16 - 18 May 2019

Mohs Micrographic Surgery

Goal of the Course         

Following this Course, the attendee should be able to:

  1. Understand the principles on which Mohs’ micrographic surgery is based
  2. Recognize key technical, environmental, and organizational strategies to safely and efficiently perform Mohs’ micrographic surgery procedures
  3. Identify dermatologic indications suitable to be selectively addressed by Mohs’ micrographic surgery
  4. Develop adequate early confidence in performing Mohs’ micrographic surgery following simple phantom-based practical excercises and 3D hystologic specimen assessment
  5. Understand the principles of post-Mohs’ micrographic surgery reconstructive techniques, post-operative healing and proper follow-up planning
  6. Differentiate among different microscopically controlled surgical excision techniques proposed to treat selected skin cancer available today

 

Course Format 

Innovative, compact, 48-hour ILE (Intense Learning Experience) with practical hands-on training on phanthoms, under direct supervision of world-known experts in Mohs micrographic surgery, organized in an advanced Dermatologic Surgical Centre.

 

Practical Training             

The medical facility  hosting the Course will provide 7 active treatment rooms equipped with all necessary technical supplies. The attendees – in groups of 3-4 – will perform the exercises described in each mini-tutorial on phantoms and on teaching microscope. All exercises will be performed under the supervision of a Course Faculty Member and designated Assistants. Each group will rotate every 15-20 minutes in order to be exposed to all sequential steps of the Mohs’ micrographic surgery procedure.

 

Case Presentations        

Each attendee will present a “distillate” of a specific skin cancer treated or amenable to Mohs’ surgery excision in 5-min. (5 concept slides + 1 title slide + 1 conclusions slide per presentation allowed). The best and most original presentation will win a 3 day observational training at SDC (travel & accommodation non included).

 

Hosting City       

Triest is an elegant, safe, and conveniently located northern Italian city. The importance of its natural harbour was recognized firstly by the Romans, later by the Venicians, and finally from the Austrians who made Triest one of its major commercial cities on the Adriatic sea. Triest airport is connected with Munich (Germany) with 4 daily flights. Only 1 hour driving separates it from Ljublijana, the capital of Slovenia, 90minutes from Venice and the southern Austrian border. Triest is famous for its strong wind (Bora) and one of the biggest sailing events in the mediterranean (Barcolana).

 

Coruse Venue/Medical Facility                

The course will be held at the SDC - the Skin Doctors Center. SDC is an advanced Dermatologic Clinic dedicated to General and Advanced Surgical Dermatology (ASD), including Laser, IPPL, LED, RF, Mohs surgery, Advanced PDT, Nail surgery, Cosmetic and Corrective surgery. SDC features a meeting room with OR (Operating Room) video-transmission and 6-7 treatment rooms: an ideal setting to organize hands-on courses.

Where

Trieste, Italy

Terms

EADV Specialist courses are for dermatology and venereology specialists (both EADV members and non EADV members).

Participants will receive the educational material which was presented during the course, catering and a social event during the course.

Registration Fee (EADV Members): 800€
Registration Fee (Non EADV Members): 1200€

 

The registration deadline will close at 23h59 (GMT+1) the day before the registration deadline (ex: registration deadline 31 January 2000 – the registrations will close on 30 January 2000 at 23h59).

Should you be registering on behalf of the person who will be attending the course, please ensure you use their personal log in and contact details when filling out the registration form.

Programme

Thursday 16 May 2019

  • 11:30 / 12:00 Registration
  • 12:00 / 12:15 Welcome from the EADV Faculty
  • 12:15 / 13:15 Preliminary Knowledge 1
    • 12:15 / 12:30  History – Development and Basic theoretical knowledge - L. Marini

    • 12:30 / 12:45  Common indications and cure rates - K. Munte

    • 12:45 / 13:00  Mohs’ surgery qualifications: Who and where - R. Motley

    • 13:00 / 13:15  Buying and maintaining Mohs laboratory equipment - A. Krunic

  • 13:15 / 14:00 Lunch
  • 14:00 / 15:15 Preliminary Knowledge 2
    • 14:00 / 14:15  Pre-operative assessment and patient informed consent - L. Marini

    • 14:15 / 14:30  Medico-legal issues - K. Munte

    • 14:30 / 14:45  Mohs’ surgery operative chart - R. Motley

    • 14:45 / 15:00  Working environment - A. Krunic

    • 15:00 / 15:15  Pre-op photographic documentation and clinical markings - M. Muhlstadt

  • 15:15 / 17:00 Indications
    • 15:15 / 15:30  Surgical excision technique and temporary dressing - K. Munte

    • 15:30 / 15:45  Surgical specimens handling and processing - R. Motley

    • 15:45 / 16:00  Histologic stains and microscopic evaluation techniques - M. Muhlstadt

    • 16:00 / 16:15  Reconstruction techniques upper face - L. Marini

    • 16:15 / 16:30  Reconstruction techniques lower face - M. Muhlstadt

    • 16:30 / 16:45  Reconstruction techniques scalp and ears - A. Krunic

    • 16:45 / 17:00  Reconstruction techniques body areas - R. Motley

  • 17:00 / 17:15 Break and refreshments
  • 17:15 / 18:30 Prepare for Action
    • 17:15 / 17:30  Topical antisepsis + Topical and local anaesthesia - V. Trashlieva + L. Marini

    • 17:30 / 17:45  Treatment and Service tray + Intra-operative haemostasis techniques - R. Motley + K. Munte

    • 17:45 / 18:00  Surgical patient positioning, surgical lights, and operating field preparation + Personal protection and sterility - A. Krunic + T. Kacin RN

    • 18:00 / 18:15  Surgical instruments and suture materials + Q-tips, gauze, absorbing pads: intra-operative use - M. Muhlstadt + A. Krunic

    • 18:15 / 18:30  Patient vital signs monitoring systems + Primary and secondary dressing systems in surgical practice - T. Kacin RN, K. Munte + L. Marini, R. Motley

  • 18:30 / 19:45 Post-Treatment care
    • 18:30 / 18:45  Immediate Post-treatment primary and secondary dressing strategies - L. Marini

    • 18:45 / 19:00  Early and late Post-treatment skin care - K. Munte

    • 19:00 / 19:15  Follow up planning and selective clinical/instrumental assessment - M. Muhlstadt

    • 19:15 / 19:30  Modern Sun protection strategies - A. Krunic

    • 19:30 / 19:45  Self-examination: education – instructions – implementation - R. Motley

Friday 17 May 2019

  • 09:00 / 13:15 Operating and Laboratory scenarios & Hands-on exercises 1
    • 09:00 / 09:25  Pre-operative marking and photographic documentation - L. Marini

    • 09:25 / 09:50  Local anaesthesia techniques - V. Trashlieva

    • 09:50 / 10:15  Primary excision technique and immediate tissue handling - M. Muhlstadt

    • 10:15 / 10:40  Laboratory setting – surgical instruments, cutting board, persistent colour marking - A. Krunic

    • 10:40 / 11:05  Preliminary specimen processing and colouring for 3D microscopic assessment - R. Motley, D. C. Murphy

    • 11:05 / 11:30  Specimen cryofixation techniques - K. Munte

    • 11:30 / 11:55  Microtome specimen cutting and transferring on microscopic slides - M. Muhlstadt, D. C. Murphy

    • 11:55 / 12:20  Histologic slides colour processing - R. Motley, D. C. Murphy

    • 12:20 / 12:45  Histologic slides handling and archiving - K. Munte

    • 12:45 / 13:15  Microscopic assessment and translation on photographic documentation - A. Krunic, L. Marini

  • 13:15 / 14:00 Lunch
  • 14:00 / 16:00 Mohs micrographic scenarios & Hands-on exercises 2
    • 14:00 / 14:15  Micro-assessment and translation on photographic documentation: BCC nodular - V. Trashlieva

    • 14:15 / 14:30  Micro-assessment and translation on photographic documentation: BCC infiltrating - R. Motley

    • 14:30 / 14:45  Micro-assessment and translation on photographic documentation: BCC sclerodermiform - L. Marini

    • 14:45 / 15:00  Micro-assessment and translation on photographic documentation: SCC - K. Munte

    • 15:00 / 15:15  Micro-assessment and translation on photographic documentation: DFSP - M. Muhlstadt

    • 15:15 / 15:45  Micro-assessment and translation on photographic documentation: LMM - A. Krunic

  • 15:45 / 16:00 Break and refreshments
  • 16:00 / 17:00 Reconstructive scenarios & Hands-on exercises 3
    • 16:00 / 16:20  Facial defects: upper third - L. Marini, V. Trashlieva

    • 16:20 / 16:40  Facial defects: middle third - A. Krunic, K. Munte

    • 16:40 / 17:00  Facial defects: lower third - M. Muhlstadt, R. Motley

  • 17:00 / 17:15 Break and refreshments
  • 17:15 / 19:30 Reconstructive scenarios & Hands-on exercises 4
    • 17:15 / 17:45  Scalp defects - K. Munte, L. Marini

    • 17:45 / 18:15  Ear defects - A. Krunic

    • 18:15 / 18:45  Digital defects - M. Muhlstadt

    • 18:45 / 19:30  Genital defects - R. Motley

  • 20:30 / 22:30 Course dinner with participants

Saturday 18 May 2019

  • 09:00 / 11:00 Treatment scenarios & Hands-on treatment exercises 5
    • 09:00 / 09:15  Pre-operative marking and photographic documentation - V. Trashlieva

    • 09:15 / 09:30  Primary excision technique and immediate tissue handling - A. Krunic

    • 09:30 / 09:45  Preliminary specimen processing and colouring for 3D microscopic assessment - K. Munte

    • 09:45 / 10:00  Specimen cryofixation techniques - R. Motley

    • 10:00 / 10:15  Microscopic assessment and translation on photographic documentation - L. Marini

    • 10:15 / 10:30  Reconstructive scenarios - M. Muhlstadt

    • 10:30 / 11:00  Primary post-operative dressing - T. Kacin RN

  • 11:00 / 12:30 Interactive Case Presentations from the Attendees & Self Assessment Questionnaire
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