2018 Annual SCIENTIFIC MEETING - ACD · 2019-05-14 · 2018 Annual SCIENTIFIC MEETING wrap up...

i THE MOLE WiNTER 2018

ISSUE 117 : WINTER 2018

2018 Annual

SCIENTIFIC MEETING

wrap up

Marketing to reinforce the importance of early skin

cancer diagnosis

Establishment of College Mohs Scientists and Technicians Special

Interest Group

Congratulations to all award winners

+

PRESIDENT’S REPORT WINTER 2018

WHAT’S HAPPENING AT COLLEGE? President’s report 1 CEO’s report 2Education 3Trainee corner 4 Government, policy and engagement 5 Marketing update 7Advocacy corner 11

WHAT’S NEW IN DERMATOLOGY? Mohs Scientists and Technicians Special Interest Group 9

WHAT’S HAPPENING AROUND THE COUNTRY? State Faculty reports 10Skin & Cancer Foundation reports 12 Rural Outreach 15Events 16

DID YOU KNOW? Facts from the A-Z of Skin 22Fellow/trainee profile 22

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Skin cancer risk

of Australian men consider themselves at high-risk of skin cancer32%

of Australian men report having at least one risk factor82%

Skin cancer riskTo learn more about skin cancer & the expertise of a dermatologist, head to the Australasian College of Dermatologists website at www.dermcoll.edu.auThis information was brought to you by the Australasian College of Dermatologists, the peak medical College accredited by the Australian Medical Council for the training & professional development of medical practitioners in the specialty of dermatology.

EVER

Y 5hoursan AustralianDIES FROMmelanoma

80%skin cancer is responsible for

of new cancer diagnoses

Mos

t men

(61%) have delayed a visit to the doctor

3 KEY SKIN CANCER RISK FACTORS

Hav

ing

sk

in that burns easily

Having freckled skin or lo

ts o

f mol

es

Melano

ma

accounts for

2%of skin ca

ncer

s

but75%

of skin cancer related deaths

2 3inAUSTRALIANSwill be diagnosed withskin cancer by age

70

| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||| |||||||||||||||||||||||The A to Z

of skin

AAcne

hair follicle & sweat gland become

inflamed

CChemical peelchemical solution applied to correct

skin damage

EEczema

skin inflammation

FFlushing

episodic reddening of the skin

GGriseofulvin

treatment for fungal infections

HHirsutismexcessive hair

production

KKeloids

type of scar

LLaser tattoo

removal

MMelanoma

skin cancer arising in pigment cells

IInsect bite reactions

JJuvenile plantar

dermatosiscracking & peeling of

soles of feet

PPsoriasis

red scaly areas of skin

QQuestions

a dermatologist can answer any you

may have! RRingworm of

the scalpNNits

head lice OOnabotulinumtoxin

Atreatment for anti-ageing

& excessive sweating

UUrticaria

hives

VVitiligo

skin doesn’t produce pigment W

Wartsskin growths caused

by HPV virus

XXerosis

dehydrated dry skin

YYeast infection

fungal overgrowth

ZZinc

deficiency

SShingles

reactivation of chicken pox

virus

TTopical steroids

anti-inflammatory treatment for many

skin conditions

DDermatitis

itchy skin inflammation

BBCC

(basal cell carcinoma)a form of skin

cancer

Like us on Facebook

Follow us on twitter

Connect on LinkedIn

Spending time outdoors unprotected fro

m th

e su

n

We can celebrate another successful Annual Scientific Meeting (ASM) following the completion of the Gold Coast meeting. Several new ideas were tried this year after feedback from the Sydney 2017 meeting and the feedback relayed to me has been uniformly positive. The process of reinforcing the relevance and content of our ASM will continue for the Melbourne meeting next year.

Included amongst the changes this year were a refreshing of the conduct and content of our College Annual General Meeting (AGM) and a Question and Answer

session for trainees held after the AGM. My impression gained from the AGM that the new format allows a lot more time for open discussion. Feedback taken on the day from the floor of the meeting regarding its conduct has been noted. In future, Board members attending will be introduced to the meeting, with particular attention to new office bearers. The trainee Q & A session has also been well received and will continue in future years. Our trainees are our future and it is essential to maintain engagement with them beyond the learning tasks that their positions entail. In addition, they can give us valuable feedback about our performance.For the other matters raised at the AGM, I have to report that I will be meeting, together with the Australian Medical Association (AMA) Medical Practice Policy Director and with senior members of the Medicare Compliance Division regarding the 104/105 audit; and also regarding the compliance provisions around the next round of item number changes due in November 2018.Together with Haley Bennett, the College Policy Director, I will also be meeting in August 2018 with the Secretary of the Commonwealth Department of Health, Glenys Beauchamp, and other senior departmental officials, as part of our regular engagement with the Department.The AMA has been consulted by government regarding a number of important new legislative changes. I was amongst the group brought together to consider new data matching legislation. Whilst no one would support for a minute fraudulent dealings with Medicare and the Pharmaceutical Benefits Scheme (PBS), it is essential that compliance programs acknowledge clinical realities and are sensitive to reasonable practice variations attributable to special operational environments such as public outpatients departments, indigenous and rural communities. I have to report that the AMA will be very actively engaged to ensure that the professional freedoms and natural justice rights of the profession are preserved.In terms of other activity with the AMA, you would of course be aware that the AMA has a new Federal President, Dr Tony Bartone. Tony and I have worked together on the AMA Federal Council and in various committees now for a number of years and I look forward to working with him both as President of our College and as your Federal Council representative. I have recently attended the 2nd International League of Dermatological Societies (ILDS) Summit on Skin Health, held in Ho Chi Minh City, Vietnam. It was an interesting meeting, a great opportunity to engage with other dermatology organisations and to share our concerns and strategies. It is interesting that the issues that concern us professionally and as an organisation are shared by our sister organisations. Problems related to scope of practice, credentialing, training and workforce maldistribution appear to be global. The meeting presented a great opportunity to share experiences. The College team included Professor Alan Cooper, Associate Professor Stephen Shumack, Professor Peter Soyer and Tim Wills. We had an opportunity to campaign for our World Congress of Dermatology bid and to view our competitors: Beijing, Dubai, Rio de Janeiro, Guadalajara and Singapore. We will continue to call on support from you for our bid.

1 THE MOLE WiNTER 2018

THE MOLE WiNTER 2018 2

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The Board has started the planning process for our new Strategic Plan, with a view to introducing it in May next year coordinated with the hand-over of the Presidency to David Francis. The process will involve extensive consultation with Fellows. The last few years have seen a corporate restructure and rebuilding of our secretariat into an effective and efficient body. We see the next years as presenting an opportunity to strategically address our environment, having got our housekeeping together – so to speak.On a personal level, and harking back to the beginning of this report, I have to say that one of the most enjoyable tasks that I have performed as President has been to acknowledge the hard work and achievements of our Fellows and to welcome new Fellows to our community at the annual Conferring Ceremony. I may be an old sentimentalist, but have always regarded this as a joyous occasion, which is why I sought out the opportunity to act as Master of Ceremonies for so many years previously. I would encourage all of you to put it on your agenda for the next ASM.

Dr Andrew MillerPresident

I have now seen the five year cycle of Annual Scientific Meetings (ASMs) around the five Faculties from Melbourne in 2014 to Gold Coast in 2018 via Adelaide, Perth and Sydney. All have been competently organised by Fellows, and ably run, in the last three years, by our Professional Conference Organiser (PCO) The Association Specialists. As they have become more familiar with us, together with Rosie and now Roshan Riddell,

we work every time to improve the meeting. College has a committee to oversee this, the Scientific Meetings Steering Committee and they and we are looking to how we can achieve more in our next meeting which will of course be Melbourne’s turn again.

Having been now to a European Academy of Dermatology and Venereology (EADV) and an American Academy of Dermatology (AAD), and observed how things are done in these meetings, in their exhibitions and in regards to sponsors, it is now much clearer what is possible for our ASM. In those meetings, the day before is packed with sponsor meetings and sister society meetings. There is no reason we cannot more formally promote the Friday before our ASM. We have the same things happening – patch testing and psoriasis collaboration. In Sydney there was an idea for a vitiligo pre-meeting. We should market and promote this richness. I believe we should join back up with the cosmetic agenda; and as we are just about to soon offer a post-Fellowship course in cosmetic dermatology, the time is ripe. Why could not an Australian meeting become a truly regional offering with New Zealand, the Pacific, and why not be closer with our Association of Southeast Asian Nations (ASEAN) colleagues?

This could be achieved partly by providing scholarships to regional dermatologists and trainees or healthcare workers of the region as a matter of course. We have done this for some, sometimes. It is mostly driven by the Fellows who work in overseas locations who know the huge value bringing someone to the ASM creates and a study tour before or after. When we redo our strategic plan, forming a clear vision on our international role should be a key part of this. Our ASM could easily become a more international meeting, beyond the international guest speakers we bring. I realise the meeting focusses at our Fellows and registrars and what they need to know, but if we lifted our eyes to the Pacific, to the Timor Sea, to Torres Strait, it is obvious there are huge skin health challenges just on our doorstep that we should commit to assisting as part of a wider social responsibility. The ASM can play a key role in that. I see a bright and different future for the ASM.

MARKETING I am asked often what College is doing to clear up public confusion over skin cancer doctors or what are we doing to promote dermatology and dermatologists. For two years now College has run marketing campaigns. We do not possess the resources to run highly visible and expensive campaigns like those run by other Colleges, but we have been cleverly using social media channels. In the 2017, an on-line and social media campaign’s broad aim was to raise awareness of the scope of dermatology that dermatologists treat. In 2018, a national media relations push focussing on men over 50 who are high risk of melanoma was chosen. It achieved a total reach of 9,887,807 in 480 media outlets.The 2018 campaign reached 10 times as many people as the 2017 campaign. Fellows might have seen some of the 2018 campaign, but otherwise it aims to raise awareness in the community by social media and media means. Every time we do this we promote College and the College’s experts – our Fellows. Our plan is to work on changing patient behaviours, but this is not an overnight task. We will have to keep doing this whilst working with government (see President’s Report), patient support groups and our Community Engagement Advisory Committee to raise awareness.To build on this momentum, in 2019 the campaign will expand into other areas of skin health, whilst continuing to raise the profile of dermatologists and the future of the profession. I hope this gives you a feel for what is happening. The work is being driven by Roshan Riddell and the Public Affairs Committee, plus the College’s Ambassadors are the lead voices. Our tremendous scope of practice gives great opportunity to display the variety and complexity of the profession, and get it front and centre.Finally, College also needs its Fellows to commit to work in hospitals and get smart about activity based funding. It was a great pleasure to visit the South Australian (SA) and Western Australian (WA) Faculties recently. In WA they have been looking closely at ABF. Ward consults, for instance, gain dermatology departments no ABF revenue, yet they assist other services to gain ABF revenue. Imagine keeping a record for three months of every ward consult call out to estimate the days saved from an admission date by calling your service sooner. To make the case for larger dermatology departments, or for on-call to be funded, gather the evidence first. If the profession is to thrive it needs larger hospital departments not only just more Fellows. Discuss this within your Faculties, find out what WA are doing (Chair is Tony Cacetta).

Tim WillsChief Executive Officer

CEO’S REPORT


EDUCATION

supervisors are presenting material in an interesting manner

supervisors provided opportunities to supervise patient care

the area trainees felt they had the least opportunity in was performing surgical and procedural skills

87%

96%

84%

75%

supervisors facilitated gain of experience in clinical and diagnostic skills

88%supervisors gave helpful feedback on their progress

Whilst Netflix bingeing on ‘The Defiant Ones,’ a four part story about Dr Dre and Jimmy Iovine, I heard an interesting quote about success. Jimmy Iovine, one of the great music producers, was making decisions about stepping out and taking risks in the industry and he said “I decided to let fear be my tailwind, not my headwind.” What a wonderful way to view fear, as a friend and co-contributor, rather than an enemy. Letting the fear push you along rather than holding you back.

STEPPING OUT INTO NEW

ACTIVITIES CAN BE CHALLENGING

AND REWARDING. ONE OF THOSE

NEW ACTIVITIES COULD BE TAKING

ON THE ROLE OF A CLINICAL

SUPERVISOR. THERE ARE AROUND

250 FELLOWS ENGAGED IN

SUPERVISOR ROLES IN AUSTRALIA:

HEADS OF DEPARTMENT (HOD),

DIRECTORS OF TRAINING (DOT),

SUPERVISORS OF TRAINING (SOT)

AND CLINICAL SUPERVISORS.

EIGHTY OF THESE FULFIL TWO

ROLES AT ONCE AND A HANDFUL

FULFIL THREE ROLES AT ONCE.

Supervisors take on a variety of roles when working with trainees. These include teacher, assessor, advisor, resource person, counsellor, mentor, role model and manager. The main characteristics that students are looking for in their supervisors include openness to discussion, availability, ability to offer support, understanding, ability to provide meaningful feedback, expertise, flexibility, empathy and an ethical practice.

Supervisors also need to consider the educational style in which they supervise and what adult learning principles they are using or considering in their approach. All this on top of a normal case load.

In a summary of data from 2013 to 2016, our own trainees reported that:

In a systematic review conducted by Farnan et al in 2012, it was found that enhanced clinical supervision of trainees has been associated with improved patient and education related outcomes. Conversely de Witt, et al in 2000, found that inadequate supervision was inversely correlated with a residents positive ratings of their learning, time with attending’s and overall experience.

In recognition of the need to support supervisors and to assist them in

their roles, College has just released four new supervisor training modules. They are available in the Continuing Professional Development (CPD) section of the eportal under Category 1. These modules are aligned with the Australian Medical Council (AMC) standards and aim to provide new and existing supervisors with information to assist them in their roles. They cover topics such as the training program; the curriculum and assessments; the supervisor role and managing trainees; and providing feedback.

And while we continue to build information to support trainees and their welfare, it is also important to assist and support supervisors in their roles. Along with these online modules, College intends to conduct small workshops in each state to explore the challenges supervisors may encounter and develop further strategies to assist them in their roles. DoTs and SoTs should complete these modules and College also encourages all Fellows in supervisor roles to complete these modules.

Special thanks to the following Fellows for their efforts in developing and reviewing the content: Dr Monisha Gupta, Dr Anousha Yazdabadi, Dr Cate Scarff, Dr Robert Rosen and Dr Liang Joo Leow (who also provided the audio).

As usual you can contact me at the College to discuss education matters at [email protected] or 02 8741 4199.

Brett O’NeillDirector Education Services

mailto:brett%40dermcoll.edu.au?subject=

For further information, visit theprivatepractice.com.au

EDUCATION “WHEN YOU BELIEVE IN THINGS

THAT YOU DON’T UNDERSTAND

THEN YOU SUFFER.”

STEVIE WONDER

There is a direct relationship between trust and knowledge- or at least there should be.

Our trust should be bestowed as a gift, only to those who have earned it and the only way to determine that ‘earning’ of trust is through understanding.

In 30 years of working with doctors in the areas of business and financial management, one of the greatest mistakes The Private Practice have witnessed is decision making and actions or strategies embarked on off the back of advice from consultants, without the doctor truly understanding the advice and what they were committing to.

If more of us used the following criteria when interviewing potential advisers for the job of joining our personal team of business and financial specialists, we would be less affected by the headlines in today’s papers:

Experience, expertise and technical skills

Willingness and ability to educate and communicate their knowledge

Help to make informed decisions

Quality Information

Unbiased and tailored advice

Strategy- not just products

Pro-active and regular reviews

Getting things done.

Only after continued and consistent experience of the above should we feel confident about, and trust, our advisers.

Unfortunately getting to this point takes effort and time, there is no easy solution to building the right team, but really when was anything worthwhile easy to achieve?

The biggest threat to achieving our business, financial and lifestyle goals are not bad advisers but rather inadequate knowledge on behalf of the client that leads to poor or no decision making.

Dermatology in 2018 faces many business and professional challenges, whilst also being poised to take advantage of significant market dynamics- a growing patient/consumer base, ageing practitioners and practices, practice succession concerns, multi- discipline opportunities and more.

Education around business and financial management is crucial if you are to effectively deal with the challenges and capitalise on the opportunities.

To this endeavour, we are proud to offer, through our course program and various publications, the expertise, experience, knowledge and wisdom of The Private Practice education partners who are professionals in a broad range of business and financial disciplines.

It’s very gratifying to know our program is achieving the following results and we look forward to working with our dermatology alumni to further develop and tailor our program to address the issues faced by the profession and to provide solutions and resources to affect change.

TRUST

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TRAINEE CORNER

“I will come back every couple of years to revise/ensure my business strategies and wealth building are on the absolute right track.”

Dermatologist, Practice and Personal Growth Strategies Workshop, Sydney, June 2018

“Intense, highly valuable, run by experts, good integrity.”

Dermatologist, Practice and Personal Growth Strategies Workshop

A record 35 candidates are in the final stages of preparing for the 2018 Fellowship examinations. This is the highest number we have ever examined in any given year.

The written stage was held in local cities in June 2018. Those who passed this phase were invited to the July and August 2018 phases.

The July stage comprised a histopathology Viva Voce examination; online laboratory dermatology and dermoscopy; and short case Vivas (colour micrographs). The August phase, held at The Skin & Cancer Foundation in Melbourne, comprises a procedural dermatology Viva Voce examination and a series of long case Vivas involving real patients with existing conditions.

College and the National Examinations Committee wish all candidates the very best for the examinations.


https://theprivatepractice.com.au/


GOVERNMENT, POLICY AND ENGAGEMENT

SKIN SERVICES REVIEW (2015 – 2016)

This Review, undertaken by MSAC separately to the current MBS Review, came into effect in November 2016. The review considered excision, biopsy and flap items, which were then restructured according to defect size rather than lesion size and resulted in a simplified schedule. Skin patch test items were also amended to refer to the number of allergens tested.

College communicated these changes to Fellows in the lead up to implementation. The restructure appears to have been acceptable and on the whole has been well received. The Department of Health shared MBS utilisation data with College six months post-implementation of the new item schedule. Whilst too early to identify any meaningful trends in billing practices, College will continue to work with the Department to interpret and provide advice on utilisation data over the coming year.

MBS REVIEW – DERMATOLOGY, ALLERGY AND IMMUNOLOGY (2016 – 2018)

Undertaken by the Dermatology, Allergy and Immunology Clinical Committee (DAICC) of the MBS Review Taskforce, this review focused on 38 items with 18 recommendations put to and accepted by Government. Changes will come into effect on 1 November 2018. At the time of writing, College was undergoing a final consultation process with the Department on the finer details of the new schedule prior to its implementation. College will communicate these changes to Fellows once the new schedule is confirmed.

MBS REVIEW - SPECIALIST AND CONSULTANT PHYSICIAN CONSULTATIONS (2018 – ONGOING)

This stage of the review commenced in May 2018 and will examine 112 items from Category 1 – Professional Attendances, including items 104 and 105. College will maintain a watching brief and update Fellows accordingly.

While the Medicare Benefits Schedule (MBS) Review continues and is likely to be ongoing throughout 2019, there have been several important milestones reached with direct impact to dermatology practice.

Due to the phased nature of the Review, coupled with the earlier review of skin services undertaken by the Medical Services Advisory Committee (MSAC), changes to relevant items have been released by the Commonwealth iteratively and in certain cases, without a clear communication plan. As a result, there has been some confusion regarding the rationale and impact of item changes and when they have, or will, come into effect. To help address this, a summary of the Review stages and their broad outcomes is provided below. Fellows with any questions or concerns are encouraged to contact College directly.

CHANGES TO THE MEDICARE BENEFITS SCHEDULE


WHEN YOU CAN CLAIM

The attendance is the first attendance in a single course of treatment for the patient’s condition/s

A valid referral has been provided by the referring practitioner.

You can claim a further initial attendance item when:

it has been more than nine months since the last attendance with the patient for that condition, and

The referring practitioner provides a new referral as they deem it necessary for the patient’s condition to be reviewed

You are seeing the patient outside currency of the last referral.

WHEN YOU CAN’T CLAIM

Where a patient’s referral has expired and they present a new referral for the continuing management of a previously referred condition

A valid referral has not been provided.

iTEM 111 – A NEW ATTENDANCE iTEM

Of note, the new specialist attendance item 111 was introduced in late 2017 following recommendations to Government put forward by the MBS Review’s Principles and Rules Committee. Item 111 was developed to prevent co-claiming with a procedure where the consultation is considered integral to that procedure, and with a procedure that has already been agreed to take place. This has resulted in a restriction of claiming item 105 with any item in Group T8 (surgical operations) with a fee of ≥ $300. Instead, the new item 111 can be claimed on the same day as Group T8 items with a fee ≥ $300 if the procedure was unscheduled.

Under the new arrangement there is no consultation item for a planned procedure of over $300 and an unplanned consultation – a situation which is particularly disadvantageous for rural patients or those with multiple skin lesions being treated with different modalities. College is in ongoing discussions with the Departmental Secretary about the unsatisfactory nature of this arrangement for dermatology practice and patients, as well as the lack of consultation with College prior to its implementation.

DISSOLUTION OF THE MEDICARE CLAIMS REVIEW PANEL (MCRP)

The Medicare Claims Review Panel (MCRP) is a non-statutory advisory body to the Department of Human Services that assesses applications for MBS items that explicitly require a clinical need to be demonstrated before Medicare benefits are payable. The MCRP currently applies to 26 items which are considered to carry a high risk of inappropriate use for cosmetic purposes, or a potential for overuse.From 1 November 2018, the MCRP will be dissolved. The MCRP items and a number of plastic and reconstructive surgery items will be amended, subject to the passing of legislation. Once approved, College will advise Fellows of the changes applicable to dermatology practice.

AUDIT OF INITIAL ATTENDANCE ITEMS 104

In additional to the various stages of the MBS review, the Department of Health is undertaking an audit of billing of initial attendance items (items 104). Several Fellows have contacted College with concerns about the lack of clarity around indefinite referrals, the limited capacity to review claims submitted by bulk-billing outpatient clinics and other aspects of the audit. Fellows should respond cooperatively with the audit process, but never lose sight of their rights in the matter. We urge that you consult your medical indemnity insurer before lodging any response with the Department.

We have engaged with the Australian Medical Association (AMA) and will be meeting directly with the Department to discuss this process, its targeting and impact.

In the meantime, the following checklist has been provided by the Department to clarify acceptable claims.

Haley BennettDirector Policy, Engagement and Advocacy

CHECKLIST FOR REVIEWING

INITIAL ATTENDANCE

ITEMS 104 AND 110

WHEN A REFERRAL IS VALID:

The referral has been provided before or at the time of the attendance

The referral is in writing, signed and dated by the referrer

if it is an emergency, or if the referral has been lost, stolen or destroyed, a written referral does not need to be received before providing an initial service to the patient. However, a referral must be received prior to any subsequent services

indefinite referrals can be provided for patients who are in the continuing care and management of a specialist and consultant physician for a specific condition

The period of the referral begins from the date of the specialist or consultant physician’s initial attendance, not the date the referral is issued.

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MARKETING UPDATE

REACH STRATEGY

RESEARCH

PLANNINGINNOVATION

ANALYSIS

32%BELIEVE

THEMSELVES AT RISK

61%DELAY A

DOCTOR VISIT

82%REPORT AT LEAST

ONE KNOWN RISK FACTOR

THE 2018 MARKETING CAMPAIGN LAUNCHED IN JUNE 2018This year’s campaign was a national public relations campaign incorporating a You Gov poll, television, radio and digital media kit.

It also included a state based integrated media relations campaign with local spokespeople and patient profiles.

The focus was on the target audience of men over 50 at risk of skin cancer.

A Video News Release of dermatologists and skin cancer patients was used; as well as social media posts, including an infographic.

The aim of the campaign was to reinforce the importance of early skin cancer diagnosis, treatment and prevention among men for Australia’s most common cancer. Key messages of the campaign were:

Less than one in three Aussie blokes (32 per cent) consider themselves at high risk of skin cancer, despite 82 per cent reporting at least one known risk factor, such as fair hair, skin that burns easily, or spending time outdoors each week

Most men (61 per cent) have delayed a doctor visit despite their concern about a health issue, with more than a quarter of full time workers claiming to be too busy at work and unable to spare the time

Men are actually at higher risk of developing both non-melanoma and melanoma (the uncontrolled growth of the skin’s pigment cells) skin cancer than women, but are more reluctant to visit a doctor to have their skin checked than women.

Highlights included: Dr Alexandra Varol appearing on Channel 9’s Today show

President- Elect Dr David Francis appearing on Channel 10 news

Coverage on WIN news television

Radio interviews with various College spokespeople and patients in Brisbane, Wollongong, Sydney, Canberra, Melbourne, Gold Coast, Adelaide, Perth, Tamworth, Albury, Bega, Long Reach, Toowoomba, Townsville and the Sunshine Coast

Print coverage in The West Australian featuring Dr Rachael Foster

Print coverage in the NT News, Geelong Advertiser, Sunraysia Daily, Kalgoorlie Miner and Port Douglas & Mossman Gazette

President Dr Andrew Miller speaking with SBS News and on the AAP newswire

Online news coverage in the Daily Telegraph, News.com.au, Herald Sun, Courier Mail and Adelaide Now

Trade media coverage in the Australian Journal of Pharmacy, Doctor Portal, Health Times, Clinical Society of Oncology and Pharmacy Daily.

134 television stories286 radio stories14 print stories28 online stories5 medical stories29 social media posts.This is 10 times more people than reached in last year’s campaign.Dermatologists Australia-wide are today urging men to be more vigilant with their skin health. Melanomas are a deadly form of skin cancer and can quickly spread to other areas of the body, so it’s crucial men do not delay a visit to their doctor, no matter how busy they might be

The risk of developing melanoma and other skin cancers increases with a person’s age. The risk starts to rise noticeably at 50 years of age, and increases significantly with age

Removing the primary melanoma at the origin will resolve 90 per cent of cases of the disease, making early detection and diagnosis critical. All Australians, especially men, should prioritise their skin health by checking themselves regularly for changing or non-healing marks and visiting a doctor as soon as they notice anything suspicious, without delay

To learn more about skin cancer and the important role played by a dermatologist in the diagnosis, treatment and prevention of skin cancer, visit www.dermcoll.edu.au

THE CAMPAIGN REACHED 9,887,807 PEOPLE AND APPEARED IN 480 MEDIA OUTLETS THROUGH:

▲ INFOGRAPHIC

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Skin cancer risk

of Australian men consider themselves at high-risk of skin cancer32%

of Australian men report having at least one risk factor82%

Skin cancer riskTo learn more about skin cancer & the expertise of a dermatologist, head to the Australasian College of Dermatologists website at www.dermcoll.edu.auThis information was brought to you by the Australasian College of Dermatologists, the peak medical College accredited by the Australian Medical Council for the training & professional development of medical practitioners in the specialty of dermatology.

EVER

Y5hoursan AustralianDIES FROMmelanoma

80%skin cancer is responsible for

of new cancer diagnoses

Mos

t men

(61%) have delayed a visit to the doctor

3 KEY SKIN CANCER RISK FACTORS

Hav

ing

sk

in that burns easily

Having freckled skin or lo

ts o

f mol

es

Melano

ma

accounts for2%of skin ca

ncer

s

but75%

of skin cancer related deaths

2 3inAUSTRALIANSwill be diagnosed withskin cancer by age

70

| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||| |||||||||||||||||||||||The A to Z

of skin

AAcne

hair follicle & sweat gland become

inflamed

CChemical peelchemical solution applied to correct

skin damage

EEczema

skin inflammation

FFlushing

episodic reddening of the skin

GGriseofulvin

treatment for fungal infections

HHirsutismexcessive hair

production

KKeloids

type of scar

LLaser tattoo

removal

MMelanoma

skin cancer arising in pigment cellsI

Insect bite reactions

JJuvenile plantar

dermatosiscracking & peeling of

soles of feet

PPsoriasis

red scaly areas of skin

QQuestions

a dermatologist can answer any you

may have! RRingworm of

the scalp

NNits

head lice OOnabotulinumtoxin

Atreatment for anti-ageing

& excessive sweating

UUrticaria

hives

VVitiligo

skin doesn’t produce pigment W

Wartsskin growths caused

by HPV virus

XXerosis

dehydrated dry skin

YYeast infection

fungal overgrowth

ZZinc

deficiency

SShingles

reactivation of chicken pox

virus

TTopical steroids

anti-inflammatory treatment for many

skin conditions

DDermatitis

itchy skin inflammation

BBCC

(basal cell carcinoma)a form of skin

cancer

Like us on Facebook

Follow us on twitter

Connect on LinkedIn

Spending time outdoors unprotected from

the

sun

http://www.dermcoll.edu.au


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2023 WORLD CONGRESS OF DERMATOLOGY BIDThe 2023 World Congress of Dermatology bid committee and ambassadors, including the College President Dr Andrew Miller and Chief Executive Officer Tim Wills, travelled to the International League of Dermatological Societies (ILDS) World Skin Summit in Vietnam in June 2018 to garner support for the College Sydney event bid.

Bid committee President Professor H Peter Soyer and Dr Miller both presented at the event on the bid and rural dermatology, respectively. The College also had a display table at the event.

College will be at booth 36 at the World Congress on Cancers of the Skin in Sydney on 15 to 18 August 2018, so make sure you drop by and say hello.

We will also be exhibiting at booth 205 at the European Academy of Dermatology and Venerology Congress in Paris on 12 to 16 September 2018.

The College remains committed and dedicated to hosting the 2023 World Congress of Dermatology and look forward to your continued support.

Roshan RiddellMarketing and Communications Specialist

ANDREW MILLER WITH JEAN BOLOGNIA, ILDS SECRETARY GENERAL

TIM WILLS ON DISPLAY TABLE

HO CHI MINH CITY, VIETNAM

ALAN COOPER WITH HARVEY LUI, ILDS PRESIDENT

TIM WILLS WITH RUTH MURPHY, INCOMING PRESIDENT OF BRITISH ASSOCIATION OF DERMATOLOGISTS

STEPHEN SHUMACK WITH ROY CHAN, PRESIDENT OF THE SINGAPORE BID COMMITTEE

STEPHEN SHUMACK WITH QIANJIN LU, PRESIDENT OF THE CHINESE SOCIETY OF DERMATOLOGY

MOHS SURGERY IS A COLLABORATION BETWEEN THE

MOHS SURGEON AND THE MOHS SCIENTISTS AND

TECHNICIANS WHO PROCESS THE EXCISIONS READY

FOR THE SURGEONS TO REVIEW.For some time, the College has had a Mohs Surgeons Special Interest Group, which coordinates registrations and provides advice and support to those Mohs surgeons.

To date, there has been no Mohs Scientists and Technicians Group and little communication with this group.

With expanding numbers of Mohs surgeons and the need to ensure that

there is a coordinated approach taken to recruiting the scientists and technicians, registering, educating, providing professional development and coordination of the group itself; the Skin & Cancer Foundation Inc. approached the College to suggest the establishment of an Australasian College of Dermatologists (ACD) Mohs Scientists and Technicians Special Interest Group.

Executive Director, Chris Arnold, and Foundation Senior Scientist, Sonya Odhavji, prepared a charter for such a group and then ran a one day workshop at the ACD Annual Scientific Meeting (ASM) on Saturday 19 May 2018. The program included:

Governance requirements and consideration of the draft charter

Registration, education, professional development, and standards

Presentation of five technical papers from Australian and New Zealand participants.

There were 29 registrants, who were most enthusiastic and prepared to engage at the workshop and are keen to participate in this new group for networking, Mohs educational programming and information exchange related to the field of Mohs laboratory techniques.

There was unanimous agreement to recommend the draft charter to the ACD for approval and to progress the professional development, education and collaboration tasks identified. The request to endorse the charter and activities has now been forwarded to the College executive.

In addition, the Foundation has recently approached the College to suggest the establishment of an ACD certificate course for existing and new Mohs scientists and technicians, containing both online and practicum components. This will be a continuing upskill program, and will be linked to the development of standards and competencies. The Group endorsed this approach.

At the end of the workshop, Chris and Sonya briefed the Mohs surgeons group at the ASM. This group is also supportive.

The Mohs Scientists and Technicians Special Interest Group will report to the ACD Mohs Surgeons Special Interest Group, with one surgeon being member of the Mohs Scientists and Technicians Special Interest Group. This will ensure close collaboration.

This initiative will promote the development of Mohs as a holistic service, with the College leading the continued development of standards and innovation in this area.

ESTABLISHMENT OF COLLEGE MOHS SCIENTISTS AND TECHNICIANS SPECIAL INTEREST GROUP

STATE FACULTY REPORTS


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STATE FACULTY REPORTSNEW SOUTH WALES FACULTY REPORT2018 has motored along with the speed of Hermes. The first year trainees have been busy working in their new positions and getting through their compulsory modules. The fourth year registrars have just sat two days of the written exams as phase one of the Fellowship exams. And, our new Fellows have enjoyed the ceremony that came with the awarding of their Fellowship at the recent Gold Coast Annual Scientific Meeting (ASM).

The New South Wales (NSW) Faculty has started the annual process of new trainee selection with the CV weekend having just been held. Once the CV scores have been collated, the Faculty members involved in the shortlisting process will work through the applications that have nominated NSW a preference. The final step will be the interview weekend. For all Fellows involved around the country, this is a difficult responsibility and stressful period. We wish all the applicants, the very best.

The Faculty is starting to bed down the implementation of the new NSW Director of Training (DoT) structure. Whilst it is too early to tell whether this model is the true success we hope it to be, it is already clear that there has been a significant improvement in our ability to have more efficient support and communication with trainees. There is exceptional goodwill and willingness by current Faculty members to seeing the success of this restructure and we look forward to reporting on things over the coming year.

The NSW government have launched an inquiry into the delivery of cosmetic services in NSW. This is on the back of several well publicised cases of poor quality care, including one leading to the death of a cosmetic clinic owner who had complications from tumescent anaesthesia for breast augmentation with dermal fillers. The College has submitted a formal submission to this inquiry with the support of several Fellows from around the country with expertise in this area. However, even before the start of any actual hearings at the inquiry, NSW Health released their report on delivery of cosmetic services in NSW. The College and Faculty are working with NSW Health to discuss some of the stakeholder questions that have been raised in their report. However,

it is also important not to pre-empt any possible findings and recommendations from the still to be run inquiry. What is clear is that there will be regulation changes in NSW and it is paramount that we actively work with all parties to ensure the quality delivery of these services are supported by any changes proposed.

With the support of the College Rural and Regional Committee, the Faculty has started developing educational ideas, options for the social program as well as exploring possible hosting venues for what will be an exciting Rural Dermatology Meeting in Orange in September 2019.

Clinical Associate Professor Saxon D SmithChair, NSW Faculty.

VICTORIAN FACULTY REPORTIn the last edition of the Mole, Victoria celebrated various academic achievements. This time it is babies with Dr Johannes Kern, Dr Edward Upjohn, Dr Clare Schofield and Dr Rebecca Dunn welcoming baby girls over the last few months; and Dr Sarah Smithson, Dr Nikki Adler and Dr Lena Ly welcoming baby boys.

Of course we also congratulate Associate Professor Christopher Baker on his silver medal; Dr Matthew Lin on his travelling fellowship, Founders Medal for procedural dermatology and Ken Paver Medal for medical dermatology; Dr Charles Xie on the Adrian Johnson Memorial prize; and Dr Fiona Bruce, Dr Belinda Welsh and Dr Gayle Ross on their Presidential Citations. We look forward to hosting the Annual Scientific Meeting (ASM) next year, for which preparations are well under way.

Lastly we have opened a new training site at Northern Hospital to start next year. Thank you to Dr Anousha Yazdabadi for her strategic work with this.

Dr Vanessa MorganChair, Victorian Faculty

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EDITH KERN

QUEENSLAND FACULTY REPORTThe Queensland (QLD) Faculty was pleased to host the recent 51st Australasian College of Dermatologists (ACD) Annual Scientific Meeting (ASM) at the Gold Coast Convention and Exhibition Centre. We would like to sincerely thank Professor H Peter Soyer and Dr Salvatore Scuderi, Co-Convenors, for their enormous contribution to making this such a successful event. We would also like to thank the distinguished overseas speakers, Associate Professor Jeremy Bordeaux, Professor Alan Irvine, Professor June Robinson and Professor Peter Wolf, for providing insight into their respective areas of special interest; as well as Fellows, registrars and all other speakers who contributed to such an informative and interesting scientific program. The social program was enjoyed by all attendees and Broadbeach certainly did not disappoint with fabulous QLD autumn weather.

We were pleased to see our new Fellows graduate and we again congratulate Dr Zachary Boyce, Dr Lauren Kunde and Dr Melissa Manahan; and wish them all the best for their future careers in dermatology. We were honoured to have Dr Manahan recite the Oath of Ethics at the Conferring Ceremony. Dr Terence Casey was awarded a Certificate of Meritorious Service, a much deserved award. Dr Casey has made an enormous contribution to QLD dermatology, having been a consultant dermatologist at the Royal Brisbane and Children’s Hospital and subsequently at the Lady Cilento Children’s Hospital, for more than 30 years. Dr Casey has worked tirelessly in both the public and private setting, as well as being involved in outreach clinics. He has been involved in the training of generations of QLD dermatologists and we were very grateful to be provided with the opportunity to recognise his work.

The QLD Faculty has made good progress towards its long term goal to expand dermatology services in North Queensland and ultimately establish a North QLD dermatology training hub. Townsville Hospital has advertised a position for a specialist dermatologist with negotiable full time or part time hours. This position has been advertised nationally, with interest in the position being expressed locally and we look forward to hearing the outcome of this. The QLD Faculty has also expressed interest in a QLD Health pilot scheme- the Regional Post-Fellowship Scheme. We are looking for a suitable recently graduated Fellow to take part in up to 24 months funded rotations through metropolitan, regional and rural placements, with the Fellow’s final placement at completion of the scheme being within a regional or rural area.

The QLD Faculty was fortunate to have Professor Stephen Gilmore visit the Dermatology Research Centre (DRC) at the University of Queensland (UQ) in April 2018 to lecture on melanoma screening. There was also the Alan Cooper Epiderm Lecture, ‘Evolutionary changes in the human microbiome and immune system’ in July 2018.

Dr Amanda GodboltChair, QLD Faculty.

SOUTH AUSTRALIAN FACULTY REPORTThe South Australian (SA) Faculty welcomes Dr Joyce Ma, Dr Phoebe Star and Dr Angelica Tjokrowidjaja, who commenced as our first year registrars for 2018. This year, Dr Brittany Wong has been appointed to the newly created position of dermatology 0.6 full time Resident Medical Officer (RMO) at Royal Adelaide Hospital. Apart from clinical duties, she is also involved in an audit on Dermatology Life Quality Index (DLQI) improvement post day unit treatment in patients with non-psoriasis dermatoses; and also enrols patients into the two clinical trials currently underway at Royal Adelaide Hospital.

Dr Aakriti Gupta, second year dermatology registrar, is attached to The Churchill Hospital, Oxford. Congratulations to her for being awarded a prize for best presentation at the Royal Society of Medicine monthly meeting in London. Two of our registrars who held accredited second year registrar positions in the United Kingdom (UK) in 2017 opted to spend an additional unaccredited year in the UK before returning to SA in 2019. Dr Charlotte Forrest is currently a surgical and clinical fellow at Royal Free Hospital, whilst Dr Cassandra Chaptini is still at St. John’s Hospital.

Dr Yu-Chuan Lee has retired from her Visiting Medical Officer (VMO) position at the Queen Elizabeth Hospital this year after 19 years of valuable service. The new Royal Adelaide Hospital opened in September last year, with plans for all case note entry to be computerised. However the introduction of EPAS, which is the patient electronic health record, has again been delayed. This year in June, staff at the Royal Adelaide Hospital farewelled Anne Mellberg, head dermatology nurse, after 35 years at the Royal Adelaide Hospital. Her valuable expertise in the care of dermatology day unit patients, her involvement in the setting up of the biologics clinic and training of dermatology nurses will be sorely missed.

At the 51st Annual Scientific Meeting (ASM) at the Gold Coast, Faculty members were delighted to see Dr Ivan Simmons receive his Certificate for Meritorius Service. Dr Simmons was head of dermatology at Royal Adelaide Hospital, served as councillor for the College on two occasions and was a member of the Board of Censors and Audit Committee. Dr Ashling McNally and Dr Annabel Stevenson (in absentia) were awarded their Fellowship. Congratulations also to Dr Georgina Harvey, who was joint winner of the prize for best paper in the registrar forum.

A state Faculty meeting to be held in conjunction with a Royal Adelaide Hospital clinical meeting, will be organised by Dr Sachin Vaidya and will be held in the later part of the year.

Congratulations to Dr Kate Newland who welcomed her second child, baby Benjamin, in October 2017.

Dr Colin OoiChair, SA Faculty



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Healthy Skin Awards The ninth annual Healthy Skin Awards night was recently held at the Melbourne Museum.

Five winners were recognised for making considerable efforts to promote skin health in the community or their workplace. Award nominees continue to expand from an ever increasing variety of organisations and national locations.

Congratulations go to this year’s winners- Surf Coast Shire Council, Dogs Victoria, Moira Shire Council, Sale Tennis Club and individual winner, Amanda Lucci.

The Foundation is grateful for the sponsors who supported the event - Ego, Galderma, Lilly, Melbourne Skin Pathology and Novartis.

General Practitioner skin cancer workshopAssociate Professor Alvin Chong led another very successful General Practitioner (GP) skin cancer workshop in April 2018 at the Skin & Cancer Foundation Inc.

A/Prof Chong’s GP workshops are proving to be very popular with GPs now travelling from Western Australia, New South Wales and Queensland to attend. The Foundation’s next GP workshops are scheduled for September and November 2018 and these are also expected to sell out very quickly.

Associate Professor Rosemary Nixon and her team are now conducting a Skin Health Education Day each year. This year’s day proved to be very popular with GPs and nurses.

All these workshops are accredited with the Royal Australian College of General Practitioners (RACGP). Nurses also receive Continuing Professional Development (CPD) credits for attending the Skin Health Education Day.

Establishment of College Mohs Scientists and Technicians Special Interest GroupThe Skin & Cancer Foundation Inc has been taking a leading role in the establishment of the College Mohs Scientists and Technicians Special Interest Group. Read more in this edition on page 9.

WESTERN AUSTRALIAN FACULTY REPORTWith winter upon us, what better time to read a good book in bed. I would highly recommend Pigmentary Skin Disorders, edited and co-authored by Professor Prasad Kumarasinghe. The Faculty wishes to congratulate Prof Kumarasinghe upon the publication of his first textbook. This text was co-authored with a number of College Fellows, including our own Dr Bernadette Ricciardo. Professor Kumarasinghe has kindly provided our Western Australian (WA) trainees with free access to this text during their training.

On the topic of education and training, Dr Yee Tai, our new Director of Training (DoT), will soon coordinate mock clinical examinations for our final year trainees. We wish our trainee exam candidates success in the upcoming months. Dr Andrew Swarbrick will soon depart for the National Skin Centre in Singapore to complete a further six months of his dermatology training and Dr Jeremy Ng continues his dermatology training at the Chelsea and Westminster Hospital in London.

The WA Faculty executive continue to address predicted future workforce shortages in dermatology. The executive is proactively exploring opportunities for expansion with the public, private and rural sectors for dermatology training and services in WA.

I would like to take this opportunity to thank Dr Genevieve Sadler and Dr Hock Chua, for their hard work as Chair and DoT over the past years, it has been a pleasure working with you both. I would also like to formally welcome Dr Austen Anderson to her new position as Secretary of the WA Faculty.

Finally, a pirate goes to a dermatologist, worried that the moles on his back might be cancerous. The dermatologist inspects them and says, “It’s okay, they’re benign.” The pirate replied, “Check ‘em again matey, I think there be at least ten!”

Tony CacettaChair, WA Faculty

THE 2018 HEALTHY SKIN AWARD WINNERS


John Fewings PrizeCongratulations to Dr Rachael Davenport who was awarded the John Fewings Memorial Fund for the best presentation on ‘Allergic contact dermatitis to sunscreens’ in 2018.

This prize of $1,000 is presented annually by the Skin & Cancer Foundation Inc. in memory of Dr John Fewings, a much loved contact dermatitis specialist who sadly died suddenly in 2002.

Dr Matthew LinCongratulations to our new Fellow, Dr Matthew Lin, who scooped the pool with the following graduation awards at the recent Annual Scientific Meeting (ASM):

• Australasian College of Dermatologists Travelling Fellowship from 2017 examinations

• Founders’ Medal for Procedural Dermatology for 2017

• Ken Paver Medal for Medical Dermatology for 2017.

Dr Charles XieWe are also proud of Victorian registrar, Dr Charles Xie, who was awarded the Adrian Johnson Memorial Prize for 2017.

Associate Professor Christopher BakerCongratulations to Associate Professor Christopher Baker, who was presented with the College’s highest honour-the Silver Medal.

A/Prof Baker has contributed significantly to the College, and the speciality of dermatology, since he received his Fellowship in 1991.

He has been a tireless worker for the Victorian State Faculty, the Skin and Cancer Foundation Inc, St Vincent’s Hospital in Melbourne, the University of Melbourne and the College.

A/Prof Baker has also been a great mentor to many of his junior colleagues, as well as the registrars and medical students, who have appreciated his advice and encouragement over the years.

He has also been a long serving Head of the Department of Dermatology at St Vincent’s Hospital and has completed two terms as President of the Skin and Cancer Foundation Inc.

A/Prof Baker has been on many local, national and international committees and advisory boards; and also convened a number of panels to develop guidelines for a number of dermatological conditions such as psoriasis. He has also authored many scientific papers on numerous topics since his registrar days.

A/Prof Baker has been well supported in all of these endeavours by his wife Kim and his family; and this support has assisted him in being able to undertake his many roles, duties, and commitments in furthering College and the specialty of dermatology in general.

Professor John W Kelly AMProfessor John W Kelly AM was presented with the College’s 2017 Belisario Award for Academic Dermatology.

Prof Kelly is head of the Victorian Melanoma Service at The Alfred in Melbourne, a multidisciplinary treatment service for melanoma. He founded the service in 1994 and, since then, it has provided excellent, timely and accessible multidisciplinary care to hundreds of patients.

Prof Kelly has held the appointment of Adjunct Professor at the Monash University Department of Medicine at The Alfred Hospital since 1997. From 1987 to 2005, he also headed the dermatology unit at The Alfred Hospital. Prof Kelly undertook his Doctorate at the Melanoma Clinic, University of California, San Francisco, on the subject of melanoma diagnosis and management.

He maintains an active program of research in melanoma diagnosis and is the author of many published papers on the subject. Prof Kelly has served on the Boards of the Australia and New Zealand Melanoma Trials Group and Melanoma Research Victoria; and is a steering committee member and author for the Clinical Practice Guidelines for the Management of Melanoma in Australia and New Zealand.

He was awarded an AM in 2017 for significant service to medicine through the management and treatment of melanoma, as a clinician and administrator, and to education. Prof Kelly was also awarded the Melanoma Patients’ Australia Award for 2017.

Annual Scientific Meeting Awards

Education UPDATEThe event calendar for August to November 2018 is now out, with the following events confirmed to be held at The Founders Wing, Darlinghurst.

Clinical ServicesThe Skin Hospital is excited to announce the following new doctors have joined the hospital and will be operating out of either the Darlinghurst or Westmead hospitals.

Date Speaker Topic22 August 2018 Dr Li-Chuen Wong A close up with paediatric dermatology

26 September 2018 Professor Pablo Fernández Peñas Update on the 27th Annual Meeting of the European Academy of Dermatology and Veneorology, Paris, France

24 October 2018 Dr Shivam Kapila Update on Mohs surgery

28 November 2018 Professor Rodney Sinclair To be confirmed

Associate Professor Helmut Schaider, DermatologistDr Helmut Schaider specialises in the early detection of skin cancer with an emphasis on 3D whole body photography - a cutting edge technology for melanoma screening.

Dr Yong Kho, DermatologistDr Yong Kho’s speciality is in the early diagnosis and treatment of skin cancers; management of acne, psoriasis, eczema, blistering diseases; and general medical dermatology.

Dr Haady Fallah, DermatologistDr Haady Fallah has a specialised clinic dedicated to the management of patients with acne.

Dr Leo Kim, Plastic and Reconstructive SurgeonDr Leo Kim’s speciality is surgical skin cancer excision and reconstruction. He operates very closely with the Mohs surgeons at Darlinghurst and Westmead.

Dr Shane Kelly, Immunologist Dr Shane Kelly’s speciality is clinical immunology and allergy. He is at the Darlinghurst clinic on Mondays where he sees a range of patients with immunological and allergic conditions.

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Speciality ClinicsThe Skin Hospital has introduced a new Acne Clinic at Westmead run by Dr Haady Fallah.

Dr Eddie Lobel is running tertiary referral patch testing clinics on Tuesday mornings and Thursday afternoons at Darlinghurst.

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INTERVIEW WITH DR ERIN MCMENIMAN 1. WHAT LEAD TO YOU GETTING INVOLVED IN OUTREACH WORK?I have always felt a good health system looks after those least fortunate, those who perhaps for reasons relating to remoteness, lack of education and income do not have the same opportunities as the rest of us in the city. As a dermatology registrar I was lucky enough to go on three outreach trips, with Dr Troy Darben, Dr Bert Pruim and Dr Rob Miller; all to North Queensland. They were fantastic experiences and very inspiring. The disease burden was significant and the patients were very appreciative. It is just not as easy as ‘getting on a plane’ for many of them. I decided then that if I ever got through the program, to get involved if I could.

2. WHAT SORT OF DERMATOLOGICAL CONDITIONS DO YOU SEE IN REMOTE COMMUNITIES?

My major interest is in Indigenous communities and there we see quite a bit of lupus, vitiligo and atopic dermatitis. Infectious skin disease is a huge burden with scabies, bacterial and fungal infections all common. The young children who are so terribly itchy with scabies really break your heart. They often suffer from secondary bacterial infection, which has been shown to cause much of the post-strep glomerulonephritis and rheumatic heart disease in these communities. I saw one Indigenous man with metastatic melanoma from an acral melanoma, so even there we need increased awareness of skin cancer. We often see the white people living there, or balanda as they are called in Arnhem Land, for skin cancer checks; and unfortunately they often have extreme amounts of sun damage and many keratinocyte cancers.

3. ARE THERE ANY DIFFICULTIES WITH OUTREACH DERMATOLOGY TRIPS?Yes, we are at the mercy of government funding cycles and the very dynamic space of the organisations with contracts to supply services to remote areas. We really need College’s help to co-ordinate funding and trip planning. After making numerous phone calls planning a trip, I still turn up sometimes and the nurses in clinics say ‘Oh, no one told me you were coming.’ Despite that I have always found the local staff and patients are enormously grateful and the clinic nurses usually know off the top of their head who has skin problems so they drive around and find them and we always end up busy. If College could help coordinate these services we could ensure registrars have the chance to share this experience and it would make it easier for dermatologists who have not gone before to join in on trips to areas of need.

COLLEGE HAS PARTNERED WITH ONE DISEASE

GENERAL PRACTICE REGISTRAR

AND HONORARY DERMATOLOGY

REGISTRAR FROM PRINCE

ALFRED HOSPITAL, DR

ANTONIA LAINO

LANDING IN MORNINGTON ISLAND

GORGE

EVENTS

THE 51ST AUSTRALASIAN COLLEGE OF

DERMATOLOGISTS (ACD) ANNUAL SCIENTIFIC

MEETING (ASM) WAS HELD ON 19 TO 22 MAY AT

THE GOLD COAST CONVENTION AND EXHIBITION

CENTRE IN QUEENSLAND.

The program included themes of melanoma, artificial intelligence and mobile health; adding a taste of what is to come for the future of dermatology as a profession.

The four international speakers, Professor Alan Irvine from Ireland; Professor Peter Wolf from Austria; and Professor June Robinson and Associate Professor Jeremy Bordeaux from the United States of America; all delivered interesting plenary sessions giving insights into dermatology overseas.

Many of College’s Australian Fellows and experts from other Australian medical colleges also delivered presentations on new insights of topics important to our field in Australasia.

As always, the exhibition area had impressive displays from sponsors, exhibitors and support groups.

Convenors, Professor H Peter Soyer and Dr Salvatore Scuderi are to be congratulated on putting together a great program.

This year, the John Reid orator for the Ceremony for Conferring of Diplomas and Awards was Professor Ian Fraser who delivered an excellent speech.

The President, Dr Andrew Miller, polled ASM delegates on some key issues including rural dermatology, Medicare Benefits Schedule (MBS) item numbers, prescribing and biosimilars.

The College kindly acknowledges the generous support of our sponsors in assisting with the ASM- platinum sponsors Novartis and Lilly; gold sponsors Janssen Immunology and Sanofi Genzyme; silver sponsors Celgene and Galderma; and bronze sponsor Syneron Candela.

The Scientific Meeting Steering Committee is considering several changes to the format of the 2019 ASM including registration, program, member experience and sponsorship.

WRAP UP


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SILVER MEDALAssociate Professor Christopher Baker

BELLISARIO AWARD FOR ACADEMIC DERMATOLOGYProfessor John W Kelly AM

CERTIFICATE OF MERITORIOUS SERVICE Dr Terence CaseyDr Ivan SimmonsClinical Associate Professor Carl Vinciullo

HONORARY FELLOWSDr Andrew GriffithsProfessor Klaus Wolff

INTERNATIONAL OUTREACH AWARDDr Margot Whitfeld

MERVYN GOLD, OAM, AWARDDr Lloyd Hale

INTERNATIONAL OUTREACH AWARDDr Margot Whitfeld

GRADUATE FROM THE ACD MOHS MICROGRAPHIC SURGERY TRAINING PROGRAMDr Ray CoccioloneDr Lauren Young

FELLOWS ELECTED UNDER CLAUSE 3.2 OF THE COLLEGE CONSTITUTIONDr John SnowDr Jane Khoury

INDUCTION OF NEW FELLOWSDr Zachary Boyce

Dr Benjamin DanielDr Bonnie FergieDr Sarah HannamDr Shivam KapilaDr Yong Chern KhoDr Lauren KundeDr Patricia LeDr Matthew LinDr Melissa ManahanDr Ashling McNallyDr Adam QuinnDr Rebecca SaundersonDr Annabel StevensonDr Tahereh TaklifDr Benjamin ThompsonDr Stephanie Tizi

AUSTRALASIAN COLLEGE OF DERMATOLOGISTS TRAVELLING FELLOWSHIP FROM 2017 EXAMINATIONSDr Matthew Lin

FOUNDERS’ MEDAL FOR PROCEDURAL DERMATOLOGY FOR 2017Dr Matthew Lin

KEN PAVER MEDAL FOR MEDICAL DERMATOLOGY FOR 2017Dr Matthew Lin

ADRIAN JOHNSON MEMORIAL PRIZE FOR 2017Dr Charles Xie

EILEEN COLLINS MEMORIAL PRIZE FOR 2017Dr Shelley Ji Eun Hwang


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BEST RESEARCH PAPER READ AT THE ASM, F & E BAUER FOUNDATION PRIZE

Two winners:

Dr Edmund Wee- Clinical amelanotic/hypomelanotic melanoma: a major strategy to improve patient outcomes

Dr Jenna Rayner- Phenotypic and genotypes analysis of amelanotic melanoma patients drawn from a Queensland control case study

BEST PAPER IN A REGISTRAR’S FORUM, MADE POSSIBLE BY AN UNCONDITIONAL GRANT FROM SILVER SPONSOR GALDERMA

Two winners:

Dr Georgina Harvey- Patient characteristics of women treated with tropical imiquimod for vulval intraepithelial

Dr Nikki Adler- Tumour mutation status and melanoma recurrence following a negative sentinel lymph node biopsy

TRADE PRIZES

9m or less – Lumenis

18-27m – Sun Pharma

36m or more – Janssen

TENNIS WINNERS

Men’s – Alex ChamberlainWomen’s – Yena Kim

GOLF WINNERS

Men’s – Saleem LoghdeyWomen’s – Jill Armati

BEST POSTER PRIZE, MADE POSSIBLE BY COLLEGE

Dr Edmund Wee- The anatomic distribution of cutaneous melanoma: detailed study of 5,141 lesions

BEST PAPER/POSTER PRESENTATION BY A NEW SOUTH WALES REGISTRAR, THE EILEEN COLLINS MEMORIAL PRIZE

Dr Cathy Zhao- Anti-programmed cell death- 1 immunotherapy (anti-PD1) associated bullous disorders: A systematic review of the literature, classification and management update

BEST PAPER IN CONTACT DERMATITIS, JOHN FEWINGS MEMORIAL FUND, MADE POSSIBLE BY THE SKIN & CANCER FOUNDATION INC.

Dr Rachael Davenport- Allergic contact dermatitis to sunscreens in 2018


TRAVELING AWARDI would like to thank the Australasian College of Dermatologists and the Indigenous Advisory Committee for the opportunity to attend the 51st Annual Scientific Meeting (ASM) as the recipient of the Aboriginal ASM Travelling Award for 2018. From the first morning of the conference I felt welcomed and amongst peers.

This was greatly helped by Dr Dana Slape who introduced me to the other travel award recipient, numerous trainees, and Fellows of the College. I was overwhelmed with how encouraging and supportive the other trainees and Fellows were of me being there and my aspiration to apply for the training program. I was fortunate to meet and arrange some clinical sessions with another Adelaide based consultant and to discuss a potential research project.

My highlight of the conference was Associate Professor Jeremy Bordeaux’s presentation entitled ‘Disparities in melanoma care’. His

presentation showed how black patients in the United States of America (USA) present later, with more advanced stages of melanoma and had poorer survival rates than white patients. Melanoma survival disparities were also significantly greater depending on the individuals’ form of health insurance. Translating in Australian terms as those with low income health care cards having poorer survival rates than those who can afford private health benefits.

This presentation and its echoing of the health disparities seen between Aboriginal and non-Aboriginal Australians resonated with me, and my experiences across the Aboriginal communities I have lived and worked in. The lack of access to specialist level health care in Aboriginal communities is a driving force in my desire to pursue dermatology and to service remote South Australia. A/Prof Bordeaux finished his presentation by stating how dermatology workforce distribution was the most important factor in reducing melanoma mortality rates in the USA.

From a learning perspective, the clinicopathological correlation session was another highlight. I enjoyed the nature of this session and its interdisciplinary approach, whilst giving me a glimpse into the future requirements of a dermatology registrar.

Finally my favourite overall session of the conference was the paediatric symposium. From my novice background the presentations in this session were educational, easy to follow and engaging. I also found this session to be the most talked about in the breaks and at the social events amongst the trainees.

I cannot thank the College enough for this opportunity and for its role in improving the health disparity amongst Indigenous and non-Indigenous Australians by supporting Indigenous medical students and graduates. I had a great time at both the academic and social events and would recommend this experience to fellow Aboriginal interns interested in pursuing dermatology as a career.

Brenton Earl

First of all thank you for the wonderful opportunity to attend the Australasian College of Dermatologists (ACD) Annual Scientific Meeting (ASM) for 2018 on the Gold Coast. What an amazing experience to get a taste of all the branches within the dermatological specialty. I would like to say that I also got to enjoy the Gold Coast as well, but, the

conference was so jam packed with relevant educational opportunities that I was exhausted each evening.I was absolutely amazed by the presentations on Mohs surgery and the magnificent results in reconstructive surgery. I was not aware of the extensive surgery that is required for some skin cancers that can appear superficial and relatively simple. I found the Mohs surgery presentations very informative and relevant. I also particularly enjoyed the dermatopathology presentation and the sponsored breakfasts each day.During an introduction to one dermatologist, I informed them that I was a third year medical student at the University of Newcastle (UON) with a specific interest in dermatology. Their response was ‘Why is a medical student at a specialist medical conference?’ I informed them that third year medicine at UON is General Practice focused. My current semester included the specific specialty areas of dermatology, ophthalmology and chronic disease. Reiterating that this conference would only facilitate a greater exposure to this specialty field

and clarify and cement my pre-existing knowledge, I can confirm that attendance to this conference did what I anticipated. When I discussed the UON program with others at the conference, they were shocked. As they themselves, only recalled doing a week or two of dermatology throughout their entire degrees. I felt, after the conference, that this conference had given me an advantage as I move closer towards semester exams.The opportunity to attend this conference was invaluable. I was able to network with a variety of dermatologists in which I would never have the opportunity to do so as a student. I attended the sponsored breakfasts every morning. Although some of the information was extensive and in more depth than a third year medical student requires, it was very relevant and interesting. Attendance to this conference only created inspiration and cemented a real passion toward dermatology. It also opened my eyes to the subspecialties within the dermatology field. I would relish the opportunity to attended future ACD conferences.The conference provided reaffirmation of my passion for medicine and gave me direction, identifying where I am now and where I would like to be in five years time. That being, on a training program with the ACD. I am truly grateful for the funding. I would not have been able to afford such an opportunity. Thank you. Your gift was not without benefit or appreciation.

Joanne Amos

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PATCH TEST TRAINING DAY WRAP UPThe 5th Annual Patch Test Training Day was again a great success, and the feedback has been excellent once again. Held the day prior to the College Annual Scientific Meeting (ASM) on Friday 18 May 2018, it was once again well attended with almost 100 participants. As usual, attendees were provided with a book, which included all the day’s presentations.

Each year, different aspects of contact dermatitis are highlighted and this year there were detailed presentations of all the allergens in the Australian Baseline Series and where they are most commonly found.

In a novel addition, there was a video presentation featuring the three consultations of a 45 year old guitar maker who attended the Occupational Dermatology Research and Education Centre (ODREC) at the Skin & Cancer Foundation Inc. in Melbourne. Over his diagnostic journey, it transpired that he had developed allergic contact dermatitis to a wood used to make guitars, pau ferro.

The team at the ODREC try hard to make sure that each Patch Test Training Day is different and the program is updated yearly. We particularly welcome registrars and suggest that registrars should attend at least once during their training. With our Contact Allergen Bank facilitating patch testing for dermatologists all over Australia, the Patch Test Training Day provides a wonderful educational opportunity to increase expertise in patch testing. Planning has already started for the 6th Annual Patch Test Training Day on Friday 17 May 2019 in Melbourne, which may include an interactive workshop.

The Patch Test Training Day is only possible with the huge effort of Mandy Palmer from ODREC, combined with the input of multiple dermatologists as well as our organising team. Thanks to Dr Adriene Lee, Dr Jenny Cahill, Dr Mei Tam, Dr Bruce Tate, Dr Anna Fitzgibbon, Dr Emma Hiscutt, Suzette Foster, Dr Rachael Davenport and Katherine Allnut. I look forward to seeing as many people who can make it in May 2019.

Rosemary Nixon

Another year has come and gone, and the annual meeting is over; what an event. The Australian Dermatology Nurses Association (ADNA) had a mix of Australian and overseas’ speakers teaching on topics from eczema- Dr Emma Ryan, who reassured us that grubby children are the healthy choice; acne and scarring intervention- Isobel Lavers RN (Registered Nurse), British Dermatological Nursing Group (BDNG); the psychosexual effects of psoriasis- Shabnam Habibvand RN; to erythromderma- Dr Rowena Meani; safely administering injectables and adverse event management- May Hoang RN; and how to read research papers with Professor Kim Papp and Dr John Cicuilla who colourfully spoke on a pathologist’s perspective on receiving specimens, emphasising accuracy and brevity with patient history and correct labelling. Professor John Thompson helped nurses see the reasons behind biopsy methods with the new Melanoma Guidelines and how they were formed into policy. Speakers were relevant to nursing novices, those wishing to continue in dermatology specialisation or cosmetic practice and those wishing to advance their practice.

Jemma Weidinger, a Nurse Practitioner (NP) in paediatrics from Western Australian (WA) Health, spoke on a new Australasian Society of Clinical Immunology and Allergy (ASCIA) eczema online learning module about to be released for nurses, patients, General Practitioners (GPs) and specialists. Jemma Woodbine RN NP from Brisbane spoke on the process involved

PATCH TEST TRAINING DAY- DR KATHERINE ALLNUT, DR RACHAEL DAVENPORT, DR ANNA FITZGIBBON, DR BRUCE

TATE, DR MEI TAM, ASSOCIATE PROFESSOR ROSEMARY NIXON, DR ADRIENE LEE, MS SUZETTE FOSTER, DR AMANDA

PALMER AND DR JENNY CAHILL

OPENING OF CONFERENCE

LIS HERBERT RN- CHAIR NURSING INFORMATICS

AUSTRALIA

ISOBEL LAVERS NP- BDNG, EGO AWARD WINNER- ACNE

WRAP UP


in becoming a NP; as well as how she involved her clients in the process- aiding her business by transparency, which matched the teaching by Julianne Bryce, a Senior Federal Professional Officer of the Australian Nursing and Midwifery Federation (ANMF), who spoke on standards for practice- so important for nurses to interpret scope of practice through aligning their authority to practice a skill, competency with the skill and education regarding the skill (ACE). This information was eye opening; with standards for practice comes scope.

Lis Herbert from Nursing Informatics showed that widespread data conformity can include My Health and government initiated programs to the humble dermatology clinic. Connecting information to other relevant allied health is essential for good patient care. Lastly, Erin Senior RN, gave a case study on different possible diagnoses that create challenges for emergency department wound care nurses and specialists, the tests involved to rule them in or out and, importantly, the nursing care given, following protocols, for the duration of care to protect skin, prevent infection and fluid loss. Knowing such interventions can save lives and relieve symptoms.

The Saturday night Ego dinner for the nurses was a wonderful way to relax after a full day of learning and networking. It allowed the members to let down their hair, watch the royal wedding and listen to fantastic entertainment.

The winners of our sponsored awards were completely surprised and thrilled- captured on the photographs throughout the event.

Thanks go to all our sponsors: Ego for the dinner, speaker and award; Novartis for speakers; Lilly for the full colour program; Abbvie for making dermatology essentials available to our members through the Dermatology Nurse Education Australia (DNEA) run education day on the Friday; Cosmetique de France and Galderma for awards; and Celgene through the College.

FACTS FROM THE A-Z OF SKINFabry disease Also known as angiokeratoma corporis diffusum, alpha-galactosidase A deficiency, Anderson-Fabry disease.Fabry disease is a rare genetic condition, belonging to a group of diseases called lysosomal storage diseases.

DR WARREN WEiGHTMAN“i am conscientious, dedicated, caring and want the best outcome for my patients.”

Bypassing his childhood desire to be a scientist, Dr Warren Weightman now serves on the Australian College of Dermatologists (ACD) Scientific Committee instead and has been a dermatologist

for 30 years in both private practice and at public hospitals. He is currently Head of the Department of Dermatology at the Queen Elizabeth Hospital in Adelaide, South Australia.

“Being involved in College activities and meeting and becoming friends with dermatologists from around Australia and the world has been a great part of my career as a dermatologist. I enjoy the challenges in performing well at new and different workplaces and having the ability to diagnose quickly by looking at the patient’s skin without doing multiple tests. I am conscientious, dedicated, caring and want the best outcome for my patients,” says Dr Weightman.

Dr Weightman, specialises in psoriasis, biologic treatment, transplant dermatology and field treatments for actinic keratosis and superficial Basel Cell Carcinoma. He has also been involved in numerous clinical research trials.

“The most difficult part about being a dermatologist is managing patients whose conditions don’t have treatments that are effective. The affordability of some treatments and dealing with government restrictions are also challenges. I like diagnosing scabies as it an intensely irritating rash that when diagnosed is curable with treatment leading to great patient satisfaction,” says Dr Weightman.

When he is not working, you can find Dr Weightman at home with his wife and three boys, listening to rock music and eating chocolate. He also enjoys walking and tennis.

“If I could live in any other time, it would be 2100. I would like to see the technological advances at that time and whether all the current predictions have occurred,” says Dr Weightman.

FAST FACTS Doctor-patient relationship style: Caring Special interests: Psoriasis, field treatments for actinic damage Dream holiday destination: AntarcticaFavourite movie: Raiders of the Lost Ark.

FELLOW PROFILE

JAYNE PIROLA- ADNA NZ SCHOLARSHIP AND SUMANPREET SIDU- ADNA USA, CANADA SCHOLARSHIP

SATURDAY MORNING SIGN IN BRIGHT AND EARLY ALICE JOHNSON- EGO NURSES FELLOWSHIP

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THE AUSTRALASIAN COLLEGE OF DERMATOLOGISTS

Suite 2A, Level 2 9 Blaxland Road Rhodes NSW 2138, Australia

PO Box 3785 Rhodes NSW 2138, Australia

Telephone: 1300 361 821 or 61 2 8765 0242 Facsimile: 61 2 9736 2194 Email: [email protected] Web: http://www.dermcoll.edu.au

EDITORIAL TEAM Editor Professor Ingrid Winship, Honorary Secretary

Editorial Personnel Tim Wills and Roshan Riddell

Disclaimer:The Australasian College of Dermatologists wishes to encourage debate and exchanges of ideas amongst Fellows through The Mole.

Nevertheless, the opinions expressed in articles in The Mole are those of the authors and are not necessarily those of the College.

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2018 Annual SCIENTIFIC MEETING - ACD · 2019-05-14 · 2018 Annual SCIENTIFIC MEETING wrap up...

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