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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 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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| EDUCATIONAL GAP AND NEEDS ANALYSIS STATEMENT: Dermatologic disorders are commonly diagnosed and treated by Primary Care Providers. All Primary Care Providers must be able to diagnose melanoma, which is increasing in incidence, as well as non-melanoma skin cancer such as basal cell and squamous cell carcinomas. New medications continue to be introduced and replace older therapies in a variety of diseases such as acne and psoriasis. Skin signs of systemic disease provide important clues to both established and newly recognized diseases. Therefore, on an annual basis, Primary Care Providers should update their knowledge-base in general Dermatology. A review and update in Dermatology will enable the Primary Care Provider to maintain adequate knowledge to diagnose and effectively treat commonly seen dermatologic conditions, in an effort to improve clinical outcomes.
| | Day 1 |
Introduction – Essentials of Dermatology Diagnosis. Common Problems in Office Dermatology. Common Tumors in the Office Setting. Select Principles of Dermatology Therapy. |
| Day 2 |
The Sun and the Skin: Photoaging, Non-Melanoma Skin Cancer, Photodermatosis and Sunscreens. Fever and Rash: A Common Sense Approach. Evidence-Based Case Studies in Dermatology. Common Causes of Hair Loss in the Primary Care Setting. |
| Day 3 |
Malignant Melanomas, Part I: Melanoma, Birthmarks. Malignant Melanomas, Part II: Nevi, Dysplastic Nevi. Contact Dermatitis. Leg Ulcers and the Principles of Wound Care. |
| Day 4 |
Acne: Pathophysiology and Treatment. Approach to Rosacea and the Red Face. The Most Common Dermatology Referrals. Clinical Pearls in Dermatology. |
| Day 5 |
Herpes Simplex and Zoster; Lichen Planus. Psoriasis. Pathophysiology and Treatment of Foot Ulcers: Diabetic Ischemic and Neuropathic. “Cases That Have Taught Me a Lesson.” |
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Dermatology for the Non-Dermatologist
November 10-14, 2008
Location: Hyatt Regency Sarasota, Florida
OBJECTIVES
| 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. |
| 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.
| | Common Tumors in the Office Setting. - Upon completion of this session, the participant should be able to:
| | 1. | Identify and develop treatment algorithms for common epidermal tumors.
| | 2. | Identify and develop treatment algorithms for common vascular tumors.
| | 3. | Identify and develop treatment algorithms for common subcutaneous tumors.
| | Select Principles of Dermatology Therapy. - Upon completion of this session, the participant should be able to:
| | 1. | Compare and contrast topical steroids by strength and vehicle.
| | 2. | Define treatment algorithms that are safe and effective using topical steroids.
| | 3. | List common side effects from use of topical steroids.
| | 4. | Compare and contrast a shave biopsy from a punch biopsy through a case based approach.
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| | Day 2 | The Sun and the Skin: Photoaging, Non-Melanoma Skin Cancer, Photodermatosis, and Sunscreens. - Upon completion of this session, the participant should be able to:
| 1. | Identify non-melanoma skin cancers and precancerous lesions and available therapies.
| | 2. | Outline appropriate sun protective measures for patients.
| | Fever and Rash: A Common Sense Approach. - Upon completion of this session, the participant should be able to:
| | 1. | Identify life-threatening skin conditions present with a fever.
| | 2. | Generate a differential diagnosis for a fever and rash.
| | Evidence-Based 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.
| | 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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| | 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. | Appreciate 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.
| | 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.
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| | Day 4 | 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.
| | Approach to Rosacea and the Red Face. - Upon completion of this session, the participant should be able to:
| | 1. | Identify Rosacea.
| | 2. | Develop a treatment plan for Rosacea.
| | 3. | Distinguish Rosacea from other causes of the “Red Face.”
| | 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.
| | 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.
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| | Day 5 | 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.
| | 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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