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Institutes at the SAHM annual meeting are three-hour sessions (with a 30-minute break), typically with multiple presenters. These sessions allow added time for a more in-depth examination of a particular subject in the field of adolescent medicine or health. They are intended for hands-on training, though they may also employ a variety of other educational formats: lecture, case-based presentation, panel discussion, or small group work.

Wednesday, March 11, 2020 Thursday, March 12, 2020 Friday, March 13, 2020

Wednesday, March 11 - 1:00 - 4:15 p.m.

Transforming Risk to Resilience Among Adolescents In the Midst of the US Immigration Crisis

Speakers: Maya Michelle Kumar, MD, University of California San Diego; Sol D'Urso, MA, LMFT, Survivors of Torture International; Christine Kimmel, PhD, Survivors of Torture International; Marissa Raymond-Flesch, MD, MPH, University of California San Francisco; Maria Veronica Svetaz, MD, MPH, University of Minnesota; Diane Tanaka, MD, Children's Hospital Los Angeles; Kanani Titchen, MD, UCSD/Rady Children's Hospital; Dzung Vo, MD, BC Children's Hospital/University of British Columbia  
Track: Pubic Health/Advocacy

Description: Welcome to San Diego, a diverse and thriving border community that has been thrown into the political spotlight on immigration. Thousands of San Diegan adolescents who have legal status in the USA live in fear for undocumented loved ones as immigration policies tighten. 40,000 young people in San Diego County are recipients of or eligible for Deferred Actions for Childhood Arrivals (DACA) status – about 5% of the national total – but recent threats to the DACA program have placed their educational and career aspirations in limbo. In the last year, the number of unaccompanied minors and minors in family units apprehended at the Southwest border has skyrocketed to unprecedented levels. Many adolescents attempting to seek asylum in the USA fall victim to human traffickers and experience unimaginable trauma. Others are apprehended and kept in government detention facilities where their basic needs may go unmet as they await final resolution. In this institute, a multidisciplinary and international panel of providers from the SAHM Southern California Chapter, the SAHM Diversity and Advocacy Committees, and a community non-profit organization will share their clinical and research experiences working with immigrant youth and youth otherwise affected by the border crisis; lead interactive discussions of illustrative case studies; and discuss real solutions that participants can implement in their clinical practices and roles as adolescent health advocates. A youth guest speaker will share how their life has been affected by the changing political climate towards immigration and the crisis at the border.

Educational Objectives:

  1. Describe the short-term and long-term impacts of the US immigration crisis, including human rights violations at the US/Mexico border and human trafficking operations, on the physical, mental, and social health of immigrant youth.
  2. Compare and contrast how both immigrant and American-born youth, as well as their families, communities, and peers, are affected by the political climate around immigration.
  3. Formulate strategies that adolescent health providers can adopt in their clinical practices, scholarly activities, and roles as advocates to foster resilience among affected youth and prevent further atrocities at the border.
Faculty Expertise:  The faculty includes a multidisciplinary and international group of providers, working in both academic and community-based settings, all of whom have extensive clinical and/or research experience with immigrant youth including DACA recipients, refugees, and trafficking victims. Several faculty are members of the SAHM Diversity/Advocacy Committees, and several have authored SAHM position statements related to health equity, diversity, and racism. Several faculty are based in Southern California and are daily witnesses to the impact of the Southwest border crisis on their adolescent patients. All faculty have extensive experience in teaching and youth advocacy; many have presented at previous SAHM conferences.


Thursday, March 12 - 1:00 - 4:30 p.m.

SAHM Research and Mentoring Forum: Using Individual Systems Change by Incorporating 'Atomic Habits' that Optimize Productivity while Maintaining Wellness

Speakers: Maria E. Trent, MD, MPH, Johns Hopkins School of Medicine; Elizabeth Miller, MD, PhD, University of Pittsburgh School of Medicine; S. Jean  Emans, MD, PhD, Harvard Medical Schoo/Boston Children's Hospital
Track: Research

Description: The SAHM Research and Mentoring Forum was developed in 2011 to strengthen research careers in adolescent health by creating a formal research mentoring network for scholars early in their careers. This forum aligns with SAHM's strategic plan to develop a new generation of adolescent health researchers who have the capacity to conduct research that addresses health disparities in health care delivery and health outcomes among adolescents and emerging adults around the globe. Through this collaborative effort, fellows and junior faculty applicants are carefully paired with a senior investigator to augment their research and professional development. New participants will be selected through an application process and also matched with experienced SAHM researchers for at least one year. The current cohort of mentees to present their research in progress with lessons learned and to receive additional feedback from colleagues and mentors regarding their work. Successful interdisciplinary team-based science requires effective communication and consistency in the workplace, but often systems of communication and team orientation breakdown resulting in adverse experiences that have the potential to spill over into the personal arena leading to personal dissatisfaction with work and burnout. The focus of this year's interactive training component will be on effectively integrating and using small, but positive professional and personal habits paired with ambitious, but realistic systems change to optimize productivity, improve the quality of work-life experiences, and to meet professional goals.

Educational Objectives:

  1. Use atomic habits to build good practices that optimize productivity and improve lifestyle in academic research careers
  2. Pre-identify strategies to avoid and overcome common challenges faced by junior researchers while developing a research program
  3. Facilitate for trainees and/or junior faculty a successful mentorship relationship with a senior investigator in adolescent health
Faculty Expertise: Our team has been working with trainees and junior faculty through the mentoring forum since 2011. We are all independent scientists and training directors in Adolescent/Young Adult Health. Our expertise in topical areas is broad, but complementary and builds on our collaborative relationships with each other and senior researchers in SAHM to pair selected mentees and to bolster the in-session experience for learners. Past sessions have been well-received, and participants have had positive outcomes as a result of their participation. (Blood EA1, Trent M, Gordon CM, Matern Child Health J. 2015 Feb;19(2):308-13.)


“PrEParing Providers to Prescribe PrEP”: Foundational Knowledge and Practical Models of Care for Providing PrEP to Adolescents and Young Adults At Risk of HIV Infection

Speakers: Jonathan Daniel Warus, MD, Children's Hospital Los Angeles; Adam John Leonard, NP, MPH, San Francisco Department of Public Health; Stacy Alford, MPH, Children's Hospital Los Angeles; Michael Smith, BA, Children's Hospital Los Angeles
Track: Core Clinical Topics

Description: HIV prevention using Pre-Exposure Prophylaxis (PrEP) has been approved by the U.S. FDA for use in adults since 2012, but only as recently as 2018 has this approval been extended to minors. While many providers have been prescribing PrEP “off-label” in youth for years, this new approval has the potential to increase awareness and patient demand for this life-changing medical service. PrEP has the ability to transform sexual risk into patient autonomy and control over one’s own health and wellness. The HIV epidemic continues to affect thousands of AYAs every year in the U.S. with the highest rates of new infections occurring between 13-34 years of age. Since the start of the epidemic and continuing today, HIV has also disproportionately affected people of color, gay and bisexual individuals, transgender communities, and people experiencing homelessness. Using a multidisciplinary approach, this institute will provide a unique look into the fundamental concepts and knowledge necessary to equip new and existing providers in meeting the needs of populations who could benefit from PrEP. The first portion of the session will cover current prescribing practices in the U.S. and internationally as well as briefly outline the foundational knowledge needed for PrEP services. We will then move on to practical considerations and best practices for providing PrEP in AYA populations. Lastly, these concepts will be applied to patient scenarios highlighting issues such as access to care, confidentiality, medication safety, and ensuring coverage of services while also including patient voices on a youth panel (or via video).

Educational Objectives:

  1. Examine current PrEP prescribing practices, guidelines, and review foundational knowledge needed to provide PrEP services to youth.
  2. Identify strategies and best practices for providing PrEP services to at-risk AYA populations.
  3. Apply background concepts to patient scenarios to ensure optimal patient-centered PrEP services for youth.
Faculty Expertise: Jonathan runs HIV prevention services for youth at CHLA. He has learned practical skills in providing patient-centered PrEP services to diverse populations during a rapidly changing landscape of awareness and coverage. Adam works for SF DPH providing HIV treatment and prevention to AYAs aged 12-24. He is lead HIV Prevention Specialist in the Department's Center for Learning & Innovation and is co-chair of the Getting To Zero AYA Committee. Stacy is the Biomedical HIV Prevention Coordinator at CHLA and coordinates PrEP services through supervising health education, navigation, training, and evaluation. He works to integrate PrEP into HIV/STI screening for youth.


Friday, March 13, 2020 - 2:45 - 6:00 p.m.

Transforming Risk to Wellness for Youth with Opioid Use Disorder: Half and Half Buprenorphine Waiver Training

Speakers: Rachel Alinsky, MD, MPH, Johns Hopkins University School of Medicine; Elizabeth Tadie, RN, Boston Medical Center; Scott Hadland, MD, MPH, MS, Boston Medical Center
Track: Clinical Advances

Description: For the first time ever at SAHM, the Committee on Alcohol and Drugs and the Substance Use Prevention and Treatment Special Interest Group bring you this comprehensive training that will equip providers to help youth with opioid use disorder (OUD) attain wellness through the use of buprenorphine, an evidence-based medication that can be provided in adolescent primary care. This training is designed for physicians, nurse practioners, and physician assistants who are likely to encounter youth with OUD in their practice, such as those in adolescent medicine, general pediatrics, and family practice. This training will be particularly useful to medical student, resident, and fellow trainees. Completion of this live training session followed by a mandatory online self-study portion (4 hours for physicians, 20 hours for nurse practioners and physician assistants) will fulfill the training requirement prior to notifying the U.S. Department of Health and Human Services of your intention to begin prescribing buprenorphine for the treatment of opioid use disorder. While this training satisfies requirements for US-based clinicians to prescribe buprenorphine, the session will highlight international perspectives, including the epidemiology of OUD worldwide and different countries’ approaches to OUD treatment delivery, thus ensuring all attendees find the training applicable to their practice. The focus of the training will be use of buprenorphine as a component of a treatment and recovery plan that promotes wellness, including fostering into family and peer relationships, and reintegrating into education, employment, and recreation.

Educational Objectives:
  1. Describe the international epidemiology of youth opioid misuse with an emphasis on differences by race and ethnicity, as well as associated protective and risk factors for opioid use disorder.
  2. Construct an evidence-based treatment plan using buprenorphine that promotes wellness for youth with opioid use disorder.
  3. Incorporate perspectives of adolescents and young adults into opioid use disorder treatment, and formulate strategies to optimize wellness.
Faculty Expertise: Dr. Alinsky is board-certified in Pediatrics and Internal Medicine, and is in her last year of Adolescent Medicine and Addiction Medicine fellowship. She is Chair of the SAHM Committee on Alcohol and Drugs. Dr. Hadland is board-certified in Pediatrics, Adolescent Medicine, and Addiction Medicine. He holds funding from NIDA to improve quality of care for youth with opioid use disorder, co-leads the SAHM Substance Use Prevention and Treatment SIG, and teaches buprenorphine training courses for pediatricians. Ms. Tadie is board-certified in addictions nursing, and has years of experience as a nurse care manager for youth with substance use disorders.


The Mindful Adolescent Health Provider: Hands on Skills for Integrating Mindfulness to Build Health Professional Resilience, and a Culture of Wellness.

Speakers: Dzung X. Vo, MD, BC Children’s Hospital and University of British Columbia; Anju Sawni, MD, Michigan State University/College of Human Medicine; Nicholas Chadi, MD, MPH, Sainte-Justine University Hospital Centre, University of Montreal
Track: Professional Development/Training/Education

Description: Burnout, mental health disorders, and suicide among health professionals and trainees is reaching a crisis point, and represents an increasing threat to the sustainability of the health care workforce and the ability of adolescent health professionals to serve youth, adolescents, and families with effectiveness and compassion. The medical landscape has changed with the introduction of technology and pressures of productivity, thus adding to increased challenges and stressors for clinicians. Health professionals who serve adolescents with emotional or physical pain, crisis, and/or trauma, are even more at risk of secondary trauma and compassion fatigue. When health professionals are unable to handle the suffering of their patients and families in an effective and healthy way, it can limit their capacity to serve adolescents by impairing one of their most vital qualities: Their capacity to “stay present” with adolescents and families, with unconditional compassion and loving kindness. In recent years, mindfulness meditation practice for health professionals has been increasingly researched and recognized as powerful tools to improve health professionals’ own wellness, and the quality of care that providers can offer. Mindfulness practice improves health professionals’ emotional intelligence, attention and performance. This can help professionals learn to stay present, and practice compassion for both themselves and patients. In this institute, we will discuss the science behind the power of mindfulness and meditation in promoting compassion and loving kindness, leading to better self-care and a greater capacity to care for adolescents/young adults by cultivating a culture of wellness.

Educational Objectives:
  1. Describe how burnout and compassion fatigue is affecting healthcare providers and learn the research behind how mindfulness can be a valuable modality to address this and enhance clinician well-being.
  2. Describe how the practice of mindfulness, and meditation can increase self-awareness and the quality of “presence” in order to improve health provider resilience, wellbeing, and effectiveness.
  3. Experience simple, practical mindfulness practices that can be integrated in the setting of clinical practice to nurture patient and provider well being.
Faculty Expertise: Dr. Vo has presented highly-reviewed institutes at SAHM and other conferences, developed a Mindful Healing course for physicians, and is the co-founder of the groundbreaking BC Children’s Hospital Centre for Mindfulness. Dr. Chadi is a co-investigator and advisor for a project aiming to create and study a mindfulness intervention for physicians. Dr. Sawni is the clerkship & faculty director of a Virtuous physician/Professionalism course for medical trainees and teaches mindfulness as part of the professionalism series. All of the presenters have extensive personal mindfulness experience, and have trained with Dr. Epstein, Dr. Krasner, Dr. Siegel and/or Thich Nhat Hanh.

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