Dr Moz

Dr Moz Dr Moz is a Procedural GP with an interest in skin cancer care, vasectomy and circumcision

27/04/2026

Well here we go again

It’s really not a proper skin examination if your clinician hasn’t used a dermatoscope.

The diagnostic accuracy sky rockets 🚀 when you see a clinician who is skilled in Dermoscopy

This means you have more information without a biopsy!

It means in this instance for example we were able to worn out that topical therapy was not likely to be helpful and that we could go straight to a surgical excision and treat this cancer in one step.

If you’re a medic and want to learn more Dermoscopy I’d recommend checking out who do an awesome job.

Obvious conflict of interest is that I teach for them!

If you use my code to register for pretty much most short courses they’ll also pay me for sending you their way.

Truth is though oversight for the for a little over 5 years and had done a bunch of their courses when I was in my earlier stages of skin cancer learning!

Happy to be DM’d by clinicians who want to ask what the courses are like

Australia only for the courses unfortunately!

Recorded with DL5 by Dermlite
In Australia I recommend Docstockmedical
Want to learn more dermosocopy? Healthcert (use code DRMOZ for 15% off any of their short courses - I am extremely biased because I teach on their courses and think they are fantastic!)
Want to see me? Yarra Trail Medical or Bell Street Family Medical

20/04/2026

I feel absolutely humbled to have experienced this today

A wonderful couple asked if I was alright and he said i was an ok guy (thanks mate)

They then hopped on a plane and flew 1600km for a skin check by me!

Firstly what a privilege to have so much faith put into your consultation

I am truly grateful everyday that I have this job

But it made me reflect on social media in general.
There are at 2 of my colleagues right next to her (like 10km away!) whom she hadn’t heard of. Both would likely have done just as good a job as me!

Then it made me think gosh it’s easy for this social media business to get to your head and confuse patients!

If you’re looking for a skin doc in Australia find a great dermatologist through the ACD website, find a great accredited skin cancer doctor through the Skin Cancer college website

And if that fails send me a message and I’ll let you know if I have any friends in your neck of the woods.

Stay safe everyone

Much love

A very average doctor who is sub par on social media

18/04/2026

You’ve heard me talk about seborrhoeic keratosis multiple times

You’ve also heard me talk about how sometimes they will have squamous cell cancer in situ arising from them

The clues we look for are things like:

😬background irritation
😬a spot that won’t stop bleeding or itching or scaling even after several weeks
😬 any dermoscopic features consistent with squamous cell cancer in situ

If you’re not suspicious enough, then you won’t find them early on in the piece

This one actually surprise me with an invasive component which means it actually has the potential for rapid growth as well as the potential for spread if left untreated

Finding it early means we can avoid much larger surgical procedures

If you’ve got a sun barnacle that keeps being irritated it’s probably worth getting it checked out

Recorded with DL5 by Dermlite
In Australia I recommend Docstockmedical
Want to learn more dermosocopy? Healthcert (use code DRMOZ for 15% off any of their short courses - I am extremely biased because I teach on their courses and think they are fantastic!)
Want to see me? Yarra Trail Medical or Bell Street Family Medical

17/04/2026

Lentigo maligna is a sneaky SOB

typically grows REALLY slowly (like think years)
still has invasive potential and can absolutely still be a nightmare for some patients

BUT
where it is extra hard is usually the spot grows SO SLOW that the patient often doesn’t realise its changing.
Almost every one of these I have diagnosed has been present for years and almost always I practically have to beg the patient to allow to me to sample the spot.

Nobody ever believes me initially as the spot usually has been there for ages so doesn’t behave how you think a melanoma should!!

The dermoscopy is chaotic as anything with LOTS of clues for melanoma but even though the dermoscopy was clear I was almost going to choose to watch this - glad I didn’t as it absolutely came back as a melanoma!

Recorded with DL5 by Dermlite
In Australia I recommend Docstockmedical
Want to learn more dermosocopy? Healthcert (use code DRMOZ for 15% off any of their short courses - I am extremely biased because I teach on their courses and think they are fantastic!)
Want to see me? Yarra Trail Medical or Bell Street Family Medical

15/04/2026

More is missed by not looking than not knowing in Medicine

I feel like I say this every single day

It means if you show lots of smart people (and AI 😬) these photos they will all agree that it looks weird and is worthy of biopsy.

But the reality is you want to make sure:

⭐️You as the patient keep yourself aware of your spots and notice changes
⭐️you as the patient turn up to scheduled skin checks where your risk has dictated it is appropriate
🩺 your doctor looks EVERYWHERE (like really everywhere 😬)
🩺 your doctor is a skilled dermoscopist and knows how to communicate their concerns to you

Here’s hoping you never need this reel

Recorded with DL5 by Dermlite
In Australia I recommend Docstockmedical
Want to learn more dermosocopy? Healthcert (use code DRMOZ for 15% off any of their short courses - I am extremely biased because I teach on their courses and think they are fantastic!)
Want to see me? Yarra Trail Medical or Bell Street Family Medical

29/03/2026

Its not always cancers that I post!!

This spot was absolutely annoying the living daylights out of the patient as you can imagine.

We have the pathology results on hand and I think this is a great example of when the story becomes really valuable in addition to the examination.

Just a reminder to talk to your patient if you’re a doctor and a reminder that your doctor should want to talk to you if you’re the patient.

Let me know what you would love to ask the patient and what you think the diagnosis is!

Recorded with DL5 by Dermlite
In Australia I recommend Docstockmedical
Want to learn more dermosocopy? Healthcert (use code DRMOZ for 15% off any of their short courses - I am extremely biased because I teach on their courses and think they are fantastic!)
Want to see me? Yarra Trail Medical or Bell Street Family Medical

20/03/2026

I do hope you’re getting slightly sick of the pattern

New spot?
Not going away?
Slightly different to its neighbours?
Itches?

If your spot meets any of these criteria it’s probably sensible to have it examined with a dermatoscope

This one is a squamous cell cancer in situ which is a type of pre-cancer with about a 5% per year risk of becoming a nastier invasive cancer.

Get it diagnosed early and you can basically forget about it in most cases after treatment

Leave it to fester and you may be looking at a wildly different situation

Early intervention saves lives

Recorded with DL5 by Dermlite
In Australia I recommend Docstockmedical
Want to learn more dermosocopy? Healthcert (use code DRMOZ for 15% off any of their short courses - I am extremely biased because I teach on their courses and think they are fantastic!)
Want to see me? Yarra Trail Medical or Bell Street Family Medical

18/03/2026

All through my comments is some version of

“Everytime I get a skin check nobody uses that!”

Dermoscopy has been around for about 30 years

Digital Dermoscopy maybe the last ten years

Accuracy diagnostically goes from somewhere around 70% to 90-odd% with dermoscopy.

It means your doctor can find your cancers when they are 2 or 3mm not when they are so obvious you can spot them from across the carpark.

Every circumstance is different but where you can make sure you are being examined by someone with diagnostic skills using a dermatoscope

Recorded with DL5 by Dermlite
In Australia I recommend Docstockmedical
Want to learn more dermosocopy? Healthcert (use code DRMOZ for 15% off any of their short courses - I am extremely biased because I teach on their courses and think they are fantastic!)
Want to see me? Yarra Trail Medical or Bell Street Family Medical

12/03/2026

Two for one deals are usually great!

One place you don’t want the 2 for 1 is in your doctors room😬

Here we see what looks like a seborrhoeic keratosis or harmless wisdom spot

But on closer inspection it has some scale (which we can sometimes see in them)
And the blood vessels are a bit all over the show and not consistent with classic Seb k pattern

We chose to curette this off (kind of like a scrape followed by some liquid nitrogen) because I was pretty suspicious it was precancerous.

The pathology confirmed my suspicions and because we’d chosen to curette we get to say hooray we’ve already treated your skin cancer with about a 90-ish% success rate

Yet another win for Dermoscopy!

Recorded with DL5 by Dermlite
In Australia I recommend Docstockmedical
Want to learn more dermosocopy? Healthcert (use code DRMOZ for 15% off any of their short courses - I am extremely biased because I teach on their courses and think they are fantastic!)
Want to see me? Yarra Trail Medical or Bell Street Family Medical

12/03/2026

How do we feel about moderately dysplasia naevi?

I hate them 😂

09/03/2026

One of the most common reactions I get from people is - but why don’t want to watch it? Can’t we just cut it out?

The reality is if I’m 100% sure your spot is a melanoma then it probably isn’t a good one.

We see much better outcomes when we diagnose these lesions earlier rather than later. With that in mind I will often have a low threshold for following slightly odd spots over short intervals until I’m comfortable one way or another with the diagnosis.

Ultimately it all comes down to reducing any uncertainty we have and really I only have two ways to do that!

I can either cut it out and let the pathologist decide

Or

I can monitor the spot and see how the biology evolves over time.

There’s not really a single correct answer but given I am in a General Practice context in means I’m usually easier to access which means I often prefer close monitoring rather than a quick biopsy.

It does mean you have to come back and say hello but it may also mean you avoid a biopsy!

Does that mean I get to choose each time?
Absolutely not! We always have a discussion about how concerned I am about that specific spot and we make a decision together as a team.

Recorded with DL5 by Dermlite
In Australia I recommend Docstockmedical
Want to learn more dermosocopy? Healthcert (use code DRMOZ for 15% off any of their short courses - I am extremely biased because I teach on their courses and think they are fantastic!)
Want to see me? Yarra Trail Medical or Bell Street Family Medical

04/03/2026

Why do I keep saying young people often need plastic surgeons?

Is it because I’m ageist and a real so and so?

Well I guess that’s not for me to say but I don’t think so!

It’s because younger skin is more prone to hypertrophic or visible scarring!

Loose skin + less collagen means with great planning you can achieve phenomenal cosmetic results!

Obviously some scars will be not the way we want them and some patients will have infections or wound dehiscence leading to unsightly scarring

Everyone that uses a scalpel has scars they aren’t proud of and ultimately the question is how confident your clinician is they can offer a good chance of a cosmetically acceptable outcome.

At the end of the day I’ve said it before and I’ll say it again many times over my career - it’s always your choice and you should never feel shy about asking for a referral to dermatology or plastics if you are worried that you don’t exactly have the necessary trust that the clinician in front of you will do a job you’re happy with!

Recorded with DL5 by Dermlite
In Australia I recommend Docstockmedical
Want to learn more dermosocpy? Healthcert (use code DRMOZ for 15% off any of their courses - I am extremely biased because I teach on their courses and think they are fantastic!)
Want to see me? Yarra Trail Medical or Bell Street Family Medical

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113 Mountain View Road
Briar Hill, VIC
3188

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