Skin Problems and Diseases July 18-21, 2012 Chicago, IL (Current as of May 24, 2012)Wednesday, July 18, 20127:00 - 7:30 a.m. Registration and Breakfast Provided7:30 - 7:45 a.m. Welcome and Overview7:45 - 8:15 a.m. Terminology of Skin Disorders Richard P. Usatine, MD, FAAFP 1. Recognize terms used to describe common patterns of skin lesions. 2. Demonstrate the ability to communicate dermatologic findings to other clinicians using morphologic terminology. 3. Demonstrate the ability to form differential diagnoses - and ultimately an accurate diagnosis - based on morphology.8:15 - 8:45 a.m. Infestations (lice, scabies, bed bugs) Edward J. Mayeaux, Jr., MD, FAAFP 1. Classify clinical presentations of insect infestations according to their source. 2. Compare treatment indications for scabies, lice and bed bug infestations. 3. Distinguish infestations of scabies, head/body lice and bed bugs from other insect bites. 4. Educate patients about preventive strategies and prophylactic methods for infestations.8:45 - 9:15 a.m. Pharmacology of Skin Medications Richard P. Usatine, MD, FAAFP 1. Compare prescribing considerations for treatment of different skin conditions. 2. Differentiate classes of and uses for steroids. 3. Demonstrate proper application of these medications.9:15 - 9:30 a.m. Question and Answer/Panel Discussion9:30 - 9:45 a.m. Break
9:45 - 10:15 a.m. Nail Disorders Edward J. Mayeaux, Jr., MD, FAAFP 1. Assess normal nail anatomy and identify common disorders. 2. Describe the appearance and clinical significance of the most common nail disorders. 3. Evaluate treatment options and indications for nailbed surgery and repair.10:15 - 10:45 a.m. Fungal Skin Infections Richard P. Usatine, MD, FAAFP 1. Distinguish cutaneous fungal infections from other skin diseases and infections. 2. Identify fungal infections using a KOH preparation with fungal stain and microscopy. 3. Describe when to use oral antifungal medications rather than topical preparations.10:45 - 11:15 a.m. Nevi and Melanoma Ashfaq Marghoob, MD 1. Differentiate nevi cells from melanocytes in congenital and acquired cases. 2. Evaluate and manage atypical moles. 3. Formulate educational strategies to educate patients about clinical indications of atypical moles and potential cases of melanoma.11:15 - 11:45 a.m. Dermoscopy Introduction Ashfaq Marghoob, MD 1. Review the different imaging recognition processes used when evaluating lesions. 2. Assess limitations of the visual examination in detecting skin cancer. 3. Recognize the benefits of dermoscopy for the evaluation of skin lesions.11:45 a.m. - 12:00 Noon Question and Answer/Panel Discussion12:00 Noon - 1:15 p.m. Recess (Lunch On Your Own)
OPTIONAL SESSIONS: (separate registration and fee required)1:15 - 3:15 p.m. Dermoscopy Ashfaq Marghoob, MD; Richard P. Usatine, MD, FAAFP 1. Examine different skin lesions using dermoscopes to determine typical pathological patterns of skin cancer. 2. Utilize dermoscopy to differentiate seborrheic keratoses from melanocytic lesions. 3. Integrate checklists and evaluation tools into a dermoscopic examination of suspected skin lesions and melanoma to determine which lesions need to be biopsied. This CME session is supported in part by an educational grant and supplies/equipment from 3GEN, LLC. This CME session is supported in the form of supplies/equipment from Welch Allyn, Inc.1:15 - 3:15 p.m. Botulinum Toxin Injections: Basic Donald J. Brideau, MD, MMM, FAAFP 1. Review basic principles of cosmetic denervation with botulinum toxin injections. 2. Distinguish indications, contraindications, safety, efficacy and duration of effects associated with botulinum toxin injections. 3. Demonstrate the ability to identify facial landmarks and patient characteristics that determine what doses and placement of injections will improve outcomes.3:45 - 5:45 p.m. Cosmetic Fillers: Basic Donald J. Brideau, MD, MMM, FAAFP 1. Evaluate uses of dermal fillers for cosmetic purposes and patients requests for such procedures. 2. Outline appropriate treatment modalities and duration of action required for cosmetic fillers. 3. Demonstrate the ability to identify facial landmarks and patient characteristics that determine what doses and placement of injections will improve outcomes.3:45 - 5:45 p.m. Nail Procedures Edward J. Mayeaux, Jr., MD, FAAFP 1. Demonstrate an understanding of normal nail anatomy and conditions for which nail procedures are typically indicated. 2. Prepare assessment, treatment and management plans for different patient populations who require various nail procedures. 3. Educate patients about proper nail care and appropriate post-operative care. 4. Demonstrate proficiency in performing nail procedures.
Thursday, July 19, 20127:00 - 7:30 a.m. Breakfast Provided7:30 - 8:00 a.m. Bacterial Infections Edward J. Mayeaux, Jr., MD, FAAFP 1. Differentiate common skin infections as bacterial, viral or fungal. 2. Prepare to conduct cultures for skin infections when indicated. 3. Construct appropriate diagnostic and treatment plans for various infections, including cases involving multidrug-resistant organisms such as MRSA and VRE.8:00 - 8:30 a.m. Squamous Cell Carcinoma/Basal Cell Carcinoma Richard P. Usatine, MD, FAAFP 1. Differentiate the main types of skin cancer and screening criteria for patients with each type. 2. Compare biopsy techniques used in diagnostic evaluation of skin cancer. 3. Identify risk factors, potential recurrence rates and education for patient self-examination techniques.8:30 - 9:00 a.m. Benign and Malignant Skin Neoplasms Richard P. Usatine, MD, FAAFP 1. Identify common features of skin cancer using current screening criteria. 2. Educate patients about irregular skin lesions and when a clinical evaluation may be indicated. 3. Compare causative factors for BCC, SCC.9:00 - 9:15 a.m. Question and Answer/Panel Discussion9:15 - 9:30 a.m. Break9:30 - 10:00 a.m. Bites (animals, snakes, and insects) Edward A. Jackson, MD, FAAFP 1. Distinguish between bites in patients and determine the risk of infection. 2. Compare treatment indications for patients with animal bites, including antibiotic prophylaxis, vaccination and wound care. 3. Formulate treatment strategies for patients with snake, scorpion or spider envenomation. 4. Consider a differential diagnosis of community-acquired MRSA in patients presenting with symptoms of a spider bite.
10:00 - 10:45 a.m. Coding and Billing Gerald A. Amundsen, II, MD 1. Discuss the need for current coding information and easy-to-use fee schedules and systems. 2. Utilize appropriate coding strategies to select correct codes and modifiers for a variety of dermatologic procedures. 3. Analyze reimbursement problems encountered when inaccurate codes are selected.10:45 - 11:15 a.m. Wound Care and Complications of Tattoos and Piercings Edward A. Jackson, MD, FAAFP 1. Distinguish different types of wound care that may be required in practice, including wound evaluation, preparation, irrigation and repair. 2. Select appropriate supplies and equipment necessary for wound care. 3. Educate patients about ways to prevent complications from tattoos and piercings.11:15 - 11:45 a.m. Common Surgical Procedures Richard P. Usatine, MD, FAAFP 1. Assess indications for soft tissue surgery and evaluate patients for emergent/urgent care. 2. Select an appropriate method of laceration repair with consideration for different dressings and surgical products. 3. Educate patients about appropriate pre- and post-operative procedures, protocol for healing and avoidance of infections.11:45 a.m. - 12:00 noon Question and Answer/Panel Discussion12:00 noon - 1:00 p.m. Recess (Lunch On Your Own)OPTIONAL SESSIONS: (separate registration and fee required):1:00 - 3:00 p.m. Cosmetic Lasers Superior Donald J. Brideau, MD, MMM, FAAFP 1. Describe the basic physics of lasers and safe use of laser therapy in the clinical setting. 2. Select patients who would most benefit from laser therapy and comply with treatment protocol. 3. Describe the components of a business plan necessary to be successful at incorporating cosmetic lasers in your clinical practice.
1:00 - 3:00 p.m. Basic Suturing/Skin Biopsy Techniques Richard P. Usatine, MD, FAAFP; Daniel L. Stulberg, MD, FAAFP 1. Choose preferred suturing methods for wound closure. 2. Compare supplies, equipment and anesthetic needs required for wound irrigation and repair. 3. Perform local anesthesia with minimal pain and maximum effectiveness for patients. 4. Evaluate options for skin biopsy, including shave, punch, excisional and incisional biopsies. 5. Compare appropriate biopsy selections for skin lesions depending upon the type of lesion and its expected depth. 6. Demonstrate proficiency in performing shave, punch, excision and incisional biopsies.3:30 - 5:00 p.m. Minimal Epidermoid (Sebaceous) Cyst Removal Edward A. Jackson, MD, FAAFP; Edward J. Mayeaux, Jr., MD, FAAFP 1. Analyze the pathogenesis of sebaceous and epidermoid cysts. 2. Practice the standard excision of an epidermoid cyst as well as buried subcutaneous suture closure. 3. Demonstrate the ability to remove cysts.3:30 - 5:30 p.m. Cryosurgery and Electrosurgery Daniel T. Stulberg, MD, FAAFP; Gerald A. Amundsen, II, MD 1. Explore cryosurgery and electrosurgery as methods for destroying benign and malignant lesions, controlling bleeding or cutting/excising tissue. 2. Evaluate the risks, benefits, complications, indications and contraindications of cryosurgery and electrosurgery. 3. Demonstrate proficiency in cryosurgery and electrosurgery techniques. This CME session is supported in part by an educational grant and supplies/equipment from Brymill Cryogenic Systems. This CME session is support in the form of supplies/equipment from CryoSurgery, Inc.; Ellman International Inc.; OraSure Technologies, INC.; and Premier Medical Products.Friday, July 20, 20127:00 - 7:30 a.m. Breakfast Provided7:30 - 8:00 a.m. Seborrhea Richard P. Usatine, MD, FAAFP 1. Recognize the typical skin eruptions and locations of seborrheic dermatitis. 2. Understand the relationship between the yeast Pityrosporum (Malassezia) and antifungal therapy in seborrheic 3. Distinguish between lupus, rosacea, tinea capitis, psoriasis, and seborrhea.
8:00 - 8:30 a.m. Skin Ulcers and Pressure Sores Daniel L. Stulberg, MD, FAAFP 1. Identify common causes of skin ulcers and pressure sores. 2. Identify high risk factors for patients to develop complications from skin ulcers and pressure sores. 3. Develop treatment scenarios for skin ulcers and pressure sores. 4. Formulate plans to treat venous stasis ulcers and minimize complications and recurrence.8:30 - 9:00 a.m. Rosacea Jennifer Krejci-Manwaring, MD 1. Evaluate different etiologies of rosacea. 2. Formulate treatment plans for rosacea and modify therapies as necessary to minimize adverse side effects.9:00 - 9:15 a.m. Question and Answer/Panel Discussion9:15 - 9:30 a.m. Break9:30 - 10:00 a.m. Lichen Planus and Bullous/Vesicular Diseases Richard P. Usatine, MD, FAAFP 1. Recognize the different variations of lichen planus and bullous/vesicular diseases. 2. Select diagnostic techniques and treatment options for mild to moderate cases of lichen planus and bullous/vesicular diseases. 3. Prepare plans to refer patients in cases of severe manifestations of lichen planus or bullous diseases.10:00 - 10:30 a.m. Urticaria and Drug Eruptions Daniel L. Stulberg, MD, FAAFP 1. Describe the most effective treatments for acute and chronic urticaria. 2. Recognize different types of drug eruptions including fixed drug eruptions. 3. Distinguish between erythema multiforme, Steven-Johnson syndrome and toxic epidermal necrolysis.10:30 - 11:00 a.m. Alopecia and Hair Disorders Edward J. Mayeaux, Jr., MD, FAAFP 1. Assess the emotional impact of alopecia on a patients well-being and provide counseling or resources to cope with these issues. 2. Formulate a treatment plan for patients with alopecia based on its underlying cause. 3. Assess training needs for biopsy procedures used in the diagnosis of alopecia.
11:00 - 11:15 a.m. Question and Answer/Panel Discussion11:15 a.m. - 12:30 p.m. Recess (Lunch On Your Own)12:30 - 1:00 p.m. Eczema and Atopic Dermatitis Richard P. Usatine, MD, FAAFP 1. Review terminology used to describe eczema and dermatitis 2. Examine patients with eczema/dermatitis for underlying conditions. 3. Demonstrate the ability to accurately diagnose the variable presentations of atopic dermatitis and contact dermatitis in different patient populations. 4. Construct appropriate treatment and management options for patients with eczema and dermatitis.1:00 - 1:30 p.m. Acne Jennifer Krejci-Manwaring, MD 1. Evaluate different etiologies of acne. 2. Utilize appropriate criteria to diagnose acne as mild, moderate or severe.1:30 - 2:00 p.m. Psoriasis Richard P. Usatine, MD, FAAFP 1. Outline the different categories of psoriasis along with their distinguishing features. 2. Collect clues for the clinical diagnosis of psoriasis. 3. Identify patients with co-morbidities related to psoriasis. 4. Compare treatment options for psoriasis.2:00 - 2:15 p.m. Question and Answer/Panel Discussion2:15 - 2:30 p.m. BreakSmall Group Breakouts / Case Discussions - You will attend all 32:30 - 3:30 p.m. Pearls in the Management of Atopic Dermatitis and Eczema Edward J. Mayeaux, Jr., MD, FAAFP 1. Demonstrate ability to accurately diagnose and treat the variable presentations of atopic dermatitis and eczema including nummular eczema, dyshidrotic eczema and ichthyosis. 2. Describe how to use wet wrap therapy and bleach baths to patients (or their parents). 3. Discuss management strategies for atopic dermatitis including topical steroids and calcineurin inhibitors.
Pearls in Management of Psoriasis Richard P. Usatine, MD, FAAFP 1. Identify the clinical presentation of each type of psoriasis. 2. Discuss psoriatic arthritis. 3. Form appropriate differential diagnosis for psoriasis. 4. Describe the treatment of scalp psoriasis. 5. Summarize treatment options for psoriatic nails. 6. Explain the agents to use for genital psoriasis. Pearls in Management of Acne Jennifer Krejci-Manwaring, MD 1. Discuss how to individualize acne treatment for patients by type of acne and severity (including pomade acne). 2. Describe the use of topical retinoids for treating acne. 3. Discuss use of systemic antibiotics for acne. 4. Describe how to do acne injections and acne surgery. 5. Discuss the risks and benefits of isotretinoin in acne. 6. Discuss issues around use of oral contraceptives for acne.3:35 - 4:35 p.m. Breakouts Repeated4:40 - 5:40 p.m. Breakouts RepeatedSaturday, July 21, 20127:00 - 7:30 a.m. Breakfast Provided7:30 - 8:00 a.m. Coding and Billing Gerald A. Amundsen, II, MD 1. Discuss the need for current coding information and easy-to-use fee schedules and systems. 2. Utilize appropriate coding strategies to select correct codes and modifiers for a variety of dermatologic procedures. 3. Analyze reimbursement problems encountered when inaccurate codes are selected.8:00 - 8:30 a.m. Contact Dermatitis and Patch Testing Jennifer Krejci-Manwaring, MD 1. Select patients with different allergies or allergic symptoms who may be appropriate candidates for skin testing. 2. Compare and contrast percutaneous skin testing, intradermal testing or allergen-specific IgE antibody testing. 3. Counsel patients on effective strategies for control and maintenance of allergies.
8:30 - 9:00 a.m. Cost-effective Management of Dermatologic Supplies Richard P. Usatine, MD, FAAFP; Edward J. Mayeaux, Jr., MD, FAAFP; Gerald A. Amundsen, II, MD 1. Identify cost-effective strategies for ordering and maintaining appropriate dermatologic supplies in practice. 2. Select equipment necessary to conduct common dermatologic procedures in practice. 3. Relate the importance of having high-quality instruments for skin procedures in practice.9:00 - 9:15 a.m. Question and Answer/Panel Discussion9:15 - 9:30 a.m. Break9:30 - 10:00 a.m. Childhood Rashes Richard P. Usatine, MD, FAAFP 1. Identify common and some less common pediatric rashes. 2. Discuss which rashes will resolve on their own. 3. Construct appropriate management plans for pediatric rashes that need treatment.10:00 - 10:30 a.m. Hyperpigmentation/Hypopigmentation Edward J. Mayeaux, Jr., MD, FAAFP 1. Differentiate pigment disorders based on patient skin type and clinical presentation. 2. Distinguish nonspecific cases of pigment disorders from those involving systemic disease or underlying conditions. 3. Assess the risks and benefits of different treatment options.10:30 - 11:00 a.m. Cutaneous Manifestations of Systemic Disease Jennifer Krejci-Manwaring, MD 1. Evaluate patients skin, hair and nails for potential manifestations of systemic disease. 2. Distinguish allergic reactions to products/medications from cutaneous manifestations of systemic disease. 3. Manage systemic diseases or underlying conditions in patients who exhibit cutaneous complications.11:00 - 11:15 a.m. Question and Answer/Panel Discussion11:15 a.m. Adjourn
OPTIONAL SESSIONS: (separate registration and fee required)12:30 - 2:30 p.m. Chemical Peels and Microdermabrasion Tam Nguyen, MD 1. Formulate plans to educate patients about the difference between medical products and at-home treatments of chemical peels. 2. Differentiate products, costs and other factors in the selection of chemical peels for requesting patients. 3. Distinguish chemicals used in different facial peels. 4. Distinguish the difference between microdermabrasion and chemical peels. This CME session is supported in the form of supplies/equipment from Altair Instruments, Inc.; and OBAGI Medical Products, Inc.12:30 - 3:00 p.m. Allergy Patch Testing for Contact Dermatitis Richard P. Usatine, MD, FAAFP 1. List indications for patch testing in patients with suspected contact dermatitis. 2. Perform patch testing using a standardized system. 3. Counsel patients with positive patch testing results.12:30 - 3:30 p.m. Advanced Suturing Techniques Edward A. Jackson, MD, FAAFP; Edward J. Mayeaux, Jr., MD, FAAFP 1. Demonstrate proficiency in a variety of suturing techniques. 2. Utilize different surgical materials, which may include appropriate wound closure materials or surgical instruments. 3. Compare routes of administration for anesthesia needs.