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RNZCGP Endorsed Activity

Introduction

The Certificate of Fundamental Dermatoscopy is aimed at beginners in the field of dermatoscopy and skin cancer. You need an excellent foundation to confidently use your dermatoscope. Professor Cliff Rosendahl and Associate Professor Amanda Oakley together will ensure you have a confident feel for the basics of dermatoscopy. They will cover the basics of the various dermatoscopic instruments, the language used, the fundamental dermatoscopic features of common benign lesions and the use of ‘Chaos and Clues’ which is an algorithm co-founded by Professor Cliff Rosendahl. ‘Chaos and Clues’ provides you with a safe way to decide which pigmented lesions can be left and which require excising (this is achieved without needing to diagnose exactly what the lesion is). The algorithm is presented in a simple and easy to follow way with plenty of examples and repetition. Associate Professor Amanda Oakley will then expertly guide you through the fundamentals of diagnosing BCCs and SCCs. On completion of the symposium you will have a strong understanding of the fundamentals of dermatoscopy and how it will help you diagnose and manage the lesion in front of you.

All attendees will receive a complimentary MoleScope 2 dermatoscope (valued at $445 NZD) plus a 100 free prepaid images on DermEngine (valued at $500 NZD).

You will leave the symposium with the skills and all the necessary tools to be up and running on your first day back at work. Without a doubt, you’ll be fascinated by the world of dermatoscopy and how it will improve your enjoyment and ability to manage skin lesions on your patients. And what a relief it will be to be able to say to your patient confidently that the black “mole” they are concerned about is fine!

This course has been approved by the Royal NZ College of GPs for reimbursement as an approved ‘Conference’ (up to $500 excluding GST) for GPEP 1 registrars.

Our early bird pricing ends on 23rd of February 2020.

Dr Chris Boberg (Convenor)
Chair New Zealand Skin Cancer Doctors and Deputy Chair of Melnet NZ

Key Information & Venue

Venue: Whenua Pupuke is a stunning, state-of-the-art, purpose-built facility just opened in mid-2017.

Location: Whenua Pupuke Clinical Skills Center at North Shore Hospital.

Address: 124 Shakespeare Road, Takapuna, Auckland. Click here for detailed map and instructions.

Parking: Parking is complimentary if you park in the visitor’s car park inside the hospital. We will provide an exit card to get out of the carpark.

Date: Saturday, February 29th 2020 (lunch and coffee/tea provided)

CME: We are endorsed by the Royal NZ College of GPs for 6 hours of CME. On completion of the symposium, you can collect a copy of the certificate.

Our Speakers

Professor Cliff Rosendahl 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 a 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 70 papers in peer-review scientific journals and is 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.

Adjunct Associate Professor Amanda Oakley CNZM
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 also passionate about medical education. 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 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 full thickness grafts for many years.

Our Full Programme

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

Dr Chris Boberg will discuss housekeeping.

Professor Cliff Rosendahl will discuss how a dermatoscope helps you to diagnose what a skin lesion is and how to use your scope.

Professor Cliff Rosendahl will discuss the fundamentals of the dermatoscopic language, clarify terminology, and explain the basics of ‘Revised Pattern Analysis’,  a reproducible and systematic dermatoscopic method.

Professor Cliff Rosendahl will go through a series of images both dermatoscopic and clinical that will demonstrate “Type 1 thinking” to rapidly in a blink identify the “ugly duckling” / “outlier” as a suspicious lesion.

Morning tea and snacks for networking

Associate Professor Amanda Oakley will discuss the important dermatoscopic features that facilitate confident recognition of the many benign lesions. This course has been developed to teach you how to recognize the most common benign lesions. The advanced course will expand your skills for more accurate dermatoscopic recognition of less common but important to know benign lesions.

Professor Cliff Rosendahl will outline this most important algorithm for your clinical tool kit when dealing with pigmented lesions. ‘Chaos and clues’ facilitates rapid dermatoscopic recognition of melanomas and other suspicious pigmented lesions. The first half of the algorithm assesses for the presence of chaos and the second half assesses the presence of one or more key dermatoscopic clues. Cliff is the main author of  ‘Chaos and Clues’ and hence is well placed to clarify any of your questions. There will be interactive quizzes throughout.

Delicious & nutritious lunch with time for networking

Professor Cliff Rosendahl: Chaos and Clues. Part 2

Associate Professor Amanda Oakley will emphasise and outline the key dermatosopic features of SCCs and BCCs

Professor Chris Rosendahl: Quizzes and reflection

In this session, Associate Professor Amanda Oakley will discuss the medical management of keratinocytic cancer (ie BCCs and SCCs).

Professor Cliff Rosendahl. Cliff will discuss the emerging role of  AI in dermatoscopy and the diagnosis of skin cancers. How will AI effect your practice? It is likely it will assist doctors not replace them.

[OPTIONAL] Medical and Surgical Management of Skin Cancer workshop

The simple ellipse is an essential tool for all GPs. Being taught the correct way and all the various tricks is often not covered well in our training. We will ensure you will have hand’s on practical small group training to build a solid foundation for your practice. Those already competent in this area will have the opportunity to quickly review their skills to ensure they are doing the basics well and then move onto more advanced skills including flaps and the various suture types. We will also cover other fundamentals such as the practical aspects of a punch biopsy, shave excision, non surgical medical treatments as well as discussions on the danger areas for excisions. Taught by leading surgeons and GP Skin Cancer doctors. The surgical sessions will be full of invaluable tips and tricks. All participants will receive a free surgical kit with sutures to take home to help hone your skills on.

Dr Andrew MacGill (Convenor)
FRNZCGP, GP Skin Cancer with Special Interest

Our Speakers

Ms Katherine Gale
Breast & Melanoma Surgeon
FRCS

Katherine is one of a few female specialist oncoplastic breast surgeons in New Zealand who practice all aspects of breast oncology and reconstruction. An expert in minimally-invasive diagnostic and treatment methods for all types of breast disease and, following a breast cancer diagnosis, she can offer a full range of partial and whole breast reconstruction. Katherine believes in offering evidence based research to patients when tailoring a surgical solution, and has done extensive research in both breast oncology and reconstruction.

Dr Kasia Mackenzie
Plastic Surgeon
FRACS(Plast), PhD (Skin Cancer)

Dr Mackenzie is a plastic, reconstructive and hand surgeon. Dr Mackenzie received her medical doctor degree from the Medical University of Warsaw. She subsequently moved to New Zealand and underwent training in plastic surgery in Christchurch and Auckland, culminating in the award of full accreditation in Plastic Surgery by the Royal Australasian College of Surgeons, FRACS(Plast) in 2015. Dr Mackenzie then trained extensively both in the UK and internationally and undertook a number of prestigious fellowships over three years, working alongside world leaders in both plastic and hand surgery.

Dr Andrew Macgill
Fellow of the Royal New Zealand College of GP, 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 full thickness grafts for many years. His philosophy is to educate and ensure awareness of the dangers of skin cancers.

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 Martin Denby
Fellow of the Royal New Zealand College of GP, GPwSI

Martin is a Fellow of the New Zealand College of General Practitioners (FRNZCGP). He was completed two short courses in Australia in 2010, Skin Cancer Surgery and Advanced Dermoscopy (early diagnosis of skin cancers under the microscope). He then underwent a further 4 years post-graduate study, completing a Masters Degree in Skin Cancer from the University of Queensland in 2014. He is an affiliated skin cancer provider for Southern Cross Healthcare and performs skin cancer surgery for Waitemata District Health Board. He is also on the Dermatological Subcommittee for PTAC (Pharmac’s primary clinical advisory committee).

Dr Barry Leslie
Fellow of the Royal New Zealand College of GP, GPwSI

Barry is full-time Skin Cancer Doctor based in sunny Hawke’s Bay where he works in a busy skin clinic and also performs skin surgery for Hawke’s Bay DHB. He is a Fellow of the Royal New Zealand College of GPs, and has completed Diploma’s in Dermatoscopy, Skin Cancer Medicine, and Skin Cancer Surgery. He enjoys teaching and is passionate about helping to up-skill other primary care doctors and nurses to ensure the early diagnosis and best practice treatment of melanoma and other skin cancers.

Video of our 2018 Surgical Course

Here is a short video from our very well attended (and reviewed) surgical course, special thank you for Mr Richard Martin, Ms Katherine Gale, Mr William McMillan and our other expert tutors!

Our Full Programme

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

Sunday 1st March 2020 – Medical and Surgical Management of Skin Cancer Workshop [Optional]

This brief talk will cover the pertinent points in history taking, note taking and run through documenting a systematic skin examination.

An up to date review of the medical management of non melanoma skin cancers.

1. Knot tying –how to tie, slide and lock
2. Tips to improve the cosmetic result
a Contouring – matching layers and surface continuity
​b The importance of wound eversion.
c Suture choice – Absorbable /Nonabsorbable/ monofilament/braided.
d Orientation of excisions – importance of Natural Skin Tension Lines
3. When and where to biopsy and when not to biopsy. – Melanoma
vs NMSC
4.Complications and aftercare –wound dressings, avoiding infections, and avoiding
dehiscence
1. Review of the preferred surgical approaches in differing anatomical sites;
Face, Limbs, Trunk and Chest
2. High risk areas and high risk lesions – when to refer
3. Fundamental principles of Flaps – “Robbing Peter to Pay
Paul”
3. Fundamental principles of Grafts – Split /Full thickness

A delicious lunch will be provided

  1. Tying the knot – demonstration on tying, sliding and locking a knot
  2. The standard elliptical excision
  3. Reverse deep dermal – the key to structural strength and tension management
  4. Running upper dermal, and mattress sutures
  5. Tricks to closing a tight wound with fragile skin

1. The A-T flap and where it is best deployed

2. The rotation flap and where it is best deployed

This is the time to shout out for help and sort whatever you want to sort! Use the person sitting next to you or get a tutor. Tutors will be abundant but take advantage of whatever you can to learn the skills you need to!  For more advanced students, send us an email with your “wish list”, we will try to accommodate you as best we can in this session.

Tickets

Unlimited available
[EARLY BIRD] Certificate of Fundamental Dermatoscopy and Skin Cancer Medicine Symposium 2020$1,195.00 $995.00Includes complimentary MoleScope II dermatoscope (worth $445 NZD) - supported devices - Galaxy S/iPhone/iPad. Early Bird ends 23rd of February 2020. Please use the code "Registrar" if you are a registrar for discounts.

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Unlimited available
[EARLY BIRD] Certificate of Fundamental Dermoscopy and the Certificate of Surgical and Medical Management of Skin Cancer (Modules 1+2) 2020$2,190.00 $1,795.00Includes complimentary MoleScope II dermatoscope (worth $440 excluding GST) and a FREE Take home practice surgical simulated skin, surgical equipment and lots of practice sutures. Early Bird ends 23rd of February 2020. Please use the code "RegistrarCombo" if you are a registrar/nurse for discounts.

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