer of the Skin; in Conn’s Current Therapy, Rakel RE editor. W.B. Saunders Company, Philadelphia, PA, pp. 741-3, 1996. Fosko SW, Penneys NS. Skin Tumors; in Current Diagnosis 9, Conn RB, Borer WZ, Snyder JW, editors. W.B. Saunders Company, Philadelphia, PA, pp. 1195-9, 1996. Fosko SW. Squamous Cell Carcinoma: Predisposing Genetic Syndromes and Clinical Settings; in Cutaneous Oncology: Pathophysiology, Diagnosis, and Treatment, Miller SJ, Maloney ME editors. Blackwell Scientific Company, Boston, MA. 457-467, 1998. Spenceri EA, Jensen SL, Fosko SW. Pre-malignant and malignant epithelial tumors. Best Pract Med, [http://praxismd.com], Mar 2000. Allen EJ, Youker, SR, Fosko, SW. Diagnosis and Treatment of Cutaneous Malignancies of the Face; in Advanced Therapy in Facial and Plastic Reconstructive Surgery, Thomas JR, editor. St. Louis, Mosby, In press Baker BL, Fosko SW. The Nose: Principles of Surgical Treatment. Submitted to Advances in Dermatology, Volume 24. James W, Olbricht S, editors.

Invited Works Fosko SW. A comparison of septum integrity for the Programmable Implantable Medications System’s Infusion Reservoir, in the 3rd Quarterly PIMS Working Group Meeting, June 1980, the Johns Hopkins University Applied Physics Laboratory

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Fosko, SW, Leffell, DJ. Basal cell carcinoma increases in young adults. The Skin Cancer Found J 11:15; 1993.

Abstracts/Posters Fosko SW, Heald PH, Stenn KS. Adenocarcinoma of the colon presenting with figurate erythema. Presented at the American Academy of Dermatology 49th annual meeting, Atlanta, GA, December 1, 1990. Fosko SW, Bolognia JL, Stenn KS. AEC Syndrome: Microscopic examination of the scalp dermatitis. Presented at the American Academy of Dermatology 49th annual meeting, Atlanta, GA, December 2, 1990. Fosko SW, Leffell DJ. Allograft repair of radiation compromised Mohs defect. Presented at the American College of Mohs Micrographic Surgery and Cutaneous Oncology 24th annual meeting, Scottsdale, AZ, March 10, 1992. Fosko SW, Longley BJ, Perez MI. Acral persistent papular mucinosis. Presented at the 18th World Congress of Dermatology, New York, NY, June 17, 1992. Fosko SW, Grossman D, Real D, Niemi MA, Dzubow LM. A Modification of Technique and Potential for False Negative Margins. Presented at the American College of Mohs Micrographic Surgery and Cutaneous Oncology 26th annual meeting, San Diego, CA, May 9, 1994. Cook TF, Fosko SW, Cook SS, Leonardi CL. Lack of association between UV-induced p53 mutation and sun-exposed cutaneous carcinomas. Presented at the Society of Investigative Dermatology Conference in Chicago IL, May 1995. Smith CG, Fosko SW. Dermatofibroma sarcoma protuberans (DFSP) of the central face. Presented at the American Academy of Dermatology 55th annual meeting, San Francisco, CA, March 22, 1997. Cook TF, Fosko, SW. The use of PET scan in the evaluation of basal cell carcinoma. Missouri Dermatological Society, Annual Meeting. St. Louis, MO, October 16, 1998. Kokoska MS, Olson G, Kelemen P, Fosko SW, Dunphy F, Lowe VJ, Stack C. The use of lymphoscintigraphy and PET in the management of head and neck melanoma, Presented at the American Academy of Otolaryngology Head and Neck Surgery annual meeting, San Antonio, TX, September 1998. Hose SK, Fosko SW. Angiosarcoma with Perineural Spread. Presented at

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the American Academy of Dermatology 57th annual meeting, New Orleans, LA, March 19, 1999. Bryson, TC, Fosko SW. Progression of Oral Melanoma In-Situ to Malignant Nodular Melanoma. Presented at the American Academy of Dermatology 59th annual meeting, Washington, D.C., March 2, 2001. Margenthaler JA, Fosko SW, Virgo KS, Johnson DY, Johnson FE. Evaluation of Patients with Clinically Suspected Melanoma Recurrence: Current Practice Patterns. Presented at the Association of Academic Surgeons 35th Annual Meeting, 2001. Fosko SW, HU Weimin, Bowman PH, Cook TF, Lowe VJ. Positron Emission Tomography of Basal Cell Carcinoma. Presented at the American College of Mohs Micrographic Surgery and Cutaneous Oncology Annual Meeting, 2002. Fosko SW, HU Weimin, Bowman PH, Cook TF, Lowe VJ. Positron Emission Tomography of Basal Cell Carcinoma. Presented at the American Academy of Dermatology Annual Meeting, San Francisco, CA, March 21-26, 2003. Kling CW, Fosko SW. Accuracy of Initial Biopsy of Melanoma and Effects on Staging, Treatment and Prognosis. Presented at the American Academy of Dermatology Annual Meeting, Orlando, Florida, March 5-10, 2004. Jones E, Youker S, Fosko S. A Nasal Trumpet Orthosis to Maintain Nares Opening During a Melolabial Interpolation Flap. Presented at the American Society for Dermatologic Surgeons-American College of Mohs Micrographic Surgery and Cutaneous Oncology Combined Meeting, Atlanta, GA, October 28, 2005. Allen EJ, Youker S, Harris J, Fosko SW. Time-Motion Study of Mohs Micrographic Surgery. , Presented at the American Society for Dermatologic Surgeons-American College of Mohs Micrographic Surgery and Cutaneous Oncology Combined Meeting, Atlanta, GA, October 28, 2005. Journagan SL, Blake HM, Virgo Ks, Johnson FE, Fosko SW. How Attendance at Free Skin Cancer Screenings is Affected by Insurance Regulations. Presented at the American Academy of Dermatology Annual Meeting, San Francisco, CA, March 3-7, 2006. Allen EJ, Youker S, Harris J, Fosko SW. Time-Motion Study of Mohs Micrographic Surgery. Presented at the 64th Annual American Academy

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of Dermatology Annual Meeting, San Francisco, California. March 3-7, 2006. Rouse CR, Hurley MY, Youker SR, Hsueh E, Cortese C, Jones EC, Fosko SW. Correlation of Wood’s Lamp and Histopathologic Assessment of Melanoma. Presented at the American College of Mohs Micrographic Surgery and Cutaneous Oncology Annual Meeting, 2006. Chaudry S, Youker SR, Hurly MY, Oliver D, Fosko SW. The Correlation Between the Size of a Melanoma Lesion and the Presence of Invasive Disease, presented at the Sigma Xi Research Symposium, Saint Louis University, February 21, 2006. Zakarian K, Oliver D, Hurley MY, Fosko SW. Epidemiological Trends for Cutaneous Melanoma at Saint Louis University, presented at the Sigma Xi Research Symposium, Saint Louis University, February 21, 2006 Rouse CR, Hurley MY, Youker SR, Hsueh E, Cortese C, Jones EC, Fosko SW. Correlation of Wood’s Lamp and Histopathologic Assessment of Melanoma. Presented at the Perspectives in Melanoma X and the Third International Melanoma Research Congress, Noordwijk, The Netherlands, September 14-16, 2006. Lickerman S, Arthur C, Brant J, Chaudry S, Cornelius L, Crisp S, Fosko S, Glaser D, Rogers E, Jagwani S, Jeffe D, Johnson FE, Journagan S, Mercer K, Rogers E, Trinkaus K, Virgo K, Weaver N, Youker S, Zhang Q. Sun Protection Outreach Teaching by Students (S.P.O.T.S.): How to Reach and Teach Teens about Skin Cancer. Presented at the American Association of Cancer Education meeting, San Diego, CA, October 12, 2006. Published in J Cancer Ed (supplement):19, abstract 22, 2006. Butler S, Kling C, DuVall E, Oliver D, Jones E, Youker S, Fosko SW. The Association of Asymmetric Skin Cancers with Time Spent in an Automobile. (P2326), J Am Acad Dermatol 56 (2) AB 153, 2007. Presented at the 65th Annual Meeting of the American Academy of Dermatology, Washington, D.C. February 2-6, 2007. Allen EJ, Youker S, Hurley MY, Varvares MA, Fosko SW. The Experience of Perineural Nonmelanoma Skin Cancer at Saint Louis University. Poster Presentation at the Annual Meeting, American College of Mohs Micrographic Surgery and Cutaneous Oncology, Naples, Florida. May 3-6, 2007. Butler ST, Youker SR, Mandrell J, Flanagan KH, Fosko SW. The Importance of Reviewing Pathology Specimens Before Mohs Surgery.

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Poster Presentation at the Annual Meeting, American College of Mohs Micrographic Surgery and Cutaneous Oncology, Naples, Florida. May 3-6, 2007. Chaudhry S, Jagwani S, Arthur C, Brant J, Fosko S, Jeffe D, Johnson F, Journagan S, Rogers E, SPOTS teachers, Trinkaus K, Virgo K, Weaver N), Lickerman, Cornelius, Youker S. Sun Protection Outreach Teaching by Students. 66th Annual Meeting of the American Academy of Dermatology. February 1-5, 2008. San Antonio, TX. Poster 1102 and short oral presentation. Rouse CR, Youker SR, Hurley MY, Cortese CM, Fosko SW, Hsueh EC, Johnson FE. Improved Assessment of Melanoma Margin Using Ultraviolet Light. Presented at 3rd Annual Academic Surgical Congress, Huntington Beach, California. February 13-15, 2008. Chaudry S, Youker SR, Hurley MY, Oliver D, Fosko SW. Comparing the Surface Area and Maximum Diameter of Invasive and Non-Invasive Melanoma Using Pre-Operative and Post-Operative Sizes. Presented at Mohs College 40th Annual Meeting, Vancouver, Canada. May 1-4, 2008. Butler ST, Youker SR, Oliver D, Fosko SW. Patient Safety Practices in Mohs Surgery. Presented at Mohs College 40th Annual Meeting, Vancouver, Canada. May 1-4, 2008.

L. Current and Past Teaching (Courses and Topics): Educational Contributions

Faculty, American Academy of Dermatology 52nd annual meeting, Washington D.C.; December 1993. Basic Cutaneous Surgery: Concepts of Tissue Movement. Guest faculty, Missouri Delta Medical Center and American Cancer Society, “Cancer, Prevention, Detection and Treatment in the 90's, Sikeston, MO; March, 1994. Update on Malignant Melanoma. Grand Rounds, Department of Otolaryngology-Head and Neck Surgery, Saint Louis University, Saint Louis, MO; March, 1994. Mohs Micrographic Surgery for Head and Neck Cancers. Grand Rounds, Division of Dermatology, Saint Louis University, Saint Louis, MO; March, 1994. Aggressive Basal Cell Carcinoma. Panel Speaker, “The Comprehensive Management of Cutaneous Malignancies”, Department of Otolaryngology-Head and Neck Surgery, Saint Louis University, Saint Louis, MO; May, 1994.

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Judge, for the Young Investigator Competition for the American Society for Dermatologic Surgery and the Journal of Dermatologic Surgery and Oncology. Invited Speaker, Mohs Surgery conference, University of Wisconsin at Madison; July, 1994. The Use of Cytology for the Evaluation of Surgical Margins for Basal Cell Carcinoma. Grand Rounds, Department of Internal Medicine, Saint Louis University, Saint Louis, MO; August, 1994. Mohs Micrographic Surgery: Role in the Management of Cutaneous Malignancies. Guest speaker, Lucy Lee Hospital, Poplar Bluff, MO; November, 1994. Melanoma Update. Grand Rounds, Department of Surgery, Saint Louis University, Saint Louis , MO; December, 1994. Mohs Micrographic Surgery: Role in the Multidisciplinary Management of Aggressive and High Risk Cutaneous Malignancies. Guest speaker, Jefferson Memorial Hospital, Crystal City, MO; January 1995. Skin Cancer Update and the Management of Aggressive Cutaneous Malignancies. Faculty, American Academy of Dermatology 53rd annual meeting, New Orleans, LA; February, 1995. Basic Cutaneous Surgery: Surgical lab faculty. Guest Speaker, St. Joseph’s Hospital, Highland, Illinois; May 1995. Management of Chronic Ulcers and Decubiti. Grand Rounds, Department of Internal Medicine, Saint Louis University, Saint Louis , MO; August 1995. Cutaneous Metastases: Diagnosis and Evaluation. Guest Speaker, Diabetes Conference, Saint Louis University, Saint Louis, MO; September 15, 1995. The Skin Manifestations of Diabetes Faculty, American Academy of Dermatology 54th annual meeting, Washington, D. C., February 10, 1996: Basic Cutaneous Surgery: Concepts of Tissue Movement. Invited Speaker, 6th Mohs surgery conference and workshop, University of Wisconsin at Madison; July 19-20, 1996. The Role of Skin Biopsy Technique in Identifying Aggressive Histologic Features of Basal Cell Carcinoma.

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Visiting Professor, Curso Internacional de Oncologia Cutanea, Escuela Superior de Medicina I.P.N., Mexico City, Mexico, August 29-31, 1996. Malignant Melanoma Update and Aggressive Cutaneous Malignancies. Invited Speaker, Facial Skin Course, American Academy of Facial and Plastic and Reconstructive Surgery, October 30- November 3, 1996, St. Louis, Missouri. The Management of Facial Skin Cancers and the Role of Mohs Micrographic Surgery. Faculty, American Academy of Dermatology 56th annual meeting, Orlando, Florida, February 28, 1998. Advanced Surgery: Cheek to Nose Pedicle Flap. Faculty, American Academy of Dermatology 56th annual meeting, Orlando, Florida, March 3, 1998. Surgical pearl symposium. Guest Lecturer, Missouri State Medical Association, Missouri Chapter American College of Surgeons, April 18, 1998, St. Louis, Missouri. Malignant Melanoma: New Diagnostic and Evaluation Tools Guest Lecturer, American Society of Ophthalmic Registered Nurses, St. Louis Chapter, April 25, 1998, Chesterfield, Missouri. Mohs Micrographic Surgery and Tumors of the Eyelid and Canthus. Faculty, Association of Academic Dermatologic Surgeons, October 4, 1998, Chicago, Illinois. Mentorship Forum: Academic Opportunities for Dermatologic Surgeons. Invited Speaker, 16th Annual Mohs Micrographic Conference of The Skin Cancer Foundation, January 15-19, 1999, San Jose, Costa Rica. The Bad Actors: Aggressive Basal Cell Carcinomas. Faculty, Illinois Family Practice Physician Group Conference, February 17, 1999, Carbondale, Illinois. Mohs Micrographic Surgery in the Management of Skin Cancer Faculty, American College of Mohs’ Micrographic Surgery & Cutaneous Oncology 31st Annual Meeting, May 17-19, 1999, Miami Beach, Florida. Invited Speaker, Illinois Academy of Family Physicians Egyptian Chapter, July 14, 1999, West Frankfort, Illinois. Skin Cancer Update and Mohs Micrographic Surgery. Invited Speaker, 17th Annual Mohs Micrographic Conference of The Skin Cancer Foundation, January 15-17, 2000, San Jose, Costa Rica.

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Visiting Professor, Brooke Army Medical Center, Fort Sam Houston, February 17-18, 2000, San Antonio, Texas. Advanced Reconstruction Techniques of Facial Defects and High Risk Basal Cell Carcinoma. Visiting Lecturer, Dallas Fort Worth Dermatology Society, Dallas Texas, February 17, 2000. High Risk Basal Cell Carcinomas: Evaluation and Management. Invited Speaker, American Academy of Dermatology, Summer Academy, August 2-6, 2000, Nashville, Tennessee. Plenary Session: Dermatologic Surgery Update. Invited Speaker, Southwest Medical Center, September 18, 2000, St. Louis, Missouri. Malignant Melanoma. Faculty, American Academy of Dermatology 59th annual meeting, Washington, D.C., March 3, 2001. Fundamentals of Cutaneous Surgery: Surgical Management of Melanocytic Lesions. Faculty, American Academy of Dermatology 59th annual meeting, Washington, D.C., March 4, 2001. Advanced Surgery: Cheek Reconstruction. Faculty, American Academy of Dermatology 60th annual meeting, New Orleans, LA, February 22-27, 2002. Advanced Surgery: Cheek Reconstruction Faculty, American Academy of Dermatology 61st annual meeting, San Francisco, CA, March 21-26 2003. Advanced Surgery: Cheek Reconstruction Faculty, American College of Mohs Micrographic Surgery & Cutaneous Oncology and American Society for Dermatologic Surgery, Combined Meeting, New Orleans, LA, October 12, 2003. Master’s Panel. Panel Speaker, “Live Online Surgical Complications Panel”, Mdlive.net; January 13, 2004. Faculty, “St. Louis University Dermatology Interest Group”, St. Louis, Missouri, March 25, 2004. Mohs Micrographic Surgery. Faculty, “Cancer in the New Millennium”, SLUCare Grand Vision Community Health Lecture Series, St. Louis, Missouri, March 27, 2004. Faculty, St. Louis University Obstetrics, Gynecology and Women’s

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Health Grand Rounds, St. Louis, Missouri, April 23, 2004. Melanoma and Skin Cancer in Women. Faculty, American College of Mohs Micrographic Surgery & Cutaneous Oncology and American Society for Dermatologic Surgery, Combined Meeting, San Diego, CA, October 1, 2004. Complications and Revisions in Dermatologic Surgery: Taking Down the Retro-auricular Pedicle Flap. Faculty, American College of Mohs Micrographic Surgery & Cutaneous Oncology and American Society for Dermatologic Surgery, Combined Meeting, San Diego, CA, October 2, 2004. Defect Rounds: Challenges on the Ear and Lip. Faculty, American Academy of Dermatology 63rd Meeting, New Orleans, LA, NO, February 22, 2005. Director, Oncologic Surgery Forum. Faculty, International Basal Cell Carcinoma Nevus Syndrome (BCCNS) Colloquium, St. Louis, Missouri, May 2, 2005. Dermatology Literature Review-Treatment Modalities and Strategies. Faculty, Anatomy and Advanced Reconstruction for the Mohs Surgeon Course Eyelid Reconstruction: Full Thickness Defects”, American College of Mohs Micrographic Surgery and Cutaneous Oncology, Emory University, Atlanta, GA, October 26, 2005. Faculty, American College of Mohs Micrographic Surgery and Cutaneous Oncology Combined Meeting, Atlanta, GA, October 26, 2005. Masters Panel. Faculty, “Master’s Panel, Defect Rounds – Facial and Nasal Reconstruction”, American Society of Dermatologic Surgeons-American College of Mohs Micrographic Surgery and Cutaneous Oncology Combined Meeting, Atlanta, GA, October 29, 2005. Faculty, American Academy of Dermatology 64th annual meeting, San Francisco, CA, March 3, 2006. Oncologic Surgery Forum, Director and Lecturer: High Risk Basal Cell Carcinoma. Faculty, Association of Professors of Dermatology and the Association of Academic Dermatologic Surgeons, Annual Meeting. Chicago Illinois, September 30, 2006; Developing Surgical Faculty, Right- sizing dermatologic surgery faculty: when to expand and why. Faculty, Anatomy and Advanced Reconstruction for the Mohs Surgeon Course Eyelid Reconstruction: Full Thickness Defects”, American Society for Dermatologic Surgery Annual Meeting, Palm Desert, CA,

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October 27, 2006. Faculty, American Society for Dermatologic Surgery, Annual Meeting, Palm Desert, CA, October 29, 2006. Master’s Panel: Complications and Revisions: Revisions of the Nose, Especially the Alar Rim. Faculty, American Society for Dermatologic Surgery, Annual Meeting, Palm Desert, CA, October 29, 2006. Reconstruction of the Lip and Ear. Invited speaker, Media Briefing Presentation Session: Skin Science: Medical Research and Treatments Offer New Options for Patients, at the 65th Annual Meeting of the American Academy of Dermatology, Washington, D.C., February 2, 2007. New Study Finds Time Spent Driving an Automobile May Increase Skin Cancer Risk. Course Director, Oncologic Surgery Forum. 65th Annual Meeting of the American Academy of Dermatology, Washington, D.C., February 5, 2007. Moderator, Tromovitch Award Abstract Presentation Symposium, at the Annual Meeting, American College of Mohs Micrographic Surgery and Cutaneous Oncology, Naples, Florida. May 3, 2007. Moderator and Speaker, Reconstruction Conundrums: Defects of the Lip and Ear, at the Annual Meeting, American College of Mohs Micrographic Surgery and Cutaneous Oncology, Naples, Florida. May 4, 2007. “Delayed Full-Thickness Skin Grafts: Tips for Success”. Presented by Brian L. Baker, M.D. at the 11th Annual Department of Dermatology Research Symposium, June 12, 2008. Contributors: Scott W. Fosko, M.D., Summer R. Youker, M.D. “Cosmetic Satisfaction After Mohs Surgery: Does It Matter If The Patient Saw The Defect?”. Presented by Samuel J. Pruden II, M.D., F.A.C.S. at the 11th Annual Department of Dermatology Research Symposium, June 12, 2008. Contributors: Joel S. Crockett, MS3, Dana A. Oliver, M.P.H., Summer R. Youker, M.D., Scott W. Fosko, M.D. “A blinded comparison of nylon vs. braided polyglactin-910 (Vicryl™) suture for epidermal wound closure following Mohs micrographic surgery”. Presented by Jason Givan, M.D. at the 11th Annual Department of Dermatology Research Symposium, June 12, 2008. Contributors: Dana Oliver, M.P.H., Scott W. Fosko, M.D., Summer Youker, M.D. “Correlations of Wood’s Lamp and Histopathologic Assessment of Melanoma”. Presented by Christopher R. Rouse, M.D. at the SLU Dermatology Graduate Recognition Day, June 12, 2008. Contributors: M.

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Yadira Hurley, MD, Summer R Youker, MD, Eddy Hsueh, MD, Frank Johnson, MD, Cherise Cortese, MD, Brent Ponder, MD, Sunil Kamath, MD, Evan Jones, MD, Scott Fosko, MD “Patient Safety Practices in Mohs Surgery”. Presented by Suzy T. Butler, M.D. at the 11th Annual Department of Dermatology Research Symposium, June 12, 2008. Contributors: Summer R. Youker, M.D., Scott W. Fosko, M.D. “Office Consultation Vs. Phone Consultation for Mohs Surgery: Comparing Patient Satisfaction and Preferences”. Presented by Sharone K Askari, M.D., at the 11th Annual Department of Dermatology Research Symposium, June 12, 2008. Contributors: Scott W. Fosko, Sarah L. Jensen.

M. Thesis, Dissertations, Post Doctoral Fellows Mentored: Residents in Dermatology Faculty - Department of Dermatology Saint Louis University

1996 C. Dobbin Connor (Practice, Glen Carbon, Illinois) Mary D. Gibney (Practice, Boston, Massachusetts) 1997 Anne T. Rioridan (Practice, Wildwood, Missouri) 1998 Corrine G. Smith (Practice, Stone Mountain, Georgia) 1999 Thomas F. Cook (Practice, California) Stephanie Hose (Practice, Jefferson City, Missouri) 2000 C. Julian Omidi (Practice, California) Caroline R. Price (Practice, Greer, South Carolina)

Faculty, Residency Program Director and Chairman 2001 Jason B. Amato (Practice, St. Louis, Missouri) Elizabeth Spenceri (Mohs Surgery and Cutaneous Oncology Fellowship, Practice Kansas City, Missouri) 2002 Angel Allen (Practice, Columbia, Missouri) Tracie Bryson (Practice, Piedmont, North Carolina) 2003 Amy Cole (Practice, Bethesda, Maryland) Parul Shah (Practice, Dallas, Texas) 2004 Alanna F. Bree (Pediatric Dermatology Fellowship, Faculty Baylor College of Medicine, Houston, Texas) Sarah L. Jensen (Dermatopathology Fellowship,

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Faculty Saint Louis University, St. Louis, Missouri) 2005 Christopher W. Kling (Practice, St. Louis, Missouri) Tina Suneja (Practice, Denver Colorado) 2006 Mary Noel George (Practice, St. Louis, Missouri) Erin J. Allen (Mohs Surgery and Cutaneous Oncology Fellowship, Practice, Portland, Oregon) 2007 Wynnis L. Tom (Pediatric Dermatology Fellowship) Susan L. Journagan (Practice, Belleville, Illinois) 2008 Susan T. Butler (Fellowship, Mohs Micrographic Surgery) 2008 Christopher Rouse (Practice, Kansas City, Missouri)

Mohs Surgery Fellow Mentorship – Department of Dermatology Saint Louis University

2003-2004 Paul Bowman, M.D. Practice, Tampa, Florida 2004-2005 Evan Jones, M.D. Academics, Chairman, Dept of Dermatology SUNY Stonybrook, New York 2006-2007 Erin Allen, M.D. Practice, Portland, Oregon 2007-2008 Brian Baker, M.D. Practice, Sumerset, Kentucky 2008-2009 Susan T. Butler Fellowship

Clinical Research Fellowship - Department of Dermatology Saint Louis University

2006-2008 Kate Flanagan, M.D.

2007-2008 Edwards Prodanovic, M.D. 2008-present Jeaneen Chappell, M.D.

N. Community Service Activities: 1993 Media Events: Television on local affiliates for CBS, ABC, NBC, Fox & local cable channels. Good Morning America (February 2007); multiple newspaper articles, consumer journals such as Readers Digest, Prevention, Men’s Health, Glamour and US News and World Report. 1993 Annual Skin Cancer Screenings, St. Louis Dermatology

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Society, Department of Dermatology 1997-2000 Parish Council, Christ the King Catholic Church 2000-2008 Annual Skin Cancer Screenings, St. Louis Dermatological

Society 2004 Medical Advisory Board, Melanoma Hope Network 2004 Annual Skin Cancer Screening, St. Louis Dermatological Society