Dermatology in the Primary Care Office – From Principles to Practice Strategies - Live Webinar

Dermatology in the Primary Care Office – From Principles to Practice Strategies is organized by American Medical Seminars (AMS), Inc. and will be held from Dec 11 - 14, 2023.

Agenda & Learning Objectives:
1 Day
Essentials of Dermatology Terminology and Diagnosis
Upon completion of this session, the participant should be able to: COMP
• Institute universal dermatologic terminology to facilitate optimal interdepartmental continuity of care.
• Approach dermatologic disorders with a consistent and logical method.
• Apply common diagnostic modalities, including light, dermoscopy, photography, telemedicine, and microscopy to aid in dermatologic diagnoses.

A Field Trip to the Pharmacy – OTC Therapies Accessible to Everyone
Upon completion of this session, the participant should be able to: COMP
• Detangle the labels of common OTC topicals.
• Recommend simple but effective skin care regimens for common issues like dry skin, antiaging, and pruritus.
• Dispel myths about popular and widely-advertised OTC subscription products.

Sunlight and its Effects, Part I: Solar Radiation, Photodamage, Photosensitivity Reactions, and Actinic Keratosis
Upon completion of this session, the participant should be able to: EBM, GL, COMP
• Acquire a basic understanding of both the therapeutic and harmful effects of ultraviolet radiation in dermatology based on recent literature.
• Recognize common photosensitivity disorders, and develop an approach to diagnosis and treatment of these conditions.
• Gain a clinical understanding of the diagnosis of actinic keratosis and approach to “lesion” vs. “field” therapy based on the latest evidence-based guidelines.

Sunlight and its Effects, Part II: Non-Melanoma Skin Cancers and Sun Protection
Upon completion of this session, the participant should be able to: EBM, COMP
• Identify clinical features of non-melanoma skin cancer and develop a treatment (including Mohs surgery) and follow-up approaches to these lesions.
• Demonstrate increased awareness of the incidence and associated morbidity with NMSC in transplant patients, particularly with reference to squamous cell carcinoma, and its updated staging and management, and facilitate appropriate skin cancer screenings.
• Outline appropriate sun protective measures for your patients as per FDA standards and American Academy of Dermatology (AAD) recommendations and decode sunscreen safety data from the media.

Dermatitis
Upon completion of this session, the participant should be able to: GL, COMP
• Distinguish between types of intrinsic and extrinsic dermatitis, including contact, atopic, stasis, and seborrheic dermatitis.
• Plan the testing for the identification of allergens in contact dermatitis, including poison ivy and common household and workplace contact allergens.
• Develop prevention and treatment plans for various types of dermatitis based on recent AAD guidelines, particularly for atopic dermatitis.

2 Day
Common Benign Tumors, Part l: Warts, Mollusca, Fibrous Tumors, Cutaneous Horns
Upon completion of this session, the participant should be able to: GL, COMP
• Devise a treatment plan for common tumors, which may include observation, biopsy, removal, and referral.
• Recognize the multiple cutaneous manifestations of warts and “wart-like” lesions and develop a stepwise treatment approach based on the literature review and recent guidelines.
• Employ data-driven scripts for patients about observation versus active treatment of benign tumors with self-limited natural histories.

Common Benign Tumors, Part II: Cysts, Vascular Tumors, Dermatofibromas, Keratoses, Lipomas, Soft Tissue Growths, Granulomas
Upon completion of this session, the participant should be able to: EBM, GL, COMP
• Develop an approach to common dermal tumors, including the most appropriate type of biopsy or excision based on pathophysiology.
• Initiate systemic evaluation in the setting of certain skin lesions that may be associated with underlying medical conditions.
• Demonstrate awareness of guidelines and implementation and/or appropriate referral for managing infantile hemangiomas as per the American Academy of Pediatrics.

Dermatologic Manifestations of Systemic Disease
Upon completion of this session, the participant should be able to: EBM, GL, COMP
• Identify cutaneous markers of certain systemic diseases.
• Distinguish specific and nonspecific findings in relation to underlying disease.
• Evaluate pruritus and differentiate those cases associated with systemic disease vs. primary cutaneous disease.

Misc. Inflammatory Eruptions: Lichenoid, Pityriasiform, Granulomatous, Blistering, and Urticarial
Upon completion of this session, the participant should be able to: COMP
• Differentiate many types of eruptions including lichen planus, granuloma annulare, pityriasiform dermatoses, blistering disorders, and urticaria.
• Employ diagnostic measures for these rashes, including physical exam, appropriate biopsy type, and laboratory modalities when indicated.
• Develop etiology and symptom-specific treatment regimens to address these eruptions.

Drug Eruptions: Etiology, Differential Diagnosis and Treatment
Upon completion of this session, the participant should be able to: COMP
• Drug Eruptions: Etiology, Differential Diagnosis, and Treatment.
• Recognize, identify, and avoid the “most common” suspected drugs in producing certain reaction patterns.
• Employ workup and treatment of DRESS and other severe drug reactions.

3 Day
Psoriasis
Upon completion of this session, the participant should be able to: EBM, GL, COMP
• Evaluate the spectrum of classical and subtle cutaneous changes of psoriasis.
• Formulate the basic pathophysiology of psoriasis.
• Approach topical psoriasis therapy with a basic algorithm.
• Develop a treatment plan based upon the AAD Guidelines for Management of Psoriasis and Psoriatic Arthritis and Use of Biologics, Phototherapy, and Chemotherapy.

Malignant Melanoma, Part I
Upon completion of this session, the participant should be able to: EBM, GL, COMP
• Utilize the ABCDE approach to the description of pigmented lesions and features of melanoma.
• Analyze the biology of melanoma.
• Appraise and employ the AAD Guidelines of Care for the Management of Primary Cutaneous Melanoma.
• Refer to a surgical approach, as per the NCCN (National Comprehensive Clinical Network) guidelines for melanoma.

Malignant Melanoma, Other Melanocytic Lesions, and Misc Malignancies, Part II
Upon completion of this session, the participant should be able to: GL, COMP
• Appraise "dysplastic nevi" and describe the relationship between dysplastic nevi and melanomas.
• Develop an approach to examination, testing, and follow-up of families with dysplastic nevi and melanomas as per NCCN guidelines.
• Identify benign nevi variants and the risks and benefits of removal based on cosmesis, histopathological report variances, and recurrence.
• Identify rarer malignancies like Merkel cell carcinoma, cutaneous T-cell lymphoma, angiosarcoma, and cutaneous metastases with reference to referral recommendations.

Cutaneous Infections and Infestations, Part 1: Bacterial, Viral, and Fungal
Upon completion of this session, the participant should be able to: EBM, COMP
• Differentiate viral infections like herpes simplex and herpes zoster based on morphology, distribution of lesions, and laboratory testing.
• Determine appropriate treatment and prevention (including vaccination) plans for herpes simplex and herpes zoster as per CDC and FDA recommendations.
• Diagnose bacterial (including MRSA) and fungal infections of the skin and employ first-line therapy.

Cutaneous Infections and Infestations, Part II: Parasites, Bites, and Stings
Upon completion of this session, the participant should be able to: COMP
• Outline key travel history inquiries and diagnostic modalities for patients with parasitic infections and initiate first-line therapy.
• Speciate arthropods commonly cause skin diseases like ticks, mites, bed bugs, and stinging insects so that appropriate therapy can be initiated acutely.
• Review preventative measures, including indications and safety of pesticides, and other measures for arthropod assault avoidance.

4 Day
Disorders of Hair and Nails
Upon completion of this session, the participant should be able to: GL, COMP
• Develop an objective, simplified approach to hair loss and its common triggers per AAD recommendations.
• Determine the common causes of nail dystrophy.
• Formulate a treatment strategy for nail fold inflammation.

Dermatologic Inpatient Consults
Upon completion of this session, the participant should be able to: COMP
• Quickly diagnose common skin findings in inpatients, like stasis dermatitis, graft-versus-host disease, and drug reactions.
• Determine a workflow for ‘dermatologic emergencies’.
• Utilize appropriate lexicon, clinical descriptions, and acuity of cutaneous eruptions to arrive at an efficient primary care/dermatology team approach to inpatients.

Acne, Part I: Pathophysiology, Recognition, and Treatment
Upon completion of this session, the participant should be able to: EBM, GL, COMP
• Characterize types of acne lesions and determine appropriate therapy based on pathophysiology.
• Develop a therapeutic ladder with a clear understanding of treatment indications, expectations, and side effects.
• Recognize current issues regarding the usage of isotretinoin and long-term oral antibiotics to include the AAD Guidelines for prescribing isotretinoin in females of childbearing potential.

Acne, Part II: Identification and Treatment of Acne, Acneiform Eruptions, and Rosacea
Upon completion of this session, the participant should be able to: EBM, COMP
• Recognize various acneiform eruptions including post-adolescent acne, periorificial dermatitis, folliculitis, hidradenitis, and rosacea.
• Analyze physical findings and testing results to distinguish such conditions, including culture and biopsy when appropriate, and initiate therapy.
• Diagnose and treat rosacea and consider possible systemic associations as per published evidence.

Review Cases for the Week
Upon completion of this session, the participant should be able to: COMP
• Apply the breadth of management pearls covered over these 5 days to common dermatologic cases that present in primary care.
• Implement a few basic procedural modalities (like biopsies and KOH), topical office-based therapies (like for warts), and surveillance measures (like quality photography) into routine primary care practice.
• Develop a strong communicative relationship with dermatology and dermatopathology in a primary care region for comprehensive patient care and consider telemedicine as a touchpoint.