SIG Meetings

Thursday, March 7
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Friday, March 8


thursday, March 7 - 8:00 - 9:00 a.m.


Shauna M. Lawlis, MD1; M. Brett Cooper MD2; Jonathan Daniel Warus, MD3
1University of Oklahoma Health Sciences Center; 2Baylor College of Medicine/Texas Children's Hospital; 3CHLA/Keck School of Medicine/Center for Transyouth Health & Development
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, collaborate, discuss workshops, institutes, and speakers ideas for future SAHM meetings, suggest improvements for the SIG and its 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. We are hopeful that we can present progress of the Transgender position statement and present the first winner of our research fund at the 2019 meeting!

Runaway and Homeless Youth 
Meera S. Beharry, MD1; Seth Ammerman, MD, FAAP, FSAHM, DABAM2; April S. Elliott, MD, FRCP (C), FSAHM3; Scott B. Harpin, PhD, MPH, RN, APHN-BC, FSAHM4
1McLane Children's Medical Center; 2Stanford University School of Medicine; 3Alberta Children's Hospital; 4University of Colorado
Description: As usual for the Runaway and Homeless Youth SIG, we will use our time to network through sharing experiences, resources and ideas related to the conference theme. We invite all conference attendees who are currently working on or interested in the issues for youth experiencing homeless to attend this SIG and share their thoughts about psychological well-being. We plan to discuss cultural differences in expressing psychological distress, cultural beliefs about mental health and treatment. Questions for us ponder to include: How does this affect service delivery? Research participation? What can we do to better advocate for homeless youth? Many of our regular SIG attendees have worked internationally and come from diverse backgrounds, so we anticipate a lively discussion! As always, we will include a literature review of articles published in the past year and relevant to work with RHY, including the SAHM position paper on “The Healthcare Needs and Rights of Youth Experiencing Homelessness”. We hope you will join us to share your thoughts and experience.

Adolescent Healthcare and the Resident Learner
Caroline J. Barangan, MD1; Richard Chung MD2; Paritosh Kaul, MD3
1Mount Sinai Hospital; 2Duke University Medical Center; 3University of Colorado – School of Medicine
Description: Adolescent Medicine faculty are regularly in a position of cultivating healthy habits among the teens they care for. They are also in a position to support their trainees in pursuing self-care behaviors. Finally, they themselves are constantly faced with numerous professional demands that create strain between personal health and wellness needs and work obligations. For all of these reasons, it is crucial that Adolescent Medicine faculty are well-versed in the domain of personal Wellness. As of July 1, 2017, the ACGME has mandated that Wellness be addressed as a Common Program Requirement for training institutions (VI.C. Well-Being): “In the current health care environment, residents and faculty members are at increased risk for burnout and depression. Psychological, emotional, and physical well-being are critical in the development of the competent, caring, and resilient physician. Self-care is an important component of professionalism; it is also a skill that must be learned and nurtured in the context of other aspects of residency training. Programs, in partnership with their Sponsoring Institutions, have the same responsibility to address well-being as they do to evaluate other aspects of resident competence.” This interactive SIG session will begin with a brief overview of the key elements that training programs need to address in the area of Wellness. Next, there will be an opportunity for participants to share concrete examples of how they might incorporate resilience-promoting behaviors for residents during their adolescent medicine rotations. Using the framework of role modeling, the SIG will then discuss how educators can demonstrate a healthy work-life balance and resilience behaviors. The SIG will end with sharing of resilience-promoting resources and discussion of how educators can advocate for and support their own Wellness.

Richard A. Wahl, MD1; Preeti M. Galagali, MBBS, MD2; Natalie Pierre-Joseph, MD, MPH3; Erica D. Laber, MD4
1University of Arizona College of Medicine; 2Bengaluru Adolescent Care & Counselling Centre; 3Boston University School of Medicine; 4University of Arizona College of Medicine

Description: Welcome to Spirituality SIG 2019. This year we will discuss ideas brought up at the 2018 SIG meeting. One repeated request was to explore clinical aspects of spirituality in adolescent healthcare. We will address the following topics: 1. How to take a spirituality patient history. 2. Providing anticipatory guidance to adolescents and parents on spirituality in daily life. 3. Discussion of the therapeutic role of spirituality in adolescent health. We will also begin a discussion on how to develop a proposal for a SAHM position paper on “Spirituality and Adolescent Well Being”. Discussion coordinators for the SIG this year will be: Preeti M. Galagali, MBBS, MD (Bengaluru Adolescent Care & Counseling Centre in Karnataka, India), Natalie Pierre-Joseph, MD, MPH (Boston University School of Medicine), and Erica D. Laber, MD (University of Arizona). Please join us!

Sports Medicine
Chris Renjilian, MD, MBE1; Gregg Montalto, MD, MPH2; Keith Loud, MD3
1Children's Hospital of Philadelphia; 2Uniformed Services University; 3Geisel School of Medicine at Dartmouth
Description: This Sports Medicine SIG is open to all interested participants, including new SAHM members and those more experienced. The SIG will also provide opportunities for members to network, and to discuss potential workshops and programming ideas for future SAHM meetings. Our continuing goal is to establish a global network of health care practitioners who can serve as a collective resource for SAHM members who want to learn more sports medicine as it relates to all disciplines, how to incorporate it into their practice, and how to keep current on the diagnosis and rehabilitation of sports injuries. Additionally, we seek to foster opportunities to collaborate on multicenter research projects, develop educational materials, and/or potential position statements for SAHM related to sports-connected health.

School Based Health Care
Ryan H. Pasternak, MD, MPH1; Steve North, MD, MPH2
1LSU Health, School of Medicine; 2Center for Rural Health Innovation
Description: Drs. Pasternak and North will engage the attendees to learn from one another about current issues in School Based Health, strategize about solutions to shared problems and work toward policy development and SAHM positions regarding School Based Health. As in recent years we will discuss progress on the SAHM Position Paper for School Based Health Care and discuss any interesting cases or issues attendees have dealt with. This provides an unprecedented opportunity for persons of all provider type and administrators of school-based and adolescent health centers to collaborate on school health issues.

College Health
Mark A. Pfitzner, MD, MPH1; David Reitman, MD, FSAHM2
1University of Utah Student Health Center; 2American University
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.

The Power of One: Adolescent Health Leaders in Divisions of One 
Paul A. S. Benson, MD, MPH1; May C. Lau, MD, MPH2
1The University of Oklahoma-Tulsa School of Community Medicine; 2University of Texas Southwestern
Description: Drawing from this year's meeting theme of "Psychological Well-Being: International Transcultural Perspectives" 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 will focus on optimizing our own personal psychological well-being. We will first consider and appreciate our contributions to our individual institutions and local communities, within SAHM, and in the national and international realms. We will continue to strategize around challenges we face as solo adolescent health clinicians, educators, and/or researchers. This year, however, we will add a new layer to our discussion, especially as it relates to enhancement of work-life balance and reduction in risk of burnout. Specifically, we will open the discussion to and learn from people who recently transitioned from divisions of one to programs with more than one faculty. While open to all SAHM conference participants, this SIG is particularly aimed at faculty of all adolescent health disciplines who practice or may soon practice as lone Adolescent Medicine-trained faculty at their respective institutions and at those who recently grew their divisions to more than one. SIG leaders and all participants alike will share personal tips, experience, concerns, and self-advocacy strategies. We especially welcome the unique perspectives of our global and international solo adolescent health leaders. 

Minority Providers Professional Development: Creating a Safe Space for Honest Dialogue to Impact Health Outcomes for Youth of Color
Kelly zon Bethea, MD1; Lisa Barkley, MD2
1US based Insurance Co.; 2UC Drew
Description: This topic is significant as it is a topic that was addressed by the Diversity committee of SAHM. There is a definite need for a dialogue around race and health outcomes to assure that as adolescent providers we are equipped to provide culturally sensitive care.

Peace, Armed Conflict and Adolescents 
Diana Birch, MBBS: DCH; MSC; MD; FRCP; FRCPCH1; Curren Warf, MD, MSed, FSAHM2; Evelyn Eisenstein, MD; FSAHM3
1Yourth Support; 2BC Childrend's Hospital; 3Clinica de Adolescentes
Description: The UN Convention on the Rights of the Child (UN-CRC), is meant to guarantee the “protection and care of children who are affected by an armed conflict” (Article 38) and that “no child shall be subjected to torture or other cruel, inhuman or degrading treatment or punishment.” (Article37). The Peace, Armed Conflict and Adolescents SIG embraces that charge and serves as a forum for discussion and exploration of the effects of armed conflict on young people, the effects of military involvement, and the potential role of physicians and other healthcare professionals in opposing the use of armed force to address political, cultural and economic conflicts. A significant consequence of armed conflict is the issue of refugee and asylum-seeking youth who are increasingly presenting in their countries of refuge and who have particular health and psychosocial needs which are frequently unmet. The ‘Peace’ SIG will provide a forum in which to discuss how we might assist youth who are affected by warfare and conflict and alleviate the hardships faced by refugee youth and children.
During the past year much attention has concentrated on the plight of refugee children detailed at the United States Borders some of whom have been separated from their parents and subjected to numerous injustices. Similar situations have arisen in other countries and these need to be addressed. Our meeting in 2019 will focus on this issue and ways in which SAHM members might be able to intervene and assist these young people, children and families.

Eading Disorders
S. Todd Callahan, MD, MPH1; Sarah Forman, MD2;  Rod McClaymont, FRACP3
1Monroe Carell Jr. Children's Hospital at Vanderbilt; 2Children's Hospital - Boston; 3Bathurst Paediatric Clinic

The Eating Disorders SIG provides a forum for those who are involved in research or providing care for youth/young adults with eating disorders. Discussion will include challenging cases and treatment options for this population. Participants from various disciplines are invited to participate in what will most likely be a lively interactive session 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 include in the SIG.

Thursday, March 7 - 5:15 - 6:15 pm

Adolescents and Young Adults with HIV/AIDS​
Uri Belkind, MD, MS1; Yzette A.I. Lanier, PhD2; Samantha Hill, MD3
1Callen-Lorde Community Health Center; 2New York University; 3University of Alabama at Birmingham
Description: The 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 idea among providers, researchers, program developers, advocates, and policy makers. Consistent with the conference theme, we will review HIV disparities affecting adolescents and young adults in the US and internationally with a focus on psychological well-being in a context of stigma, trauma and unmet behavioral health needs. We will also explore the impact of newer biomedical prevention strategies and emerging understanding of decreased transmission for patients with continued viral suppression (U=U) on youth's understanding of the disease and the potential for new opportunities and new challenges.

Jason Nagata, MD, MSc1; Maayan Leroy-Melamed, MD2; Leslie A.Rosenthal, MD, MS3; Sona C. Dave, MD4; Camille A. Robinson, MD, MPH5; Samuel Master, DO6; Sophie Leticia Remoue Gonzales, MD7
1University of California, San Francisco; 2Indiana University School of Medicine; 3Baylor College of Medicine/Texas Children's Hospital; 4Cohen Children’s Medical Center, Northwell Health; 5Johns Hopkins University; 6Columbia University Medical Center; 7Legacy Community Health
Description: This session will provide an opportunity for trainees and students of all levels and disciplines to connect, share ideas and build a community through a series of guided discussions and small group exercises. Participants are encouraged to come prepared with ideas and questions they would like to discuss with the group. The session will be divided in three sections which will discuss the following topics: 1. Introductions of SIG leaders, short member introductions 2. Speed-"dating" Questions to discuss: a. Features of different fellowships (pros and cons) b. How to handle transition from residency to fellowship 3. Peer-mentorship a. Divide into groups of varying training level b. Questions to discuss: i. How to handle transition from residency to fellowship and from fellowship to independent practice. ii. Job finding and negotiation in adolescent health/medicine. iii. Research hurdles and how they were surpassed.

Nursing Research 
Diane M. Santa Maria, DrPH, MSN, RN, PHNA-BC1; Holly Fontenot, PhD, RN, WHNP-BC2
1University of Texas Health Science Center Cizik School of Nursing; 2Boston College
Description: During this one hour interactive and engaging meeting, we will discuss current adolescent research conducted by nurses or affecting adolescent nursing research or practice. Additionally, this friendly forum will allow for 6-8 brief 5-minute presentations of talks or posters conducted by nurses or affecting adolescent nursing research or practice. This will be especially helpful for new investigators who want to ‘try-out’ their scientific presentation skills among fellow nurses before hitting the big stage of the SAHM full conference presentation format. Finally, we will engage the audience in an interactive discussion on common themes across the presented research, possible collaborations and connections, and ways to stay engaged between SAHM meetings. In addition, we will have a few minutes for brief introductions before we begin and networking after we have wrapped up if time allows.

Early Career Professionals 
Ellen Selkie, MD, MPH1; Ana Radovic, MD, MSc2; Andrea Hoopes, MD, MPH3; Romina Barral, MD, MSCR4; Julia Potter, MD5; Tracy Exley, MD, MPH6
1University of Michigan; 2University of Pittsburgh School of Medicine; 3Kaiser Permanente Washington; 4University of Missouri Kansas City; 5Boston Medical Center; 6Santa Clara County Juvenile Hall
Description: We are excited to see our early career colleagues for a discussion on advocacy in the heart of activism and policy itself, Washington DC! Many of us have practiced advocacy as trainees, but find it difficult to fit this in with other professional demands after training. This year's SIG session will include a panel discussion with Drs. Loreta Matheo, Aletha Akers, and Veronica Svetaz, who will discuss how they have turned passion into action in community and academic settings. In particular, we will focus on evaluating and balancing advocacy activities with our own values and time commitments. We will also spend a brief portion of the meeting determining future leadership and SIG topics. 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.  

Laura K. Grubb, MD, MPH1; Jennifer Morone, BS-RN, MA-ATR2
1Tufts Medical Center; 2University of Pennsylvania School of Nursing
Description: Target Audience:  All participants interested in local, national, and global advocacy issues and strategies. There will be a special emphasis on regional SAHM chapters’ participation and strategies to ensure adolescents’ psychological and emotional well-being and physical health.
This SIG will build on the Advocacy Day that will occur at the beginning of the national meeting. In particular, the SIG will update interested members who were not able to attend the Advocacy Training and Hill visits, and give them the tools to reach out to their local and national representatives on the selected issues addressed during Advocacy Day. 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 by experts on active national issues in adolescent health policy. 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 and SAHM position statements related to current federal policy proposals.
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 SAHM’s priority adolescent health advocacy issues and positions
3. Identify new ways to engage SAHM’s Regional Chapters regarding advocacy issues of regional significance that will impact adolescents and their families. 
4. Utilize new approaches to promote effective advocacy consistent with SAHM’s priorities in adolescent health.

Violence Prevention: Secondary Trauma and Resilience: Integrated Approaches to Support Youth and Practitioners 
Patricia Bamwine, PhD, MA, MSW1; Alison Culyba, MD, PhD, MPH1; Nicholas Westers, Psy.D2; Eric Siegel, MD3
1UPMC Children's Hospital of Pittsburgh; 2Children’s Medical Center Dallas, UT Southwestern Medical Center; 3University of Colorado Children’s Hospital of Colorado
Description: Secondary traumatic stress, defined as emotional stress resulting from hearing about the firsthand traumatic experiences of another person, can impact mental health and physical wellbeing. This interactive workshop will provide a brief overview of the epidemiology and health impacts of exposure to secondary trauma, focusing both on youth and youth-serving professionals. We will additionally explore emerging research on trauma witnessed through traditional and social media sources. The latter portion of the workshop will focus on an integrative approach that synthesizes trauma-informed practices with resilience-based theoretical models that seek to simultaneously acknowledge the impact of toxic stress while also recognizing and supporting the incredible strengths of young people and youth-serving professionals. We will review evidence-informed approaches that address secondary traumatic stress at the individual and organizational levels. We will outline tools and strategies to promote the wellbeing of youth-serving professionals so that we may best care for ourselves and sustain our capacity to support the youth we serve. This workshop will serve as the Violence Prevention Special Interest Group meeting, and will include time to address SIG business at the end of the session.

Shamieka Virella Dixon, MD1; Heather Needham, MD, MPH2
1Levine Children's Hospital/ Teen Health Connection; 2Baylor College of Medicine, Texas Children's Hospital
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. 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.

Multicultural/Multiethnic: Discrimination, Leveraging Assets to Promote Mental Wellness
Lisa Barkley, MD1; Merriam Brooks, DO, MS2
1Charles R. Drew University of Medicine & Science; Children's Hospital of Philadelphia2
Description: Significance: Discrimination is pervasive in the world affecting youth whether they are cultural, racial, or ethnic minorities. Even in cultures where there is significant racial homogeneity cultural elements such as immigrant status or level of acculturation can result in discrimination by majority groups. As youth grow and begin to internalize their group designations, discrimination becomes more apparent and harmful. This discrimination, particularly when structural and constant, results in chronic stress, trauma, and leads to post traumatic stress, depression, anxiety and suicidality. Couple that with the role of discrimination in limiting access to already insufficient mental healthcare systems around the world and there is much to be learned to fully support minority youth. Innovation: We will review the importance of understanding discrimination as a risk factor for health. Despite the pressures minority youth face in the world, many have individual, family, and community level supports that protect them and help promote their development of resilience. Most of our didactics will review evidence based protective factors for a cultural a racial and an ethnic minority group from around the world. We will have ask groups to choose protective factors discussed during the didactics to design clinic programs to support resilience to prevent mental illness in minority youth. Relevance: We will discuss and develop tools to for clinics to implement the mental health needs of adolescents. The focus will be to leverage protective factors that will address minority youth mental health needs at the primary secondary or tertiary prevention level.

Friday, March 8 - 6:00 - 7:00 pm

Adolescent Nursing 
Sarah A. Stoddard, PhD, RN, CNP, FSAHM
University of Michigan
Description: The Adolescent Nursing SIG 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.

Substance Use and Treatment 
Nicholas Chadi, MD1; Scott E Hadland MD, MPH, MS2; Seth Ammerman, MD3
1Boston Children's Hospital; 2Boston University School of Medicine, Boston Medical Center; 3Stanford University School of Medicine
Description: The SAHM Substance Use Prevention and Treatment (SUPT) SIG seeks to gather current and future leaders in the field, including clinicians, researchers, and policymakers. Our goal is to offer a forum to share ideas and innovations, review state-of-the-art research, foster mentoring and collaboration, and advance the field of adolescent and young adult addiction prevention and treatment. Special attention is dedicated to understanding the life course trajectory of addiction, including careful consideration of risk and protective factors preceding adolescent substance use, early experimentation with substances, development of substance use disorder, and the downstream harms of adolescent substance use on adult health outcomes. Building on a successful inaugural SIG session in 2018, this year's session will highlight key issues and advances in the field with the objective of translating knowledge into action. Through interactive small and large group discussions, attendees will discuss the development, implementation, and dissemination of evidence-based guidelines to help address some of the gaps in adolescent and young adult addiction medicine. Interested participants will have the opportunity to connect and collaborate with colleagues and join working groups that will continue to work on specific research, policy and advocacy projects throughout the year.

Internists in Adolescent Medicine
Jeri L. Lantz, MD, FACP, FAAP1; Mark L. Rubinstein, MD, FACP2
1Carilion Clinic; 2University of California San Francisco
Description: The Internists in Adolescent Medicine SIG session will be an opportunity for internists and internal medicine/pediatric providers to discuss current adolescent topics particularly important for transition to adult practices and opportunities to provide education for our adult practice colleagues. The SIG will provide updates to the ABIM and ABP certification and re-certification process including the new options of more frequent home exam for certification. The group will also provide a forum to brainstorm about some collaborative ideas and activities regarding adolescent medicine careers as an internist and the lessons learned, opportunities and challenges presented in working with multiple departments.   

Global Adolescent Healthcare
Jason M. Nagata, MD, MSc1; Sophie L. Remoue Gonzales, MD2; David Ross3; Valentina Baltag, MD, PhD3; Natalie Yap, BSc MD DCH; Kid Kohl
1University of California, San Francisco; 2Legacy Community Health;3World Health Organization
Description: The Global Adolescent Health SIG welcomes health care providers, researchers, and scientists of all levels and professions with an interest in global adolescent health. After brief introductions, the session will include presentations related to global adolescent health: 1) Report from World Health Organization representatives on: A) The Global Accelerated Action for the Health of Adolescents (AA-HA!) implementation guidance, with case studies on prioritization of adolescent mental health in Sudan and Barbados. B) The Helping Adolescents Thrive (HAT) initiative, led by WHO and UNICEF, which is developing an open access package of evidence-based psychological interventions to enhance young adolescents’ cognitive, emotional and social capabilities and skills in order to promote adolescents’ mental health, prevention of mental disorders, and reduction of risk behaviours and self-harm. C) Global Standards for Health-Promoting Schools, an initiative led by WHO and UNESCO, to “make every school a health-promoting school.” 2) Launch of the International Association for Adolescent Health Young Professionals Network.

Qualitative and Quantitative Research 
Ana Radovic, MD, MSc1; Kristen Kaseeska, MPH2; Christina Akre, PhD3; Sharon Smith, PhD, RN, FNP-BC4
1University of Pittsburgh School of Medicine, UPMC Children's; 2American Academy of Pediatrics; 3Lausanne University Hospital; 4Point Loma Nazarene University
Description: The SIG will start with a brief overview of meeting goals, which include: 1) to discuss topics which threaten researcher wellness; and 2) brainstorm and share strategies to overcome these threats. Small discussion groups, led by senior faculty researchers, will facilitate attendee conversations. Faculty researchers leading small group discussions will each have a list of suggested discussion questions: 1) Funding a) Tell us about how you and your colleagues or institution field funding proposals: where do you usually submit proposals to (e.g. federal, foundation), who is generally involved in that process and what is the typical timeline? b) have you had to make a compromise between gaining funding and advancing your science? c) what are strategies which have been effective to bridge gap (non-funded time)? d) how do you arrange a research portfolio which will result in sustained funding? 2) IRB and Regulatory Conflicts a) Tell us about the IRB process at your institution: does your institution have their own IRB, who is generally involved in that process and what is the typical timeline? b) what are IRB barriers you have encountered and how have you navigated these? How can these barriers be overcome? b) what are strategies to address issues around adolescent confidentiality in research? 3) Coping with Professional Rejection a) do you have strategies you use when you get a bad review/score/rejected paper or funding request? b) describe your trajectory and what coping strategies you use to deal with rejection? c) have you felt the effects of imposter syndrome and how did you overcome it?

Bone Health: An Update on Hormones and Bone Health
Sarah Pitts, MD; Catherine Gordon MD, MSc; Amy DiVasta, MD, MSc
Boston Children's Hospital, Harvard Medical School
Description: During this Bone SIG, experts in the field will provide an evidence based update regarding adolescent bone health as it pertains to contraception use, endometriosis management, PCOS, anorexia nervosa, female athlete triad, primary ovarian insufficiency, and transgender care.

Juvenile Justice
Matthew Aalsma, MA, PhD, HSPP1; Scott Ronis, PhD, LCP (VA), LPsych (NB)2; Ann Sattler, MD, MAT3
1Indiana University; 2University of New Brunswick; 3University of Massachusetts Medical School
Description: Rates of mental health disorders reported among youth detained in correctional facilities range between 60% and 98%. Behavioral health care services vary widely in juvenile justice systems. From screening to formal assessments and treatment, behavioral health providers who specialize in working with youth involved in the justice system play a critical role in their psychological well-being. The session will begin with a structured question and answer session with two psychologists involved in the juvenile justice system. We will explore use of the integrated behavioral health model in the context of juvenile justice. Discussions will be interactive, aimed to solicit feedback and impressions. Time permitting, the meeting will conclude with a literature review over the past year highlighting pertinent work involving juvenile justice and behavioral health. SAHM provides an opportunity for those caring for youth in the juvenile justice system to review best practices and support one another in clinical work, advocacy and research.

Sexually Transmitted Diseases
Debra Braun-Courville, MD1; Claudia Borzutzky, MD2
1Vanderbilt University Medical Center; 2Children's Hospital Los Angeles/ Keck School of Medicine of USC
Description: Adolescents and young adults are disproportionately affected by sexually transmitted infections, often due to a combination of biopsychosocial factors. The Sexually Transmitted Infection Special Interest Group (STI SIG) consists of clinicians who have an interest in addressing the sexual health needs of adolescents and young adults. We aim to provide an interactive session which will provide a forum for providers to network, exchange best practices, and discuss trending topics facing adolescents and young adults. In this session, we plan to create a dynamic and interactive opportunity for providers who are interested in adolescent sexual health to come together and exchange ideas regarding best practices for the prevention, as well as testing and treatment of sexually transmitted infections in adolescents and young adults. Participants are encouraged to bring their knowledge, experience, challenging cases and questions to generate an active discussion with colleagues. In addition, participants are invited to contact the facilitators ahead of time with any topics of interest which they wish to include in the SIG.

Ethical & Legal 
Amy Lewis Gilbert, JD, MPH1; Tomas Silber, MD, FSAHM2; Abigail English, JD3
1Indiana University School of Medicine; 2Children's National Medical Center; 3Center for Adolescent Health and the Law
Description: This is a time of rapidly transitioning laws and public policies that present practical and ethical dilemmas for clinicians, researchers and advocates. This session will provide participants with an opportunity to present cases, and raise questions of an ethical nature, related to current (or forthcoming) laws and policies that potentially threaten the wellbeing of adolescent and young adult populations around the world.

Male Health
Gabriela Vargas, MD1; Brock Libby, MD2; Reuben O. Battley, MD3
1Boston Children's Hospital; 2Children's Hospital of Philadelphia; 3Cincinnati Children's Hospital Medical Center
Description: The male health special interest group provides a forum for health care professionals who have an interest in the health care needs of adolescent and young adult males. The SIG will provide opportunities for members to network, exchange best practices, and discuss topics facing adolescent and young adult males. Topics will include the impact of masculinity on mental health, the effects of social media, as well as recent advances in research. The SIG will give an opportunity for participants to share ideas on how to improve the health care of young men across the globe.

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