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by John M. Loiselle, M.D., F.A.A.P. - Jefferson Medical College, Thomas Jefferson University; Associate Professor of Pediatrics; Director, Department of Emergency Medicine and the Urgent Care Center, Alfred I. duPont Hospital for Children, Wilmington, DE; by Michele S. Maroon, M.D. - Geisinger Medical Center, Geisinger Health System; Associate, Department of Dermatology and Director, Dermatology Residency Program, Danville, PA; by Jeffrey Miller, M.D. - Penn State College of Medicine; Associate Professor of Dermatology, Vice-Chair and Residency Program Director, Department of Dermatology, Hershey, PA; and by O. Fred Miller, III, M.D. - Geisinger Medical Center, Geisinger Health System; Associate and Director Emeritus, Department of Dermatology, Danville, PA.

OVERALL OBJECTIVES: The overall objective is to provide the participant with practical and clinically relevant information. Upon completion of this CME activity, the physician or healthcare provider should be able to describe the current approach to formulating differential diagnoses, diagnostic, therapeutic, and preventive management of the various disciplines presented.

EDUCATIONAL GAP AND NEEDS ANALYSIS STATEMENT: Dermatologic disorders are commonly diagnosed and treated by Primary Care Providers. They must maintain adequate knowledge to diagnose and effectively treat or refer commonly seen dermatologic conditions. Many of these conditions have possible serious and even fatal consequences without proper disposition. Needs analysis specifically identifies the ability to diagnose melanoma, which is increasing in incidence, the ability to diagnose and treat commonly referred Dermatologic Problems and Acne. Systemic Diseases revealing themselves through Dermatologic expression will also be taught as well as other Dermatologic Pearls, all of which are recognized as vital skills for the Primary Care Provider. In addition, certain common Pediatric conditions need to be communicated as well.
Educational gap analysis has identified two areas that must be addressed: increased knowledge and increased confidence on the part of Primary Care Physicians in the discipline of Dermatology. To address these needs and close these gaps, an annual update, presenting current thinking and new information, will help Primary Care physicians obtain adequate knowledge and provide them with the confidence to diagnose and treat their patients’ dermatologic conditions.

SPECIFIC OBJECTIVES
TOPIC 1	Acne: Pathophysiology and Treatment - Upon completion of this session, the participant should be able to: 1. Characterize types of acne lesions and appropriate therapy based on pathophysiology. 2. Differentiate acneiform eruptions from acne vulgaris.
TOPIC 2	Malignant Melanomas - 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. Appreciate the surgical approach to melanoma.
TOPIC 3	The Most Common Dermatology Referrals - Upon completion of this session, the participant should be able to: 1. Identify the most common dermatology referrals. 2. Develop referral strategies for the common dermatology referrals. 3. Initiate treatment regimens for the common dermatology referrals.
TOPIC 4	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. Evaluate pruritus and differentiate those cases associated with systemic disease vs. primary cutaneous disease, including atopic dermatitis.
TOPIC 5	Pediatric Dermatology: Common Rashes You Should Know - Upon completion of this session, the participant should be able to: 1. Identify specific characteristics of rashes encountered in the acute care setting. 2. Initiate appropriate treatment for common dermatologic conditions.
TOPIC 6	Clinical Pearls in Dermatology - Upon completion of this session, the participant should be able to: 1. Identify diagnostic and treatment pearls for varied cutaneous disorders encountered in the office.
TOPIC 7	Common Causes of Hair Loss in the Primary Care Setting - Upon completion of this session, the participant should be able to: 1. Develop an objective, simplified approach to hair loss. 2. Identify the common causes of hair loss. 3. Identify treatment strategies for the common causes of hair loss.

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