Wednesday

Please Save These Dates


Please Plan To Join Us

HOT SPOTS IN DERMATOLOGY 2019
The Art and Science of Cutaneous Medicine
AUGUST 16 - 18, 2019
KAHUKU, OAHU, HAWAII


Course Directors
David Elpern, MD, Douglas Johnson MD,
George Reizner MD

Sponsored by the Hot Spots Foundation (HSFDE).
Course Description
HOT SPOTS HAWAII is a unique continuing medical education program held annually since 1987.  It blends clinical, therapeutic and humanistic updates while allowing time for reflection and introspection. Hot Spots allows attendees to consider aspects of our personal and professional lives not typically included in traditional CME. Leave your cell phones, pagers and problems behind and use your time at Turtle Bay to think about your own needs without the pressing demands of caring for others.  Hot Spots will appeal to physicians, PAs, NPs, and professional office staff.  Please join us.
Credit Information:
The program is accredited for 9 to 12 hours of Category I Credit.

For More Information contact:
Doug Johnson:  dwj808@gmail.com or

Dave Elpern: djelpern@gmail.com

Tuesday

HOT SPOTS 2019 OVERVIEW



Waimea State Park (near Turtle Bay)

Turtle Bay Resort, Oahu, Hawaii
Friday - Sunday

August 16 - 18, 2019

Our 2019 program will be held at Turtle Bay on Oahu's North Shore.  We have organized Hot Spots in Dermatology since 1987. It is an intimate meeting at which the faculty and registrants have time to interact as colleagues rather than in a strictly didactic manner. We provide 9 - 12 hours of  Category I CME credits.  Hot Spots is not a business; but a gathering of people that, like Chaucer's student, "would gladly lerne and gladly teche." Please join us!

Guide:
Registration Page.
Accommodations.
     Turtle Bay Resort
     Condos within walking distance to Turtle Bay Resort  Air BnB or VRBO
2019 Faculty  and Syllabus (not ready yet)
If you want to give a case report, here is the Protocol.





Program Overview and Credit Statement






'A'ohe pau ka'ike i ka halau ho'okahi
One can learn from many sources

HOT SPOTS HAWAII is a unique continuing medical education program that blends clinical and therapeutic updates while allowing time for reflection and introspection. The program will be held at the Turtle Bay Resort on Oahu's North Shore. Doug Johnson has negotiated a favorable rate. Hot Spots is designed to allow attendees to consider aspects of our personal and professional lives not typically included in traditional continuing education. Leave your cell phones, pagers and problems behind and use your time at Turtle Bay to think about your own needs without the pressing demands of caring for others. We hope you can join us and promise you will have a rewarding and memorable experience. Doug Johnson has organized memorable social functions for you and your guests.






C.M.I. Credit Statement
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Hot Spots Foundation for Dermatological Education (HSFDE) through the joint providership of Hot Spots in Dermatology. The HSFDE program is accredited for 9 Hours of Category I CME Credit.
Credit designation:  The HSFDE designates this program for a maximum of 9 hours of Category 1 CMI Credit™. Participants should claim only the credit commensurate with the extent of their participation in the activity.


Tax Deductible Status:
For an educational course to be deductible the course only needs some form of certification, which The Hot Spots Foundation will supply. The general requirements that qualify for tax deductible status are that the educational course:
1. Is required by an employer or the law to keep a present salary, status, or job; or
2. Maintains or improves skills required for present work.
3. All registrants will receive a certificate of attendance.

You
will find that Hot Spots 2018 meets your CMI needs perfectly and your expenses can be claimed as a business expense.





Sunday

Registration


GENERAL INFORMATION AND REGISTRATION

HOT SPOTS HAWAII - 2018
AUGUST 17 - 19, 2018
Physicians: $400 or $175 per day
After June 1, $500
On-Site Registration:To Be Decided
Nurses, Residents PAs and NPs: $200.
After June 1, $250
Students: Free

Cancellation Policy: A $50 non-refundable fee is charged for cancellations before July 1. Thereafter one half of the fee will be returned for cancellations received before July 30. No refunds can be accepted after that date. All cancellations must be in writing.

To Enroll, please scroll down for a form you can cut and paste or access: Printable Registration Form

To contact us:

Doug Johnson
Phone: 808-342-6002
Email: dwj808@gmail.com


Copy, Paste, Fill in and fax or mail the following form to us with registration check. You can also email us for this Registration Form at DJE.

GENERAL INFORMATION AND REGISTRATION FORM
HOT SPOTS HAWAII -- AUGUST 17 - 19, 2018

Physicians: $400 After June 1, 500
Nurses, Residents, PAs and NPs: $200. After May 1, $250
Students: Free


Cancellation Policy: A $50 non-refundable fee is charged for cancellations before July 1. Thereafter one half of the fee will be returned for cancellations received before July 30. No refunds can be accepted after that date. All cancellations must be in writing.

Please copy, fill out form and make check payable to:
"Hot Spots in Dermatology"
c/o Douglas Johnson, M.D.
1380 Lusitana Street, Suite 401
Honolulu, HI 96813


Date:____________________________


Tuition fee enclosed: $_________

Total: $_________


Full Name: Last________________ First____________ Middle Initial____


Title__________________________Affiliation____________________________


Daytime Phone ( )______________Fax Number ( )________________


Email Address _______________________________


Street Address_______________________________________________


City_________________________ State__________ Zip Code_________


Specialty ______________________________________


Specialty (if non-MD)_____________________________________


Degree__________________

2019 Faculty


2019 Hot Spots in Dermatology
Tentative Faculty

David Elpern, M.D.  Williamstown, Massachusetts
Roman Glamb, M.D. Honolulu Hawaii
Roy Grekin, M.D. San Francisco, California
Julia Lehman, Rochester, Minnesota
Doug Johnson, M.D.  Honolulu Hawaii
George Reizner, M.D.  Madison, Wisconsin
Jorge Roman, M.D., Dermatology Resident, New York University
Michael Webster, Dermatologist, Pascoe Vale, N.S.W. Australia

Attendees are invited to give short case presentation of interesting or difficult cases.  The protocol will be sent to you on request and posted on the Hot Spots web site.




Saturday

Diplopia and Pterygium Surgery

DOUBLE VISION FOLLOWING PTERYGIUM SURGERY
Malcolm R. Ing, MD
Clinical Professor and Chair Ophthalmology
John A. Burns School of Medicine, University of Hawaii

INTRODUCTION
In the past years, most of the patients referred to me for treatment of double vision and restrictive strabismus were those who had previous scleral bucking retinal procedures.  Recently, the most common cause of these problems  in my practice has been previous pterygium surgery.

METHODS
All patients who had the diagnosis of restrictive strabismus following pterygium surgery were studied for common findings. The author reviewed the technique utilized during the previous surgery.  The surgical corrective surgery was reviewed and the results compared.

RESULTS 
 All patients had previous pterygium surgery with the utilization of an amniotic graft during the initial surgery. All patients complained of diplopia greater in the field opposite the initial operative site.  Esotropia was measured with prisms. All patients had a positive forced duction test. Dense scar tissue was invariably found covering the medial rectus and adjacent sclera.  Careful dissection of this scar tissue was performed utilizing the operating microscope and a muscle hook under the medial rectus during the dissection. After the scar tissue was completely removed, the forced duction test was negative in all cases. A medial rectus  recession was also performed if there was esotropia in the primary position.  An autograft was utilized to cover the defect. The preoperative esotropia and diplopia was relieved in all cases, including for one patient who could not abduct the eye beyond the mid line prior to the corrective surgery.

CONCLUSION
Corrective surgery can be very useful in relieving diplopia and esotropia  following  pterygium surgery.

Reference:
Ela-Dalman N, Velez FG, Rosenbaum  AL   Incomitant esotropia following pterygium excision surgery. Arch Ophthalmol 2007; 125:36973.

Health Anxiety - DJ Elpern

Health Anxiety Talk:  Hot Spots 2016

Abstract

Health Anxiety is a common affliction of patients seeking medical attention, yet many physicians are usually unaware of it.  We surveyed 222 consecutive patients from a dermatology practice in Western Massachusetts and found that upwards of 49% were cognizant of some level of health anxiety.  This is the first report of health anxiety from a general dermatology clinic.

References:
1. Tyrer P, Eilenberg T, Fink P, Hedman E, Tyrer H.
Health anxiety: the silent, disabling epidemic. BMJ. 2016 Apr 25;353:i2250.

2. Cyberchondria. Wikipedia. https://en.wikipedia.org/wiki/Cyberchondria

3. Tyrer P, et. al  Prevalence of health anxiety problems in medical clinics. J Psychosom Res. 2011 Dec;71(6):392-4. Abstract