Philippine Dermatological Society

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COMPLEXE CUTIS: The Sixteenth Post-graduate Course of the Department of Dermatology of the Jose R. Reyes Memorial Medical Center

Author: Kei George J. Rebolledo, MD


Integrity, competence and professionalism are the core values that JRMM aims to epitomize. In line with the core value of competence, the Jose R. Reyes Memorial Medical Center Department of Dermatology, in cooperation with the Skin Research Foundation of the Philippines, held its 16th Postgraduate Course entitled Complexe Cutis: Finding Simplicity Amidst Complexities in Skin Science last June 22, 2018 at the Crowne Plaza Manila Galleria.

The skin is a complex organ system. It is dynamic and ever-changing. Because of this, there are always a myriad of innovations and breakthroughs in the field of Dermatology, and often, it could be quite overwhelming for those practicing in the field. We chose the title “Complexe cutis – finding simplicity amidst complexities in skin science” to address this problem. The goal of this postgraduate course was to simplify matters – to make complex topics and ideas accessible and comprehensible to everyone.

After a sumptuous and filling meal, the afternoon program started with a lecture entitled Neck and Hand Rejuvenation by Dr. Teresita S. Ferrariz wherein she discussed a multi-modal approach carefully integrated with the needs of skin aging. Dr. Krisinda C. Dim-Jamora discussed various complex closures on the cheeks, temples, mouth, nose, and ears in Filipino patients in her lecture Complex Dermatologic Procedures in Filipino Patients. Dr. Jim P. Sanchez, Jr. harmoniously integrated the two fields of Dermatology and Anesthesiology with his lecture Anesthetic Techniques for Common Dermatologic Office-Based Procedures: A Practical Approach. Dr. Abelaine Venida-Tablizo shined as she moderated the first half of the afternoon.

The last segment, moderated zealously by the blooming Dr. Zharlah Gulmatico- Flores, was kicked off by a lecture by Dr. Irene Gaile C. Robredo-Vitas entitled Non- Surgical Treatment Options for Facial Contouring where she discussed advancements in technology for those who desire non-invasive procedures for attaining facial attractiveness. And last but definitely not the least, Mr. Mondo C. Castro excellently capped off the day with a lecture on how doctors can strategically market their services to reach out to more people and to expand their reach in practice with his lecture entitled Personal Branding in Digital Age: How to Grow and Market your Medical Practice in the Age of Social Media. The charming Dr. Daisy King-Ismael gave the closing remarks and gave the department’s sincerest gratitude to all the attendees.

There are few take home hand-picked pearls from the diverse topics that have been tackled. In the field of cosmeceuticals, there is currently no high-quality clinical evidence yet on the benefits of current skin trends such as the use of Micellar water, home-based LED masks, and oral sunscreen, though no harm were also noted in their use. Our discussion on anesthesia for common dermatologic procedures emphasized that applying ice placed in a sterile glove immediately prior to injection of the local anesthetic solution is an old-forgotten method but still effective in expert hands, as has been and analogous to the practice of spraying liquid nitrogen along the operative site. Treatment options for Non-Melanoma Skin Cancer include biologicals such as cetuximab, PD1 inhibitors and chemoprevention together with adjuvant radiation therapy and chemotherapy. In medical photography, there are no established guidelines yet for taking photographs of patients but it is of utmost importance to be vigilant in acquiring a documented informed consent from the patient and to always keep in mind matters of confidentiality and privacy when dealing with photographs of patients. Lastly, an emphasis was put on competence, character and connection when talking about our profession’s personal branding in the digital age – that even if technology made it possible reach more people in social media, we are reminded that humanity is all about being real and personal in order to make lasting connections.

Medicine is an ever changing and dynamic field. The latest international guidelines and standards of care must always be reviewed and applied in practice. We hoped that the participants of our 16th Postgraduate course left the halls as better dermatologists, equipped with more knowledge, diligence, and compassion. Most importantly, we hope that the participants were also reminded of the Hippocratic oath that they took as they become physicians – to treat the patient as a human being and not merely the disease.