Agenda for Friday, October 19, 2018
Session 1: 9:00am - 9:30am | Overview of Integrative Medicine in Dermatology by Lawrence F. Eichenfield, MD
Integrative medicine is a growing field within healthcare and its influence in skin disease diagnosis and management is evolving. Up to 70% of patients request complementary and alternative medicine therapies according to NIH surveys. With skin being the number one driver of doctor’s visits, exploring integrative medicine in dermatology is key to overall health management and patient care. Basic principles of integrative medicine and its application in dermatology will be reviewed.
- Participants will be able to define integrative medicine and its importance in patient care
- Participants will interpret and arrange the evidence for integrative medicine within dermatology
Session 2: 9:30am-10:00am | Overview of Traditional Chinese Medicine in Dermatology by Mazin al–Khafaji, Doctor of Chinese Medicine (Shanghai, China) FRCHM MATCM
Traditional Chinese Medicine (TCM) has been practiced for over 3,000 years. This session will provide an introduction to the principles of TCM and how it can accompany patient medical care.
- Participants will be able to define the main principles of TCM
- Participants will state the application and clinical evidence of TCM within dermatology
Session 3: 10:00am-10:30am | Overview of Naturopathy in Dermatology by Michael Traub, ND
The profession of naturopathic medicine is flourishing, and its contribution to holistic healthcare is well recognized. Key principles of naturopathic medicine will be described within dermatology.
- Participants will be able to define the main principles of naturopathic medicine
- Participants will relate the use and clinical evidence of naturopathic medicine within dermatology
Session 4: 11:00am-11:30am | Overview of Ayurveda in Dermatology by Marc Halpern, DC CAS PKS
Ayurveda has been practiced for over 5,000 years. This session will provide an introduction to the principles of Ayurveda and how it can be applied to dermatology care.
- Participants will be able to define the main principles of Ayurveda as it relates to dermatology
- Participants will identify the applications for use of Ayurveda within dermatology
Session 5: 11:30am-12:00pm | The Past, Present, and Future of Integrative Dermatology by Alan Dattner, MD
Reviewing dermatologic treatments of the past helps in understanding how integrative dermatology has evolved. Current Integrative Dermatology is a collection of diagnostic and therapeutic tools from different healing disciplines creating opportunity for greater cross-translation. Skin disease can often be seen as a symptom of underlying disorders. Identifying and treating the underlying concert of causal factors in the individual, and using an integration of multiple healing disciplines to treat, will yield a new level of success in treating skin disorders.
- Participants will be able to understand the relevance of recurring trends from the past in treating skin disease.
- Participants will review trends and methodologies for diagnosing the underlying causes of skin diseases and be introduced to the evolving unified methodology of integrative medicine used to treat the underlying causes of skin disease.
- Participants will get an understanding of the enhanced diagnostic and therapeutic benefits of truly integrating patient appropriate choices from a wider palette of healing systems, aimed at the underlying causes of a patient’s skin disorders. This will benefit the patient, physician, and the greater health industry, and collectively will lead to a healthier and more productive society.
12:00pm-12:15pm | Patient Perspective and Integrative Approaches to Dermatology by All Speakers
Barriers for integration of alternative medicine and new horizons for collaboration will be discussed.
- Participants will compare and contrast the approaches of Western, Naturopathic, TCM, and Ayurvedic approaches to dermatology
- Participants will describe how different medical perspectives can be used synergistically for the care of patients with dermatological disease
Session 6: 1:30pm-2:00pm | Role of the Gut Microbiome by Robert Crawford, PhD
Shifts in phylogeny and relative abundance among resident gut bacteria belonging to the human microbiome have been implicated in a variety of clinical dysbioses, including metabolic and behavioral abnormalities and relapsing antibiotic resistant infections. This session will examine mechanistic studies linking gut and systemic health, including physiology of the brain and skin.
- Participants will be able to define the gut microbiome and understand how bacterial composition and function affect local and systemic physiology
- Participants will assess skin diseases related to the skin gut axis and possible treatment approaches
Session 7: 2:00pm-2:30pm | Diet in Dermatology by Rajani Katta, MD
Patients often ask about the best ways to achieve youthful, glowing skin. This session will delve into the role of diet in dermatology and will describe foods that are helpful and those that are harmful to the skin.
• Participants will learn about the role of diet in aging skin
• Participants will learn about the impact of oxidation, inflammation, and glycation in aging skin, along with the foods that can combat these processes
• Participants will be able to identify food “triggers” and food “helpers” for several inflammatory skin conditions
Session 8: 2:30pm-3:00pm | Oral and Topical Approaches for Dry Skin by Vivian Shi, MD
Several skin conditions can lead to dry skin. An evidence-based approach to managing dry skin, including oral and topical therapies, such as natural oils, bathing additives, and systemic modalities, will be discussed.
- Participants will compare the role of oral and topical therapies for dry skin
- Participants will review new and emerging treatment options for dry skin
Session 9: 3:30pm-4:00pm | Cosmeceuticals for Skin Care by Jared Jagdeo, MD
Cosmeceuticals incorporative bioactive ingredients that allow for medicinal benefits, such as anti-aging. This session will evaluate trending botanicals and therapies for optimizing skin care.
- Participants will discuss the various types of cosmeceuticals
- Participants will identify the types of ingredients associated with clinical evidence for use in dermatology
Session 10: 4:00pm-4:30pm | Cosmetic Approaches in TCM by Sandra Chiu, LAc
The popularity of Traditional Chinese Medicine (TCM) tools and techniques for skincare as anti-aging, esthetic treatments is growing rapidly as a natural alternative to chemical or conventional invasive procedures. This session will review the techniques, strategies, and corresponding evidence for the use of TCM based procedures: facial acupuncture, gua sha, cupping.
- Participants will review the various TCM based approaches for skincare and esthetics
- Participants will evaluate the evidence for such TCM based therapies
Session 11: 4:30pm-5:00pm | Sunscreens and the Effects of High Energy Blue Light by Iltefat Hamzavi, MD
Blue light is everywhere. Sunlight is the main source of blue light and is important in understanding sun protection. Patients offer wonder about mineral versus chemical sunscreens and how they differ. This session will delve into the latest scientific research on sunscreens and high energy blue light.
- Participants will identify the role and consequences of high energy blue light in relation to oxidative stress, hyperpigmentation, and photoaging
- Participants will review types of sunscreens and their ability to protect against UVA, UVB, and blue light
Session 12: 5:00pm-5:30pm | Phototherapy for Vitiligo by Iltefat Hamzavi, MD
Phototherapy has been shown to be one of the most effective options for the treatment of vitiligo. However, the limitations of this technique along with how to maximize its efficacy is not well understood in the medical community.
- Discuss the optimal frequency of phototherapy dosing
- Review the expected duration of therapy
- Identify the optimal wavelengths of treatment
- Summarize various adjuncts to phototherapy
- Analyze limitations of phototherapy and treatment gaps
Cocktail Reception: 5:30-7:30pm
Closing out the first night of the Integrative Dermatology Symposium will be a relaxed cocktail reception at The Mix around the corner from the Sheraton symposium venue at 1525 L St, Sacramento, CA 95814. Registration is required and space is limited. $25 includes two drink tickets and Sacramento signature farm to fork cuisine: http://2018.integrativedermatologysymposium.com/register/
Agenda for Saturday, October 20, 2018
Session 1: 8:00am-8:30am | Prebiotics and Probiotics in Dermatology by Raja Sivamani, MD MS CAT
Studies have shown that our skin’s bacterial community changes when going from one part of the body to another. For example, our facial bacterial community is different from the bacteria on our arms. While the awareness for the benefits of probiotics have been explored, research is finding that prebiotics are equally as important. Learn about ways to promote the growth of beneficial bacteria through pre-and probiotics.
- Participants will be able to define the mechanisms of action of prebiotics and probiotics
- Participants will review the clinical evidence for the use of prebiotics and probiotics in dermatology
Session 2: 8:30am-9:00am | The Use of Botanicals in Dermatology by Cassandra Quave, PhD
Medicinal plants are used to treat diseases around the world. Growing research is discovering the source of these ingredients and their effects on skin health. This session will highlight botanicals for skin care, wound care, hydration, and other applications for botanicals within the field of Dermatology.
- Participants will identify different types of botanicals and different extraction techniques
- Participants will review applications for botanicals within the field of Dermatology
Session 3: 9:00am-9:30am | Perils of Skin Care During Pregnancy by Jenny Murase, MD
The skin can change during pregnancy, due to fluctuating hormones and other major shifts in the body and lifestyle. Certain medications need to be used with caution in pregnant women and those who are breastfeeding. Best practices for skin care during pregnancy will be discussed in this session.
- Participants will review safety precautions and recent changes in pregnancy safety assessment for medications
- Participants will recall new and emerging topical and systemic therapies for acne, dry skin, and melsama during pregnancy
Session 4: 10:00am-10:30am | Integrative Management of Hair Loss and Hair Care by Linda Sheu, MD
This lecture will cover both conventional as well as supplement and natural based approaches to hair loss.
- Participants will define the main causes of hair loss
- Participants will recall evidence for the use of supplements for hair loss
Dr. Linda J. Sheu is located in Roseville, CA, and is part of the Sutter Health network dedicated to creating a more personalized healthcare experience.
Session 5: 10:30am-11:00am | Multi–Ethnic Approaches to Skin and Hair Health by Oma Agbai, MD
Increasing diversity and growing multi-ethnic communities in the country and worldwide has led to a shift in dermatology practice. Treatment plans need to be tailored to different skin types and skin colors. Hair health is particularly differentiated amongst patient populations. This session will discuss the factors for consideration in multi-ethnic dermatology and how to begin incorporating them into patient care.
- Participants will summarize the unique conditions and concerns that arise in multi-ethnic dermatology
- Participants will describe hair health and its variation across patient populations
Session 6: 11:00am -11:30am | Integrative Trends in Acne and Hidradenitis Suppurativa by Ali Alikhan, MD
Hidradenitis suppurativa and acne are chronic inflammatory conditions that are accompanied by profound social impact and scarring. Treatment approaches have traditionally included the use of long courses of antibiotics. The evidence for non-antibiotic approaches that include the use of oral, hormonal, biologic, and dietary approaches will be discussed.
- Participants will summarize the social impact of hidradenitis suppurativa and severe acne
- Participants will restate the evidence for the use of non-antibiotic approaches for hidradenitis suppurativa and acne including the use of oral, hormonal, biologic, and dietary approaches
Session 7: 11:30pm-12:00pm | Emerging Therapies for Psoriasis by Tina Bhutani, MD
Psoriasis is a chronic condition that can be localized or spread over the entire body. It is characterized by red, scaly lesions and often requires a multi-pronged approach for management. A patient’s joints, cardiovascular system, and psychological state can also be affected. This session will examine emerging therapies for psoriasis management with an emphasis on the recent development of new biologic therapies.
- Participants will identify key indicators for psoriasis diagnosis and how to differentiate need for more aggressive therapy
- Participants will evaluate new treatment options for psoriasis with a focus on the clinical evidence for biologic therapies
Session 8: 1:30pm-2:00pm | Emerging Therapies for Atopic Dermatitis by Peter Lio, MD
The prevalence of Atopic Dermatitis (AD) has been growing, with up to 25% of children and adults reportedly to have eczema. Treatment for AD focuses on skin moisturization, anti-inflammatory treatments, and anti-microbials, and lifestyle modification. Targeted topical and systemic treatment options are also emerging. This session will delve into new and emerging western and alternative and complementary therapeutic modalities for atopic dermatitis.
- Participants will review the diagnostic criteria for AD and the typical factors that are involved in AD development
- Participants will discuss new topical and systemic therapies and approaches for management of AD
Session 9: 2:00pm-2:30pm | Use of Acupuncture within Dermatology by Joseph Alban, MS LAc
Acupuncture is gaining popularity for managing skin conditions, such as acne and eczema. Traditional Chinese Medicine (TCM) uses acupuncture for both identification of the type of disease as well as care. This session will demonstrate common protocol for acupuncturists and its application in dermatology.
- Participants will be able to define acupuncture and its use in TCM
- Participants will review acupuncture treatment options for common skin conditions and their clinical evidence
Session 10: 2:30pm-3:00pm | Ayurvedic Abhyanga and Skin Care Body Work Therapies by Jayagopal Parla, BAMS Ayurveda C-IAYT
A common body work practice in Ayurveda is the application of oils and self-massage through abhyanga. The natural oils and touch stimulation have been shown to improve skin health without irritating the skin and can be an effective at-home remedy for patients. This session will demonstrate the application of abhyanga and how it can be combined with herbs for optimal performance.
- Participants will be able to define abhyanga and its application in skin care
- Participants will be able to recall different oils used for abhyanga and how they are selected and used as adjunctive therapy for skin disease
Session 11: 3:00pm-3:30pm | From Food to Skin by Francene Steinberg, PhD RDN
This session will focus on how nutritional research has expanded our knowledge of how foods affect our skin. Recent studies of the role of nutrition on the skin will be emphasized and summarized.
- Participants will be able to restate the different types of phytochemicals that are contained within foods
- Participants will recall the mechanisms for direct and indirect effects that food can have on the skin.
Closing Remarks: 3:30pm-4:00pm by Raja Sivamani, MD MS CAT
Public Event: Skin Care Wellness Fair 5:30pm – 8:30pm
Agenda for Sunday, October 21, 2018
Workshop Session I: 8:00am – 10:00am
Workshop A: Quality Issues in Natural Products for Dermatology: From Seed to Success – James and Michael Traub, ND
Dr. Traub and his son James will take attendees on a journey from seed and soil to clinical trials and practice in addressing quality issues in natural products for dermatological conditions. James, with his background in natural product quality control and quality assurance, will discuss various aspects of manufacturing, FDA regulations, and advanced analytical tools to help clinicians recommend high-quality products for their patients. Dr. Traub, with over 35 years of experience in research and clinical practice as a naturopathic physician, will discuss examples of poor and good quality scientific investigations and some practical applications of safe and effective natural products for skin conditions. James Traub is QA Director, Herbalife HIM-WS in Winston-Salem, North Carolina Michael Traub ND is Medical Director, Lokahi Health Center, Kailua Kona, Hawaii.
Workshop B: Strategies for Anti-Aging Using Acupuncture – Sandra Chiu, LAc
Facial acupuncture is the Chinese medical answer to anti-aging. In fact, historical records going back all the way to 900 BC describe its use in cosmetic treatments. In recent years as holistic healing and wellness become increasingly mainstream, interest in Chinese medicine based anti-aging solutions like facial acupuncture, gua sha, and herbal medicine is also on the rise. By now many are aware of facial acupuncture and what it entails. But what are the strategies used by acupuncturists to effectively reduce the appearance of wrinkles, improve skin elasticity and facial muscle tone, diminish hyperpigmentation, and improve skin texture? The answers include not only needling techniques applied to the face, but also treatment methods to restore proper functioning of deeper systems necessary for healthy skin – including digestion, hormonal, nervous system regulation and posture. In this presentation we will cover the basic components and strategies of acupuncture treatment for facial rejuvenation, including case studies from Sandra’s direct work. She will share her unique way of visually evaluating patients – which not only includes observation of the face but the entire body to determine postural patterns that offset proper alignment of head to spine – which are what she believes are the deeper roots of the undesired appearances of aging on the face. We will also explore the clinical research that supports the efficacy of using acupuncture for various anti-aging goals presented here.
Workshop C: How to Create Ayurvedic Herbal Formulations – Raja Sivamani, MD MS CAT & Amy Branum, AHP
Herbal formulations in Ayurveda are tailored to support each person’s Ayurvedic constitutions. This workshop will review the basics of the Ayurvedic evaluation and constitution for the skin and how this can be used to develop herbal formulations. The workshop will review basic formulation theory with several practical examples.
Amy Branum is an herbalist, Ayurvedic practitioner, and flower essence therapist. She holds a bachelors degree in Biology, a graduate degree from the California College of Ayurveda, and has been working with herbal medicine for 15 years. Amy has worked at the Appalachia School of Holistic Herbalism as a teacher and the resident Clinical Herbalist, is a founding board member of the North Carolina Chapter of United Plant Savers, and both organized and led the Wellness Center at the Southeastern Women’s Herbal Conference.
Amy has also developed and provided herbal remedies to people around the US through her body care company, Boutique Botanika. She currently teaches herbal programs at The Wild Temple School of Yoga and Herbal Wisdom and has a clinical practice, Lasya Wellness and Vitality, in Grass Valley, CA.
Break: 10:00am – 10:30am
Workshop Session II: 10:30am – 12:30pm
Workshop A: Microneedling Techniques – Tom S. Liu, MD, MBA
Use of needles for therapeutic benefits has ancient roots dating back to the Chinese dynasty with the practice of acupuncture as well as modern applications in wound healing. Building on the skin’s intrinsic healing response to an extrinsic stimulus, cosmetic microneedling has gained increased popularity as a mechanical skin rejuvenation treatment for improvement of skin tone, texture and pigmentation. This workshop will discuss the historical background of microneedling and review the scientific studies and physiology of the treatment. Treatment indications, clinical applications and post-treatment care will be reviewed. An interactive live microneedling demonstration will also be performed to illustrate all aspects of the treatment from start to finish.
Dr. Liu is board certified by the American Board of Plastic Surgery and a member of the American Society for Aesthetic Plastic Surgery (ASAPS) and the American Society of Plastic Surgeons (ASPS). Dr. Liu has been invited to participate in advanced injectable seminars by several leading aesthetic injectable companies. Dr. Liu has an active aesthetic-focused practice in Los Gatos and Sacramento, CA where he performs the full range of non-surgical injectables and skin care treatments. He is also a volunteer clinical faculty at the University of California at Davis Department
of Dermatology where he teaches residents advanced injectable techniques.
Workshop B: Ancient Method, Modern Cure: Treating Atopic Eczema with Chinese Medicine – Mazin al–Khafaji, Doctor of Chinese Medicine (Shanghai, China) FRCHM MATCM
In this workshop, attendees will delve into the Traditional Chinese Medicine (TCM) approach to atopic eczema. Learn how to recognize the most common pattern types seen in clinical practice and outline effective approaches to treating the different patterns according to Chinese medicine. Several case examples of different pattern types will be presented along with the successful formulae used. Attendees will learn the importance of adjusting formulae to mirror the ongoing changes that occur with treatment in order to achieve long-term remission through numerous clinical photos to illustrate the variety of clinical manifestation that are the bases of successful treatment.
Mazin al–Khafaji, Doctor of Chinese Medicine (Shanghai, China), FRCHM, MATCM is recognized as one of the leading experts in the field of dermatology and Chinese medicine, and over the past two decades has taught hundreds of students worldwide.
Workshop C: Ayurvedic Beauty and Skin Care – Aunna Pourang, MD
In this workshop, attendees will explore Ayurvedic skin types and daily rituals for radiant and flawless skin. Dr. Pourang will blend her knowledge of medicine, yoga, nutrition and Ayurveda to teach participants how to restore and maintain skin health. This is an interactive session that will include learning about Ayurvedic beauty secrets, how to use spices, herbs and food for vibrant skin care, mindfulness techniques for balance, and more.
At the end of this session, participants will be able to create a personalized Ayurvedic approach for lasting beauty and overall wellness.
Dr. Aunna Pourang is a board-certified integrative medicine physician. She is currently a postdoctorate research scholar in the Department of Dermatology at UC Davis, with a research focus on the gut-skin axis. Dr. Pourang believes in a whole person approach to healthcare and that everyone has an inherent healing capacity that can be optimized through a healthy lifestyle, and not solely with a pill. Dr. Pourang’s interests include global and preventive health, antibiotic-stewardship, mind-body medicine, as well as Ayurvedic and integrative dermatology.