ACCO's Intense 5 Day Flap and Graft Workshop

The ACCO 5 day flap & graft program is ACRRM & RACGP approved for CPD points.

This course also attracts the 4 day rural surgery grant for eligible rural GP proceduralists. This amounts to $2,000 per day or $8,000 to attend this course. Apply through either RACGP  or ACRRM

This program includes daily lunch, morning and afternoon tea as well as all equipment.

Day 1: Beginning skin flap surgery

8:00 - 8:30 AM Arrival and induction
8:30 - 10:00 AM

Welcome and Introduction
Equipment needed for skin surgery
Principles of Random pattern skin flaps

  • 1stskin flap: Rhomboid flap SKILLS SESSION

Morning Tea
10:00 - 10:30 AM

10:30 - 12:00 PM

Anaesthesia for skin cancer surgery

Nerve blocks around the face for skin surgery

Danger zones on the face

Skin surgery in the elderly and children

Lunch
12:00 – 1:30 PM

1:30 - 3:00 PM

Role of imiquimod in managing non melanoma skin cancer

  • 2nd skin flap: Twin advancement flap SKILLS SESSION
  • 3rd skin flap: Harry Potter type forehead flap SKILLS SESSION

Afternoon Tea
3:00 – 3:30 PM

3:30 - 5:00 PM

Welding and Skin cancer

  • 4th skin flap: O-Z flap – SKILLS SESSION
  • 5th Skin flap: O-S flap – SKILLS SESSION

Using Skin lesion item numbers

5:00 PM to 6:00 PM

Welcome drinks and nibbles immediately following session
Day 2: Theory expansion and transposition flaps

8.30 – 10:00 AM

The concept of transposition flaps

  • 6th Skin flap: Transposition flap – SKILLS SESSION
  • 7th flap: Bilobed flap – SKILLS SESSION

Morning Tea
10:00 - 10:30 AM

10:30 AM – 12:00 Noon

Dermatopathology session with Dr. Alex Nirenberg

(Session time may be swapped to meet Dr. Nirenberg's  schedule)

Lunch
12:00 – 1:30 PM

1:30 – 3:00 PM

Photodynamic therapy for actinic keratoses and skin cancers
Afternoon Tea
3:00 – 3:30 PM

3:30 – 5:00 PM

Managing skin cancer below the knee

  • 8th flap: ROM flap – SKILLS SESSION

Day 3: Melanoma day

8:30 - 11:00 AM

Melanoma Update

  • Management
  • Margins
  • Follow up
  • Investigations
  • Role of melanoma units
  • Sentinel node biopsy

Morning Tea
11:00 - 11:30 AM

11:30 AM – 1:00 PM

Metastatic melanoma

  • In transit melanoma
  • Limb infusion / perfusion chemotherapy
  • Vemurafenib / Dabrafenib, etc
  • Ipilimumab / Pembrolizumab, etc

Rarer skin cancers

Lunch
1:00 - 2:00 PM

2:00 PM - 3:30 PM

Role of Radiation therapy managing skin cancer

Margin control surgery

Mohs surgery

Day 4: Other therapies & Large Flaps Day

8:30 - 10:00 AM

Epidemiology of melanoma and skin cancer prevention

Morning Tea
10:00 - 10:30 AM

10:30 - 12:00 PM

  • 9th skin flap: A to T flaps - SKILLS SESSION
  • 10th skin flap: Rotation flaps - SKILLS SESSION

Lunch
12:00 – 1:30 PM

1:30 - 3:00 PM

Management of Skin Cancer when margins are not clear

Field cancerization

Actinic Keratoses

Afternoon Tea
3:00 – 3:30 PM

3:30 - 5:00 PM

5 fluro uracil & diclofenac in skin cancer management

Island type skin flaps

  • 11th flap: Island pedicle flap – SKILLS SESSION

Conference Dinner - Casual Dress

6.00 pm for a 6:30 pm Dinner

Day 5: Multi flap & Graft day

8:00 – 9:30 AM

  • 12th Flap: Multi rhomboid flap. – SKILLS SESSION
  • 13th Flap: Multi transposition flap – SKILLS SESSION

Morning Tea
9:30 – 10:00 AM

10:00 - 11:30 AM

  • Myths of skin cancer surgery - which are true?

Lunch
11:30 - 1:00 PM

1:00 PM – 2:30 PM

  • Full thickness skin grafts - SKILLS SESSION
  • Partial Thickness skin graft - SKILLS SESSION

Afternoon tea

2:30 PM - 3:00 PM

Meeting concludes

Prof Anthony Dixon

Professor Dixon and Dr Nirenberg

Dr Nirenberg leads our education of dermatopathology, including the correlations between pathology and dermoscopy of skin lesions.

Professor Dixon leads our education of skin lesion dermatology, skin surgery and dermoscopy. All the practical sessions with skin models is overseen by Professor Dixon

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Dr. Nirenberg