Skin Surgery Skills

Key information

Course Leader: Madeleine Flanagan

Level: 7

Credits: 30

Mode of delivery: Taught

School: Life & Medical Sciences

Available places: 20

Dates

  • 10/03/2023

Fees and Funding

£1620.00

The price quoted above is per 30 credits and relates to students assessed as UK/home self-funded for fee purposes. Prices may differ for students that are assessed as EU Overseas/Overseas. Fees status will normally stay with the student for the remainder of their course. Here you can find further details along with, costs and when your fees need to be paid. You may be able to obtain a Post Graduate student loan, for which you must sign up for the whole MSc programme and not just individual modules or a Post Graduate Diploma, further details can be found at Gov.uk Master’s Loan

Entry Requirements

1. Registration with professional bodies allied to medicine or health 

2. 1 years' full-time experience (or equivalent) within a relevant field of practice 

3. Must have professional registration in the UK and employment in an appropriate area of practice with access to patients requiring minor skin surgery  

4. Identification of a suitable work based assessor who must be a registered practitioner with current knowledge and experience in minor skin surgery

5. Essential that prior to commencing the Skin Surgery Skills module that non-medical practitioners gain employer approval to facilitate the expected outcomes of the course

 

Course Overview

This course has been developed for practitioners who wish to develop and consolidate their skills in minor skin surgery and in response to the need for instruction that includes supervised practice and formal assessment of competency in performing skin surgery procedures. Students will be required to identify a suitable practice supervisor who must be a registered practitioner who has relevant experience and skills in minor skin surgery. You will be expected to complete a surgical skills portfolio under the guidance of a practice supervisor over the duration of the course (March-September).

Content

This 5-day course focuses on acquisition of minor surgery practical skills and the context of service delivery.

• Patient assessment & treatment options, informed consent

• Skin preparation, local anaesthesia, haemostasis

• Surgical anatomical hazards

• Surgical procedures: curettage, shave, ellipse excision, punch biopsy

• Histology: specimens, diagnosis

• Wound closure and aftercare

• Medico-legal and other professional issues.

This course is suitable for Practitioners with a Special interest in dermatology (PwSI) who want to develop & consolidate skills in minor skin surgery. This course will be of interest to GPs, GPwSI’s, GP Registrars, F1-2/ST 1-3’s, Dermatology Nurses, Nurse Practitioners and Skin Cancer Clinicians who are performing skin surgery on a regular basis.

 

Learning outcomes

Overview 

  • Demand for minor dermatology surgery procedures 
  • Role of MDT in management of skin lesions/ shared clinical decision making 
  • National, International and local guidance/ protocols 
  • Models of service delivery/care pathways. 

Anatomy & Physiology 

  • Structure & function of skin, surgical anatomical hazards, Langer's Lines, vascular & nervous systems
  • Recognition & surgical management of skin lesions
  • Haemostasis and tissue repair, risk factors delayed wound healing.

Care Delivery

  • Safe surgical facilities and environment
  • Physical / psychological patient preparation 
  • Patient assessment process: medical and drug history, observations 
  • Pre, intra, postoperative patient management 
  • Maintenance of asepsis / sterilisation, universal precautions
  • Medico-legal issues: informed patient consent, competency, liability, negligence, scope of practice 
  • Documentation: case notes, indications for procedure, consent form, operating notes
  • Evaluation of outcomes, clinical audit, patient satisfaction.

Surgical Procedure 

  • Case selection for minor skin surgery: appropriate procedure for patient & type of lesion 
  • Skin preparation: type & use of equipment / instrumentation
  • Prevention of surgical site infection 
  • Surgical procedure: curettage, cautery, shave excision, ellipse excision, punch biopsy
  • Local anaesthetic agents: types, administration, complications & adverse events
  • Histology: quality of specimen, patient identification, specimen details, referral, patient notification audit of
  • histological diagnoses
  • Haemostasis: cautery, hyfrecator, silver nitrate
  • Use of antimicrobials: indications, type and duration of treatment 
  • Wound management: closure, wound dressings, scar management 

 

Assessment

Coursework 1 consists of OSCE - Completion of Surgical Competencies 

Coursework 2 - Service Review - Word limit equivalent of 5000 words

Both parts of the assessment must be passed separately to achieve an overall module pass.