Workshop Sessions - Friday, March 20


Workshop Session IV

 

1:30-3:00 p.m.

How to Manage the Transition From Compulsive Exercise to Healthy Activity and Sport with Young People Affected by Eating Disorders
Damian M. Wood, MBBS1; Claire L. Knight2
1Nottingham Children's Hospital, Nottingham University Hospitals NHS Trust, 2Nottinghamshire Healthcare Trust

Track: Clinical Advances

Description:
Throughout the session, we will use blended learning techniques including Case Based Presentations, Small (buzz group discussion), Large group interaction, Powerpoint and video material, MCQ Section One Understanding risk and vulnerability (30 mins). Review epidemiology of eating disorders in sports Identify similarities in personal characteristic and behaviours between elite athletes and young people with eating disorders Consider activities, sports and exercise which may be associated with increased vulnerability to eating disorders including sports with an aesthetic element Explore how DSM-5 classification incorporates exercise into diagnosis of eating disorders Section Two Fuelling Life (20mins) Basic Sports Nutrition Advice for all young people participating in sports How to enquire about exercise in young people who are being assessed for eating disorders Managing physical risk in young people with eating disorders who exercise Therapeutic approaches to compulisve exercise as a compensatory behaviour Section Three (20mins) Transition back to normal life Consideration of outcomes and long term effects of young people with eating disorders where exercise is a significant component or who are elite/representative athletes Promoting resilience and recovery – how to assist the young person and family to develop strategies to build resilience and promote recovery Section Four (20mins) Summary Questions from the floor Learning Impact Assessment (MCQ) Evaluation

Educational Objectives:
  1. Describe the vulnerabilities and risk factors which contribute to the development of eating disorders in young people and identify the role of activity, exercise and sport within these vulnerabilities.
  2. Analyse the role of exercise as a compensatory behaviour and state how exercise is incorporated into the diagnostic classification of eating disorders in young people and how exercise behaviours influences the clinical course and outcome for young people.
  3. Specify effective strategies for the medical and nutritional management of eating disorders in those young people who are recovering from eating disorders and want to transition back to adolescent exercise, activity or sports.

An Approach to College Health Programs Including Epidemiology and Trends in Physical and Mental Health; Transitional Health Needs of College Students and Understanding ACA for this Population and Best Practices in Insurance
Lawrence Neinstein, MD1; Alain Joffe, MD, MPH2; Ilene Rosenstein, PhD1; Cathy Defrancesco, MHA1
1University of Southern California, 2Johns Hopkins University

Track: Clinical Advances

Description: This workshop will be organized around short critical topics that focus on the health and well being of college students.  Each presenter will give short presentation followed by a discussion among the panelists and workshop participants.  In addition, there will be time at the end of the presentation for questions on college students and college health centers in general.  The topics will include health behaviors and trends in emerging young adults and in particular in college students.  This will be followed by critical topics and trends in mental health on college campuses and then issues in transitional health from high school to college including issues with individuals with chronic illnesses.  The concluding panelist will review the common issues of current health care plans for college students including ACA and other rulings.  The program is oriented so that all levels of expertise from fellows to mid level individuals and also senior members.  It will be of interest to multiple disciplines.

Educational Objectives:
  1. Analyze the current epidemiology of health and mental health risks and trends among emerging young adults and college students
  2. Recognize the current trends and interventions in transitional health care for college students
  3. Appraise health plans designed for college students


Sexually Transmitted Infections: Keeping your Practices Up-to-Date
Cynthia Holland-Hall, MD, MPH; Fareeda  Haamid, DO
Ohio State University College of Medicine

Track: Clinical Foundations

Description: Screening and treatment for sexually transmitted infections (STI) are critical elements of primary care for sexually active adolescents.  In this workshop, we will review the epidemiology of several STIs, particularly those for which adolescents serve as the reservoir for infection in the community. Nationally published screening guidelines will be reviewed, compared, and sometimes contrasted with the opinions and practices of some experts in the field of adolescent medicine. We will discuss which specimens and which tests are appropriate and optimal for use in different patients and different settings.   We will bring participants up to date on the state of the art of rapid testing (a.k.a. point-of-care testing), and consider settings in which the use of rapid tests may be appropriate. Updates to the Centers for Disease Control and Prevention's 2014 Sexually Transmitted Diseases Treatment Guidelines will be highlighted in a discussion of STI treatment, including a discussion of antimicrobial-resistant Neisseria gonorrhoeae.  This workshop is aimed at primary care providers and trainees in pediatrics and adolescent health, providing a basic but up-to-date review of this topic. It may also be of interest to the adolescent medicine specialist whose primary area of interest lies outside of the field of reproductive health.

Educational Objectives:
  1. Screen sexually active adolescents for STIs, using the best tests available, according to nationally published guidelines.
  2. Treat STIs appropriately, using regimens consistent with the recommendations in the new CDC 2014 STD Treatment Guidelines.
  3. Compare the sensitivity of rapid/point-of-care tests with traditional tests for several reproductive infections, and identify health care settings in which rapid tests may be of particular utility.


Sports Medicine Update: Concussion, Pre-season Exam, Cardiac Screening and Diagnosis and Treatment of Lower Extremity Injuries
Albert C. Hergenroeder, MD, FSAHM
Baylor College of Medicine/Texas Children's Hospital

Track: Clinical Foundations

Description: The workshop session will include a combination of didactic presentations, case vignettes, and interactive questions and answers which previous audiences rated as a good balance of presenting a large amount of material yet applied it to the audience’s pragmatic clinical situations.

Educational Objectives:
  1. Discuss the role of the preseason examination in approving or excluding a youth from exercise and sports participation including: discussions of screening for the risk of sudden cardiac death, screening laboratory tests and the musculoskeletal examination.
  2. Discuss the diagnosis, treatment and return to play for overuse injuries of the lower extremities.
  3. Discuss the diagnosis of concussions and the return to play criteria.


From Patient To Professional: Implementing Peer Support and Youth Mentorship to Support Adolescent and Young Adult Patients to Achieve Positive Health Outcomes
Evelyn Culnane, MEd1; Jordan Hammond2; Jarnia Cameron1
1Royal Children's Hospital (RCH) Melbourne, 2Centre for Adolescent Health, The Royal Children's Hospital (RCH) Melbourne

Track: Professional Development

Description: This innovative workshop will explore implementation strategies and the process from inception to fruition which can be translated into a variety of health settings.  The journey from patient to role model has immense potential if clinicians are able to provide the right guidance, support and knowledge of how to empower young adults in fulfilling this health promotion role to achieve the best outcomes for patients.    

The workshop content will cover:
  • How to identify young people who have potential to be peer mentor
  • How to support the growth and development of the peer mentor
  • How to work with organisations to demonstrate the benefits of a peer mentor role
  • How to translate the peer mentor concept into reality including access to funding sources
  • How to overcome challenges as young people transition from patient to professional
  • A personal perspective of a young adult who has experienced this journey  
Evidence of the success of the peer mentor role will also be provided from all three program perspectives.  

Content covered will take the form of small group, interactive sessions as well as case-based presentations from each program.

Educational Objectives:
  1. Present outcome data from three services at The Royal Children’s Hospital (RCH) Melbourne which feature the youth mentor and peer leadership roles – The Transition Support Service, the Chronic Illness Peer Support Program (ChIPS) and the Youth Advisory.
  2. Implementing the youth mentor role within a health setting; from initiation and funding to reality.
  3. Explore the challenges associated with the transition from patient to role model; discussion of learnings from a management and personal perspective.

Practical Strategies to Address Challenges in Adolescent Vaccination
Nneka A. Holder, MD, MPH1; Jessica Kahn, MD, MPH2; Lea Widdice, MD2; Avril Melissa Houston, MD, MPH3
1Akron Children's Hospital, 2University of Cincinnati College of Medicine, 3Department of Health and Human Services Health Resources and Services Administration

Track: Professional Development

Description: Vaccine development and successful vaccination programs are a major triumph of public health. Immunization schedules exist to ensure adequate disease protection of pediatric and adolescent patients.  Yet, immunization rates among adolescents remain much lower than in pediatric populations.  Challenges to maximizing adolescent vaccination rates include a decline in health maintenance visits during this developmental period, missed opportunities for vaccination during office visits, incomplete vaccine records, parental as well as teen vaccine refusal or hesitancy,  and  concerns about vaccine safety and efficacy. The HPV vaccine(s), in particular, despite their proven safety continue to have unacceptable rates of vaccine series completion – likely due to misperceptions about the efficacy and safety of these vaccines.  In addition, healthcare providers do not adequately and comfortably understand the nuances of immunization recommendations and requirements among special populations such as pregnant or immunocompromised adolescents as well as legal issues related to an adolescent’s right to provide consent for vaccination.  In this interactive workshop, a case-based presentation and interactive discussion will be used to provide practical, evidence-based strategies for effectively and efficiently managing common parental and adolescent challenges to increase rates of vaccination.  We encourage interested participants to bring forward cases to workshop presenters to enhance the clinical utility of this educational experience. This topic ties in with SAHM’s theme of “embracing transitions” as successful vaccination is key to promoting the health of the next generation of young adults.  Strategies that address challenges of vaccination can enhance the general health of adolescents.

Educational Objectives:
  1. Describe the latest recommendations for utilizing adolescent vaccines in special adolescent  populations such as pregnant or immunocompromised youth.
  2. Identify common legal issues that impact an adolescent’s right to provide self-consent for vaccination.
  3. Discuss at least three strategies for managing challenges in vaccinating adolescents, including vaccine refusal, vaccine hesitancy, and parental or adolescent lack of understanding of vaccine safety and efficacy.

How to Get Published in the Digital Era
Tor D. Berg
The Journal of Adolescent Health

Track: Professional Development

Description: Academic publishing is rapidly evolving to accommodate new technologies, new approaches to research, new policies, lots of new journals, and even more new authors. In this interactive roundtable discussion, the editor of the Journal of Adolescent Health will discuss what they look for in a manuscript and what authors should be looking for in a journal. Attendees will gain key insights into manuscript preparation, authorship, the process of peer review, copyright, the dissemination of findings, and more.

Educational Objectives:
  1. Prepare a professional and competitive manuscript for submission to an academic journal.
  2. Identify the key features of an appropriate target journal for manuscript submission.
  3. Take advantage of technology, social media, and other means of more broadly disseminating scientific findings post-publication.

 


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