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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 start using your dermatoscope. Our world-class lecturer Professor Cliff Rosendahl will be joined by Associate  who will ensure you have a confident feel for the basics of dermatoscopy. They will start by discussing the dermatoscopic diagnosis of the common benign lesions. They will then cover the use of ‘Chaos and Clues’ which is an algorithm co-founded by your lecturer Professor Cliff Rosendahl. ‘Chaos and Clues’ will provide you with a safe way to decide which 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. Chris and Andrew will then expertly guide you through the fundamentals of diagnosing BCCs and SCCs. The day will end by discussing practical medical and surgical management options. On completion of this symposium, you will have a strong understanding of the fundamentals of dermatoscopy and how it will help you diagnose or 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 consults to 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 cancers in your patients. And what a relief it will be to be able to say to your patient’s confidently that the black mole 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 22nd of December 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

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 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.

Our Full Programme

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

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.

[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 practise skills on.

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

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. 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.

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 22nd of December 2019. 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 $1,790.00Includes 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 22nd of December 2019. Please use the code "RegistrarCombo" if you are a registrar/nurse for discounts.

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