Fresh-Tissue Cadavers for Nail Procedures in Dermatology Residency

Background: Dermatology residents often face limited opportunities for nail procedures. Cadaver-based learning provides a controlled environment for developing procedural skills. In contrast to formaldehyde-embalmed cadavers, fresh-tissue cadavers (FTCs) are prepared using methods that preserve tissue in a manner that closely resembles live patients, maintaining similar elasticity and anatomy. This study evaluates the novel use of FTCs as a realistic and practical training model for nail procedures. Method: A structured FTC-based nail procedure lab was conducted for six dermatology residents. Participants completed pre- and post-lab surveys assessing their confidence, anatomical understanding, and procedural competence on a 5-point Likert scale. Discussion: Post-lab responses showed improvement in resident confidence and knowledge. Feedback indicated a high level of satisfaction among all residents regarding the training experience. All residents strongly agreed that the workshop enhanced their understanding of nail procedures and confidence. All residents found the training to be easy to participate in and would like to participate in similar training in the future. Majority of residents strongly agreed that FTCs were realistic models for practicing nail procedures and a useful tool to learn nail anatomy. Conclusion: FTC-based training offers dermatology residents a valuable, realistic model to develop procedural competency in nail procedures. This learning tool can enhance anatomical understanding, improve confidence, and bridge an important gap in dermatology education.