Breadcrumbs

Dermatology outpatient services at the Queen Elizabeth Hospital

The Central Adelaide Dermatology Service provides inpatient and outpatient services for patients living in the Central Adelaide Local Area Health Network with skin disorders.Priority service is provided to:

  • complex skin disease e.g. severe eczema/psoriasis,
  • systemic skin conditions
  • skin malignancies – melanoma and NMSC, skin lymphomas
  • patients requiring complex drugs
  • skin surveillance for high risk transplant patients.

Acute skin presentations including widespread blistering diseases.

Contact details 

Royal Adelaide Hospital

Clinic fax (for referrals): (08) 8222 4034
For all appointments including enquiries and new case appointments: (08) 8222 5586 or (08) 8222 4243
Review or change of appointments: (08) 8222 4866

Dermatology Day Unit
Unit phone number: (08) 8222 4866
Unit fax number: (08) 8222 2337

The Queen Elizabeth Hospital

Clinic fax (for referrals): (08) 8222 7244
Appointment enquiries, changes, reviews and treatment: (08) 8222 7020 or (08) 8222 7030
Review or change of appointments: (08) 8222 7030 or (08) 8222 7020

Appointment location

Royal Adelaide Hospital

Dermatology Centre 
Level 8 Outpatient Block
North Terrace Adelaide SA 5000

Dermatology Day Unit
Level 8 NSI link, Royal Adelaide Hospital, North Terrace, Adelaide, SA 5000

The Queen Elizabeth Hospital

Outpatients area 4  
28 Woodville Road, Woodville SA 5011

Staff and clinic days

Royal Adelaide Hospital

Day Clinic Doctors Conditions seen
Monday (am) General Dermatology OPD Dr Shireen sidhu
Dr Sally Ball /
Dr Colin Ooi
Registrars 1,2,3,4
New and old referralsincluding skin cancers, psoriasis, eczema + others
Monday (pm) Basic Surgery- (OP Theatre session)   Excisions / biopsies
Tuesday (am) Advanced dermatological surgery A/Prof Shyamala Huilgol
Dr Jeff Wayte
Dr Annette Pearce
Dr Todd Wiadrowski
Registrars 1,2,3,4
Skin cancer surgery requiring grafts, flap repairs, second intention wound healing and split thickness SG
Tuesday (pm) No clinics    
Wednesday (am) Advanced dermatological surgery / PDT Dr Karen Koh
Registrars 1,2,3,4
Skin cancers
Wednesday (pm) No clinics    
Thursday (am)

General Dermatology

Immunology/dermatology clinic (first week of the month)

Dr Shireen Sidhu
Dr Colin Ooi
Dr Emma Haverhoek
Dr Emma Ryan
Registrars 1,2,3,4
New and old referrals
Thursday (pm) Dermatology Melanoma sevice clinic Dr Shireen Sidhu
Dr Annette Pearce
Dr Hoang Ly
Registrars 1,2,3,4
New and old referrals
Friday (am) Dermatology Day Unit assessments    
Friday (pm)   Dr Jeff Wayte
Dr Rom Czechowicz
Dr Shireen Sidhu (lymphoma clinic)
Registrars 1,2,3,4
Cutaneous and systemic lymphomas
New and old referrals

Bulk bill clinics

Bulk bill clinics: (named referral required)
There are no bulk bill clinics for dermatology at the RAH.

Staff and clinic days

The Queen Elizabeth Hospital

Day Clinic Doctors Conditions seen
Monday (pm) General Dermatology
Transplant clinic 3rd Monday each month
Vulval clinic 2nd Monday each month.
Dr Warren Weightman
Dr Pria Selva-Nyagam
Registrar clinics.
New referrals and review cases including skin cancers, psoriasis, eczema & others.
Tuesday (pm) Surgical excision clinic. Dr. Sachin Vaidya – 3rd Tuesday each month for advanced dermatological surgery
Registrar clinics.
Skin cancer surgery requiring grafts, flap repairs, second intention wound healing and split thickness SG.
Wednesday No clinics    
Thursday (am)

General Dermatology

Leg ulcer clinic

PDT clinic.

 

Dr Warren Weightman
Dr Julie Wesley (2nd &4th Thurs in month)
Dr Yu-chan Lee(1st Thurs in month)
2 Registrar clinics.
New referrals and review cases including skin cancers, psoriasis, eczema & others
New and old leg ulcer patients
Selected lesions for PDT.
Friday Surgical excision clinic Registrar clinics Excisions / biopsy

Bulk bill clinics

Please note: surgical excision clinics are only booked by the clinics.

Bulk bill clinics: (named referral required)
There are no bulk bill clinics for dermatology at the TQEH.

Immediate referral process

Where consultation is “same day” urgent, the dermatology registrar or if after hours, the on call dermatological /medical registrar, should be contacted via the Royal Adelaide Hospital (RAH) switchboard (08) 8222 4000 or the Queen Elizabeth Hospital (TQEH) switchboard on (08) 8222 6000 to discuss the patient.

A written referral marked urgent should then be faxed to RAH (08) 8222 4034 or TQEH (08) 8222 7244 or sent with the patient if urgent assessment is arranged.
If the condition is life-threatening, the patient should be sent to the nearest Emergency Department.

Other referrals

All other referrals including those requiring urgent consultation must be in writing and sent or faxed to either the RAH or TQEH, please refer to contact details above.

Referrals are screened and triaged to an urgent, semi-urgent or non-urgent appointment.The quality of the information provided will influence when an appointment can be made and if there is insufficient information then a request will be made for a new referral before an appointment is given. 

Non-urgent referrals will be allocated to the next available appointment and may incur a wait. The waiting time for appointment will vary and is dependent on the demand for this service and the medical urgency of the patient’s condition.

Should changes occur to a patient’s medical condition during the waiting time for an appointment, referrers should send updated clinical information and where appropriate, contact the dermatology registrar via the Royal Adelaide Hospital switchboard on (08) 8222 4000 or The Queen Elizabeth Hospital switchboard on (08) 8222 6000.

Referrals unlikely to be offered an appointment

Referrals for outpatient appointments from the Emergency Department will not be accepted.

Referrals for routine skin checks or cosmetic procedures will not be accepted.

Indefinite referrals will not be accepted

Alternate care options / health information for low priority conditions while waiting for an appointment or if no appointment is made

Not all patients with dermatological conditions can be offered appointments in the CALHN Dermatology clinics.

In most cases, the key to appropriate management is a detailed history and examination. 

Options for obtaining further information regarding various dermatological conditions and to provide guidance for assessment, investigations and management are listed under dermatology clinical information sheets below.

Post discharge guidelines and information

If the patient or their general practitioner is concerned about a deterioration in the medical condition (see clinical information sheets) and dermatological assessment is required earlier than planned, a phone call to the dermatology registrar at the RAH/TQEH is needed.

Patients whose medical condition has stabilised or resolved and for whom no further appointment is needed will be formally discharged. If dermatological assessment is required again, a new referral is needed.

Dermatology priorities are based on clinical urgency as displayed below:

Immediate priority Dermatology examples
(not an exhaustive list)

Dermatological emergencies with threat to major organs.

Acute dermatological disease where admission is required. 

Direct such patients to an Emergency Department.

Any patient with widespread cutaneous disease who is hemodynamically unstable eg erythroderma.

Severe widespread blistering/pustular disease (>10 % denuded skin) eg drug eruptions, toxic epidermal necrolysis, Steven Johnson Syndrome.

Acute deteriation of a stable blistering/pustular disorder.

Severe skin infections eg eczema herpeticum.

Referral process: 

RAH: Must be discussed with the Dermatology registrar on call immediately via RAH switchboard on (08) 8222 4000 or phone the Dermatology Day Unit on 82224866 and ask for Anne Mellberg (CPC). On-call service provided 24/7 by our Dermatology Registrars.

A written referral marked URGENT should then be faxed to (08) 8222 2337 (marked for attention Anne with the name of the Dermatologist contacted) or sent with the patient if urgent assessment arranged.

TQEH: Must be discussed with the Dermatology registrar on call immediately via TQEH switchboard on (08) 8222 6000.

If the condition is life-threatening, the patient should be sent to the nearest Emergency Department.

Urgent priority Dermatology examples
(not an exhaustive list)

Condition has the potential to require more complex or emergency care if assessment is delayed.

Condition has the potential to have significant impact of quality of life if care is delayed

New onset of erythroderma (haemodynamically stable).

Diagnosis of melanoma/ Non-melanoma skin cancer (NMSC)

Bullous pemphigoid/ pemphigus or other autoimmune blistering diseases

Referral process:

RAH: Monday to Friday, 9.00 am to 5.00 pm. Must be discussed with the Dermatology registrar on call via RAH switchboard on (08) 8222 4000 or phone the Dermatology Day Unit on 8222 4866 to obtain appropriate prioritisation and then a referral letter marked URGENT faxed to (08) 8222 2337 with details of Dermatology Registrar contacted.

After hours: Dermatology registrar on call 24/7 via RAH switchboard (08) 8222 4000.

TQEH: Must be discussed with the Dermatology registrar on call immediately via TQEH switchboard on (08) 8222 6000.

Semi urgent priority Dermatology examples
(not an exhaustive list)

Condition is unlikely to require more complex care if assessment is delayed.

Condition has the potential to have some impact of quality of life is care is delayed.

 

Suspected Non-melanoma skin cancers

Suspected Dysplastic naevi.

Symptomatic Extensive inflammatory dermatoses – new onset but patient haemodynamically stable.

Suspected infected dermatoses (excluding fungal infections).

Melanomas requiring wider excision where primary completely excised.

Stable blistering disorders for diagnosis and management eg Porphyria cutanea tarda.

Acute exacerbation of eczema/ psoriasis with >90% skin involvement.Newly diagnosed skin lymphoma.

Referral process: referrals faxed to: RAH: (08) 8222 4034 or TQEH: (08) 8222 7244.
Non urgent priority Dermatology examples
(not an exhaustive list)
Low priority

Stable inflammatory dermatoses (previously diagnosed) but moderate/severe disease eg eczema/ psoriasis.

Skin checks for high risk melanoma patients ie previous hx of melanoma or patients with previous history of numerous NMSC’s, Gorlins Syndrome, patients on immunosuppressive therapy and high risk of skin cancers.

Genodermatosis – cutaneous involvement.

Patients requiring complex medications.

We do not provide a service for routine skin checks or cosmetic procedures.

Referral process: referrals faxed to: RAH: (08) 8222 4034 or TQEH: (08) 8222 7244. Low priority for appointment.

Dermatology clinical information sheets

The following information sheets about presentations commonly seen in Dermatology outpatients provide the minimum information required for assessing a referral under the headings of: eligibility, priority, differential diagnosis, clinical information and investigations required, pre-referral management strategies and discharge criteria.

^ Back to top