SIG/Professional Development Sessions - Thursday, March 19


SIG/Professional Development Sessions with CE/CME

  • 7:30-9:00 a.m.
Chronic Illness and Transition Special Interest Group

Lisa K. Tuchman, MD, MPH1; Joan-Carles  Suris, MD, MPH, PhD, FSAHM2
1Children's National Health System, 2Groupe de recherche sur la santé des adolescents (GRSA)

Description: In line with SAHM’s theme of Embracing Transitions, this year’s focus of the Chronic Illness and Transition SIG will be on health transitions for adolescents and young adults with chronic illness.

This session will focus on a review of the 2003 SAHM Position Paper, Transition to Adult Health Care for Adolescents and Young Adults with Chronic Conditions. SIG members will participate in a discussion about whether the Position Paper needs to be updated and revised to reflect the developments and progress of the last decade in transitional care. Specific areas to be addressed include: new transition related resources, incorporating recent transition outcome data, medical home, the affordable care act, and expanding the international applicability of the position paper. 

We will end with a discussion outlining recently funded transition research and upcoming opportunities for collaboration, resource sharing and systematic program development.

Educational Objectives:

  1. Summarize recently published research in the field of chronic illness and transition, highlighting work done by, or in collaboration with, SAHM members.
  2. Identify key areas of progress made in transition care over the past decade.
  3. Explore opportunities for increased collaboration and funding resources for transition-related research and clinical programs.

 

Nursing Research

Karen E. Johnson, PhD, RN1; Melissa D. Pinto, PhD, RN2
1University of Texas at Austin, 2Emory University

Description: Nurses work holistically with adolescents in a variety of multidisciplinary settings and benefit from opportunities to learn about the latest evidence in adolescent health. This special interest group provides an interactive venue for participants to present and discuss research related to adolescent nursing. 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 of this year’s meeting, Embracing Transitions: Promoting Health Through Adolescence and Young Adulthood, will be emphasized. We will provide opportunities for discussion of each research presentation.  We will conclude the session with a panel of senior nursing researchers mentors who will share insights into achieving a successful career in adolescent health research, scholarship, and practice. The rich dialogue that will occur during the meeting will foster collaboration across institutions and the advancement of  the science in adolescent nursing and health.

Educational Objectives:

  1. Examine up to three original research studies and discuss their implications for nursing practice and adolescent health care.
  2. Discuss strategies for success research, scholarship, and practice in adolescent health, led by senior nursing research mentors.
  3. Develop/refine ideas for future nursing research studies focused on adolescent health, led by senior nursing research mentors.


Juvenile Justice – Position Paper and Research Updates
Rebecca Monk Beyda, MD1; Ann Sattler, MD2; Eva Moore, MD, MPH3
1University of Texas Medical School at Houston, 2University of Massachusetts Medical School, 3University of British Columbia

Description: Over 60,000 youth in the United States transition into juvenile detention facilities annually.  Adolescent health providers serve a unique role in providing care for these youth as they make this unplanned transition.  With intake physicals recommended within one week of arrival and often unmet health needs, many detained youth encounter adolescent health providers for the first time in the juvenile justice system.  Internationally, there is a wide variety of approaches for incarcerated youth. The juvenile justice special interest group seeks to ease this transition for youth by supporting providers with best health practices and tools for advocacy and research.  In lieu of a special interest group meeting in 2014, the SIG leadership presented during a three-hour institute titled “The Nature of Adolescent Delinquent Behavior: Nurturing Alternatives to Mass Youth Incarceration.”  During this institute, three small groups developed action plans for writing a position paper, conducting research, and advocacy.  This year, the SIG co-leaders surveyed past participants.  Sixteen participants responded with the majority indicating an interest in a position paper update and current research in juvenile justice.  Therefore, we propose the juvenile justice SIG in 2015 meet the interest of the past SIG participants with two large group presentations followed by small group sessions aimed at further guiding the position paper authors, analyzing current research and addressing health practice challenges among juvenile justice medical providers.  The large group portion includes an update by the position paper committee chair on the current working paper title "Youth Incarceration: eliminate lifelong hazards through effective alternatives."  The second part of the large group portion includes a presentation on a current research project, “Juvenile Justice Research From Start to Finish: Examination of the Medical Home Transition Study.”  Discussions will be interactive, aimed to solicit feedback and impressions.

The meeting will conclude with small group sessions, during which participants will discuss and problem-solve individual research and health practice challenges in their juvenile justice centers.  SAHM provides an opportunity for those caring for youth in the juvenile justice system to review best practices and support one another as we assist in transitioning this special population of youth.

Educational Objectives:

  1. Report progress on SAHM Position Paper:  "Youth Incarceration: Eliminate Lifelong Hazards Through Effective Alternatives."
  2. Analyze current research and effective strategies in conducting research in the juvenile justice system.
  3. Compare and contrast different institutions' strategies for optimizing health services among detained youth.


Have You Heard About the New Bug Around Town? The STD SIG presents:  Mycoplasma genitalium Clinical Epidemiology and Treatment Considerations
Taraneh Shafii, MD, MPH1; Gale Burstein, MD, MPH, FSAHM2; Diane Straub, MD, MPH3
1University of Washington School of Medicine, 2Erie County Health Department, 3University of South Florida

Description: The bacterium, Mycoplasma genitalium, was identified in the 1980s and has recently been recognized as a sexually transmitted infection.  M. genitalium accounts for up to 15% of male urethritis and may also cause cervicitis, pelvic inflammatory disease, preterm delivery and infertility in females.  The prevalence of M. genitalium ranges from 1-3% in low-risk young adults in the US and internationally, but prevalence up to 33% has been observed in high-risk populations. Risk factors for M. genitalium infection are similar to those associated with Chlamydia trachomatis. As yet, there are no commercial tests available for clinical use and syndromic treatment is challenging. What is M. genitalium? How do you know if your patient has it and what do you do if you suspect it? We will answer these questions at the STD SIG through a brief didactic presentation followed by discussion amongst colleagues and SIG attendees.

Educational Objectives:

  1. Describe the epidemiology and pathogenesis of M. genitalium in males and females.
  2. Identify diagnostic strategies for M. genitalium.
  3. Discuss strategies to address treatment failure for STI syndromes that may include suspected M. genitalium infection.


School-Based Health Care Special Interest Group
Steve W. North, MD, MPH1; Ryan Pasternak, MD, MPH2
1Center for Rural Health Innovation, 2Louisiana State University Health Sciences Center, School of Medicine

Description: This SIG will use the experience of its members to achieve the three educational objectives, a didactic presentation and active discussion among all participants. The presenters will work with the School-Based Health Alliance (formerly NASBHC) to develop the content for objective #1. For objective #2 the presenters will draw on their own experiences and national experiences in interacting with growing ACOs. Objective #3 will be an open discussion of how HIT is used in SBHCs and the presenters will provide several examples of best practices for the use of HIE's, telehealth and online screening tools to meet the needs of adolescent patients.

Educational Objectives:

  1. Recognize the changing factors supporting the growth of school-based health centers in the United States as a means for improving the access to and quality of adolescent health care.
  2. Discuss current and potential relationships between accountable care organizations and school-based health centers
  3. Explain the role of health information technology in expanding the quality of care and services provided through school-based health centers.

 


Ethical and Legal Issues in Transitioning the Care of Adolescent Patients
Tomas Silber, MD, FSAHM1; Amy Campbell, JD2; Abigail English, JD3
1Children's National Medical Center; 2SUNY Upstate Medical University; 3Center for Adolescent Health & the Law

Description: The SIG will address the ethical and legal issues posed by the Affordable Care Act as they relate to Adolescent Health Care. This will consist of a brief introduction of ethical reflection and a legal update, followed by Q&A and a discussion surrounding the needs of the partcipants. Participants will receive material prior to the meeting including copies of the issue briefs written by Abigail English, JD, for USCF on the ACA and adolescents/young adults and another focusing on the implications of the U.S. Supreme Court's ACA decision.

Educational Objectives:

  1. Identify adolescent health care issues that are affected by the Affordable Care Act.
  2. Analyze the ethical implications of the Affordable Care Act with a special focus on confidentiality.
  3. Empower clinicians , and importantly our youth, to understand the law, pursue their rights and make health equity more of a reality.

Multicultural/Multiethnic SIG: Utilizing Cultural Identity and Positive Youth Development to Support Positive Transitions to Adulthood
Kelly M. Bethea, MD, FSAHM1; Lisa  Barkley, MD2
1Albert Einstein Healthcare Network, 2University of Central Florida College of Medicine

Description: This session will have a didactic component that will discuss the cultural influences on adolescent psychosocial development and describe a youth development model that can be applied to clinical practice to address the needs of this population.  The session will allow for the understanding of the positive and negative influences of social biases on the psychosocial development of teens and how a youth developmental model approach can help to rebuild and support assets of each teen. 

The session will provide time for small groups to work on a case- based example and then a large group discussion to re-cap what was learned and discussed in each group.

Educational Objectives:
  1. To describe cultural influences on adolescent psychosocial development
  2. To describe the application of a youth developmental model into clinical practice
  3. Identify innovative programs that successfully integrate culture and asset building


Identifying Eating Disorders and Assessing Nutritional Status at Higher Weights: What to do when “Expected Weight” is Unexpected?
Andrea Garber, PhD, RD1; Rebecka Peebles, MD2; Garry Sigman, MD3; Laura Hooper, MS, RD, CD4
1University of California; 2Perelman School of Medicine at The University of Pennsylvania; 3Loyaloa Stritch School of Medicine; 4Seattle Children's Hospital

Description: A major goal of the new diagnostic categories for eating disorders in the DSM-5 was to lessen emphasis on weight as a criterion for diagnosis.  Specifically, there is no longer a specified threshold to diagnose Anorexia Nervosa (AN) and a new category, atypical AN, has been added to describe adolescents with AN who present with normal or above-normal weights. AN. By one estimate, the atypical AN group has grown 6-fold in the past 5 years and includes a larger number of boys and minority youth. Elimination of the weight criterion reflects the growing awareness that weight (and related calculations including Body Mass  Index) are poor indicators of severity of illness. However, despite recognition that malnutrition can occur at any body weight, little is known about other methods to assess it. The continued over-reliance on weight is a likely contributor to delayed recognition of malnutrition in adolescents and young adults with eating disorders at normal and above-normal weights and may explain, in part, why they are presenting for care with severe illness and medical instability.

In addition to its relevance to the DSM-5 and changing epidemiology of eating disorders among adolescents, this proposed topic was identified as a key area of interest among SAHM ED SIG members at the 2014 meeting. The goals of this SIG are to increase recognition of eating disorders in patients irrespective of weight; review the current evidence on the association between weight, weight loss and various markers of medical severity; and introduce other/new markers of nutritional status for consideration in the clinical assessment of nutritional status.  
Educational Objectives:
  1. Discuss screening, identification and treatment of obese teens with eating disorders
  2. Describe the medical severity of patients presenting with eating disorders presenting with normal or above-normal weight, as compared to those with low weight
  3. Recognize the limitations of anthopometric measures and identify other as markers of malnutrition




SIG/Professional Development Sessions without CE/CME

  • 7:30-9:00 a.m.
Providers of Behavioral Health Services
James A. Hall, PhD
Indiana University

Description: Various professionals provide behavioral health services to the adolescents and young adults who come to our clinics and programs. In this professional development session, we discuss the issues that these providers encounter as we coordinate our activities with others on our teams and in the community. We also share solutions ranging from psychosocial interventions to clinical research. Our overall goal is to improve the level of behavioral health services within SAHM and to establish a network of helping professionals that can consult with each other about patient issues and clinic operations. We welcome all those who provide behavioral health services or who are interested in learning more about the current services being offered by SAHM members. In past meetings, we have had members from several disciplines attend including pediatrics, family medicine, psychology, social work, nursing, nutrition, counseling psychology, school psychology and internal medicine.

Educational Objectives:
  1. Identify the key psychosocial issues that are being addressed by SAHM providers.
  2. Describe the most common procedures for screening, assessment and brief interventions for a variety of problems faced by adolescents and young adults.
  3. Discuss networking opportunities with others interested in behavioral health services and issues.



SIG/Professional Development Sessions with CE/CME

  • 12:00-1:00 p.m.
Adolescent Medicine Fellowship Training Directors Annual Luncheon
Karen Soren, MD, FSAHM1; Lea Widdice, MD2
1Columbia University Medical Center, 2Cincinnati Children's Hospital Medical Center

Description: Program directors, as well as others involved in training, are invited to attend this session. This year we will discuss our experiences with Clinical Competency Committees and milestone-based evaluations.  In preparation for this session, participants will be encouraged to submit (1) up to date contact information, (2) examples of successful fellow evaluation tools used by their clinical competency committees, (3) experiences with reporting fellow evaluations to the ACGME, and/or (4) descriptions of curricula changes implemented or considered in response to changes in the ACGME's requirements. These submissions, as well as experiences of attendees, will be presented and discussed. This meeting is an opportunity for newer fellowship directors to meet with their more experienced colleagues and to network and share ideas.

Educational Objectives:
  1. Describe the ACGME Milestone Project timeline and the implementation of Entrustable Professional Activities (EPAs) to assess fellow competency.
  2. Give examples of lessons learned from facilitating Clinical Competency Committees and using milestone-based evaluations of fellows.
  3. Describe innovative curricula changes implemented or considered by different programs that have helped address new AGGME recommendations and mandates (ie. workplace-based assessments, quality and patient safety training).

Assessing Culture in Clinical Settings (Minority Providers' Luncheon)
LeKeyah Nicole Wilson, MD1; Kelly M Bethea, MD, FSAHM2; Lisa Barkley, MD, FSAHM3
1Rochester General Pediatrics Associates, Rochester General Hospital, 2Albert Einstein Medical Center, 3University of Central Florida College of Medicine

Description: Utilizing a didactic format the participants will learn the definition of culture and how it applies to different patient populations. There will be an overview of different cultural assessment tools that can be utilized to obtain a true cultural assessment in clinical practice.    

The larger group will be broken into small groups to apply the cultural assessment to clinical cases.  The group will then re-cap subject matter discussed in small group in regards to pros and cons of the assessment tool and its applicability to clinical practice.

Educational Objectives:
  1. Define the meaning of culture.
  2. Discuss different tools for cultural assessment.
  3. Utilize a cultural assessment that can be applied into clinical practice.

The Road Less Travelled:  Alternate Careers for Adolescent Health Practitioners
Avril Melissa Houston, MD, MPH1; Liana R. Clark, MD2; Mychelle Farmer, MD3
1US Department of Health and Human Services, 2Merck & Co. Inc., 3Jhpiego

Description: Most adolescent health professionals are driven to succeed in their chosen career path.  Yet the realities of the practice of adolescent medicine in the United States leave fewer options for post-fellowship careers than many other specialties. Typically, academic medicine careers are chosen upon completion of training. While such training programs provide a strong foundation in the clinical and research aspects of adolescent health, little attention is given to assisting practitioners with exploring alternative, rewarding careers in adolescent health outside of academic medicine.  Such unconventional career paths can impact the practice of adolescent health as well as the lives of adolescents in very different ways, from influencing public policy, to vaccine and small molecule development, or by shaping health and research agendas in the US and worldwide.

In this interactive session, we will offer a panel presentation by adolescent medicine physicians engaged in non-traditional careers, followed by a discussion session to share experiences and offer insight into how we arrived at our current positions. We will also share practical tools that can be used to make inquiries into available career opportunities for those in adolescent medicine.   This topic aligns with the SAHM theme of “embracing transitions” as embarking on a new or modifying an existing career path is not a linear experience, but rather one of exploration and change.

Educational Objectives:
  1. Describe alternate career pathways in adolescent health including careers in the pharmaceutical industry, public health, and healthcare foundations that are open to adolescent medicine providers.
  2. Identify and verbalize the benefits and challenges of pursing an alternate career in adolescent health.
  3. Develop a resource document that can assist participants who are considering a transition in their career paths.

Contraceptive Special Interest Group
Shamieka Virella Dixon, MD1; Laura K Grubb, MD, MPH2
1Levine Chidlren's Hospital at Carolinas Medical Center, 2Floating Hospital for Children, Tufts Medical Center

Description: Adolescents and young adults 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 used in adolescents are sparse and indications for contraception can change rapidly. The Contraception Special Interest Group (SIG) will host 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.

Educational Objectives:
  1. Facilitate a discussion of contraceptive options available to adolescents.
  2. Describe challenging cases and personal experiences using contraception with teens.
  3. Review the most up to date literature on contraception for adolescents.



Professional Development Session without CE/CME

  • 12:00-1:00 p.m.

Raising a Family and a Career
Gale R. Burstein, MD, MPH, FSAHM1; Sheryl A. Ryan, MD, FSAHM2; Rachel Levine, MD, FSAHM3
1Erie County, 2Yale Univ School of Medicine, 3Milton Hershey Medical Center

Description: Raising a family is a time-consuming and important commitment for both male and female professionals. Developing a satisfying career in adolescent health is an exceptional challenge. This lunch encourages participants to share their experiences and generate some practical solutions for juggling two full-time jobs of (1) family, including caring for children, aging parents, or both, and (2) careers without losing sense of ourselves. Participants have the opportunity to create a resource of parenting professionals to communicate concerns, questions, and advice. This year we will focus discussions on embracing transitions in our careers, family, and self, as well as continue our dialogue of sharing frustrations and successes, offering support, and generating solutions. We encourage men, women and current and contemplating parents or caregivers to attend and share in the discussion.
 

SAHM Oral History:  Warren M. Seigel, MD, MBA
Marianne E. Felice, MD
University of Massachusetts Medical School

Description: In this session, Dr. Marianne Felice will interview Dr. Warren Seigel about his life and career.  Dr. Seigel has spent most of his career serving adolescents in the New York area, and he has been in leadership positions for many years.  Currently, he is the Chair of Pediatrics at Coney Island Hospital in Brooklyn, NY, and the Director of Adolescent Medicine at the same institution.  Besides being board certified in pediatrics and adolescent medicine, Dr. Seigel has advanced training in Short Term Psychotherapy and Bioethics.  He is a past president of the New York State Society for Adolescent Medicine, the Brooklyn Pediatric Society, and the New York State Chapter 2, District II, of the American Academy of Pediatrics.  Currently, Dr. Seigel is the District Vice-Chair for the New York State American Academy of Pediatrics.  He is a strong advocate for gay and lesbian youth, as well as the reproductive rights of adolescents.  And he is the proud father of 8-½ year old twins.  After hearing about the highlights of his career, audience members will have the opportunity to question Dr. Seigel about his career choices and challenges.


Update from SAHM’s Youth Providers 2.0 Initiative
John Santelli, MD, MPH1, Marina Catallozzi, MD, MSCE1, Jennifer Heitel, MPH1, Chelsea Kolff2
1Columbia University; 2Society for Adolescenth Health and Medicine


Description: SAHM’s Youth Providers 2.0 (YP2.0) initiative, funded by the Agency for Healthcare Research and Quality, aims to improve the use of patient-centered outcomes research among health care providers caring for adolescents and young adults. During this one-hour session members of the YP2.0 team, based at Columbia University Mailman School of Public Health, will inform SAHM membership on the project’s formative research as well as current and future grant activities. The session is designed for SAHM membership and conference attendees interested in patient-centered outcomes research (PCOR), the training needs of adolescent health and medicine providers, and the use of new technologies in training providers.
 
The YP2.0 team will report on the Primary Key Informant Interviews—conducted with 33 adolescent health and medicine specialists and leaders in the United States and Canada—and the Secondary Key Informant Web-Based Survey, which was shared with SAHM’s membership and other youth serving professional who are on SAHM’s  discussion-based listserv.  Updates will also focus on recent and upcoming grant activities, including SAHM’s Weekly News Roundup and the creation of Clinical Care Guidelines, Resources, and Research guides on topics that emerged from the formative research.  

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