Certificate of Advanced Dermatoscopy 2019

/Certificate of Advanced Dermatoscopy 2019
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Introduction

In our fully accredited and interactive dermatoscopy symposium, we take you from “zero to hero” in two days with our world-class presenters. This symposium is designed as a comprehensive dermatoscopy course, aimed at beginners and intermediates in dermatoscopy.

We start with the building blocks of the dermatoscopic language and then move onto how to do a systematic skin examination. The course will then show you how to determine what lesions need removing based on a “black and white” sequence of enquiries of your observations. The decision to excise or not is then followed by “how to make a specific diagnoses” for each benign and malignant lesion (nevus, solar lentigo, dermatofibroma, melanoma, SCC, BCC etc). The symposium is a carefully orchestrated educational process to ensure you develop a solid and safe footing in dermatoscopy for the safe clinical management of skin cancers. The course will include quizzes and many other opportunities to interact with your presenters.

Professor Cliff Rosendahl will introduce you to advanced applications of ‘Chaos and Clues’ and the ‘Prediction without Pigment’ algorithms. Cliff co-authored both these algorithms which provide a logical framework to help answer the most important clinical question “does this lesion need removing?” To date, Cliff and Amanda have received close to 5/5 reviews by hundreds of GPs, surgeons and nurses. By the completion of day 2, we expect you to be proficient and feel inspired to start assessing your patients lesions with more accuracy and with more confidence.

All participants will receive a complimentary MoleScope II Dermatoscope (value $440 excluding GST) which attaches to iPhone, Galaxy S phones or Ipads. Early bird has been EXTENDED (due to demand) to July 22nd 2019.

In day 2, we will consolidate your learnings from day 1. We will then add to and reinforce further insights to help improve your ability to diagnose melanomas, BCCs and SCCs with greater sensitivity and specificity. In day 2 Professor Cliff Rosendahl will introduce you to advanced applications of ‘Chaos and Clues’ and the ‘Prediction without Pigment’ algorithms. Cliff co-authored both these algorithms which provide a logical framework to help answer the most important clinical question “does this lesion need removing?” By the completion of day 2, you will become proficient and will feel inspired to start assessing your patients lesions with more accuracy and with more confidence.

Dr Chris Boberg and Dr Andrew MacGill (Convenors)

Key Information

Location: Owen Glenn Building at the University of Auckland

Address: 12 Grafton Road, Auckland

Date: Saturday 27th – Sunday 28th July 2019 (Certificate of Advanced Dermatoscopy)

CME Credits: The “ Skin Cancer Symposium” has been endorsed by The Royal New Zealand College of General Practitioners (RNZCGP) and has been approved for up to 12.00 CME credits for the General Practice Educational Programme (GPEP) and Continuing Professional Development (CPD) purposes for the Certificate of Advanced Dermatoscopy

Our Speakers

Dr Cliff Rosendahl
Associate Professor at the University of Queensland

Cliff is a Medical Practitioner of 40 years’ experience, with a background in general practice and forensic medicine. His PhD project was in the field of skin cancer, particularly melanoma. Cliff collaborated with colleagues in Brisbane and Vienna to research the early diagnosis of melanoma and together they have evaluated and promoted the diagnostic method Chaos and Clues. Cliff is an Associate Professor at The University of Queensland where he is director of the Master of Medicine (Skin Cancer) degree course and Visiting Professor, Department of Dermatology at Tehran University of Medical Sciences, Iran. He has published over 50 papers in peer-review scientific journals and is co-author of a textbook on dermatoscopy, published in 8 languages and is a contributing author to several other textbooks in English and two in Spanish. Cliff has a busy schedule as an invited speaker to general practitioner and dermatologist groups both in Australia and internationally.

Dr Amanda Oakley
Associate Professor at the University of Auckland

Amanda is a dermatologist in Hamilton, New Zealand. She is passionate about dermatoscopy, avoiding unnecessary excisions, and early diagnosis of melanoma. She is heavily involved in undergraduate and postgraduate medical education in NZ. Dr Oakley is well known internationally for the popular online resource, DermNet New Zealand, and for her work in teledermatology. She is very proud to have been awarded honorary membership of the American Academy of Dermatology, the American Dermatological Association, the Skin Cancer College of Australasia and Melnet New Zealand. She lectures internationally about teledermatology and dermoscopy, and regularly facilitates workshops on dermoscopy.

Dr Chris Boberg
Deputy Chair Melnet NZ. Chair of New Zealand Skin Cancer Doctors.

Chris is a GP with a longstanding interest in skin cancer. He has been in full-time practice as a skin cancer doctor since 2011. He has numerous qualifications in skin cancer including Advanced Skin Cancer Surgery (Queensland). Advanced Dermatosopy (Graz University, Austria).  He is the Deputy Chair of Melnet New Zealand and the Chair of New Zealand Skin Cancer Doctors. As one of New Zealand’s leading skin cancer experts he has been a strong advocate for skin cancer prevention and treatment.

Dr Andrew MacGill
Fellow of the Royal New Zealand College of GPs, GPwSI

Andrew is a GP who has had a special interest in medical and surgical management of skin cancer since 1998. As of 2015 after 25 years as a GP in New Zealand he has become a full-time skin cancer doctor. He is completing a Master’s in dermatoscopy at the Medical University of Graz, Austria. He has also undergone additional training in cutaneous surgery here in New Zealand and in San Diego. He is highly experienced and meticulous with all forms of cutaneous surgery and has been using complex flaps and grafts for many years. Andrew is a very experienced dermatoscopist.

Our Full Programme

We reserve the right to alter the course to maximize your education

Saturday 27th July 2019 – Intermediate Dermatoscopy

You will be issued a mobile phone to access the online interactive quiz

The symposium will start with a rapid-fire quiz in which you will answer questions using Socrative. Later, you will get individualised anonymous feedback comparing your pre- and post-symposium quiz results and how you compare with your colleagues. In turn, we will get feedback on how effective our teaching is.

The importance of using a dermatoscope in general practice is now well recognised. The dermatoscope is a more useful tool than any other tool that might adorn your metaphorical white coat. This brief talk describes how to use your dermatoscope correctly, the usefulness of using both the polarised and non-polarised modes on the dermatoscope, as well the pros and cons of contact and non-contact dermatoscopy. Professor Cliff Rosendahl.

Whilst the perfect full and systematic skin check isn’t always possible in the context of a GP appointment it will provide you with the gold standard which you can use for patients at high risk who agree to return for an appointment purely dedicated to a “skin check”. Professor Cliff Rosendahl.

Dermatoscopy has evolved from subjective and confusing metaphorical language into an objective “teachable” descriptive language (revised pattern analysis). Cliff is a pioneer in this area of dermatoscopy and will discuss the fundamental building blocks of dermatoscopic language, and how these basic building blocks can combine into benign and malignant patterns with biologic symmetry or asymmetry. Professor Cliff Rosendahl.

Professor Amanda Oakley a world expert in dermatoscopy will talk about how to identify common melanocytic naevi. This talk is aimed at teaching the key clinical and dermatoscopic features of nevi, in particular how dermatoscopic elements combine to form symmetrical patterns. She will discuss the concepts of Chaos of Pattern and Chaos of Colour in relation to naevi. Recognising benign lesions is a fundamental skill and will reduce the number of unnecessary excisions or referrals you make. Professor Amanda Oakley.

Professor Amanda Oakley, who has been educating dermatologists and GPs in dermatoscopy in NZ and around the world for a decade or more, will present a fascinating summary. This talk is aimed at teaching the key clinical and dermatoscopic features of the solar lentigo, seborrhoeic keratosis, dermatofibroma, sebaceous hyperplasia, angioma and cyst. Recognising benign lesions is a fundamental skill and will reduce the number of unnecessary excisions or referrals you make. Professor Amanda Oakley.

Chaos and Clues is an algorithm to help you diagnose what pigmented lesions need excising. The specific diagnosis isn’t required. Melanomas, SCCs and BCCs can all be pigmented or non-pigmented. Professor Cliff Rosendahl in another dynamic lecture will make all this abundantly clear and make you laugh as well! Cliff is a co-author of the Chaos and Clues algorithm. There will be quizzes throughout the presentation to reinforce key messages. You will have access to these quizzes after the symposium to act as a quick refresher course. Professor Cliff Rosendahl.

Cliff will build on his previous lecture and provide plenty of repetition with new and interesting examples of how to apply the Chaos and Clues algorithm. Professor Cliff Rosendahl.

Amanda will give you pragmatic guidelines on how (in daily practice) to manage a lesion that melanoma is in the potential differential diagnosis. Some of these lesions will require urgent attention and others can be monitored over months or even years sometimes. These decisions are often based on your clinical assessment (nodular or flat, rate of change etc). Amanda will also discuss surgical margins for excision of any lesion that melanoma is a possibility (regardless of how remote). Also how to identify patients high risk of developing melanoma and how to manage these patients (advice re self-surveillance, and frequency of medical review). The role of sentinel node biopsies and the effectiveness of the latest treatment regimes for patients with metastatic melanoma is forever changing. Amanda will provide a brief update. Professor Amanda Oakley

Sunday 28th July 2019 – Advanced Dermatoscopy

Prediction without Pigment is our preferred algorithm for diagnosing non-pigmented lesions. In this lecture, you will get lots of repetition on the dermatoscopy of non-pigmented lesions. These can include naevi, melanomas, basal cell carcinomas (BCCs) and squamous cell carcinomas (SCCs). This is an amazing lecture given with humour and passion by Professor Cliff Rosendahl who is a co-author of the ‘Prediction without Pigment’ algorithm. There will be quizzes throughout the presentation to reinforce key messages. You will have access to these quizzes after the symposium to act as a quick refresher course. Professor Cliff Rosendahl.

Squamous Cell Carcinomas (SCC) are the second most common skin cancer and can be lethal. This lecture will cover the dermatoscopic features of SCC, SCC in-situ and actinic keratosis. Professor Amanda Oakley.

As with the preceding talk this talk goes beyond deciding if the lesion is benign or malignant and drills down to the specific dermatoscopic features that favour the diagnosis of a BCC. Professor Cliff Rosendhal.

Delicious lunch provided along with time for networking

The face, acral and nail regions are special locations with additional features to look for to aid in your decision-making process. This talk will discuss the specific dermatoscopic features of lentigo maligna, pigmented actinic keratoses, solar lentigos, and pigmented acral lesions. Professor Cliff Rosendahl.

Chris and Andrew are seasoned GPs who are now full time skin cancer doctors in NZ. They are immersed in all aspects of diagnosing and managing skin cancers. Between the two of them they remove close to 2500 cutaneous lesions a year. They understand the time limits in general practice and in this presentation they will provide you with practical insights useful for the busy GP. Dr Chris Boberg and Dr Andrew MacGill.

Case examples of common clinical scenarios. When to monitor, when to biopsy, why one person’s naevus is another person’s melanoma — similar lesions on different patients often require different management strategies. An introduction to the concept of signature naevi, and the different management strategies for new naevi and Spitz naevi in a young person versus and older person. The interpretation of histology reports and the myth of the dysplastic naevus will also be discussed. Professor Amanda Oakley and Professor Cliff Rosendahl.

Post-symposium quiz. Followed by Cliff and Amanda going over the quiz and fielding questions. Prizes will be awarded to the top participants in the post-symposium quiz.