Surgical SkinAudit

Improve and advance your clinical skills

Assess and enhance your provisional diagnostic accuracy compared to histological findings

Data collection made easy via specific Surgical Skin Audit request forms

Audit reports sent regularly and directly to you

RACGP approved for 40 Category 1 points QI every calendar year during the triennium*

30 ACRRM PRPD points every calendar year during the triennium*

The Kossard Dermatopathologists Surgical Skin Audit has been created for doctors who have an interest in skin and refer skin pathology to Kossard Dermatopathologists.

kossard.com.au

2017 - 2019 Triennium

*RACGP Cat 1 40 points QI and ACRRM 30 PDP points have been applied for and are subject to review and approval.

Doctors can assess their skills compared with peers in a confidential setting via graphical and statistical information generated from all registered participants. Our diagnostic accuracy comparison groups include individual statistics, your practitioner group statistics and all practitioner groups.

You can use this information to inform and improve your diagnostic accuracy, surgical practice technique and ultimately help improve the quality of care for your patients.

The Kossard Dermatopathologists Surgical Skin Audit is open to all doctors who refer skin pathology to Kossard Dermatopathologists. To qualify for CPD points, participation is available each year of the triennium. Activity must represent the doctor’s standard clinical practice.

REPORTING FEATURES

• You will receive information on number of patients biopsied, number of lesions, provisional diagnoses compared with histological diagnoses and surgical clearance rate for select excised lesions

• Easy to read and interpret graphical reports

• All results completely confidential

• Doctors must use the dedicated Surgical Skin Audit Request forms with the reverse completed for specimens to be included in your data report

RACGP QI&CPD/ACRRM POINTS

Eligible General Practitioners may attain the following:

• RACGP QI & CPD program: 40 Category 1 points QI approved every calendar year during the triennium*

• ACRRM: 30 PRDP points every calendar year during the triennium*

REGISTRATION

Please complete the registration form and return via email or fax to activate your participation in this audit. Scan and email, or fax completed registration form to KossardSkinAudit@kossard.com.au / (02) 9005 7116

Once we have processed your registration you will receive Surgical Skin Audit Request Forms.

Please note: Both sides of these forms must be completed for your data to be accurately collected.

FURTHER INFORMATION

Please speak with your local Medical Liaison Officer, or the Kossard Dermatopathologists Marketing Team on (02) 9005 7111 or email KossardSkinAudit@kossard.com.au

Sample Report

Request Form - front and back

θ. Where information provided

Generated at: 03/12/2018 3:59 p.m.

φ. Percentage of cases where the provisional diagnosis matches the histological diagnosis, out of the total number of cases with that provisional diagnosisψ. Plastic Surgeon

Practitioner group: Plastic Surgeon, Accreditation numbers: 1234

Footnotes

Surgical Skin Audit Report

MY NOTES ON THESE RESULTS

COMPUTER DEPARTMENTE, Dr NoneISD DEPARTMENT1 HEIDELBERG LAB 18 BANKSIA ST HEIDELBERG VIC 3084

Audit period: 01 Oct 2018 - 31 Oct 2018

ʊ. All Practitioner Groups includes General Practitioner (GP), Skin Subspecialising General Practitioner (Skin GP), Dermatologist and Plastic Surgeon practitioner groups. Practitioner group reference data is nationally aggregated across SDS laboratories and for current audit period as entered and available

0%

0%

33%

0%

0%

0%

0%

33%

0%

0%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Basal Cell Carcinoma

IEC/Bowens Disease

Squamous CellCarcinoma

Melanoma: in situ /HMF

Melanoma: invasive

Other Malignant

Naevus: Benign

Naevus: Dysplastic

Solar Keratosis

Keratoacanthoma

Solar Lentigo

Percentage Accuracy

DIAGNOSTIC ACCURACY COMPARISONφ

You

Your practitioner groupᵠ

All practitioner groupsᶷ

03

211

01

3

0 0.5 1 1.5 2 2.5 3 3.5

OtherCurettage and Cautery

Shave/SaucerisationNo closure

Graft: full thickness FTGGraft: split skin SSG

FlapEllipse

Number of procedures performed

DEFINITIVE MANAGEMENT TYPEθ

Smith Medical Centre, Dr John Smith The Smith Medical Centre, 123 Smith Street, QLD 1234

Tota

l #

% A

ccur

acy

BCC

IEC

SCC

MM

is

MM

inv

MM

met

OM N DN BN SN SK KA SL SebK

LPLK

DF SGH

B Cy

st

OB

Basal Cell Carcinoma (BCC) 3 0% 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 2 0

IEC/Bowens Disease (IEC) 1 0% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0

Squamous Cell Carcinoma (SCC) 3 33% 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0

Melanoma: in situ / HMF (MMis) 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Melanoma: invasive (MMinv) 1 0% 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Melanoma: metastasis (MMmet) 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Other Malignant (OM) 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Naevus: Benign (N) 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Naevus: Dysplastic (DN) 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Naevus: Blue (BN) 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Naevus: Spitz (SN) 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Solar Keratosis (SK) 1 0% 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0

Keratoacanthoma (KA) 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Solar Lentigo (SL) 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Seborrhoeic Keratosis (SebK) 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Lichen Planus Keratosis (LPLK) 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Dermatofibroma (DF) 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Sebaceous Gland Hyperplas (SGH) 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Benign Cyst (B Cyst) 2 0% 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Other: Benign (OB) 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Excisedᵞ malignant lesionᵝ margin clearance rates are My rate: -% My practitioner group rate: -%

β. Diagnosis code of BCC, SCC, MMinv, MMmet, OMγ. For Biopsy Type = excision, punch excision or shave excision only, and where histopathologic margin clearance is recordedδ. Where the provisional diagnosis for a specimen or entire episode was not provided, that specimen or episode has been excluded from this report

Generated at: 03/12/2018 3:59 p.m.

Footnotes

HISTOLOGICAL DIAGNOSIS

ISD DEPARTMENT1 HEIDELBERG LAB 18 BANKSIA ST HEIDELBERG VIC 3084

PROVISIONAL DIAGNOSIS

Practitioner group: Plastic Surgeon, Accreditation numbers: 1234

Count

1

810

- -

91%9%

DIAGNOSTIC ACCURACYδ

Previously biopsied specimens 1Malignant lesions diagnostic accuracyδ

Total episodesOriginally biopsied specimens

24

11

COMPUTER DEPARTMENTE, Dr None

CURRENT AUDIT PERIOD

Count

-Total specimens in audit range

Total specimens

Surgical Skin Audit ReportAudit period: 01 Oct 2018 - 31 Oct 2018

AUDIT SUMMARY

AUDIT CPD REGISTRATION PERIOD 01 Jan 2017 - 31 Dec 2019

% of total malignant specimen count

Malignant lesionsβ

1 33%67%0%

27%33%

% of totalspecimen count

3

20

Malignant lesions biopsiedMalignant lesions excised

Malignant lesions with clear marginsγ

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

DNOM

MMinvMMis

SCCIEC

BCC

Percentage

MARGIN CLEARANCEγ

Excisedᵞ malignant lesionᵝ margin clearance rates are My rate: -% My practitioner group rate: -%

Smith Medical Centre, Dr John Smith The Smith Medical Centre, 123 Smith Street, QLD 1234

kossard.com.au

kossard.com.au

DOCTOR INFORMATION

Title: First Name: Last Name:

Kossard Dr. Code (if known): Provider No.:

Name of College: College Registration No.:

Practitioner Type Use of Dermoscopy: Use of Sequential Digital Imaging: General Practitioner No Yes Skin Cancer Practitioner Always No Plastic / General Surgeon Sometimes Dermatologist

PRACTICE DETAILS

Practice Name (Primary Location):

Practice Address (Primary Location):

Suburb: State: Postcode:

Phone: Fax: Mobile:

Email Address:

Other practice locations to be included in this audit:

FREQUENCY OF REPORTS Half Yearly Yearly

I, Dr (print name) confirm that I wish to receive a ‘Skin Audit Report’ of my pathology cases and I will contact Kossard Dermatopathologists if my contact details change or if I no longer want to receive the ‘Skin Audit Report’.

Doctor’s Signature Date:

Scan and email, or fax completed registration form to KossardSkinAudit@kossard.com.au / (02) 9005 7116. Confirmation of your registration will be emailed to you. Registered doctors will be provided Surgical Skin Audit Request Forms via your Medical Liaison Officer. If you do not receive your request forms within a week please contact your local laboratory. Both sides of the Surgical Skin Audit request form must be completed to ensure that all specimens are included in your audit data.

Please complete all sections below. Please note: Supplying your email address, and the name and registration number of your college, will allow us to allocate your education points.

Surgical Skin AuditRegistration Form

Mandatory

Required

2017 - 2019 Triennium