The Advanced Certificate of Skin Cancer Medicine course will solidify and advance your competency in dermoscopy, surgical and non-surgical treatments. You will gain valuable experience in rarely covered areas of skin cancer medicine including diathermy, curettage and cautery or suturing ‘paper-thin’ elderly skin. You will also receive an excellent introduction to advanced dermoscopy and acquire the essential knowledge to diagnose and manage most skin cancers in your practice.
This course is the second part of the three-part Professional Diploma of Skin Cancer Medicine. The education pathway is Professional Certificate of Skin Cancer Medicine, Advanced Certificate of Skin Cancer Medicine and Professional Diploma of Skin Cancer Medicine.
Choose Your Delivery Format
The course is delivered fully online with the option to attend a six-hour practical workshop. The modules are set up in such a way that you are not required to be online at specific times but can view and replay video lectures at your convenience. The suggested timeline is weekly learning over 15 weeks, with 12 weeks of teaching followed by the submission of required activities. There are no face-to-face requirements for exams which can be conveniently completed online.
- Commence your course anytime online, access all course content instantly and study at your own pace.
- Reinforce your learning, participate in case discussions, follow along procedure demonstrations, and ask any questions in webinars with presenters.
- Complete your assessment online and receive your CPD points and certificate.
Online + Workshop
- Complete your course fully online and receive all of the benefits of online study.
- Receive your CPD points and certificate.
- Cement your knowledge in the accompanying workshop with hands-on training, demonstrations and expert guidance in a small group setting on a date and location of your choice.
The course offers a solid foundation for various surgical techniques and provides an excellent introduction to advanced dermatoscopy. Course participants can choose to complete the course entirely online or with an optional practical workshop.
- Advanced dermoscopy
- Curettage and cautery*
- Advanced biopsy techniques*
- Topical treatment options
- Local anaesthetics
- Incisions / haemostasis*
- Large elliptical excisions*
- Lower leg grafts*
- Suturing, including "paper-thin" skin*
All topics are covered online and during the web live tutorials. *These topics are also covered during the hands-on practical sessions in the optional skills workshop. Course graduates also receive ongoing post-course support through regular alumni webinars.
Entry Requirements And Course Requisites
The Advanced Certificate of Skin Cancer Medicine is suitable for medical professionals wishing to solidify and advance their competency in dermoscopy, surgical and non-surgical treatments. Participants can expect to gain valuable experience in diathermy, curettage and cautery, advanced biopsy techniques and topical treatment options, equipping them with the knowledge to manage most skin cancers encountered in primary care and offering their skin cancer patients a wide range of treatment options.
The course is suitable for medical doctors and International Medical Graduates. Participants must have completed the Professional Certificate of Skin Cancer Medicine (or a qualification deemed equivalent).
Participants do not have to pass an IELTS test but, as the courses are delivered in English, proficiency in listening, reading and writing English is assumed.
Participants will require access to a computer/laptop, an internet connection and a basic level of technology proficiency to access and navigate the online learning portal.
Recognition of Prior Learning
Professionally accredited qualifications and prior studies may be recognized for entry into this course. Please send an email to [email protected] for an individual assessment of your prior qualifications and experience. This email should contain information about your educational history and work experience that specifically pertain to the content and procedures covered in the Professional Certificate of Skin Cancer Medicine. Please include any applicable certificates and course outlines from previous education. The relevant Course Chair will make a determination on your application within two to three weeks.
Module 1 – Suturing And Perfecting The Ellipse
Unit one looks at the most common type of excision (elliptical excision). The detailed marking out process consists of dotting and assessing the edge of lesion, determining solid line surgical margin and designing the ellipse. The unit is illustrated by mathematical diagrams and clinical images of performing the ellipse on various parts of the anatomy. Recordings of key suture techniques and procedures support the learning on both pigskin and in the clinical setting.
Unit two continues with the ellipse procedure. It describes how best to cut the ellipse and how to hold the scalpel. Diagrams and images demonstrate the best practice approach to cutting the ellipse. Videos of blade handle tilt and cutting ends of the ellipse are illustrated in this unit. Attention is also paid to atraumatic technique and undermining supported by clinical recordings.
In unit three, different types of sutures are listed describing pros and cons of each suture type. These include dermal, the slider, dermal pulley, butterfly dermal, simple interrupted, mattress and continuous sutures. Knotting techniques for sutures is described in detail. Multiple clinical images, recordings and diagrams assist with understanding these techniques. The unit concludes with suturing in elderly patients with thinner skin.
Module 2 – Local Anaesthesia
The module lists the pharmacology and guidelines of the two main classes of local anaesthetic - amides (lignocaine, bupivacaine, prilocaine) and esters (procaine, benzocaine, cocaine). Two routes of administration of local anaesthesia are described - local field infiltration and/or nerve block. The process of infiltration is listed, including bevel and needle orientation. Recordings of preparation and injecting the site support the learning. Practical tips for the patient are outlined to minimize wound damage due to site numbness.
The second part of this module focusses on injecting the ear and lip, paying attention to sensory nerve blocks including the trigeminal nerve, infra-orbital nerve, mental nerve and temporal nerves. Diagrams, images and clinical recordings of nerve blocks are provided. ‘Tiger country’ complexities are described and supported by diagrams and images. Areas of extreme complexity like Erb's point, facial nerve (temporal branch and marginal branch), and the common peroneal nerve are listed. Signs and symptoms of nerve injury are included and practice tasks are provided.
Module 3 – Biopsy, Haemostasis And Halo Grafting
Unit one defines monopolar and bipolar modes of cautery, including pros and cons of each mode. Electrical and fire risks of cautery are mentioned. The unit concludes with haemostasis options for punch and shave biopsy. Procedures and sizes of punch biopsies are given in addition to the use of marini sutures for biopsy closure if required.
The second unit looks at shave biopsies and shave excisions. Attention is paid to using shave excisions for excising melanoma. The technique, advantages and limitations of halo grafting are explained, including three skin graft phases - plasmatic imbibition, Inosculation and neovascularization. Clinical diagrams, mathematical equations and recordings are provided. The final section of this unit outlines suitable dressings and dressing changes. Recordings of procedures on pigskin and in the clinical setting are provided.
Module 4 – Curettage and Cautery
This module commences with a comparison of thermal injury with liquid nitrogen to mechanical and thermal injury with electrical desiccation. A table of (pre-)malignant conditions, the freeze time, freeze-thaw cycle and halo diameter are included. The process of cryotherapy (cryosurgery) and where it is appropriate to use cryosurgery including which lesions and locations is explained. The use of a cryogun is described, illustrated by several videos.
The second part of this module focusses on when to use curettage and cautery and locations for curettage, dividing these into three zones of recurrence - high, middle and low risk. The process of curettage and cautery is listed and supported by videos and images. Tips for diagnosis of small basal cell carcinomas and sBCC including a patient case of a small BCC on the nose finalize this module.
Module 5 – Ellipse Planning
The first unit looks at the three priorities in skin cancer surgery: cut the cancer out, close the resulting defect including the limitations of the ellipse, and minimizing scar lines. The unit reviews designing the ellipse and applying the ellipse around different anatomical locations with consideration to skin tension lines. Different techniques are demonstrated to determine the best direction to design an ellipse. Diagrams are included of tension lines on face, limbs and chest. Images and videos illustrate the learning in this unit.
The second unit focusses on ellipse planning on various areas of the face and hands. Curving ellipses may be used when following skin tension lines. Clinical recordings and images are provided. ‘Tiger country’ is reinforced at the conclusion of this module.
Module 6 – Chaos and Clues
This module focusses on the Chaos and Clues algorithm looking at pattern recognition and analysis. A chaos and clues flowchart for this decision algorithm for cutaneous malignancy and revised pattern analysis is included. Many dermoscopic images are used to demonstrate the application of this algorithm. The definitions of the different patterns are listed, with a focus to understanding colours in dermatoscopy as well as clues to a specific diagnosis or malignancy.
Pattern + Colours + Clues = Diagnosis. The use of this equation is demonstrated throughout the presentation. The identification of chaos in lesions is outlined. Histopathology images are also included for consideration.
Module 7 – The Big Three: BCC, SCC And Melanoma
Unit one commences with outlining the clinical and dermoscopic features of BCCs, biopsy options, pathology and treatment approaches. The module then moves to solar keratosis and examines the use of topical non-surgical treatments.
Unit two continues with field-directed treatment methods including photodynamic therapy, and lists the pros and cons of available treatments. Two patient cases are included.
Unit three covers SCC lesions and outlines the clinical and dermoscopic features, biopsy options, pathology and treatment approaches. Clinical cases including images are provided for various SCCs.
Unit four focusses on melanomas and sentinel lymph nodes and again outlines the clinical and dermoscopic features, biopsy options, pathology and treatment approaches. Clinical cases are provided for various melanomas.
Module 8 – Case Management
This module builds on the course learning and relates this information to clinical case studies. It includes planning surgical procedures, suturing techniques (simple interrupted, dermal, mattress, mirini, pulley and continuous), and suturing on "paper-thin" skin. Curettage and cautery, elliptical excisions, biopsies, lower leg grafts are also applied to these cases. Determining when to refer to others is included. Presented as three units, clinical case management of various cancers on different anatomical areas are featured throughout this module.
For your one-off investment, you will receive unlimited access to all course content, additional learning materials, ongoing post-course support and more.
- Online pre-course activity to be completed in your own time.
- Eight online video modules to be viewed, replayed and completed at your convenience.
- All presentation slides and further learning materials available for permanent access and download.
- Instruments and consumables for practical sessions in the optional practical workshop.
- Post-course online assessment to be completed in your own time within six months of the course start date.
- Ongoing post-course support in monthly webinars with the opportunity to discuss cases with course presenters.
- Access to the HealthCert Community with additional free learning opportunities, special offers and other benefits.
In order to meet the requirements of professional and academic learning, the course assessment includes professional requirements and two online examinations.
- Develop a one-page report/explanation of how you will use the learning from this course in your professional work.
- Compile a report listing the resource materials that you have collected to advance and apply your knowledge.
- 104 knowledge questions based on a scenario of a medical practitioner undertaking special interest training.
- 13 per module, Example: The medical practitioner believes that 10% of the population … Is he correct? Yes/No
- 104 authentic scenario based questions based on cases of patient care at a clinic.
- 13 per module, Example: A patient arrives at your clinic with this problem … What should you do? Multiple choice images based on patient cases.
The knowledge-based examination is worth 50 per cent and the application-based examination is worth 50 per cent. The overall pass mark is 80 per cent. It is therefore not possible to pass this course on knowledge alone. Knowledge must be successfully applied to patient cases in order to pass the course.
If you choose to attend the optional practical workshop and there is cause for postponement or you cannot travel due to Covid-19 restrictions, full workshop refund, transfer or alternative learning opportunities will be available for you. View full refunds and cancellation.
Condition on Sale
- Enrolments in HealthCert Education courses are sold subject to these and any other additional conditions of admission as provided in the course information detailed on our website/s.
- Should you be unable to participate in the course, please email [email protected].
- The following conditions will apply to any changes to enrolments and clinical attachments that have been paid and confirmed.
Face to Face Courses
- Course transfers for Face to Face practical workshops are available, subject to requests being received, in writing, a minimum of 10 business days prior to workshop commencement. Transfer requests received after 10 business days prior to workshop commencement will incur an Administration Fee of $250.
- Transfers will be subject to availability in the future workshops. If the future workshop has a cost differential, that price will apply, and any additional charges will be payable at the time of the transfer request.
- One workshop transfer, per course is allowed. Further transfers will be considered upon application and may be charged at 25% of a full new workshop booking rate.
- Transfers for Online courses are available subject to requests being received, in writing, within 7 days of enrolment. Transfer requests received after the 7 days post enrolment will incur an Administration Fee of $200. One course transfer request, per course is allowed.
- If the future course being transferred to, has a cost differential, that price will apply, and any additional charges will be payable at the time of the course transfer request.
Online Cancellations and Refunds
Cancellation and a full refund of the course fees will be provided if a request is received, in writing, a maximum of 7 days after course enrolment. Refund requests received later than 7 days after course enrolment will incur an Administration Fee of $250. Upon cancellation and full refund of the course enrolment, you will not receive a certificate or accreditation points.
Courses purchased as part of a bundle attract a discount. This discount is apportioned to the final course in the bundle in the cases of cancellations and refunds. Therefore, cancellation and refund requests of a course that have been purchased as part of a bundle are refunded based on the first and/or second course being charged at the full price rate. Any courses remaining in the bundle can be refunded provided the request is received, in writing, a maximum of 7 days after course enrolment. Refund requests received later than 7 days after course enrolment will incur an Administration Fee of $250.
Deferred Payment Terms
Courses purchased as part of a bundle with a deferred payment will be eligible for release of certificate in stages based on the payment schedule. For the release of the final certificate the bundle must be paid in full.
Certificate and CPD points can be released as follows:
- Course 1 - Upon 33% payment of total deferred payments received and course completed, certificate to be released and CPD points uploaded
- Course 2 - Upon 66% payment of total deferred payments received and course completed, certificate to be released and CPD points uploaded
- Course 3 - Upon 100% payment of total deferred payments received and course completed, certificate to be released and CPD points uploaded
- The clinical attachment program is aimed at qualified general practitioners who have completed the relevant HealthCert courses (or equivalent). Places are subject to availability and clinic schedules.
- Cancellation and a full refund of the fees will be provided if a request is received, in writing, a minimum of 10 business days prior to commencement. Refund requests received after 10 business days prior to commencement will incur an Administration Fee of $250. Cancellation requests post commencement will not result in a refund.
- If the Workshops or Clinical Attachments are cancelled for reasons outside the reasonable control of HealthCert Education Pte Ltd, the booking fee will not be refunded however an alternate place may be arranged with a future Workshop at the sole discretion of HealthCert Education Pte Ltd.
Please contact the Provider directly or follow the ticket selection button to the Course Provider Website for full terms and conditions.
Lecture and Assessment
12 Hours Lecture
Prof Cliff Rosendahl
MBBS PhD Professor and Course Coordinator MMed (Skin Cancer) Program School of Medicine, The University of Queensland, Australia
Professor Cliff Rosendahl currently works in Brisbane as a primary care practitioner with a special interest in skin cancer. He also has an interest in research as the clinical developer and Director of the Skin Cancer Audit Research Database (SCARD). His other main area of research has been in evaluating dermatoscopic clues and artificial intelligence for the diagnosis of skin malignancy in collaboration with colleagues at the Medical University of Vienna, Austria.
Prof Rosendahl has published over 70 articles in peer-reviewed journals and authored/co- authored two textbooks. He has a busy schedule presenting to GPs in Australia and to GPs and dermatologists internationally.
Dr. Hamilton Ayres
BA, BSc, BMBS, FRACGP Skin Cancer Doctor, National Skin Cancer Centres, Monash
Dr Hamilton Ayres worked in Adelaide as a Plastic Surgery Registrar at Flinders, Repatriation General Hospital and the Royal Adelaide Hospital where his main role was the management of trauma, hand injuries and difficult skin cancers. Hamilton has obtained a Fellowship of the Royal Australian College of General Practitioners and Certificates in Skin Cancer Medicine, Dermatoscopy and Histopathology from HealthCert and The University of Queensland School of Medicine.
Dr Colin Armstrong
BSc, BMBS, MMed (Skin Cancer), FRACGP Skin Cancer Doctor, National Skin Cancer Centres, Redcliffe
Dr Colin Armstrong is a general practitioner and part-time clinical trials investigator at the Wesley Research Institute, Brisbane. He completed all HealthCert certificate courses and The University of Queensland Master of Medicine (Skin Cancer) in 2011. Working primarily in skin cancer since 2010, Colin is passionate about building GPs’ confidence in their management of skin cancer and has an ongoing commitment to GP education in all facets of skin cancer diagnosis and treatment.