The Advanced Certificate of Dermoscopy is the second of the three-part Diploma program in Dermoscopy. Designed to meet the needs of medical practitioners wanting to advance knowledge and skills in primary care dermoscopy and the diagnosis and management of skin cancer in primary care. Participating GPs must have completed and passed the Professional Certificate of Dermoscopy or equivalent. Participants will acquire an advanced range of skills and knowledge in the management of mucosal & difficult benign lesions, pink & rare tumours, melanoma, BCC and dermatology.
Relevance to General Practice
Every year, in Australia skin cancers account for around 80% of all newly diagnosed cancers. Between 95 and 99% of skin cancers are caused by exposure to the sun. GPs have over 1 million patient consultations per year for skin cancer. The incidence of skin cancer is one of the highest in the world, two to three times the rates in Canada, the US and the UK.Every year doctors remove around 720,000 lesions from the skins of Australians because they are suspected skin cancers.
The “Clinical Practice Guidelines for the Management of Melanoma in Australia and New Zealand (November 2008)” recommendations include:
• Training and utilisation of dermoscopy for clinicians
• Biopsy; including optimal biopsy approach, interpretation of partial biopsies, Incisional, punch or shave biopsies
• Breslow thickness, margins of excision (microscopic), mitotic rate/mm, level of invasion (Clark), ulceration.
- Develop systems to identify and assess the dermoscopic patterns of mucosal lesions.
- Recognise nail lesions including the dermoscopic clues to safely diagnose melanonychia striata and recall the need for biopsy.
- Classify difficult benign lesions including classifying morphologic variability of nevi with special features.
- Identify and assess the dermoscopic clues to safely diagnose difficult melanomas.
- Identify dermatoscopic clues for rare, complex syndrome skin cancers.
Domains of General Practice
D1. Communication skills and the patient-doctor relationship
D2. Applied professional knowledge and skills
D3. Population health and the context of general practice
D4. Professional and ethical role
D5. Organisational and legal dimensions
Curriculum Contextual Units
- Rural health
- Adult health
- Care of older people
- Children and young people health