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This course has been designed to cater for absolute beginners and seasoned practitioners.  Those of you more experienced in cutaneous surgery will be grouped with similarly experienced practitioners and provided with the appropriate tutorage.  Having said that, the simple ellipse forms the backbone of office based procedures and it is essential this is done well and we ensure all attending can do this to a high standard.  The more experienced practitioners normally progress through this step quickly. We then quickly identify who needs what support.  For those more experienced you can learn whatever cutaneous surgical procedure you want to.  And for those new to cutaneous surgery you will have plenty of time to decipher the simple suture, how to slide a knot, do a punch or a shave excision and so on.  There is plenty of time for all to practise and get multiple differing tutors perspectives and advice.

This course is taught by leading surgeons and GP Skin Cancer Specialists.  Our tutors are without doubt approachable and enthusiastic and will ensure you are comfortable asking those “silly questions” we all have from time to time.

All participants will receive a free surgical kit with sutures to take home to practise and hone your 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! We teach the basics to advanced skills. For those who seek advanced flaps learning, we put you together in a group where you will receive individualized tuition from our expert tutors.

Key Information

Location: Whenua Pupuke Clinical Skills Center

Address: North Shore Hospital, 124 Shakespeare Road, Takapuna, Auckland

Date: Sunday 3rd July 2022

Parking: Complimentary

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 6.00 CME credits for the General Practice Educational Programme (GPEP) and Continuing Professional Development (CPD) purposes.

Our Speakers

Ms Katherine Gale
Breast & Melanoma Surgeon

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.

Our Full Programme

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

Sunday 3rd July 2022 – Certificate of Medical and Surgical Management of Skin Cancer Workshop

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
4.Complications and aftercare –wound dressings, avoiding infections, and avoiding
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
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.