EADV News 57

News W i n t e r 2 01 5 - 2 01 6 – N ° 5 7

Derm-GP: EADV to launch Green Flags initiative in 2016

T he quality and availibilty of adequate primary care for skin conditions is a growing concern for EADV. Politicians and health insurances aim to cut the costs of healthcare by substituting direct access to dermatologists with a gatekeeping role by GPs. This movement is irreversible. EADV is taking a proactive attitude by launching the Green Flags teaching tool for dermatologists to improve the triaging of skin lesions in primary care as a pilot in three gatekeeping EU countries: Netherlands, Portugal, and another to be chosen. The project was conceived by the EADV’s Media & PR Committee and the course will be available from June 2016.

cancer. Nevertheless, almost half will have an excision or receive a referral to a dermatologist. These are not only large in number, but also in many cases unnecessary. This is the situation in European countries were the GP is gatekeeper in the first line of healthcare. Patients need to see the GP before referral to a dermatologist who is in the second line. The gatekeeping principle varies by country in Europe. The density of dermatologists in non- gatekeeping countries is much higher than in those with gatekeeping. Dermatologists in non-gatekeeping countries see GPs as a competitor for income. By contrast,

Dr Wouter van der Heide, general practitioner (left) and Prof Marcel F Jonkman, dermatologist

continued on page 5 ss

In this issue

Editorial ......................................................................... 3 New project funding round opens in 2016 ........ 3 President's Perspective ............................................. 4 Copenhagen - Special Interest Session ............... 6 Patient Society Village .............................................. 8 Call for Scholarship Applications: Vienna 2016 ...............................................................10 Venereology update: drug-resistant gonorrhoea ................................................................. 11 13 th EADV Spring Symposium – Athens ............12 Update from the CME-CPD Committee ............14 Upcoming Fostering Courses ................................15 Call for Nominations: Committee members ....16 Update from the Treasurer ....................................17 EADV Committees: new members .......................18 Copenhagen - Fostering networking ..................20 Scholarship award winners ...................................21 Update from the Secretary General ...................22 Calendar of Events ...................................................23

About 15% of all patients that visit a general practitioner (GP) are concerned about a skin problem. These consultations also include non- malignant skin lesions. In fact, the majority of patients visiting their physician for a potentially malignant skin lesion do not have skin

suspected skin lesion

skin coloured

coloured

smooth Greenflags= benign lesions NAKED EYE DERMOSCOPY = PATTERNANALYSIS • dermal naevus • skin tag/fibroma • dermatofibroom • neurofibroma • sebaceous cyst • molluscum • sebaceoushyperplasia • basal cell carcinoma • amelanotic melanoma

squamous / keratotic

smooth

squamous / keratotic

• seborrhoeic keratosis • verruca vulgaris • (keratoacanthoma)

•naevusnaevocellularis • dermatofibroma • angioma • lentigo solaris • blue naevus • senile angioma of the lip (venous lake) • pyogenic granuloma

• actinic keratosis • seborrhoeic keratosis • angiokeratoma

• squamous cell carcinoma • keratoacanthoma

• pigmented basal • cell carcinoma • lentigo maligna • melanoma

• Bowen’s disease • superficial basal cell carcinoma

Redflags= malign lesions

Courtesy prof.Marcel F. Jonkman

Green Flags algorithm to detect benign skin lesions

Copenhagen Congress Full highlights

Venereology Update Antibiotic-resistant gonorrhoea

EADV Committees Call for nomimations

See pages 6, 8, 20 ss

See page 11 ss

See page 16 ss

EUROPEAN ACADEMY OF DERMATOLOGY AND VENEREOLOGY

ACADEMIE EUROPÉENNE DE DERMATOLOGIE ET VÉNÉRÉOLOGIE