Virtual Patient Case: Melanoma

Online Course Delivery: All courses are delivered through the General Surgery Learning and Resource Centre (LRC). If you do not already have an account associated with this email, we will contact you to set up your LRC account.

CAGS Members: All levels of CAGS membership have complimentary course access for 2023. Please create an account and enter in your code, no purchase necessary. If you do not have a code, email learn@cags-accg.ca.

Non-Members: Purchase access to the course here. Granting access to this eLearning course in the General Surgery Learning and Resource Centre can take up to 2 business days.

Credit Info: 1.0 Learning Hours — 3.0 Section 3 MOC Credits

While these Entrustable Professional Activities (EPAs) have been developed for residents, attending staff may find these useful when evaluating their residents, particularly when combined with own their institution's Surgical Foundation's EPAs.

• EPA 1: Gather a History and Perform a Physical Examination
• EPA 2: Prioritize a Differential Diagnosis Following a Clinical Encounter
• EPA 3: Recommend and Interpret Common Diagnostic and Screening Tests
• EPA 4 Enter and Discuss Orders and Prescriptions
• EPA 7: Form Clinical Questions and Retrieve Evidence to Advance Patient Care
• EPA 11: Obtain Informed Consent for Tests and/or Procedures
• EPA 12: Perform General Procedures of a Physician

By the end of this case, you should be able to:

• Describe the indications of surgery based on the Breslow classification of a melanoma
• Evaluate the indications for Ultrasound Surveillance vs. Nodal Dissections
• Discuss indications and rationale for a therapeutic dissection and when to do a deep Pelvic Node Dissection
• Identify the indications and options for Adjuvant Therapy in melanoma

Case Authors: Carolyn Nessim MD, Sinzana Dumitra MD

Case Reviewer: Ari Meguerditchian MD

Virtual Patient Case Developers: David Fleiszer MDCM, Nancy Posel PhD

Case Audience: General Surgeons, General Surgery Residents and Fellows