Certificate of Advanced Dermatoscopy (Modules 2 + 3) 2018

/Certificate of Advanced Dermatoscopy (Modules 2 + 3) 2018
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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. Our Fundamental course is not necessary as a pre-requisite for this course as we designed this for all doctors who have been dealing with skin cancers in their every day practice but would like to upskill and become proficient in the use of the dermatoscope.

In day 1, we will start with the building blocks of dermatoscopic language, how to do a systematic skin examination then systematically discuss the fundamentals of dermatoscopic diagnosis of melanoma and non melanoma skin cancers, while being able to confidently exclude benign lesions using the TADA algorithm. Our symposium is designed with a carefully orchestrated educational process to ensure after day 1 you have a solid footing in dermatoscopy.

All participants will receive a complimentary MoleScope II Dermatoscope (value $440 excluding GST).

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 the ‘Chaos and Clues’and ‘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 be able to assess lesions with more accuracy and with more confidence than you ever have been able to before. 

Dr Chris Boberg and Dr Andrew MacGill (Convenors)

Key Information

Location: Whenua Pupuke Clinical Skills Center (see attached map)

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

Date: Friday 24th – Saturday 25th August 2018 (Certificate of Advanced Dermatoscopy) and/or Sunday 26th August 2018 (Certificate of Medical and Surgical Management of Skin Cancer [Workshop])

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 and 6 CME credits for the Certificate of Surgical and Medical Management of Skin Cancer.

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 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

Friday 24th August 2018 – Intermediate Dermatoscopy

A barista will be serving complimentary coffee

The day will start with  a rapid fire pre-quiz which you will answer using our audience response tool. Later, you will get individualised feedback comparing your results to a post-quiz.

The importance of using a dermatoscope on all skin lesions, and how to use it correctly. Topics will include why you should use both the polarized and non-polarized modes on your dermatoscope and when to use contact and non-contact dermatoscopy.

What is involved in a full skin check within the context of a GP appointment

Professor Amanda Oakley will discuss how dermatoscopy evolved from subjective metaphoric language into an objective descriptive language (revised pattern analysis). She will discuss the fundamental building blocks of dermatoscopic language, and how these basic blocks can combine into benign and malignant patterns and their biologic symmetry or asymmetry.

The TADA algorithm focuses on the importance of being able to recognise benign entities. This talk will focus on the key clinical and dermatoscopic features of benign lesions.  By the end of this talk you should be comfortable diagnosing the 4 major benign melanotic lesions (seborrheic keratosis, haemangioma, dermatofibromas and sebaceous hyperplasia) and the 2 major benign non melanotic lesions (cysts and viral warts). 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 courses.

A review of the  fundamentals of diagnosing a benign nevus (melanotic and non melanotic), the relevance of the patient’s age when assessing nevi and the concept of a “signature nevus”. There will be plenty of interactive quizzes to help you understand and consolidate your learnings.

Melanomas are the most deadly skin cancer and dermatoscopically can be diagnosed when only a few mm in size. This lecture will teach you the fundamental dermatoscopic features of all the different types of melanomas. There will be quizzes throughout the presentation to reinforce key messages. You will have access to these quizzes after the symposium to act as quick refresher course.

‘Chaos and Clues’ is an algorithm to help you diagnose all pigmented lesions. 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.

This talk by Professor Cliff Rosendahl builds on the Fundamentals of Chaos and Clues talk, with discussion on the concept of Exceptions, new research behind Chaos of Border Abruptness and will also reinforce key messages to help solidify your understanding. 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.

We will be monitoring quiz results throughout the day and in this last segment we will focus on the areas that we feel need more attention. This will also be a time to ask any burning questions.

Saturday 25th August 2018 – Advanced Dermatoscopy

This is our preferred algorithm for diagnosing non-pigmented lesions. In this lecture you will get lots of repetition on dermatoscopy of non pigmented lesions. Non-pigmented lesions can include nevi, melanomas, BCCs and SCCs. This is an amazing lecture and 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.

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 insitu and actinic keratosis. 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.

Basal Cell Carcinomas (BCCs) are the most common skin cancer and dermatoscopically are often the easiest to diagnose even when only a few mm in size. This lecture will teach you the fundamental and advanced dermatoscopic features of BCCs and the importance of diagnosing aggressive sub-types of BCCs. We will touch briefly on the medical and surgical management of BCCs. 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.

Delicious lunch provided along with time for networking

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 and leave you with core skills to help you manage these difficult lesions.

Our panel will present interesting, difficult and educational clinical cases that are relevant to every day practice. Cases highlighting important clinical scenarios we face frequently. For example, should you ever do a punch biopsy on a pigmented lesion? Or, how to approach a dermatoscopically normal but clinically suspicious lesion. Or how to manage a histological report which just doesn’t marry well with your clinical/dermatoscopic diagnosis.

Our professors will go over a post symposium quiz and will run an educational quiz with prizes designed to consolidate your learning in an interactive and fun way

We will use this time to do the post quiz, provide feedback (anonymous) on the quiz results and answer 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

Our Speakers

Mr Richard Martin
Melanoma Surgeon. Senior Lecturer (Auckland)

Richard is a New Zealand trained General Surgeon who spent two and a half years at the Sydney Cancer Centre specialising in Melanoma and Head and Neck surgery. Most of his time was spent at the Sydney Melanoma Unit. During his time in Sydney he completed a Master of Surgery in Surgical Oncology at the University of Sydney. As a Surgical Oncologist Richard assesses and treats all forms of melanoma, skin and head/neck cancer. Richard has published in numerous academic journals, is a regular presenter at international conferences and is actively involved in research and clinical trials. He is also a Senior Lecturer at the University of Auckland.

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 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.

Mr Will McMillan
Plastic & Melanoma Surgeon

Will completed his undergraduate training at Otago Medical School and undertook his Plastic and Reconstructive Surgery training in New Zealand.  He was awarded a post-graduate fellowship at the internationally-recognised Sydney Melanoma Unit (now Melanoma Institute Australia) for a year of intensive training in melanoma surgical oncology and has maintained an active interest in melanoma care.  After his time at the SMU he undertook further training in Aesthetic Plastic surgery at the Melbourne Institute of Plastic Surgery.

Our Full Programme

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

Sunday 26th August 2018 – 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 a systematic skin examination.

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

We will discuss the key points of high risk lesions, appropriate margins and follow-up.

Fundamentals of skin cancer surgery including basic flap design

  1. Things you must do to ensure you get the best wound outcome
    1. Alignment
    2. Eversions
    3. Suture choice
    4. Ellipse orientation
    5. When and where to do differing flaps
  2. When and where to biopsy and when not to biopsy
  3. High risk excisions
    1. A quick summary of danger zones
    2. What issues you need to consider when tackling a lower leg or scalp lesions
    3. Other “high risk” issues.
  4. Tips for a near “painless injection”
  5. Plus many other tips and tricks

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

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 Advanced Dermoscopy 2018$1,795.00Includes complimentary MoleScope II dermatoscope (worth $440 excluding GST)

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Unlimited available
[EARLY BIRD] Certificate of Advanced Dermoscopy and the Certificate of Surgical and Medical Management of Skin Cancer (Modules 2-4)$2,990.00Get 10% off our 1 day surgical workshop if also enrolling for our Certificate of Advanced Dermatoscopy. Includes the MoleScope II dermatoscope (worth $440 excluding GST).

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