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ATSU Continuing Education

december, 2015

03dec8:00 am11:00 amBig Cedar Lodge - Pre-Conference WorkshopSkin Surgery Part II


Event Details

Lloyd Cleaver, DO, FAOCD
David Cleaver, DO
Jonathan Cleaver, DO

Course Description
ATSU’s Pre-Conference will allow attendees to advance their Dermatology Surgery skills and obtain an additional 3 credits of AOA category 1-A CME credits. Approval is currently pending. Separate registration is required.

The goal of this course is to discuss the basic principles of dermatological surgery including biopsy, excision, suture, cautery, and flaps. At the end of the skin surgery workshop, you will be able to perform basic closures, manage pitfalls and provide management of skin cancer where participants will be able to demonstrate their advancement in the skills attained and improved performance, knowledge and competence within their practice setting. This course will be a continuation of the 2014 Pre-Conference Dermatology Surgery program. Attendees do not need to have attended the December 2014 course in order to attend this course.

Target Audience: Physicians, Nurse Practitioners, Physician Assistant’s, and other healthcare providers who are involved in patient care involving skin surgery or skin biopsies

Need: Practicing Primary Care physicians have the some knowledge and limited training on properly excising skin lesions especially those that are suspected of being malignant. More information about proper excision techniques for improved patient outcomes and actual practice with various excision methods and suturing is needed.

Therefore, the delivery of lectures by trained specialists who are versed in updated practice guidelines and new criteria will increase knowledge and competence. Through guided hands-on practice we hope to increase and improve attendee performance.  This is the cause of the Professional Practice gap.

Professional Practice Gap: New information is available about treatment options about the best methods for physicians to perform skin biopsies and suturing techniques.  There are times when primary care physicians know the information, but they do not have the time or resources research the latest data and apply that knowledge into practice.  Gaps can occur in how a primary care physician manages skin diseases and lesions and how they can improve the quality of care they deliver.  Results have shown a significant difference in the rate of adequate surgical excision margins between GP’s and specialists.  There has been a lack of adequate training in this area

The number of consultations per year for suspect skin lesions and the annual percentage change in the number of contacts were analyzed and it was shown to have increased 7.3% per year. Minor surgery was performed by primary care physicians 31.2% of the time.  Therefore, suspected skin lesions impose an increasing burden on primary healthcare providers and they should be trained in diagnosing, excising and treating skin lesions (2)

Primary care physicians are trying to improve patient’s access to specialist level care in the primary care setting especially in rural or underserved areas.  This is being achieved through PCP’s providing quality care with proper training which could improve patient outcomes. While not necessarily proving the same breadth of clinical care as specialists, they do provide an alternative and additional access to care that may not be available to rural or lower economic level patients.(4) Through proper instruction given by specialists, our goal is to close the professional practice gap in proper excision and suturing techniques involved with skin lesions because skin biopsies are an essential technique in the management of skin diseases and can enhance the dermatologic care rendered by internists.

After attending this program participants should be able to:

  • Evaluate and practice various methods of skin lesion excision using various biopsy techniques
  • Discuss and practice various biopsy techniques such as punch biopsy, shave biopsy, incisional biopsy and explain other techniques including Curettage with cautery and needle biopsy
  • Review current general standards and guidelines when biopsies are performed in a primary care practice setting

Expected Outcomes: Our expected outcomes are changes in physician/attendee knowledge, competence and/or performance

CEU: 3 credits of AOA Category 1-A CME credit

*Our program is currently being finalized and more program information will follow. There is no pre-requisite for this course.

Accreditation Statement: ATSU is accredited by the American Osteopathic Association (AOA) to provide continuing medical education for physicians. ATSU has requested that the AOA Council on Continuing Medical Education approve this program for 3 credits of AOA category 1-A CME credits. Approval is currently pending. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Disclosure Statement: It is the policy of the ATSU Continuing Education Department to ensure balance, independence, objectivity and scientific rigor in all its educational programs. Faculty disclosures will be made in the course syllabus and/or during faculty introductions. The audience is advised that one or more presentations in this continuing education activity may contain references of unlabeled or unapproved uses of drugs or devices.

Cancellation Policy: A full refund less $50 administrative fee will be granted if the cancellation is made at least two weeks prior to the start date of the educational activity.  A. T. Still university will not be responsible for any losses incurred by registrants including, but not limited to, airline cancellation charges or hotel deposits.  If cancellation occurs inside the two week window before the educational activity begins, administrative fees of up to 50% of the course registration will be charged.

Call the ATSU CE Office at 660-626-2232 for more information.


(Thursday) 8:00 am - 11:00 am


Big Cedar Lodge

612 Devil's Pool Road, Ridgedale, MO 65739


Continuing Education660.626.2232 |

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