Registration / coffee.

The symposium will start with a rapid-fire quiz. Later, you will get individualised anonymous feedback comparing your pre- and post-symposium quiz results and how you compare with your colleagues. In turn, we will get feedback on how effective our teaching is.

The importance of using a dermatoscope in general practice is now well recognised. The dermatoscope is a more useful tool than any other tool that might adorn your metaphorical white coat. This brief talk describes how to use your dermatoscope correctly, the usefulness of using both the polarised and non-polarised modes on the dermatoscope, as well the pros and cons of contact and non-contact dermatoscopy. Professor Cliff Rosendahl.

Whilst the perfect full and systematic skin check isn’t always possible in the context of a GP appointment it will provide you with the gold standard which you can use for patients at high risk who agree to return for an appointment purely dedicated to a 'skin check'. Professor Cliff Rosendahl.

Dermatoscopy has evolved from subjective and confusing metaphorical language into an objective 'teachable' descriptive language (revised pattern analysis). Cliff is a pioneer in this area of dermatoscopy and will discuss the fundamental building blocks of dermatoscopic language, and how these basic building blocks can combine into benign and malignant patterns with biologic symmetry or asymmetry. Professor Cliff Rosendahl.

Professor Amanda Oakley a world expert in dermatoscopy will talk about how to identify common melanocytic naevi. This talk is aimed at teaching the key clinical and dermatoscopic features of naevi, in particular how dermatoscopic elements combine to form symmetrical patterns. Recognising benign lesions is a fundamental skill and will reduce the number of unnecessary excisions or referrals you make. Professor Amanda Oakley.

'Chaos and Clues' is an algorithm to help you diagnose what pigmented lesions need excising. The specific diagnosis isn’t required. Melanomas, SCCs and BCCs can all be pigmented or non-pigmented. Professor Cliff Rosendahl in another dynamic lecture will make all this abundantly clear and make you laugh as well! Cliff is a co-author of the Chaos and Clues algorithm. There will be quizzes throughout the presentation to reinforce key messages. You will have access to these quizzes after the symposium to act as a quick refresher course. Professor Cliff Rosendahl.

Cliff will build on his previous lecture and provide plenty of repetition with new and interesting examples of how to apply the 'Chaos and Clues' algorithm. Professor Cliff Rosendahl.

Professor Amanda Oakley, who has been educating dermatologists and GPs in dermatoscopy in NZ and around the world for a decade or more, will present a fascinating summary. This talk is aimed at teaching the key clinical and dermatoscopic features of the solar lentigo, seborrhoeic keratosis, dermatofibroma, sebaceous hyperplasia, angioma and cyst. Recognising benign lesions is a fundamental skill and will reduce the number of unnecessary excisions or referrals you make. Professor Amanda Oakley.

Amanda will give you pragmatic guidelines on how (in daily practise) to manage a lesion that melanoma is in the potential differential diagnosis. Some of these lesions will require urgent attention and others can be monitored over months or even years sometimes. These decisions are often based on your clinical assessment (nodular or flat, rate of change etc). Amanda will also discuss surgical margins for excision of any lesion that a melanoma is a possibility (regardless of how remote). She will also discuss how to identify patients at high risk of developing a melanoma and how to manage these patients (advise, re self surveillance, and frequency of medical review). The role of sentinel node biopsies and the effectiveness of the latest treatment regimes for patients with metastatic melanoma is forever changing. Amanda will provide a brief update. Professor Amanda Oakley.

A summary of the pertinent facts covered in the afternoon session.

'Prediction without Pigment' is our preferred algorithm for diagnosing non-pigmented lesions. In this lecture there will lots of repetition on the dermatoscopy of non-pigmented lesions. These can include naevi, melanomas, basal cell carcinomas (BCCs) and squamous cell carcinomas (SCCs). This is an amazing lecture given with humour and passion by Professor Cliff Rosendahl who is a co-author of the ‘Prediction without Pigment’ algorithm. There will be quizzes throughout the presentation to reinforce key messages. Professor Cliff Rosendahl.

Squamous Cell Carcinomas (SCC) are the second most common skin cancer and can be lethal. This lecture will cover the dermatoscopic features of SCC, SCC in-situ and actinic keratosis. Professor Amanda Oakley.

As with the preceding talk this talk goes beyond deciding if the lesion is benign or malignant and drills down to the specific dermatoscopic features that favour the diagnosis of a BCC. Professor Cliff Rosendhal.

The face, acral and nail regions are special locations with additional features to look for to aid in your decision-making process. This talk will discuss the specific dermatoscopic features of lentigo maligna, pigmented actinic keratoses, solar lentigos, and pigmented acral lesions. Professor Cliff Rosendahl.

A summary of the pertinent facts covered in the morning session.

Post-symposium quiz. Cliff will go over the quiz answers and field questions later in the afternoon. Prizes will be awarded to the top participants in the post-symposium quiz at the end of the day.

Cliff will deliver an interactive presentation that aims to consolidate the concepts that have been introduced thus far. Multiple clinical case studies will be employed to demonstrate best practices in clinical decision-making, incorporating various elements such as the clinical context, dermatoscopy, surgical management, and histology. The talk will be interactive with audience participation encouraged. Professor Cliff Rosendahl.

Case examples of common clinical scenarios. When to monitor, when to biopsy, why one person’s naevus is another person’s melanoma — similar lesions on different patients often require different management strategies. An introduction to the concept of signature naevi, and the different management strategies for new naevi and Spitz naevi in a young person versus and older person. The interpretation of histology reports and the myth of the dysplastic naevus will also be discussed. Professor Amanda Oakley and Professor Cliff Rosendahl.

Open Forum.