Dr Chris Boberg will discuss housekeeping of the course.

Professor Cliff Rosendahl will discuss the dermatoscope, why and how you should use it

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 be going through a series of images both dermatoscopic and clinical that will rapidly give you an enhanced sense of the “blink effect” – an essential tool in assisting you to rapidly identify the ugly duckling / outlier nevi as a suspicious lesion and assist you in making the important and a decisive call to recommend a 2 mm clearance excision for histology.

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 intermediate to advanced courses will expand your skills for more accurate dermatoscopic recognition and features a number of less common but important to know benign lesions.

Professor Cliff Rosendahl will outline the most important, essential and easy to learn algorithm for your clinical tool kit when dealing with pigmented lesions. ‘Chaos and clues’ facilitates rapid dermatoscopic recognition of melanoma and of 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 and cardinal dermatoscopic clues. Cliff is the main author of ‘Chaos and clues’ and hence is best placed to discuss nuances and to further clarify any of your questions. There will be interactive quizzes throughout to assist you in mastering the skills. Part 1.

Delicious & nutritious lunch with time for networking

Professor Cliff Rosendahl will outline the most important, essential and easy to learn algorithm for your clinical tool kit when dealing with pigmented lesions. ‘Chaos and clues’ facilitates rapid dermatoscopic recognition of melanoma and of 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 and cardinal dermatoscopic clues. Cliff is the main author of ‘Chaos and clues’ and hence is best placed to discuss nuances and to further clarify any of your questions. There will be interactive quizzes throughout to assist you in mastering the skills. Part 2.

Associate Professor Amanda Oakley will outline and review of the dermosopy images of SCCs and BCCs – identifying key and important dermoscopic features that readily assist us in the identification of these non-melanoma skin cancers.

In this session, Associate Professor Amanda Oakkey will discuss the medical management of non melanoma skin cancer.

An interactive discussion lead by Professor Cliff Rosendahl. The basic and introductory courses will focus on the fundamentals of interpreting a histology report. The intermediate to advanced courses will progress and traverse the importance of clinical dermoscopy / histology correlation and current clinical issues in the usage of grades of “dysplasia”.

Professor Chris Rosendahl will go over the quiz, clarify any questions and open the floor for any questions.

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

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

1. Knot tying – instrument ties – made easy
Often, even experienced doctors can easily do a slip knot by mistake –
we discuss how to avoid this common error
2. Methods to make an excellent cosmetic outcome
a Contouring – matching layers and surface continunity
b The importance of wound eversion.
c Suture choice – Absorbable /Nonabsorbable/ monofilament

/braided.

d Ellipse orientation – importance of Natural Skin Tension Lines

in alignment of the ellipse and flaps (NSTLs)

3. When and where to biopsy and when not to biopsy. – Melanoma
vs NMSC
4. Local Anaesthetic Tips – go for an almost painless patient
experience.

Dr Andrew MacGill

1. What operations – where 15 min – Quick review of the preferred surgical approaches in certain anatomical areas – Face, Limbs, Trunk and Chest
2. Risk Management : 30 min – High risk areas and high risk lesions – when to refer

1. High risk areas: Anatomy :10 min
Review of fundamental anatomy to ensure you avoid nerve or vascular
damage. ( T zone face /angle jaw/ central Cheek / Erbs point etc)
2. Fundamentals and principles of Flaps – “Robbing Peter to Pay
Paul” – (5min)
3. Fundamentals of and principles Grafts – Split /Full thickness
(5min)
4 High-risk lesions: 20 min – Areas to cover:

When to refer:
Histological markers – Moderate – Poorly Differentiated / Perineural
invasion / Mitosis / Close margins etc
Appropriate margins and follow up.
1. High risk facial and scalp NMSC
2. SCC /BCC/ Melanoma
3. Other – e.g. Merkel cell cancer
4. Highlight Melanoma Standards and the current Melanoma excision
margins.
5. When to refer Melanoma for SNL with re excision. (breslow depth 1mm or greater)

In this talk intra-operative complications and optimum after care is discussed:

• Avoiding common complications
  • Avoid dehiscence
  • Avoiding infections
• When is the optimum time to remove sutures? (is longer than most people think?)
• We will also discuss the fundamentals of wound care and the dressing choices after surgery

Dr Andrew MacGill

A delicious lunch will be provided

1. Tying the knot – the secrets of the interrupted, knot security and how to evert edges easily
2. Punch Biopsy – how to make it elliptical, where and what you should or should not do a punch biopsy
3. Advanced Elliptical excision – curved excisions and M-Plasty
4. Deep dermal suturing – the key to structural strength and tension management
5. Vertical mattress suture – eversion of skin edges made easy!
6. Pulley suture – how to pull skin together that is under tension without “pulling through” with your suture
7. Running sutures – when you are in a hurry!
8. “Rule of Halves” and “Creeping Charlie” – where should you start suturing?
9. Tricks to closing a tight wound with fragile skin especially on the lower legs

For those wanting more advanced skills you will be able to have small group sessions on flaps whilst the others are practising the more fundamental skills listed above.

You will continue practising the skills you want to master with evaluation and feedback from tutors.

For those interested in flaps. We will discuss:

• Perfusion ratios of different flaps
• Advancement flaps with a focus on the A-T flap, the most versatile flap with excellent perfusion
• Corner suture
• Transposition Flaps (rhomboid)
• Rotation Flaps (simple rotation and O-Z)
• How to manage dog ears

For more advanced students, send us an email with your “wish list”. We will accommodate you as best we can in this session. If at the end of the course you still need more tuition you can visit one of our tutors clinics (at no cost) to spend ½ a day on-site to ensure you grasp the skills you want to learn.