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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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| EDUCATIONAL GAP AND NEEDS ANALYSIS STATEMENT: Dermatologic disorders affect all Primary Care practices. There is an increase of skin cancers in general and there is also an increased incidence of Melanoma to epidemic-like proportions. Additionally, there is a new understanding of the implications of Basal Cell Carcinoma with systemic carcinomas. There are many new medications being introduced, and others that have gone out of favor as seen in the topic on Acne. Therefore, considering that the skin is the largest and most accessible organ, skin cancers are ever increasing and medications are continuing to evolve, Primary Care providers need to review and update their knowledge in these and other concerns in Dermatology annually. As a result of attendance, the Practitioner will practice with a heightened awareness and recognition of common patient complaints in Dermatology. This review and update of commonly seen lesions will help to improve the Practitioner’s knowledge and clinical outcomes.
| | Day 1 |
Introduction – Essentials of Dermatology Diagnosis. Common Problems in Office Dermatology. Herpes Simplex and Zoster; Lichen Planus. Psoriasis. |
| Day 2 |
Common Tumors in the Office Setting, Part I: Warts, Common Neoplasms of the Head and Neck and Part II: Keratoses, Cysts, Granuloma Annulare, Lymphoma, Vascular Tumors. Problems in the Sun, Part I: Solar Radiation, Photodamage, Actinic Keratosis and Part II: Non-Melanoma Skin Cancers, Photosensitivity Reactions, Sun Protection. |
| Day 3 |
Malignant Melanomas, Part I: Melanoma, Birthmarks and Part II: Nevi, Dysplastic Nevi. Contact Dermatitis. Leg Ulcers and the Principles of Wound Care. |
| Day 4 |
Acne, Part I: Pathophysiology, Recognition and Treatment and Part II: Identification and Treatment of Acne, Acneiform Eruptions and Rosacea. Dermatologic Manifestations of Systemic Disease. Case Studies in Dermatology. |
| 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 15-19, 2009
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.
| | 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.
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| | 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, both, benign and malignant, occurring on face and scalp.
| | 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.
| | 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.
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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. | 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.
| | 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, Part I: Pathophysiology, Recognition and Treatment. - Upon completion of this session, 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.
| | 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.
| | 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.
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| | 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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