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2013 Annual Meeting Topics and Needs Assessments
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Acne Pearls & Other Facial Dermatoses
James Del Rosso, DO, FAOCD

Objectives:

Attendees will be able to discuss treatment alternatives and methods to evaluate the risk to benefit judgments in recommending therapies to patients. Attendees will be able to identify diagnostic clues of importance in rosacea and identify and outline gaps in their knowledge to guide further personal study activities.

  1. Discuss new information on the pathophysiology of acne and rosacea that is clinically relevant and explain how this information translates to possible modifications in clinical management.
  2. Outline management plans for specific cases of acne and other facial disorders based on individual patient-related factors, discuss follow up recommendations, and explain how to best assess outcomes.
  3. Explain adjustments in therapy based on clinical response, potential adverse effects, and appropriate monitoring of specific therapies, including clinical and laboratory monitoring.

Needs:

  1. New advances in dermatologic treatment
  2. New methods of diagnosis or treatment
  3. Availability of new medication(s) or indication(s)
  4. Development of new technology
  5. Advances in medical knowledge

References: 

  1. Del Rosso JQ, Gallo RL, Kircik L, Thiboutot D, Baldwin HE, Cohen D. Why is rosacea considered to be an inflammatory disorder? The primary role, clinical relevance, and therapeutic correlations of abnormal innate immune response in rosacea-prone skin.  J Drugs Dermatol. 2012;11(6):694-700.
  2. Del Rosso JQ. Face to face with oral isotretinoin: a closer look at the spectrum of therapeutic outcomes and why some patients need repeated courses. J Clin Aesthet Dermatol. 2012;5(11):17-24.
  3. Alan R. Shalita MD, James Q. Del Rosso DO, Guy Webster MD, Editors. Acne Vulgaris. Informa Healthcare, published 2011. (hardcover textbook)

Medical Dermatology Pearls
Whitney High, MD, M.Eng

Coding
Dirk M. Elston, MD, FAAD

Objectives:

  1. To understand the appropriate use of modifier 25
  2. To understand the appropriate use of modifier 59
  3. To understand how to appropriately code level of service

Needs:

  1. Legislative, regulatory, or organizational changes effecting patient care

References:

  1. Cracking the Code, Dermatology World 2012;22(2):15-16
  2. Cracking the Code, Dermatology World 2012;22(3):15-16

Core Competencies: 3,7

Surgical Pearls
Christopher Miller, MD

Objectives:

  1. Improve Dermatology surgical patient’s comfort and satisfaction.
  2. Discuss simple and inexpensive surgical techniques for increased efficiency.
  3. Identify new and innovative surgical techniques.
  4. Improved skills in diagnosis of tumors.
  5. Improved application of topical and systematic therapies.
  6. Improved differential diagnoses.
  7. To assess and understand the prevention and management of hematomas, perioperative infections.
  8. To understand the prevention and management of wound dehiscence, flap and graft necrosis.
  9. To understand the prevention and management of nerve injuries.

Needs:

  1. New advances in dermatologic treatment
  2. New methods of diagnosis or treatment
  3. Availability of new medication(s) or indication(s)
  4. Development of new technology
  5. Advances in medical knowledge

References:

  1. JAAD 51:955-57, 2004
  2. Aesthetic Plastic Surgery: 26:483-85, 2002
  3. Surgery of the Skin, 2nd Edition June K Robinson, MD et al. C.2010
    http://www.ncbi.nlm.mih.gov/pmc/articles/PMC2966202/

Core Competencies: 1,2,3,4,5,6,7

Great Cases from Osteopathic Teaching Programs

Dermatology is very observation based and much of the treatments we have for diseases are anecdotal.  Having seen types of review help sometimes isolated dermatologists who otherwise do not have access to seeing such cases.

Needs:

  1. New advances in dermatologic treatment
  2. New methods of diagnosis or treatment
  3. Availability of new medication(s) or indication(s)
  4. Development of new technology
  5. Advances in medical knowledge

References:

www.aocd-groundrounds.org

Core Competencies: 1,2,3,4,5,6,7


Medical Missions and Dermatology
Jere Mammino, DO, FAOCD

Objectives:

  1. Develop an understanding of medical missions and the concept of giving back to our world community.
  2. Identify the common and unusual dermatologic conditions encountered in developing countries.
  3. Discover resources available for picking a medical mission trip.

Needs:

  1. New advances in dermatologic treatment
  2. New methods of diagnosis or treatment
  3. Development of new technology
  4. Advances in medical knowledge

References:

Boyd, Alan; "Medical missions: A therapeutic primer”: JAAD: 2012; 66:1;e5-e8

Core Competencies: 1,2,3,4,5,6,7


Pediatric Dermatology Update
Sourab Choudry, DO, FAOCD

Objectives:

  1. Identify new, emerging patterns of contact dermatitis in the pediatric population.
  2. Recognize cutaneous signs of systemic diseases, including neurocutaneous syndromes, gastrointestinal conditions, and connective tissue diseases.
  3. Identify common cutaneous lumps and bumps encountered in children.

Needs:

  1. New advances in dermatologic treatment
  2. New methods of diagnosis or treatment
  3. Availability of new medication(s) or indication(s)
  4. Development of new technology
  5. Advances in medical knowledge

References:

  1. O’Regan G, et al. Raman profiles of the stratum corneum define filaggrin genotype determined atopic dermatitis endophenotypes. J Allergy Clin Immunol 2010 Sep:126:574.
  2. Simpson EL Topic Dermatitis: A Review of Topical Treatment Options. Curr Med Res opin. 2010 Jan 13.Reyes M, Eisen D.
  3. Inherited Syndromes. Dermatologic therapy, Vol. 23 2010, 606-642.

Core Competencies: 2,3,5,6

Pearls in a Dermatologic Surgeons Practice
Gary Marder, DO, FAOCD

Objectives:

  1. Discuss different surgical techniques
  2. Discuss when and where it is appropriate to do surgery
  3. Discuss when to utilize radiation therapy in a dermatologic surgeons practice

Needs:

  1. New advances in dermatologic treatment
  2. New methods of diagnosis or treatment
  3. Development of new technology
  4. Advances in medical knowledge

References:

  1. Vaness, MJ. The Important Role of Radiotherapy in Patients with Non-Melanoma Skin Cancer and other Cutaneous Entities. JMed Imaging Radit Oncol. 2008; 52; 278-286.
  2. Caccialanza M, Piccinnor, Movetti D, et al. Radiontherapy of Carcinomas of Skin Overlying the Cartlage of the Nose: Results in 405 Lesions. Eur J Dermatology 2003; 13;462-465. 

Core Competencies: 2,3,5,6

Dysplastic Nevus and Nevus of Special Sites
Paul Chu, MD

Objectives:

  1. Update of histologic debate of dysplastic nevus.
  2. Insight of nevi on certain parts of the body.
  3. Management suggestion of DMN

Needs:

  1. New advances in dermatologic treatment
  2. New methods of diagnosis or treatment
  3. Advances in medical knowledge

References:

Core Competencies: 2,3,6

Lessons from the Clinic
William James, MD, FAAD

Objectives:

Following this course, the attendees will be able to

  1. Discuss treatment alternatives and methods to evaluate the risk to benefit judgments in recommending therapies to patients
  2. Identify diagnostic clues of importance in clinical medicine
  3. Outline which subjects are necessary for further personal study activities

Needs:

  1. New advances in dermatologic treatment
  2. New methods of diagnosis or treatment
  3. Advances in medical knowledge

References: 

  1. James WD. Acne. NEJM 2005; 352:1463.
  2. Gutman A, etal. Svak & Smeer therapy. Archives Dermatology 2005; 141:1556

Core Competencies: 2,3,4,5,6,7

Inpatient Dermatology
Misha Rosenbach, MD

Objectives:

  1. Learn to approach inpatient consults
  2. Recognize dermatologic emergencies
  3. Evaluate critically ill patients with skin disease

Needs:

  1. New advances in dermatologic treatment
  2. New methods of diagnosis or treatment
  3. Development of new technology

References:

  1. Derm Ther 2nd ed vol 24.
  2. Seminars in Cutaneous Medicine and Surgery 2007 vol 26.

Core Competencies: 2,3,4
​​
Managing Skin Cancer in Australia vs. USA: What Are the Differences?
Anthony Dixon, MD, MB, BS, PhD.

Objectives:

  1. Understand various positions on sentinel node biopsy
  2. Understand various positions on MOHS surgery
  3. Understand various position on dermoscopy

Needs:

  1. New advances in dermatologic treatment
  2. New methods of diagnosis or treatment
  3. Advances in medical knowledge

References:

  1. Morton et al 2006 – SLNBSixeets Kelleners. MOHS Surgery

Core Competencies: 2,3

Dermpath Review
Mike Morgan, MD
Paul Chu, MD


Objectives:

  1. To provide an up-to-date review of the current dermatopathology literature
  2. To review the dermatopathology features of deadly dermatologic entities
  3. To introduce the audience to advances in molecular dermatologic diagnostics

Needs:

  1. New methods of diagnosis
  2. Development of new technology
  3. Advances in medical knowledge

References:

  1. Morgan, MB, Deadly Dermatologic Diseases, Springer 1st Ed, New York, 2005.
  2. Morgan, MB, Atlas of Frozen Section and MOHS Pathology, Springer 1st ED,
    New York 2008.

Core Competencies: 2,3,4,5,6

Resident Lectures

Targeted Therapy in Cutaneous Oncology
Brooke Walls, D.O.
NSUCOM/Largo Medical Center

POTS: A Dermatologic Perspective
James Landero, D.O.
Wellington Regional Medical Center

A Case of Hailey-Hailey Disease and Successful Treatment with Intralesional Kenalog
Winifred Chu, D.O.
St. John's Episcopal Hospital, South Shore

An Interesting Case of Familial Firm Facial Papules: Basal Cell Nevus Syndrome or Multiple Hereditary Infundibulocystic Basal Cell Carcinoma?
Charisse McCall, D.O.
St. John's Episcopal Hospital, South Shore

Recessive Dystrophic Epidermolysis Bullosa
Luis Soro, D.O.
PCOM/Lehigh Valley Health Network

Thrombotic Thrombocytopenic Purpura
Christian Oram, D.O.
PCOM/Lehigh Valley Health Network

Mucosal Melanoma and Trends in Incidence at University Hospitals Case Medical Center
Sital Patel, D.O.
University Hospitals Richmond Medical Center

Rosacea and Its Association with Skin Cancer
Pezhman Shoureshi, D.O.
University Hospitals Richmond Medical Center

Checklist Dermatology
Nicholas Rudloff, D.O.
LECOM/Tri-County Dermatology

What's Bugging You?
Nicholas Benner, D.O.
O'Bleness Memorial Hospital 

Prolonged Vasoconstriction: A Cutaneous Mark For Sudden Unexplained Death Syndrome?
Nathan Cleaver, D.O.
St. Joseph Mercy Health System

A Case of Ichthyosis Hystrix with Amyloidosis
Anne Hanson, D.O.
St. Joseph Mercy Health System

Two Decades of Using the Combination of Tetracycline Derivatives and Niacinamide as Steroid Sparing Agents in the Management of Pemphigus
Morgan McCarty, D.O.
St. Joseph Mercy Health System

Disseminated Cutaneous Botryomycosis in an Elderly Woman
Megan Morrison, D.O.
St. Joseph Mercy Health System

Congenital Melanocytic Nevi
Dustin Wilkes, D.O.
St. Joseph Mercy Health System

Complementary Medicine and Compounding in Dermatology
Katherine Johnson, D.O.
Botsford Hospital/McLaren-Oakland

Vexing Adnexal: A Clinical and Histologic Review
Cathy Koger, D.O.
Northeast Regional Medical Center

Objectives:

Dermatology often is an anecdotal specialty when it comes to rare diseases and rare manifestations of common disease states.  Communication between colleagues often helps even with the most challenging cases.  Having seen types of these reviews sometimes help isolate dermatologists who otherwise do not have access to seeing such cases.

  1. Understand critical aspects of unusual cases and how to distinguish them from routine disease process.
  2. Recognize situations where unusual testing modalities such as electron microscopy are of utility.
  3. Communicate effectively with other disciplines in complex cases so as to facilitate patients care.

Needs:

  1. New advances in dermatologic treatment
  2. Advances in medical knowledge
  3. Availability of new medication(s) or indication(s)
  4. New methods of diagnosis or treatment

References:

  1. Brenn T, Fletcher C. Radiation Associated Cutaneous Atypical Vascular Lesions and Angiosarcoma: Clinicopathilogical Analysis of 42 Cases. Am J Surg Pathol 2005; 29:983-996.
  2. Dlugosz AA, Talpaz M. Following the Hedgehog to New Cancer Therapies. N Engl J Med 2009;17;361(12):1202-5
    www.aocd-grandrounds.org

Core Competencies: 2,3,5,6,7

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