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IDS 2021 Schedule
October 22-24, 2021

Day One Friday, October 22, 2021

Faculty: Akil Palanisamy, MD

Description: This lecture will review the role of dysbiosis and increased intestinal permeability in metabolic syndrome. You will learn how to evaluate for and treat dysbiosis, and normalize intestinal permeability with an integrative medicine approach incorporating diet, spices, and herbs.

Learning Objectives:

  1. Participants will be able to discuss the evidence for dysbiosis and increased intestinal permeability in dermatological disease and metabolic syndrome.
  2. Participants will be able to identify symptoms, signs, and clinical tests that indicate increased intestinal permeability.
  3. Participants will be able to explain how to normalize intestinal permeability with an integrative medicine approach incorporating diet, spices, and herbs.
Faculty: Emma Norton, ND Description: According to the 2018 AHA/ACC guidelines on the management of blood cholesterol, having a chronic inflammatory condition is considered a “risk enhancing factor” and increases cardiovascular risk four-fold. Inflammatory skin disorders, such as psoriasis and atopic dermatitis, show connection to cardiometabolic comorbidities. Learn the latest advanced lipid testing to evaluate an individual’s risk for cardiometabolic disease and discuss treatment options to improve the patient’s profile and decrease risk. Learning Objectives:
  1. Participants will be able to review current research on cardiometabolic comorbidities in inflammatory skin disorders.
  2. Participants will be able to review conventional and more advanced testing to evaluate individual risk for cardiometabolic disease.
  3. Participants will be able to discuss natural treatment options to aid in the prevention of disease progression and decrease individual risk.
Faculty: Francene Steinberg, RD PhD Description: Soy contains many phytochemicals that have been studied to assess how they impact health. This lecture will review the evidence for soy and its phytochemical components in relation to health in women and the health of the skin.  Learning Objectives:
  1. Participants will be able to define the key phytochemical components in soy.
  2. Participants will be able to assess clinical evidence with ingestion of soy and its components along with the gut microbiome. 
  3. Participants will be able to recall clinical studies that evaluate the role of ingestion of soy based components and skin health. 

Moderator: Hadar Lev-Tov, MD MAS  

Panelists: Akil Palanisamy, MD; Emma Norton, NDFrancene Steinberg, PhD RD

Description: The role of nutrition and its impact on the skin has become a greater focus in both clinical care and research. This panel will explore the evidence around the role of nutrition in dermatological diseases and how they are weaved into treatment paradigms. 

Learning Objectives:

  1. Participants will be able to discuss the role of nutrition in inflammatory skin diseases.
  2. Participants will be able to discuss the clinical evidence for the role of fad diets and how they impact dermatological diseases.
  3. Participants will be able to incorporate nutrition related interventions as part of an integrative treatment plan.

Faculty: Peter Lio, MD

Description: Taking the best from conventional medicine and other traditions, we explore a truly integrative approach for treating this difficult condition with excellent results.

Learning Objectives:

  1. Participants will be able to describe the potential difficulties with integrating multiple forms of therapies.
  2. Participants will be able to outline some of the potential benefits of integrative therapeutics.
  3. Participants will be able to identify some of the pitfalls and limitations and knowledge gaps.

Faculty: Raja Sivamani, MD MA AP

Description: This lecture will serve as an overview of oleation therapy and  examine the differences between essential and fixed oils. Clinical evidence for the use of oils will be discussed as well as how they are best incorporated into treatment regimens. 

Learning Objectives:

  1. Participants will be able to compare how fixed oils and essential oils differ.
  2. Participants will be able to evaluate the composition of fixed oils and how composition may relate to function on the skin.
  3. Participants will be able to review the clinical evidence for the use of oils on patients with various dermatological conditions. 
Moderator: Peter Lio, MD  Panelists: Michelle Jeffries, DO; David Euler, LAp; Olivia Hsu Friedman, DACM LAc Description: This panel offers an exploration of practical integrative approaches to treating AD with case discussions and examples. Learning Objectives:
  1. Participants will be able to debate common pitfalls in the topical treatment of eczema with special emphasis on other traditions.
  2. Participants will be able to outline some of the potential benefits of integrative therapeutics.
  3. Participants will be able to question treatments and interventions that have been shown to be of no benefit in the disease.

Sheraton Grand Sacramento
1230 J St, Sacramento, CA 95814

Moderator: Raja Sivamani, MD MS AP

Panelists: Julie Greenberg, ND, Michael Traub, ND DHANP FABNO, Olivia Hsu Friedman, DACM LAc, Radha Mikkilineni, MD , Renee McLeod, PhD APRN CPNP FAANP

Description: Integrative practices have unique needs, and there are multiple models in which they operate. This panel will explore the different approaches to delivering integrative care in the clinical setting. 

Learning Objectives:

  1. Participants will be able to discuss different payment models that are available for delivering integrative care. 
  2. Participants will be able to diagram how practitioners may connect and collaborate with other integrative practitioners in their area. 
  3. Participants will be able to identify what services they would need to incorporate to start delivering integrative care in their clinics. 

Day Two Saturday, October 23, 2021

Faculty: Fabrizio Galimberti, MD PhD

Description: Psoriasis is associated with psychiatric comorbidities, including poor self-esteem, sexual dysfunction, anxiety, depression, and cognitive impairment. Importantly, anxiety and depression may further worsen clinical severity of psoriasis. Thus, a holistic approach for psoriatic patients must be considered. Group medical visits (GMV) are a format of health care delivery whereby 12-15 patients with the same medical disease receive a health evaluation and educational information about their condition from an interdisciplinary team. This session will explore GMV for psoriatic patients.

Learning Objectives:

  1. Participants will be able to summarize the psychological comorbidities of psoriasis.
  2. Participants will be able to prepare the benefits of group medical visits.
  3. Participants will be able to express the multidisciplinary approach to psoriasis in collaboration with psychiatry.
Faculty: Jason Ezra Hawkes, MD MS Description: The immunopathogenesis of psoriasis is complex and due to an interplay of multiple genetic and environmental factors. Significant advances in our understanding of psoriatic disease have directly led to the development of a number of highly effective systemic and targeted biologic therapies for this common inflammatory disease. Choosing from the myriad of available treatment options can be difficult when managing patients with psoriasis. It becomes even more difficult when managing special populations, such as children/adolescents, less common psoriasis subtypes, and patients who are pregnant. This session will offer some guidelines and principles that will improve your ability to manage challenging psoriasis cases with greater confidence.  Learning Objectives:
  1. Participants will be able to provide overview of FDA-approved biologics for psoriasis.
  2. Participants will be able to discuss specific variables that impact biologic choice.
  3. Participants will be able to provide a conceptual framework to aid clinicians in the decision-making process when treating patients and special populations such as children and pregnant women. 

Moderator : Raja Sivamani, MD MS AP

Panelists: Jason Ezra Hawkes, MD MS FAAD; Jennifer Ornelas, MD; Julie Greenberg, ND

Description: This panel will explore psoriasis in detail, discussing treatment approaches in a case based setting. The topics will cover differential diagnosis, pharmaceuticals, biologics, nutrition, and the microbiome among other treatment considerations. 

Learning Objectives:

  1. Participants will be able to identify a differential diagnosis for challenging cases in psoriasis.
  2. Participants will be able to evaluate factors that cause psoriasis to become more severe in nature.
  3. Participants will be able to discuss how nutrition and functional testing may be incorporated along with a conventional treatment approach. 
Faculty: Jonette Keri, MD PhD Description: Acne is a chronic and widely prevalent condition that has been the focus of new clinical studies. This lecture will review the emerging therapies in acne along that will cover new drugs and treatment options. Learning Objectives:
  1. Participants will be able to evaluate the evidence for the use of emerging topical hormone-blocking therapies.
  2. Participants will be able to identify emerging data on the association between nutrition and acne.
  3. Participants will be able to recall the data for the influence of oral probiotics on acne.
  4. Participants will be able to collect resources for educating patients on affordable dietary changes which can help in the treatment of acne.

Faculty: Michelle Jeffries, DO

Description: Many women struggle with acne breakouts related to hormone fluctuations that occur during stages of their menstrual cycle as well as when they approach and enter menopause. These patients often seek help for their hormonal acne by taking herbal anti-androgen supplements to address their acne breakouts. Delve into the ins and outs of the top three anti-androgen herbal supplements women use for hormonal acne: Vitex, DIM, and Saw Palmetto. 

Learning Objectives:

  1. Participants will be able to define hormonal acne and employ an integrative approach to acne. 
  2. Participants will be able to list the top 3 herbal anti-androgen supplements for hormonal acne. 
  3. Participants will be able to review precautions, side effects, and when to avoid taking the top 3 herbal anti-androgen supplements. 
Faculty: Sraddha Prativadi, MD Description: Gynecologic skin symptoms are one of the most common reasons women seek care in both an ObGyn and Primary Care office. Care is usually focused on procuring cultures and treatment with antibiotics to treat the local findings on the vulva and vagina. In this talk, we will explore how the vulva and vagina are intelligent signalers of early immune dysregulation in women and how visits for the most common complaints can open up the door to reveal deeper metabolic and immune dysregulation. We will explore how the vulva and vagina are connected to the neuroendocrine, gastrointestinal, and detoxification systems of the body and how you can make a tangible difference in the course of clinical care through three key paradigm shifts in caring for women’s gynecologic skin health. Learning Objectives:
  1. Participants will be able to identify vulvovaginal anatomy signs and related symptoms to recognize deeper dysfunction, dysbiosis, cardiometabolic conditions, and chronic inflammatory conditions.
  2. Participants will be able to explain how to elicit an expanded history for gut dysbiosis, liver dysfunction, nutritional deficits and nutritional assessments to more meaningfully address a woman’s health integratively, functionally, and holistically.
  3. Participants will be able to review specific nutrition and lifestyle approaches to heal your female patient’s complaints beyond sex and birth

Faculty: Vivien Fam, PhD RN

Description: Our food choices can impact our skin health and appearance. Certain nutrients, such as vitamin C, vitamin E, and zinc, are recognized for their benefits to the skin. However, each food has a unique nutrient profile consisting of a mixture of macronutrients, micronutrients, and bioactive compounds, which would likely digest, metabolize, and absorb differently from the consumption of a single nutrient. In this lecture, we will look at the evidence for the effects of specific foods on the skin. 

Learning Objectives:

  1. Participants will be able to list specific foods and their benefits to the skin. 
  2. Participants will be able to recall a nutrient’s protective mechanism for the skin. 
  3. Participants will be able to recognize the impact of food intake on the skin.
Faculty: Katherine Varman, MD Description: Sensible sun exposure has many benefits to human health and wellness that are often underappreciated by the dermatologic community due to our focus on skin cancer prevention. Ultraviolet radiation (UVR) is a natural source of peripheral immune tolerance and prevents autoimmunity and inappropriate immune activation in the skin and systemically. Insufficient sunlight exposure is a risk factor for cardiovascular disease, autoimmune and inflammatory disease, and dangerous cancers like breast and colorectal carcinoma. There are additional benefits of sunlight on mood, metabolism, and the microbiome. In this lecture, we will discuss the benefits of sensible sun exposure and how to make personalized recommendations to obtain adequate sunlight without undue risk of skin cancer. This incorporates an assessment of individual risk factors and the use of lifestyle, diet, and protective supplements to mitigate risk. Learning Objectives:
  1. Participants will be able to summarize the beneficial effects of sunlight on human health with a focus on immune health.
  2. Participants will be able to describe a patient-centered approach to obtaining adequate sun exposure.
  3. Participants will be able to discuss how lifestyle, diet, and supplementation can be used to protect against the harmful effects of UV on the skin.
Faculty: Olivia Hsu Friedman, DACM LAc  Description: This workshop will delve into why working with varying dermatology practitioners can improve your ability to treat and improve patient outcomes. Learning Objectives:
  1. Participants will be able to prepare tools to locate and connect with other types of dermatology practitioners.
  2. Participants will be able to identify the circumstances when co-managing or referring out to other types of dermatology practitioners may improve patient outcomes.
  3. Participants will be able to employ strategies to maintain collaborative relationships.

Faculty: Jennifer Ornelas, MD MAS 

Description: This workshop will help participants strengthen their knowledge regarding common pediatric skin conditions and evidence-based treatments.

Learning Objectives:

  1. Participants will be able to identify common pediatric skin conditions.
  2. Participants will be able to formulate treatments for common skin conditions.
  3. Participants will be able to assess common skin infections in pediatric patients and how to mitigate them.

Faculty: Steven Daveluy, MD

Description: Battlefield Acupuncture (BFA) is an acupuncture technique that targets 5 points on the ear to reduce pain. BFA is being increasingly utilized for the management of both chronic and acute pain. Studies are investigating the uses of BFA in dermatology, including its use for post-surgical pain and in painful conditions such as hidradenitis suppurativa.

Learning Objectives:

  1. Participants will be able to identify the 5 specific sites of auricular acupuncture utilized in Battlefield Acupuncture. 
  2. Participants will be able to identify opportunities to utilize Battlefield Acupuncture in their dermatology practice, based on the available evidence.
  3. Participants will be able to describe the evidence supporting Battlefield Acupuncture as management for pain.
California State Railroad Museum
125 I St, Sacramento, CA 95814

Day Three Sunday, October 24, 2021

Faculty: Antonella Tosti, MD

Description: This session will present current information on the efficacy of PRP in different hair disorders and its role in combination with other procedures, including micro-needling. Possible side effects will also be presented.

Learning Objectives:

  1. Participants will be able to identify patients who can benefit from the PRP.
  2. Participants will be able to select the appropriate anesthetic method. 
  3. Participants will be able to compose a treatment plan incorporating PRP in different types of hair loss.

Faculty: Paradi Mirmirani, MD

Description: The aim of this lecture is to give an update on new therapies for alopecia areata, including janus kinase inhibitors. In addition to considering the risks and benefits of medications, this session will explore the social and emotional impact of alopecia areata and how that may alter the therapeutic ladder. 

Learning Objectives:

  1. Participants will be able to compare the risks and benefits of systemic vs. topical treatments for alopecia areata.
  2. Participants will be able to identify social and emotional factors which may impact the choice of treatment for alopecia areata.
  3. Participants will be able to discuss the importance of shared decision-making on the selection of treatment options for patients with alopecia areata.
Moderator: Apple Bodemer, MD  Panelist: Paradi Mirmirani, MD;  Antonella Tosti, MD Description: This panel will feature patient cases that highlight issues related to hair health and hair loss commonly seen in clinical practice. A clinical case and/or question will be presented. Each of the panelists will explain their individual approach and answer questions related to each case.  Learning Objectives:
  1. Participants will be able to list common triggers for telogen effluvium.
  2. Participants will be able to explain factors that contribute to Central Centrifugal Cicatricial Alopecia.
  3. Participants will be able to describe approaches for identifying and managing trichotillomania.
  4. Participants will be able to review the hormonal influence of Genetic Patterned Hair Loss.

Faculty: Julie Greenberg, ND

Description: Malassezia is a commensal yeast present on mammalian skin, but it can also be the cause of common dermatological conditions that are difficult to treat including: dandruff and cradle cap, seborrheic dermatitis of the face, fungal acne, and tinea versicolor. This presentation will review recent research that demonstrates how Malassezia can elicit immune responses in the skin that lead to inflammation and dermatologic disease in certain people. Evidence-based alternative treatments that can be used topically to inhibit Malassezia growth on the skin will also be reviewed.

Learning Objectives:

  1. Participants will be able to evaluate the relationship between Malassezia yeast and human beings.
  2. Participants will be able to identify five different dermatological conditions caused or exacerbated by Malassezia.
  3. Participants will be able to recognize how skin pH contributes to a healthy skin barrier and prevents infection by pathogens.
  4. Participants will be able to explain immune responses to Malassezia that can occur in some patients.
  5. Participants will be able to assess evidence-based alternative treatments that can be used topically to inhibit Malassezia growth on the skin.

Faculty: Karen Stolman, MD

Description: Recent research has shown that at least 5% of the world population suffers from hyperhidrosis. Many people with hyperhidrosis or bromhidrosis find it disrupts both their public and private lives significantly and can even trigger or aggravate psychiatric sequelae like depression and anxiety. This session will review conventional treatments, including topicals, orals, Botox, iontophoresis, surgery, and lasers, with some of their drawbacks and controversies, and the need for an integrative approach. Leading integrative treatments will be discussed, including sage leaf, sage tea, chamomile, valerian root, St. John’s Wort, acupuncture, biofeedback, hypnosis, relaxation techniques, special garments, or sweatproof clothing and footwear, and diet.

Learning Objectives:

  1. Participants will be able to review the categories and causes of hyperhidrosis in order to have a framework for approaching the management of the disease.
  2. Participants will be able to identify benefits, drawbacks, and controversies with some conventional treatments.
  3. Participants will be able to examine and compare the integrative treatments for hyperhidrosis.
  4. Participants will be able to choose an integrative approach to the management of hyperhidrosis.

Faculty: Raja Sivamani, MD MS AP

Description: Growing evidence suggests that the use of oral probiotics can modulate dermatological diseases. This workshop will take a detailed look at how specific probiotic strains influence dermatological conditions and how gut based testing with 16S or whole genome sequencing can be used to better identify which strains can be incorporated into a treatment plan.

Learning Objectives:

  1. Participants will be able to recall the evidence for specific probiotic strains within dermatology.
  2. Participants will be able to evaluate gut microbiome testing results and use evidence in deciding how to incorporate probiotic strains to address testing abnormalities. 
  3. Participants will be able to create a probiotic, prebiotic, and postbiotic based treatment plan for several diseases, including acne, rosacea, and psoriasis. 

Faculty: Peter Koshland, PharmD BS

Description: This workshop will explore how bioidentical hormones can be utilized to improve your patients’ skin. Different bioidentical hormones will be defined and compared in their ability to support skin health. 

Learning Objectives:

  1. Participants will be able to identify what it means for a hormone to be considered bioidentical and explore the various bioidentical hormones.
  2. Participants will be able to describe simple and effective hormone formulas for improving skin health.
  3. Participants will be able to discuss working with a compounding pharmacy to formulate specialized skin treatments.
Faculty: Dr. Suhani Bora, MD Description: Group Medical Visits, also known as shared medical appointments, are an increasingly popular care delivery method in primary care that may also fit well within an integrative dermatology practice. Patient outcomes have been shown to be comparable, or improved, from standard care. Since both patients and practitioners bring their knowledge and experiences, there is an opportunity to lessen the power differential inherent in the traditional medical model. A group consists of 5-18 people, generally lasts about 2 hours and combines medical care, health education, and peer support. This session will review the current evidence supporting group visits, an overview of types of models, how to implement them, and the basics of facilitation and billing. Learning Objectives: Participants will be able to review the current evidence for implementing group visits.
  1. Participants will be able to list 3 benefits for practitioners hosting group visits.
  2. Participants will be able to identify essential components for planning, implementing, and maintaining a group visit program.
  3. Participants will be able to describe how group visits can impact equity and access for patients.
  4. Participants will be able to demonstrate how group visits can be implemented safely during COVID19.