Wednesday, March 8, 2017
Thursday, March 9, 2017
Friday, March 10, 2017
Wednesday, March 8, 2017
11:45 a.m. - 12:45 p.m.
Adolescent Nursing SIG
Sarah A. Stoddard, PhD, RN, FSAHM
University of Michigan
Description: The SAHM Nursing Luncheon provides a forum for nurse leaders in SAHM to meet and share their interests and areas of focus, and creates an opportunity to build stronger professional relationships and support the growth and development of SAHM nursing professionals.
Spirituality SIG: Adolescent Spirituality in End-of-Life and Palliative Care
Richard A. Wahl, MD, FSAHM1, Sarah R. S.StenderMD2, 3Donna R.PerryMD, FSAHM
1University of Arizona; 2UCSF- Fresno; 3Indian Health Service, Chinle, AZ, (Retired)
Description: We invite you to join us as we start a discussion on the role of spirituality in adolescent palliative and end-of-life care. Rather than a formal didactic presentation, we invite you to share your experiences in providing palliative and end-of-life care to adolescents and young adults, and to let us know the most meaningful books and articles that helped guide your care. We would like to include as broad a range of perspectives as possible. Please send us your resource recommendations, and we will create a reading list for the SIG. If possible, please send in copies of significant articles which we will make available through a DropBox folder. We would also like to know your thoughts in advance on how we can make our discussion as meaningful and useful as possible. Looking forward to meeting with you in New Orleans, for our 20th consecutive Spirituality SIG meeting. Please do write with questions and suggestions! Richard Wahl (email@example.com), Sarah Stender, and Donna Perry
Sexually transmitted Diseases SIG
Debra K. Braun-Courville, MD, FSAHM1, Claudia Borzutzky, MD, FSAHM2
1Vanderbilt University Medical Center; 2Children's Hospital Los Angeles
Description: The Sexually Transmitted Diseases Special Interest Group (STD SIG) provides a forum for health care professionals to discuss current STD topics and issues related to adolescents. Based on interest generated from last year’s SIG and the Society for Adolescent Health and Medicine STD SIG community, facilitators will focus the discussion on the following two topics:
Facilitators will give brief summaries of the two topics to provide a platform for discussion. Participants are encouraged to bring their knowledge, experience and questions to generate an active discussion with colleagues.
Review the epidemiology of Zika virus and evidence for sexual transmission
Evaluate and discuss updates to STI screening for adolescents (e.g., treponemal vs. non-treponemal testing for syphilis, point-of-care testing for chlamydia and gonorrhea).
LGBTQI Adolescent Health SIG
Gerald-Ronson Tariao Montano, DO1, Renata Arrington-Sanders, MD, MPH2
1University of Pittsburgh School of Medicine; 2John Hopkin's Children's Center
Description: This SIG invites health care providers and community leaders who have interest in the health, well-being, and social equity of Lesbian, Gay, Bisexual, Transgender, Queer, and Intersex (LGBTQI) teens and young adults. The SIG will provide opportunities for members to network, discuss potential workshops, institute , and speakers ideas for future SAHM meetings, suggest improvements for the SIG website, get updated on or propose SAHM position papers and statements related to the needs of LGBTQI health, and get involved in supporting research on LGBTQI health. The SIG will also inform members of the latest clinical practices, research findings, health policies, and pyschosocial/political challenges affecting this vulnerable population. Finally, members will have opportunities to advocate for LGBTQI teens and young adults.
Eating Disorder SIG
Sara Forman, MD1, Laura M. Pinkston Koenigs, MD, FSAHM2
1Boston Children's Hospital; 2Baystate Medical Center
Description: The Eating Disorders SIG provides a forum for discussion for those who are involved in research or providing care for youth with eating disorders. This year, the facilitators will moderate a discussion on the care of challenging cases and treatment options. The session, in keeping with the theme of relationships, will focus on the role of the treatment team in the recovery process. Participants from various disciplines are invited to participate in what will most likely be a lively discussion about future directions in research and treatment for various patient sub-populations who struggle with eating disorders. In addition, participants are invited to contact the facilitators ahead of time with any topics of interest which they wish to discuss.
Laura K. Grubb, MD, MPH1, Hilary T. Wolf, MD, MPH2
1Tufts Medical Center; 2Georgetown University
Description: This year’s advocacy SIG will focus on one or two recent legislative and health policy topics, which will have regional as well as national significance. In many instances, state legislation can have significant impact on adolescent health. Our SIG will highlight these activities, and we will evaluate effective ways that SAHM’s regional chapters can influence state-based legislation and policy development. We will invite SAHM chapter representatives to join the SIG to help disseminate information back to their chapter and support ongoing local advocacy. This SIG provides SAHM members an opportunity to share ideas about regional advocacy, designed to improve the health and well-being of adolescents and young adults. Participants will be given resources they can use to promote sound health policies at the state and national level. The SIG will include a brief presentation on active legislative issues in adolescent health policy followed by an interactive exercise where SIG attendees will work in regional or chapters groups to develop strategies to address the one or two chosen legislative topics. The goal will be for the working groups to continue working on these strategies in the year to come. Participants will also have the opportunity to engage in dialogue with members of SAHM’s advocacy committee in order to provide input into SAHM’s advocacy priorities for the upcoming year. At the end of this SIG, participants will be able to 1. Describe state-specific legislation and policies affecting the health of adolescents and young adults. 2. Identify new ways to engage SAHM’s Regional Chapters in matters of regional significance. 3. Utilize new approaches to promote effective advocacy consistent with SAHM’s priorities in adolescent health.
Adolescent Healthcare and the Resident Learner SIG
Caroline J. Barangan, MD1, Richard J. Chung, MD2, Paritosh KaulMD, FSAHM3
1Icahn School of Medicine at Mount Sinai; 2Duke University School of Medicine; 3University of Colorado – School of Medicine Children’s Hospital Colorado
Description: The American Board of Pediatrics and the Accreditation Council for Graduate Medical Education (ACGME) has mandated that pediatric training programs provide an educational experience in Adolescent Medicine in a 4 week, 1 month, or longitudinal structure over the course of the 3 years of residency training. Residents may enter these experiences with variable levels of enthusiasm, motivation, knowledge and ability. Our goals as educators are to assist learners in increasing their medical knowledge, comfort and clinical skills in providing high-quality care to adolescents and young adults. During the 2016 Adolescent Healthcare and the Resident Learner SIG, participants described challenges to achieving these goals, including the resident who exhibits significant difficulties that require intervention. Such residents may struggle because of deficiencies in the knowledge, skills or attitudes needed to engage effectively in Adolescent Medicine learning experiences. This SIG is designed as a response to the participants’ self-identified need. This session will include an interactive group discussion to identify the challenging learner(s) through reflection on our common experiences. Small work groups will focus on a specific type of challenging learner and develop strategies to utilize when faced with this learner. At the conclusion of the session, these strategies will be shared collectively.
Juvenile Justice SIG: Promoting meaningful connections
Rebecca Monk Beyda, MD1, Merrian Brooks, DO2, Ann Sattler, MD, MAT, FSAHM3
1University of Texas McGovern Medical School at Houston; 2Children's Hospital of Pittsburgh of UPMC; 3University of Massachusetts Medical School
Description: The juvenile justice special interest group will explore different approaches to fostering positive interactions between youth and staff in the juvenile justice system. Initial presentations on motivational interviewing training for juvenile supervision officers, staff training on sexual orientation and gender identity expression, and police training on adolescent interactions will lead to group discussion. The last half of the SIG will be dedicated to a large group discussion regarding cases of positive and negative connections with detained youth. Finally, we will develop strategies for promoting meaningful connections for youth encountering the juvenile justice system.
Thursday, March 9, 2017
8:00 - 9:00 a.m.
school Based Health Care SIG: In the Innovative World of School Based Health, Hoofbeats Sometimes Do Mean Zebras
Ryan H. Pasternak, MD, MPH1, Steve North, MD, MPH2, Vani Patterson, MPH
1LSUHSC, New Orleans; 2Health-e-Schools, Center for Rural Health Innovation
Drs. Pasternak and North will present a morning report like discussion of interesting, complex or difficult cases from their school based health practices. The audience and presenters will use these cases to develop a diagnostic approach and discuss the impact of innovating clinical care team building to providing the most effective care in the sometimes isolated setting of school based health. Discussion of SBHCs connecting to community health, hospital and sub-specialist resources as well as the use of telehealth will thread through the case presentations. The interactive discussion will rely on audience participation and the presenters will elicit interesting cases from audience members during any remaining time.
MULTICULTURAL PROVIDERS SIG: BECOMING STRATEGIC ABOUT HEALTH EQUITY FOR ADOLESCENTS AND YOUNG ADULTS
Kelly Bethea, MD, FSAHM1, Lisa Barkley, MD, FSAHM2
1Horizon Blue Cross and Blue Shielf of New Jersey; 2UCF College of Medicine
Description: Creating health equity is essential in achieving improved health for adolescents and young adults. Health equity can be achieved by understanding value based care and being strategic about health care delivery. Presently we utilize a risk-based model to identify healthy outcomes, this session proposes to change the paradigm and focus on the social determinants of health to create a strategic plan to improve health outcomes. An interactive, didactic session will create an atmosphere of open dialogue on how value based care can lead to health equity with a strategic plan steeped in the social determinants of health. The key to health equity is not reducing risk; it is about improving thriving characteristics of adolescents and young adults.
Define Value Based Care and strategic planning as it relates to health equity
Discuss the relationship between health equity and value based care
Discuss how to utilize the social determinants of health to create a strategic health equity plan for adolescents and young adults
Early Career Professionals SIG: The SAHMwich Generation
Ellen Selkie, MD, MPH1, Andrea Hoopes, MD, MPH2, Nadia Saldanha, MD3, Julia Potter, MD4, Ana Radovic, MD5, Priya Sarin Gupta, MD, MPH6, Tracey Exley
1University of Michigan; 2University of Colorado; 3Northwell Health; 4Boston Medical Center; 5Children's Hospital of Pittsburgh; 6Massachusetts General Hospital
The Early Career Professionals Special Interest Group (SIG) is open to all SAHM members of all disciplines who have finished their professional training in the last 5 years. The SIG’s focus is on issues relevant to the transition from training to independent practice in a variety of settings. Activities of the SIG will include: 1) networking to connect and engage early career professionals within SAHM; 2) support and resources for adjustment to post-training responsibilities; 3) clinical resources for early career professionals including difficult case discussions; 4) financial planning resources for early career professionals to feel financially secure, to include the ability to continue membership in SAHM and attendance at the SAHM Annual Meeting post-training; 5) leadership training that can be used within SAHM, practice, hospital, and/or academic settings; 6) guidance for early career transitions between clinical settings; 7) planning for the future needs of adolescent health professionals. The inaugural meeting of the Early Career Professionals SIG at SAHM 2017 will have the agenda of meeting other group members and networking, and determining priorities for the coming year and future SAHM meetings.
Runaway and Homeless Youth Sig
Meera S. Beharry, MD1, Seth David Ammerman, MD, FSAHM2 April S. ElliottFRCPC, FSAHM3, Scott B. Harpin, PhD, RN, FSAHM4
1McLane Childrens Hospital Baylor Scott and White/Texas A&M Health Science Center; 2Stanford University Medical Center & Lucile Salter Packard Children's Hospital; 3Alberta Children’s Hospital /University of Calgary; 4University of Colorado, Anschutz Medical Campus, College of Nursing
Target Audience: Providers and researchers currently working with Runaway and Homeless Youth Populations in the US and Internationally. We always welcome those who are not yet working with this population and hope to learn more about this vulnerable population! Method: In our 4th annual meeting of the Runaway and Homeless Youth (RHY) SIG at SAHM we will continue to follow the conference theme of Cultivating Connections between our multi-disciplinary SIG members. Collaborations of SIG members have resulted in the production of workshops, research, articles and book chapters. As we move into a more mature phase of the SIG we hope to use the experience of our more established SIG members to help develop on the ideas and enthusiasm of our newer members. We will provide opportunities for networking and sharing of work through small group discussion and "matching" games. As always, we will include a literature review of work published in the past year and relevant to work with RHY. Throughout the year our SIG stays active through messages on our list serve and the SAHM website based community page. We will use the meeting time to briefly update our SIG members on how to use these tools and to present the work on updating the RHY Position Paper.
ethical & legal sig: Cultivating Connections with Adolescents and Young Adults in a Digital World: Legal and Ethical Considerations for Healthcare Providers, Researchers and Advocates
Amy Lewis Gilbert, JD1, Tomas Jose Silber, MD, FSAHM2
1Indiana University School of Medicine; 2Children's National Health System
Tomas Silber, MD, MASS and Amy Lewis Gilbert, JD, MPH will co-lead the 2017 Ethical and Legal SIG Session. Consistent with this year's focus on cultivating connections in a digital world, this multidisciplinary session will focus on some of the legal and ethical issues that arise when: (1) adolescents and young adults seek to establish and maintain important relationships on social media sites; (2) healthcare providers contemplate accessing publicly available patient information on social media sites for treatment purposes; and (3) researchers consider using social media for recruitment and/or data collection purposes. The session will begin with a brief didactic introduction to the subject matter and an acknowledgment of the different professional groups in attendance (15 minutes), and the remainder will focus on case presentations and concerns raised by the audience (40 minutes). Participants are strongly encouraged to bring questions arising from their own experiences in clinical care, research, and advocacy to stimulate group discussion. A five-minute summary overview by the session leaders will conclude this opportunity for ethical and legal reflection.
Shamieka Virella Dixon, MD1, Laura Grubb, MD, MPH2, Heather Needham, MD, MPH3
1Levine Children's Hospital/Carolinas Medical Ctr; 2The Floating Hospital for Children at Tufts Medical Center; 3Baylor College of Medicine Texas Children's Hospital
Educational Objective 1 Facilitate a discussion of contraceptive options available to adolescents Educational Objective 2 Describe challenging cases and personal experiences using contraception with teens Educational Objective 3 Review the most up to date literature on contraception for adolescents Description: Adolescents have the highest rates of unintended pregnancy than any other group. Contraception can be used to prevent unintended pregnancy, as well as treat other medical conditions. However, providers often encounter challenges while using contraception in this population. Guidelines for medications use in adolescents are sparse and indications for contraception can change rapidly. The Contraception Special Interest Group (SIG) is an interactive session which will provide a forum for providers to discuss contraceptive options available for teens. We will cover methods of birth control, indications for use and how to provide adolescents with appropriate preconception counseling. Participants are encouraged to bring challenging contraceptive cases and questions for discussion. We also review the most up to date literature on contraception for adolescents.
NUTRITION AND OBESITY SIG - NAVIGATING THE WATERS OF OBESITY TREATMENT: "OARS" FOR MOTIVATIONAL INTERVIEWING (MI)
Alicia Docter, MS, RDN, CD
Seattle Children's Hospital
Description: We invite you to join us for an interactive 2-part session to discuss the role of motivational interviewing (MI) in adolescent obesity treatment. Part 1 of the session will briefly review the fundamental principles of MI (“OARS”), while allowing participants to actively practice their MI skills with a partner. In Part 2 of the session, we will host a Q&A panel featuring interdisciplinary practitioners from diverse practice settings; the panel will discuss strategies, challenges, and resources for utilizing MI in adolescent obesity treatment, and will respond to questions from participants about how to meaningfully employ MI in their own practices.
Nicholas Chadi, MD
Hospital for Sick Children
Description: The Student/Trainee Special Interest Group (SIG) welcomes trainees of all levels and professions for its inaugural session in New Orleans. This highly interactive session will start with a short presentation on the power of journalism and social media for the extension of patient advocacy beyond the context of clinical interactions. The second part of the SIG will be dedicated to a moderated discussion on the future of adolescent medicine and building a network for Adolescent Medicine trainees. Attendees will have the opportunity to share and connect with other trainees allowing opportunities for exchanges and collaboration during the SAHM meeting and throughout the year.
SAHM ORAL HISTORY: CHARLES E. IRWIN, JR., MD
Hosted by Marianne E. Felice, MD
In this session, Dr. Marianne E. Felice will interview Charles Irwin, Jr. about his extraordinary career in academic medicine and in the field of adolescent medicine. Dr. Irwin has spent his entire academic career at the University of California, San Francisco, but his influence on the discipline of pediatrics has spanned the globe. He has held key positions in the Society for Adolescent Health and Medicine including: President of SAHM, memberships on numerous SAHM committees, Chair of the Ad Hoc Committee on the Development of Subspecialty Boards in Adolescent Medicine, and Editor-in-Chief of the Journal of Adolescent Health. He was the inaugural Chair of the Adolescent Medicine Sub-Board. Dr. Irwin has represented the field of adolescent medicine on nearly every government committee or task force involving youth, providing professional guidance on various levels. Such activities include: co-chairing the Subcommittee on Children’s Healthcare Quality Measures of the AHRQ National Advisory Council on Healthcare Research and Quality, serving on the Technical Expert Panel of the National Survey of Children’s Health sponsored by the MCHB, and contributing to the Institute of Medicine Committee on Young Adulthood. Dr. Irwin has been the recipient of numerous grant awards in both research and training, most notably, the Interdisciplinary Adolescent Health Training Programs. In this capacity, he has influenced the careers of many young professionals in the field who have become leaders in their own right. In his spare time, he has the good fortune to spend time enjoying classical music with his wife, Nancie Kester, who is a gifted composer and teacher, and cheering for the San Francisco Giants with his son, Seth. After the interview, the audience will have the opportunity to question Dr. Irwin about his many accomplishments.
View previous SAHM Oral History sessions here
Chronic Illness and Transitions Sig
Sheila M. Quinn, DO1, Constance M. Wiemann, PhD, FSAHM2
1The Children's Hospital of Philadelphia; 2Baylor College of Medicine
Description: This year’s Chronic Illness and Transition special interest group will focus on clinical and research initiatives that best exemplify the meeting’s theme of “Cultivating Connections: the importance of relationships in adolescent and young adult health”. The meeting will begin with participants briefly introducing themselves, and any clinical, community, or research work that they are currently involved in that aligns with the meeting theme. This will be followed by a semi-structured discussion of participant’s work, inviting discussion, questions and suggestions from the group, with particular attention to successes and challenges in respective programs and projects. If the group is large, as it has been in recent years, there is potential to split into three smaller groups—community program development, clinical initiatives, and research, with a brief summary of updates and opportunities to collaborate fed back to the larger group at the end. Time will be allotted for networking at the end of the meeting.
NURSING RESEARCH SIG
Andrea Landis, PhD, RN,FNP-BC1, Diane Santa Maria, DrPH, MSN, RN, APHN-BC2
1University of Washington; 2University of Texas School of Nursing
Nurses work holistically with adolescents in a variety of multidisciplinary settings and benefit from opportunities to learn about the emerging evidence in adolescent health. This special interest group provides an interactive venue for participants to present and discuss research related to adolescent nursing and issues relevant to adolescents. The leaders will solicit and review abstracts, up to three will be selected for presentation during the SIG. Methodological and theoretical innovations that reflect the theme “Cultivating Connections” will be emphasized. During the hour, we will provide opportunities for group introductions, 3 brief research presentations, and conclude with an open discussion after the research presentations. The hour will be moderated by the co-chair. The rich dialogue that will occur during the SIG meeting will foster collaborations across institutions and the advancement of the science in adolescent nursing and health. We will encourage members to submit abstracts directly to the SIG for presentation during the SIG meeting. If an abstract is accepted for presentation in a SAHM research session, then we will not consider it for presentation in the SIG. We will recognize the work of our nursing colleagues (upon request) by announcing their presentations via email accepted for the general call for abstracts to foster comradeship.
MULTICULTURAL/MULTIETHNIC SIG: FOSTERING CONNECTIONS TO HEALTH AND COMMUNITY FOR UNDOCUMENTED IMMIGRANT YOUTH
Lisa Barkley, MD, FSAHM1, Merrian Brooks, MD2, Maria Veronica Svetaz, MD, MPH, FSAHM3
1University of Central Florida College of Medicine; 2University of Pittsburgh; 3Hennepin Family Care Whittier Clinic
Description: Adolescents who are from immigrant families where one or more members of the family do not have US citizenship face additional challenges to connect with healthcare providers and their communities. These youth are more likely to be challenged with higher rates of poverty, less educational achievement, language barriers, poor housing conditions and limited access to healthcare services. These social determinants promote poor mental health, more exposure to trauma and chronic stress. This SIG will discuss best practices to promote connections and foster positive youth development in undocumented immigrant youth. We will share competencies and tools that providers can develop in clinical practice to create therapeutic relationships that support connections and promote well being.
Friday, March 10, 2017
Clinical Practice Management SIG: Improving continuity of care
Richard J. Chung, MD, FSAHM1, Sara Forman, MD2
1Duke University Medical Center; 2Boston Children’s Hospital
This year’s Clinical Practice Management SIG meeting will focus on the theme of continuity of care. Most key health issues that affect teens and young adults can be treated with known therapies, but many patients struggle despite the availability of services due to fragmented care. The SIG leaders will review key factors involved in continuity or discontinuity of care including patient-provider communication modalities, access issues, and social determinants of health. The group will discuss these factors and brainstorm collaborative means to support clinical directors and managers in a variety of care settings in addressing obstacles to continuity of care. Further, the group will continue discussions around creating a quality improvement collaborative to address these issues over time. Modalities for participant engagement will include brief didactic content, small group discussions around question prompts, large group sharing, and individualized action planning.
Adolescent Health Leaders in Divisions of One sig: the power of one
Paul A. S.Benson, MD, MPH1, May C.Lau, MD, MPH, FSAHM2
1OU-Tulsa School of Community Medicine; 2UT Southwestern Medical Center
Drawing from this year's meeting theme of "cultivating connections" and building upon past years' discussions of the advantages and challenges of practicing as health leaders in divisions of one, this year the Power of One SIG turns its attention to the intricacies of contract negotiations. As solo adolescent health clinicians, educators, and/or researchers, several contract negotiation themes rise to particular importance: effective time and effort allocation, expectations for revenue generation and wRVU benchmarks, coverage/call requirements, grant and publication productivity, work-life balance, and melding individual professional and institutional needs. While open to all SAHM conference participants, this SIG is particularly aimed at "cultivating connections" among faculty of all adolescent health disciplines who practice or may soon practice as lone Adolescent Medicine-trained faculty at their respective institutions. SIG leaders will share the latest research and expert advice on effective contract negotiations, while all participants will share personal tips, experience, concerns, and self-advocacy strategies.
Internists in Adolescent Medicine SIG: updates in ABIM credentialing and MOC
Nadja G.Peter, MD1, Jennifer H.Chuang, MD2
1St. Christopher’s Hospital for Children; 2Children's Hospital of Philadelphia
This Internists in Adolescent Medicine SIG is an opportunity for internists and med/peds providers to discuss updates in ABIM certification, recertification, and MOC processes as well as brainstorm re workshop submissions for future meetings.
qualitative and quantitative research sig: Cultivating Research Connections: Developing a Collaborative Research Community
Ana Radovic, MD1, Kristen Kaseeska, MPH2, Christina Akre, PhD3, Sharon Tyson Smith, PhD, RN4
1Children's Hospital of Pittsburgh of UPMC, University of Pittsburgh School of Medicine; 2American Academy of Pediatrics; 3Lausanne University Hospital, Institute of Social and Preventive Medicine; 4University of San Diego
Description: The target audience is any stage researcher, qualitative and/or quantitative, and including trainees interested in research. During last year’s SIG, attendees identified a growing need for opportunities that foster connections between the growing research community. Researchers with both qualitative and quantitative backgrounds reported insufficient resources and tools that develop grant management skills or foster collaborations with other researchers. Attendees recognized the Qualitative and Quantitative Research SIG as a channel by which to develop such resources and share with members. SIG co-leads will develop an online database for SAHM members interested in research that will compile useful information and tools pertaining to the expansiveness of writing and managing research grants. What information is included will be member-driven, based on discussions at the 2016 SIG meeting. SIG co-leads will also investigate ways for members to promote funding opportunities and potential collaborations, and may include using existing social media networks such as LinkedIn. By developing these resources and connections throughout the year, the 2017 Qualitative and Quantitative Research SIG session will serve two purposes: 1) present the online database to attendees, with time for feedback and comment; and 2) to serve as a networking opportunity between researchers who are interested in mentorship or future collaboration. SIG co-leads will present the online database and invite those members who were essential to its development to speak. Attendees will then be encouraged to comment on its acceptability and feasibility, and provide feedback for improvement. Afterwards, attendees will break into small groups based on data collection type (Qualitative, Quantitative, Mixed Methods) and research focus. Groups will discuss relevant topics based on group interest. Topics may include: funding opportunities, grant management, and future collaboration. Each group will be led by a SIG co-leader in order to identity needs and facilitate conversation.
Male Health Sig: What Can I Do? Approaching Racial Issues with Minority Male Adolescents
Reuben O.Battley, MD1, Emmanuel L.Chandler, MD2, Brock Libby, MD3
1Cincinnati Children’s Hospital Medical Center; 2Cincinnati Children’s Hospital Medical Center; 3Children’s Hospital of Philadelphia
Description: Per the AAP, there are 4 domains in which pediatricians should be expected to employ their skills and influence in the implementation of youth violence prevention strategies: clinical practice, advocacy, education, and research. The goals of this session are to identify current nationwide racial issues, increase provider’s comfort with patient dialogue regarding racial issues, and generate ideas for provider engagement in clinical practice, advocacy, education, and research. A presentation will be given at the start of the session to identify current racial issues in America, and specifically, how our minority male patients are affected by these issues. We will then discuss the importance and difficulties of providers, especially non-minority providers, discussing racial issues with minority patients. Suggestions for how to approach these conversations will be discussed, followed by generation of ideas for provider engagement through small groups and open forum with attendees.
electronic health records sig: The E.H.R. and Adolescent Confidentiality Journey – Progress, Gaps, and Next Steps
Maria Veronica Svetaz, MD, MPH, FSAHM1, Jennifer Mary O'Brien, MPH1, Abigai lEnglish, JD2, Rebecca Gudeman, JD3, Kirsten Hawkins, MD, MPH, FSAHM4
1Hennepin County Medical Center; 2Center for Adolescent Health and the Law; 3National Center for Youth Law; 4MedStar Georgetown University Hospital
Description: The issue of how best to protect the confidentiality of adolescents’ sensitive health information in the context of electronic health records (EHRs) is one of longstanding concern to the adolescent health and medicine community. SAHM has been working on this issue for some time and has an important role to play in securing progress on both the clinical and policy fronts. At this point, it appears that finding a solution to this challenge will likely require resources and effort beyond the capacity of either the EHR committee or individual SAHM members working informally. This issue has created tremendous risk both for our teens, and for the providers ‘burnout, as they struggle daily on how to protect their teens’ rights in the current EHR world. Finding appropriate solutions to this ongoing concern requires significant creativity and persistence both from a clinical/operational perspective and from a legal/policy perspective. Numerous SAHM members have wrestled with this in their own health delivery sites, developing work-arounds and seeking customized solutions from their IT staff. Two SAHM members in particular – Veronica Svetaz and Jennifer O’Brien -- have worked tirelessly and devoted significant time and effort to finding solutions in their respective primary care sites. They have also generously shared their growing expertise with the field when contacted by phone or email and in presentations at SAHM meetings and in other venues. Two other SAHM members – Abigail English and Rebecca Gudeman – have been considering how best to approach this thorny problem from a legal and policy perspective. The issues are complex because they involve the intersection of federal and state law as well as the relationship of law and policy to operational challenges in clinical care IT. Dr. Kirsten Hawkins, MD, MPH, FAAP has provide ongoing assistance to this SIG, and participated in past efforts to advocate for change in this area. While we continue to work with SAHM in creating the best strategy to advance this issue, we want to secure at SAHM 2017 a forum where we all interested parties can put their heads together to assess where we are and what we need as the main advocates for this issue, to advance the cause. The SIG will be devoted to 1) discussing current solutions created to address confidentiality needs in Minnesota (15 minutes) and mainly 2) to brainstorm on how to move the advocacy needs forward, where all members will be engaged in creating the best approach possible, using SAHM’s social capital, specifically their members (45 minutes), with the idea to inform SAHM leaders on what their constituencies think could be the most efficient and effective way to go around this. A memorandum drafting all of this will be signed at a follow meeting, making sure the participatory spirit of the meeting is respected.
Adolescents with HIV/AIDS SIG
Errol L. Fields, MD, MPH, PhD1, Lana Lee, MD
1Johns Hopkins University School of Medicine
Description: This Special Interest Group (SIG) provides an opportunity for researchers and health care providers working with HIV-infected and at-risk adolescents and young adults to network and share experiences. Information regarding regional, national, and international activities impacting the care of these populations will be discussed, as well as issues related to collaborative research, health policy, ethics, and advocacy. Studies demonstrating poor treatment outcomes among young people who are living with or at-risk for HIV highlight the need for ongoing exchange of experiences and ideas among providers, researchers, program developers, advocates, and policy makers Consistent with the conference theme, we will explore how relationships including relationships with health care providers, family members, romantic partners, friends and other significant others both through technology and in real life impact the treatment experience and lives of adolescents and young adults living with HIV. The format of the session will be a multidisciplinary panel driven discussion. The panel will include area advocates, providers, researchers and if possible HIV affected youth. Each panelist will give brief opening remarks and session organizers will prepare opening questions based on the learning objectives in order to lay the groundwork for an interactive panel/group discussion.
College Health sig
James Farrow, MD, FSAHM1, Mark Pfitzner, MD2
Description: The College Health Special Interest Group offers adolescent and young adult practitioners interested in or working in college health to share experiences and clinical updates. The group discusses topics of mutual interest in addressing the health care needs of college and university students receiving care in campus student health clinics. Models of health care delivery in this setting are discussed as well as the impact of changes in the health care delivery system in the United States. SAHM’s increased focus on the health needs of emerging adults are reflected in the SIG’s discussions.
1Tulane University; 2University of Utah
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