Dermatology CME

Dermatology for Primary Care Special Feature! Color Syllabus With More Than 1,500 Textbook-Like Quality Images Included!
June 28- July 2, 2010 (8:00am-12:15pm) Location: Hyatt Regency Sarasota, Florida 20 AMA PRA Category 1 Credits™ 20 CME Credits - ACEP AAFP ACOG	Course #SEMLA-2420100628 Price: $725.00 - $875.00

by Michele S. Maroon, M.D. - Geisinger Medical Center, Geisinger Health System; Associate, Department of Dermatology and Director, Dermatology Residency Program, Danville, PA and O. Fred Miller, III, M.D. - Geisinger Medical Center, Geisinger Health System; Associate and Director Emeritus, Department of Dermatology, Danville, PA.

Learning Objectives
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NARRATIVE DESCRIPTION: Following this course, the participant should be able to recognize the various etiologies and pathogens for the more common lesions; identify the characteristics of commonly seen skin disorders and develop an appropriate differential that leads to the most probable diagnosis; apply a treatment plan and follow-up procedure that will enable the practicing physician to effectively treat many disorders. This activity is expected to result in increased confidence in making an appropriate diagnosis and providing effective treatment and referral or follow-up care with the overall goal of improving patient outcomes.

Since this specialty has few guidelines or evidence-based recommendations, with the exception of acne and the use of biologics, the emphasis will be based on generally accepted standards and consensus, unless otherwise indicated in the specific learning objectives, with a focus on recommendations for diagnosis, treatment and when to refer. Since Dermatologic problems often reveal systemic disorders, and the skin is the largest and most accessible “organ”, this course was designed as a review and update for practicing physicians and is applicable to most specialties.

Day 1 Introduction – Essentials of Dermatology Diagnosis. Common Problems in Office Dermatology. Problems in the Sun, Part I: Solar Radiation, Photodamage, Actinic Keratosis. Problems in the Sun, Part II: Non-Melanoma Skin Cancers, Photosensitivity Reactions, Sun Protection.

Day 2 Common Tumors in the Office Setting, Part I: Warts, Common Neoplasms of the Head and Neck. Common Tumors in the Office Setting, Part II: Keratoses, Cysts, Granuloma Annulare, Lymphoma, Vascular Tumors. Contact Dermatitis. Leg Ulcers and the Principles of Wound Care.

Day 3 Malignant Melanomas, Part I: Melanoma, Birthmarks. Malignant Melanomas, Part II: Nevi, Dysplastic Nevi. Dermatologic Manifestations of Systemic Disease. Case Studies in Dermatology.

Day 4 Acne, Part I: Pathophysiology, Recognition and Treatment. Acne, Part II: Identification and Treatment of Acne, Acneiform Eruptions and Rosacea. Herpes Simplex and Zoster; Lichen Planus. Psoriasis.

Day 5 Drug Eruptions: Etiology, Differential Diagnosis and Treatment. Infections in Dermatology. Pathophysiology and Treatment of Foot Ulcers: Diabetic Ischemic and Neuropathic. “Cases That Have Taught Me a Lesson.”

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Dermatology for Primary Care
June 28- July 2, 2010
Location: Hyatt Regency Sarasota, Florida

SPECIFIC OBJECTIVES

Day 1

Introduction – Essentials of Dermatology Diagnosis - Upon completion of this session, the participant should be able to:

1.	Approach dermatologic disorders with a consistent and logical method.
2.	Appreciate the role of "color" in the diagnosis of cutaneous lesions.
3.	Explain rationale for the therapy of common disorders.
Common Problems in Office Dermatology - Upon completion of this session, the participant should be able to:
1.	Develop a differential diagnosis of common disorders based on lesion morphology and distribution.
2.	Appreciate the many manifestations of cutaneous fungal disease.
3.	Be aware of fungal foot and nail changes and the approach to therapy.
Problems in the Sun, Part I: Solar Radiation, Photodamage, Actinic Keratosis - Upon completion of this session, the participant should be able to:
1.	Distinguish photo-distributed eruptions from those in which sunlight plays no role.
2.	Recognize the common clinical presentations of nonmelanoma skin cancers and precancers.
3.	Develop a therapeutic approach to ultraviolet induced lesions.
Problems in the Sun, Part II: Non-Melanoma Skin Cancers, Photosensitivity Reactions, Sun Protection - Upon completion of this session, the participant should be able to:
1.	Recognize common photosensitivity disorders.
2.	Develop an approach to diagnosis and treatment of these conditions.
3.	Outline appropriate sun protective measures for your patients.

Day 2

Common Tumors in the Office Setting, Part I: Warts, Common Neoplasms of the Head and Neck. - Upon completion of this session, the participant should be able to:

1.	Recognize the multiple cutaneous manifestations of warts and develop a stepwise treatment approach based on literature review.
2.	Identify common cutaneous tumors occurring on face and scalp, both benign and malignant.
3.	Devise a treatment plan for common tumors, which may include observation, biopsy, removal, and referral.
Common Tumors in the Office Setting, Part II: Keratoses, Cysts, Granuloma Annulare, Lymphoma, Vascular Tumors - Upon completion of this session, the participant should be able to:
1.	Develop an approach to common dermal tumors, including indications for biopsy.
2.	Recognize cutaneous lymphoma and develop an understanding of common vascular tumors.
Contact Dermatitis - Upon completion of this session, the participant should be able to:
1.	Describe the complexity of testing for identification of allergies in contact dermatitis.
2.	Identify and treat poison ivy, poison oak, and poison sumac.
3.	Recognize common contactants seen in the office setting.
Leg Ulcers and the Principles of Wound Care - Upon completion of this session, the participant should be able to:
1.	Differentiate and treat leg ulcers based on etiology.
2.	Apply the basic principles of wound care.
3.	Explain the rationale for various wound dressings.

Day 3

Malignant Melanomas, Part I: Melanoma, Birthmarks - Upon completion of this session, the participant should be able to:

1.	Utilize the ABCDE approach to the description of pigmented lesions and features of melanoma.
2.	Describe the biology of melanoma.
3.	Understand the surgical approach to melanoma.
Malignant Melanomas, Part II: Nevi, Dysplastic Nevi - Upon completion of this session, the participant should be able to:
1.	Recognize "dysplastic nevi" and describe the relationship between dysplastic nevi and melanomas.
2.	Develop an approach to examination and follow up of families with dysplastic nevi and melanomas.
3.	Explain to patients the methods of photoprotection and the relationship of the sun to melanomas.
Dermatologic Manifestations of Systemic Disease - Upon completion of this session, the participant should be able to:
1.	Identify cutaneous markers of certain systemic diseases.
2.	Distinguish specific and nonspecific findings in relationship to underlying disease.
3.	Based on the ADD evidence-based guidelines, evaluate pruritus and differentiate those cases associated with systemic disease vs. primary cutaneous disease, including atopic dermatitis.
Case Studies in Dermatology - Upon completion of this session, the participant should be able to:
1.	Create a differential diagnosis based on clinical presentation and patient history.
2.	Appreciate the importance of morphology and pattern recognition in cutaneous disorders.

Day 4

Acne, Part I: Pathophysiology, Recognition and Treatment - Upon completion of this session, using evidence-based guidelines of the ADD, the participant should be able to:

1.	Characterize types of acne lesions and determine appropriate therapy based on pathophysiology.
2.	Develop a therapeutic ladder with a clear understanding of treatment indications, expectations, and side effects.
3.	Recognize current issues regarding usage of isotretinoin and long-term oral antibiotics.
Acne, Part II: Identification and Treatment of Acne, Acneiform Eruptions and Rosacea - Upon completion of this session, the participant should be able to:
1.	Recognize various acneiform eruptions.
2.	Initiate appropriate testing to distinguish such conditions, including culture and biopsy when appropriate, and initiate therapy.
3.	Diagnose and treat rosacea.
Herpes Simplex and Zoster; Lichen Planus - Upon completion of this session, the participant should be able to:
1.	Differentiate herpes simplex and herpes zoster based on morphology and distribution of lesions and laboratory testing.
2.	Recognize the varied manifestations and complications of herpes zoster.
3.	Outline an appropriate treatment plan for herpes simplex and herpes zoster.
4.	Appreciate the cutaneous spectrum of lichen planus.
Psoriasis - Upon completion of this session, the participant should be able to:
1.	Appreciate the spectrum of classical and subtle cutaneous changes of psoriasis.
2.	Outline the basic pathophysiology of psoriasis.
3.	Approach topical psoriasis therapy with a basic algorithm.

Day 5

Drug Eruptions: Etiology, Differential Diagnosis and Treatment - Upon completion of this session, the participant should be able to:

1.	Recognize the numerous eruptions induced by medications.
2.	Infer the “most common” suspected drugs in producing certain reaction patterns.
Infections in Dermatology - Upon completion of this session, the participant should be able to:
1.	Categorize various infectious processes involving the skin.
2.	Diagnose and treat common cutaneous infections, including indications for biopsy.
Pathophysiology and Treatment of Foot Ulcers: Diabetic Ischemic and Neuropathic - Upon completion of this session, the participant should be able to:
1.	Distinguish between ischemic and neuropathic etiologies of diabetic foot ulcers.
2.	Treat neuropathic ulcers successfully with debridement and weight off loading.
3.	Explain the rationale for selected footwear in the patient with neuropathy.
“Cases That Have Taught Me a Lesson.” - Upon completion of this session, the participant should be able to:
1.	Recognize skin changes that point to specific and varied cutaneous disorders encountered in the office.

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