Institutes

Institutes at the SAHM annual meeting are three-hour sessions (with a 15-minute break), typically with multiple presenters. These sessions allow added time for a more in-depth examination of a particular subject in the field of adolescent medicine or health. They are intended for hands-on training, though they may also employ a variety of other educational formats: lecture, case-based presentation, panel discussion, or small group work.
 

Wednesday, March 8, 2017

Saturday, March 11, 2017


Wednesday, March 8, 2017

8:00 - 11:00 a.m.


The Mindful Provider: Cultivating Resilience and Mindful Communication in Health Professionals Caring for Adolescents and Young Adults

Dzung X. Vo, MD, MPH1, Richard E. KreipeMD, FSAHM2
1British Columbia Children’s Hospital and University of British Columbia; 2University of Rochester Golisano Children's Hospital
      
Track: Education/Training

Description: Provider burnout and secondary trauma are pressing concerns in the field of adolescent and young adult health care service delivery.  Whereas burnout is a state of emotional, mental, and physical exhaustion caused by excessive and prolonged stress, closely-related secondary trauma (also called compassion fatigue) is caused by repeated exposure to, and involvement in, the suffering and pain of the patients and families we serve. The capacity for health providers to stay healthy, balanced, and present in the face of intense professional challenges is critical for providers to be able to provide and sustain the kind of compassionate, youth-centered care for which we all strive. Mindfulness is paying attention in a particular way: On purpose, in the present moment, without analysis, criticism or judgment.  Mindfulness is a powerful tool that providers can use for self-care, and management of burnout and secondary trauma.  Mindfulness for health providers has received coverage in the New York Times, JAMA, and others. In recent years, mindfulness-based interventions specifically geared for health professionals have been developed at major academic health centers, such as Epstein’s “Mindful Practice” program at the University of Rochester. As a core clinical skill, mindfulness helps providers to cultivate healthy self-awareness with their own thoughts, emotions, and unconscious biases. Critical curiosity and nonjudgmental awareness inherent in mindfulness practice is also highly useful for effective and compassionate communication with youth, families, and colleagues. As such, this proposed session is an excellent fit for the SAHM 2017 theme of “Cultivating Connections.”

Educational Objectives
  1. Describe four issues related to burnout and secondary trauma experienced by adolescent and young adult health care providers, and implications for providers, patients and their families
  2. Learn and practice skills that promote clinician resilience, health and well-being
  3. Acquire skills of present-moment observation, critical curiosity, beginner’s mind, and compassionate awareness through experiential learning
Faculty Expertise: Dr. Dzung Vo is an emerging leader in the field of mindfulness in adolescent medicine. He is co-developer of MARS-A (Mindful Awareness and Resilience Skills for Adolescents), and author of The Mindful Teen: Powerful Skills to Help You Handle Stress One Moment at a Time. He has co-facilitated three institutes at SAHM on mindfulness, and has presented on mindfulness for teens and for health providers at several other international conferences, including Canadian Paediatric Society, and Dalai Lama Center for Peace and Education’s Heart-Mind conference (each twice). Dr. Richard Kreipe is past-president of SAHM, co-editor of the Textbook of Adolescent Health Care, and faculty mentor to The Mindful Medical Student project at the University of Rochester.  He has co-facilitated two international educational events on mindfulness in adolescent health care with Dr. Vo.  He teaches mindfulness to health care trainees from a variety of disciplines and departments at the University of Rochester.

Raising Resisters, Promoting Resilience, and Cultivating Connections for African American Youth

Maria E. Trent, MD, MPH, FSAHM1, Renée R. Jenkins, MD, FSAHM2
1Johns Hopkins School of Medicine; 2Howard University College of Medicine
 
Track: Public Health/Advocacy

Description: Racial/ethnic background is a key social determinant of health, yet rarely addressed in research on optimizing health outcomes for adolescents.  Recent events in the United States have awakened youth that they are not growing up in a post-racial society.  Further, living in communities with underlying racial tensions cautions parents to prepare their adolescents and young adults using open conversations about race and discrimination. In this Institute, an interdisciplinary team of scholars will bring reconfigured perspectives specific to African American youth. Their perspectives should stimulate opportunities to consider interdisciplinary frameworks in adolescent development and anticipatory guidance.   Participants will also have the opportunity to discuss their individual challenges and opportunities as a part of the group process. As a result of the session, attendees may have an alternative perspective on the role of race and the discrimination faced by youth and have an opportunity to work through strategies to better address these issues in clinical, research, policy, and community settings as a way of cultivating connections for youth.

Educational Objectives
  1. Discuss steps in developing a dialogue with patients and parents on discussing race in age appropriate terms as a topic in anticipatory guidance
  2. Review and revise one's assessment of return on investment for interventions with older children and adolescents
  3. Identify appropriate clinical mental health interventions for youth who experience discrimination and/or interpersonal violence
Faculty Expertise: Dr. Trent is an independent investigator conducting health disparities research, providing clinical care to low-income youth of color in segregated urban environments, and training director fo the DC-Baltimore Research Center on Child Health Disparities.  Dr. Jenkins is a former president of the Society for Adolescent Health and Medicine and American Academy of Pediatrics, Director of the DC-Baltimore Research Center on Child Health Disparities, and a thought leader on adolescent health policy in the United States. Together, they have facilitated this discussion in other settings and are seasoned in teaching the role of social determinants, culture, and health as key influences on adolescent health.


Wednesday, March 8, 2017

2:45 - 5:45 p.m.


Parents Matter: Building Partnerships for Success

Maria Veronica Svetaz, MD, MPH, FSAHM1, Michele Allen, MD2
 1Hennepin County Medical Center (HCMC); 2University of Minnesota
    
Track: Clinical Advances

Description: Parents receive advice about optimal parenting strategies from multiple sources when their children are young, often beginning with prenatal classes and continuing through early childhood education. Yet, similar opportunities are not as widely available during adolescence.Over the last decades, research has reaffirmed that parents play a protective role in the lives of adolescents. Given parents’ importance, research has identified sets of attributes and skills that characterize parenting associated with optimal youth health outcomes, and importantly has shown that these parenting behaviors can be developed. Achieving adolescent health-promoting parenting practices and family interactions is challenging, especially in the context of high levels of family stress (e.g., with low economic resources or facing immigration challenges) and/or low support (e.g., single parents). Parenting adolescents itself can generate stress that undermines parenting efficacy for many. Primary care providers are in an excellent position to empathize with parents of adolescents and support their skill building to increase parenting efficacy and contribute to positive teen and parent outcomes.This institute will train adolescent health providers to work with parents as assets for healthy youth development, putting a special focus on vulnerable adolescents in primary care settings, and their parents, that share the same social stressors. Specific contents that will be covered in the Institute include: providers' strategies to engage parents efficiently and emphatically , parenting strategies associated with best youth outcomes, benefits and challenges of working with parents of adolescents, strategies to talk about confidentiality with parents and how to coach parents to modify their parenting practices.

Educational Objectives
  1. Explain the importance of positive parenting practices for healthy youth development
  2. Polish their skills on how to talk about confidentiality with both teens and parents, while engaging parents in a partnership for their youth's well-being
  3. Practice how to coach parents to nurture and support their teens in a developmentally appropriate manner
Faculty Expertise: Dr Svetaz had developed a multi-award inclusive intervention that include a “Parallel Care” intervention, where teens and parents are tackled and coached at the same time, both at the clinical and Population health level. Javiera Monardez is the parent coach of one of  those models. Jennifer O’Brien is the Program Manager of the Population Based Program that has Family Centered Care as a core principle.  Michele Allen’s research focuses on supporting parents, particularly immigrant parents, of adolescents to build parenting skills that promote healthy youth development and prevent substance use.  She has received multiple NIH grants to collaborate with community partners to build adolescent health promoting interventions, with Dr Svetaz as Co-P . Diego Garcia-Huidobro, MD, PhD has extensive experience with parenting programming in primary care and community settings. He has developed individual and group-based parent education programs, and evaluating their impact. The three have multiple publications on this topic.

SAHM Research and Mentoring Forum: Building an Interdisciplinary Research team and Cultivating Relationships for Effective Scientific Collaboration

Maria E. Trent, MD, MPH, FSAHM1, Elizabeth Miller, MD, PhD, FSAHM2, Jean Emans, MD, FSAHM3
 1Johns Hopkins School of Medicine; 2University of Pittsburgh School of Medicine; 3Boston Children's Hospital and Harvard Medical School
    
Track: Research

Description: Description:The SAHM Research Committee leaders and LEAH program directors developed an initiative at SAHM in 2011 to strengthen research careers in adolescent health through a Research and Mentoring Forum. The program continues to build upon the recommendations from the November 2008 William T. Grant Foundation Conference, the IOM report on “Missing Opportunities”, the mission of the interdisciplinary LEAH program, the longstanding collaborative relationship of the Maternal Child Health Bureau and SAHM, and SAHM's strategic plan for the development of a new generation of adolescent health researchers who have the capacity to conduct research that addresses health disparities in health care delivery and health outcomes among adolescents in national and international settings. Through this collaborative effort, selected fellows and junior faculty have participated in a mentoring seminar and carefully paired with senior investigators to augment their research and professional development.This year we will select new mentoring participants and in addition invite the current cohort of forum mentees to present their research in progress with lessons learned and to receive additional feedback from colleagues and mentors regarding their work. New participants will be selected through an application process and also matched with experienced SAHMresearchers for at least one year. The future of adolescent health research relies on successful interdisciplinary team-based science that is sufficiently flexible to bend new ideas towards innovation.  The focus of this year's interactive training component will be focused on building an interdisciplinary research team and cultivating relationships for effective scientific collaboration and productivity.

Educational Objectives
  1. Execute a successful mentorship relationship with a senior investigator in adolescent health
  2. Pre-identify strategies to avoid and overcome common pitfalls faced by junior researchers while developing a research program
  3. Develop a plan for effectively building and/or working with an interdisciplinary research team to produce high quality science in adolescent health
Faculty Expertise: The faculty team has been working with trainees within the organization for the last five years.  We are all independent researchers/faculty leaders with significant mentorship experience in the field of adolescent and young adult health.  Our expertise in topical areas is broad, but complementary and builds on our collaborative relationships with each other and senior researchers in SAHM to pair trainees and to bolster the in-session experience for learners. Past sessions have been well received and trainees have had positive outcomes as a result of their participation.  Blood EA1, Trent M, Gordon CM, Goncalves A, Resnick M, Fortenberry JD, Boyer CB, Richardson L, Emans SJ.Leadership in adolescent health: developing the next generation of maternal child health leaders through mentorship. Matern Child Health J. 2015 Feb;19(2):308-13. doi: 10.1007/s10995-014-1619-4

Saturday, March 11, 2017


8:00 - 11:00 a.m.


Improving Access to Care Through Telehealth: Keys to Developing Successful Telehealth Programs for Adolescents

Stephen W. North, MD, MPH1, Susan J. Woolford, MD, MPH2, Sophia Yen, MD, MPH3, Evelyn Eisenstein4, MD, PhD, Jennifer A. Salerno, DNP, FNP-BC5, Karen J. Browner-Elhanan, MD6
1Mission Health; 2University of Michigan; 3Lucile Salter Packard Children’s Hospital, Stanford Medical Center; 4University of the State of Rio de Janeiro; 5Michigan Department of Community Health; 6Memorial University Medical Center
    
Track: Clinical Advances

Description: The use of telehealth is rapidly expanding to improve access to health care for urban and rural communities across the globe. Is is challenging for health care providers to see how they can integrate telehealth technologies to either expand the reach of their current practice or provide care in a new manner to their current and potential patients. This session will incorporate the experiences of six adolescent health care providers in developing telehealth programs to meet identified needs. This institute will provide:An overview of technologies available to use in adolescent care.A discussion of the role of mobile apps in adolescent health using the PandiaHealth.com web-app for improving access to contraceptives as a example.The role of mobile technologies in adolescent health research.Examples of international telehealth programs and unique challenges in developing these collaborations in academic networks.The perspectives of policy makers, providers and health system leaders on the processes and components necessary to develop a successful telehealth program.A discussion of regulatory and reimbursement issues that impact the growth and development of telehealth programs in the US and internationally.The role of telehealth position statements and guidelines in the development of successful programsThe development of the SPROUT: Standardized Pediatric Research on Outcomes and Utilization of Telehealth Collaborative, a national multi-site research group and the potential for adolescent health providers to become involved.An opportunity for participants to see a variety of telehealth equipment and discuss its applicability in a variety of clinical settings.

Educational Objectives
  1. Identify key components in the development of a successful telehealth program.
  2. List unique confidentiality issues that telehealth presents in the context of adolescent health care.
  3. Describe three uses of telehealth technology to improve access to adolescent health care
Faculty Expertise: The faculty members bring a diverse set of experiences in the development of innovative telehealth and telemedicine programs to improve adolescents access to care in unique situations. Dr. North is a nationally recognized for his work in school-based and rural telehealth, is the Medical Director for Telehealth and is a consultant to the HRSA Rural Telemedicine Research Center. Drs. Yen and Woolford have expertise with mobile apps in both direct patient care and in researching adolescent health issues, respectively. Dr. Eisenstein is a telehealth leader in Brazil and experienced in the development of a national university network with international collaborations. Dr. Salerno provides a state level perspective on developing school-based telemedicine minimum program requirements and creation of a funding stream for expansion. Dr. Elhanan has launched a new division of adolescent medicine working to expand its reach through the use of telehealth.

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