Program Overview

Led by renowned skin cancer surgeon Professor Sharad Paul, the intensive Skin Cancer Surgery Masterclass is tailored to GPs who have completed a HealthCert skin cancer surgery course and are experienced in the field. The program is designed to enhance skin cancer surgical knowledge at the highest level, allowing you to independently manage the majority of patients with skin cancer concerns.

Entry Requirements and course requisites

The course is suitable for general practitioners and International Medical Graduates who have completed a skin cancer surgery course with HealthCert or have equivalent qualifications.

Course Contents

The Masterclass offers an excellent opportunity to complete your knowledge of skin cancer surgery with
comprehensive practical training in a variety of surgical techniques.

The theory and practical sessions cover:

  • BEST lines
  • Scalp closures
  • Golden spiral flaps
  • Lower limb closures
  • Fascial release flaps on the lower limb
  • Review of SMAS and application for cheek closures
  • Facial oblique flaps
  • Theory and practical tips and tricks

Course participants will:

  • Participate in discussion of patient cases, evaluate and make decisions.
  • Receive a comprehensive course folder and research/readings in the field.
  • Be able to participate in an optional clinical attachment available at dedicated skin cancer clinics.

COURSE OUTLINE

Saturday

Time Session Topic
8:15am - 8:45am Registration  
8:45am - 10:45am Session 1 Opening introduction to BEST lines
10:45am - 11:15am Morning Tea  
11:15am - 12:15pm Session 2 Theory and practical tips and tricks
12:15pm - 1:15pm Lunch  
1:15pm - 2:45pm Session 3 Scalp closures and golden spiral flap
2:45pm - 3:15pm Afternoon Tea  
3:15pm - 4:45pm Session 4 Golden spiral flap (practical)

Sunday

Time Session Topic
7:45am - 8:00am Registration  
8:00am - 10:00am Session 5 Lower limb closures presentation
10:00am - 10:30am Morning Tea  
10:30am - 12:00pm Session 6 Fascial release flap practical lower limb
12:00pm - 1:00pm Lunch  
1:00pm - 2:00pm Session 7 Review of SMAS and application for cheek closures
2:00pm - 2:30pm Afternoon Tea  
2:30pm - 4:00pm Session 8 Practical facial oblique flaps and case studies discussion

SESSIONS

DAY ONE

DAY TWO


Session 1: Suturing

Getting the basics right, this session includes clinical videos and student practicals covering a variety of suture types, including:
  • simple interrupted
  • buried dermal
  • sliding dermal
  • vertical horizontal mattress
  • Mirini
  • pulley dermal
  • half buried horizontal mattress
  • continous.
We also focus on closing dead space and paper-thin skin on elderly patients.

 


Session 5: Ellipse Planning

In this session, students will break up into small groups and work around torso models marked with specific lesions. Students will work together to design the most appropriate ellipses to treat these lesions, using knowledge gained in earlier sessions and with reference to NHMRC guidelines. Groups will also learn to mark out major nerves at risk including the temporal and marginal branches of facial nerves, Erb's point, and common peroneal nerves using surface anatomy.

 
Session 1b: Perfecting the Ellipse

Students will learn how to mark out a lesion using a dermatoscope with appropriate margins for both non-melanoma and melanoma skin cancers. This session includes marking a standard ellipse and S-plasty, designing your ellipse for optimal scar results, working with ellipses around joints, and facial skin tension lines.  We also cover tips for optimum wound apposition and undermining. The session includes video and clinical images of ellipses on a variety of anatomical areas.


Session 6: Chaos and Clues

Using a dermatoscope improves diagnostic accuracy for all types of skin malignancy, but only if the operator is trained. Chaos and Clues is a method designed for use in routine practice on multiple lesions without mathematical calculations.


Session 2: Local Anaesthetics

We will go into detail on local anaesthetics with both theory and practical components. We will cover pharmacology, toxicity, buffering, needles, nerve blocks, injection techniques, and risk areas and specific sites for injection. We will demonstrate how to prepare buffered lignocaine, practice use of Luer Lock and Luer Slip syringes with injection and infiltration on pig skin, and demonstrate injection sites with clinical video clips. We will also cover surface anatomy of trigeminal nerve branches and blocking these nerves.


Session 6b: Topical Treatments

Topical treatments are becoming more and more effective for certain lesions. In this session, we look at what works and what doesn't. We will review Fluorouracil, Imiquimod and Ingenol Mebutate, and look at the indications, application, contraindications and tips for use. We will also cover field versus specific lesion treatment. Clinical case studies will make up a key part of this session.


Session 3: Incision/Haemostasis

In this practical hands-on session, we will be covering punch and shave biopsies and use clinical videos to demonstrate proper techniques. As part of the practicals, we will cover mono and bipolar cautery with hands-on practicals and video demonstrations for effective cautery. We will cover the fire risk of cautery with alcohol and the safety aspects of pacemakers and other implanted electrical devices. We will also extend the proper shave technique to the HALO graft including marking out, dressing and aftercare.


Session 7: The Big Three

In this session, we look at the big three: BCC, SCC and melanoma. We look at the main types of BCC, their dermatoscopic features, margins, perineural invasion, radiotherapy treatment and other treatment modalities available. With SCC, we cover IEC differentiation, biopsy, aggressive and tame types, and the treatment modalities available. We also cover the various types of melanoma and look at margins, Breslow thickness, various biopsy methods, and when and what to refer.


Session 4:  Curettage/Cautery

Continuing from session 3, we will cover curettage and cautery with theory, clinical video and student practicals. We will look at appropriate sites, and discuss keloid and hypertrophic scar risks and appropriate lesions for this modality. Practicals for this session will be done on pig skin models. We will also cover dressings and aftercare for curettage and cautery, and cover the Medicare item numbers used. The cryotherapy segment will include safe handling of liquid nitrogen, clinical video, and consideration of appropriate sites for this modality.


Session 8: Case Management

In the final session, we summarise the learning outcomes with a series of case studies. Each case study includes clinical images from different locations and types of lesions. This session includes group discussion on the appropriate modality such as topical treatments, cautery, curettage, type of biopsy to be used, and excision.

 

  

Meet Your Instructor

Professor Sharad Paul is a global expert in the field of Skin Cancer Surgery. He is the editor of "Clinical Cases in Skin Cancer Surgery and Treatment" (Springer), and more recently the ground-breaking "Biodynamic Excisional Skin Tension Lines for Cutaneous Surgery" (Nature Springer).
Prof Sharad Paul

Prof Sharad Paul

Adjunct Professor, Auckland University of Technology
Senior Lecturer, Faculty of Surgery, University of Auckland
Senior Lecturer, Skin Cancer, The University of Queensland.

Professor Sharad Paul initially embarked on surgical training in general/plastic surgery and has worked as a surgical consultant in public/teaching hospitals and in primary care in the field of skin cancer. Since 1996, his skin surgery clinic has performed over 45,000 skin cancer operations; it is known as having one of the largest series of skin cancer patients worldwide. He established the first primary care skin cancer surgery courses at the University of Auckland in 1996. 

 

Sharad is Professor at the Auckland University of Technology and a Senior Lecturer (Skin Cancer) at the School of Medicine, The University of Queensland and Senior Lecturer, Department of Surgery at the University of Auckland. Given these academic and teaching attachments, he has a long list of conference keynote presentation and publications in peer-reviewed journals. Sharad is a Fellow of the Skin Cancer College of Australasia and has also been conferred the Distinguished Fellowship of the Royal NZ College of General Practitioners. In 2015, he was awarded the Ko Awatea International Excellence Award for Leading (Health) Improvement on a Global Scale.

 

Sharad is the editor of Clinical Cases in Skin Cancer Surgery and Treatment (Springer), and more recently the ground-breaking Biodynamic Excisional Skin Tension Lines for Cutaneous Surgery (Nature Springer). He is the author of several books for popular audiences in the fields of skin, medicine and literary fiction.

Dates AND Locations

MELBOURNE

23 - 24 February 2019

Melbourne Convention and Exhibition Centre

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COURSE FEES AND PAYMENT OPTIONS

REGULAR TUITION FEE

$2,995

Full payment on the day of registration

EARLY BIRD RATE

$2,795

Register 30 days prior to the course commencement date.

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DELIVERY FORMAT 

The Skin Cancer Surgery Masterclass is delivered face-to-face and features expert demonstrations and practical surgical sessions under the guidance of Professor Sharad Paul and a team of surgical assistants. There is no formal assessment for workshops, but specific individual feedback is provided by the presenter.

What you get for your one-off investment:

  • Two-day practical course including catering.
  • All materials including surgical instruments and consumables for practical sessions.
  • Full-colour workbook including all presentation slides

Certification and ACCREDITATION

SPMCL certificateUpon successful completion of the course requirements, you will receive a certificate of attendance.

RACGP: 40 Category 1 points
ACRRM: Equivalent points

This certificate course:

  • Provides CPD points from the Royal Australian College of General Practitioners (RACGP).
  • Provides PRPD points from the Australian Council of Rural and Remote Medicine (ACRRM).
  • Is recognised by the Royal New Zealand College of General Practitioners (RNZCGP).
  • Is recognised by the Hong Kong College of Family Physicians (HKCFP). The HKCFP recognises all courses endorsed by the RACGP. Points are calculated differently.

EDUCATION PATHWAYS

 

 

Accredited by
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Accredited by
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Recognised by
The Royal New Zealand College of General Practioners