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Acne Management

Select and sequence acne therapy by severity, from topical regimens through isotretinoin and procedural options, and recognize when escalation or referral is warranted.

What this track covers

This track covers acne pathophysiology, grading, and a severity-based treatment approach spanning topical agents, systemic and hormonal therapy, isotretinoin candidacy and monitoring, and procedural interventions for lesions and scarring. It focuses on the clinical reasoning behind choosing and adjusting a regimen rather than memorizing a single protocol.

What you will practice

  • Grade acne severity and match it to a stepwise treatment algorithm
  • Choose between topical retinoids, benzoyl peroxide, and antibiotic combinations
  • Decide when to add systemic antibiotics or hormonal therapy
  • Work through isotretinoin candidacy, monitoring, and iPLEDGE compliance requirements
  • Differentiate scar types and match them to appropriate procedural or referral pathways

Simulator scenario

A timed case with a teenage patient presenting with worsening inflammatory acne despite months of topical therapy, requiring the clinician to reassess severity and decide on the next treatment step.

Board question topics

  • Acne grading and lesion classification
  • Topical versus systemic therapy selection
  • Isotretinoin monitoring requirements
  • Recognizing and managing acne scarring

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