103556 - Skin Cancer Skills for General Practitioners
- : Online
This ALM aims to enhance the GP’s skills in the clinical diagnosis and differentiation, biopsy and surgery of the three well-recognised types of skin cancer: basal cell carcinoma, squamous cell carcinoma, and melanoma.
This will include clinical assessment, the role of dermoscopy, biopsy techniques, surgical treatment, the role of sentinel node biopsy and modern immunotherapies.
The surgical techniques required to expeditiously carry out the treatment will be demonstrated, including:
• Local anaesthesia, simple nerve blocks for the face, scalp and ear
• Techniques for surgical excisions
• A simple flap such as a rotation flap
• Knot tying and suturing
• Preventing or dealing with issues such as dog ears, dead space, post-operative bleeding, excessive tension, wound dehiscence
• Post-operative care.
These skills will enhance the GP’s ability to deal with a much wider variety of minor surgical procedures.
Two in three Australians will be diagnosed with skin cancer by the age of 70, with more than 400,000 people treated for one or more non-melanoma skin cancers in Australia each year. General Practitioners play a very important role in the recognition and treatment of skin cancer, and in the coordination of care. Opportunistic screening for skin cancer should be a routine part of general practice.
General Practitioners have to decide on their role – diagnostic, treatment, or referral. They need skills in diagnosing basal cell carcinoma, squamous cell carcinoma, and melanoma. A decision is required as to the best method of confirming the diagnosis, be it core biopsy, shave biopsy, incisional or excisional biopsy. A curative excisional biopsy depends on the type and site of the lesion. To do this, surgical and anaesthetic skills are required.
It has been demonstrated that structured minor surgical training is immediately efficacious in improving the technical proficiency of GPs and is