The surgical skin audit aims to measure the quality improvement of all skin cancer excisions through providing information to each general practitioner on personal performance and by identifying conditions for improved management in accordance with best practice guidelines.
Relevance to General Practice
Australia has the highest rate of skin cancer with Queenslanders being at highest risk due to the climate and extreme UV experienced. Around 1 million people are diagnosed in Australia annually rendering skin cancer the third most common of all new cancer diagnosies.
Of the skin cancers, Melanoma is the most deadly , killing approximately 10% of the 14000 people diagnosed each year, with Non Melanocytic skin cancer accounting for the deaths of a further 450 people. This is a significant number, especially considering early detection and appropriate management renders both non melanocytic and melanocytic skin cancers curable.
The BEACH survey of General Practice conducted between 2006 and 2016 found skin cancer to be the type of cancer most often managed by GPs, with it also consistently being within the top 10 of all conditions handled in General Practice.
- Identify rates of successful clinical and histopathological correlation.
- Identify local prevalence of different skin conditions, both malignant and benign.
- Analyse calculations on margin adequacy for all NMSC and Melanoncytic excisional specimens
- Review skin cancer types and manage in accordance with best practice clinical guidelines.
- Critique personal performance in complete excision rates over the duration of the audit.
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