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Day One

Agenda for Thursday, October 3, 2019

Breakfast on Own: 7:00am-7:50am
Session 1: 8:00am-8:30am | Genetics and Personalized Medicine in Dermatology by Lawrence Eichenfield, MD
Genetics is an important aspect to personalization with the growth of knowledge within pharmacogenomics and targeted therapeutics. This session will explore how genetics and personalized medicine play a role in an integrative approach to dermatology care.

Learning Objectives:

  • Participants will recall the role of genetics in the personalization of the treatment of  common diseases such as atopic dermatitis and acne.
  • Participants will identify therapies that target genetic pathways.
Session 2: 8:30am-9:00am | Integrative Approach to Pediatric Dermatology by Michelle Jeffries, DO
Treating children is different from treating adults who are smaller, or is it? This presentation will define basic approach considerations for when treating children with skin disease and how to build in an integrative approach.

Learning Objectives:

  • Participants will review special considerations for treating pediatric skin diseases.
  • Participants will identify how integrative medicine can be utilized in treating children with dermatology concerns.
Session 3: 9:00am-9:30am | The Use of Humor in Dermatology by Michael Traub, ND
The evidence for the therapeutic use of humor in dermatology will be presented, particularly in regards to atopic dermatitis.

Learning Objectives:

  • Participants will examine the evidence basis for using therapeutic humor in dermatology.
  • Participants will review some of the proposed mechanisms by which humor may be beneficial in treatment of skin disease.
Break: 9:30am-10:00am
Session 4: 10:00am-10:30am | What is New in Integrative Psoriasis Management? by Anna Nichols, MD
New evidence about integrative treatments for psoriasis is emerging. This session will review and translate recent evidence into clinical pearls, covering both medication and nutrition based approaches.

Learning Objectives:

  • Participants will appraise evidence on the use of integrative medical approaches in the management of psoriasis.
  • Participants will formulate integrative management strategies for the treatment of psoriasis.
Session 5: 10:30am-11:00am | How do Biologics Fit in an Integrative Treatment Plan? by Neal Bhatia, MD
Biologics are effective in the treatment of psoriasis and have become commonplace in the clinical armamentarium of psoriatic treatment. Psoriasis can affect patients beyond the skin and influences joint and cardiovascular health. This talk will explore how biologic based therapies fit into an integrative management approach.

Learning Objectives:

  • Participants will recall the evidence for the use of  biologics available for treatment of psoriasis and how patients are selected for biologics use.
  • Participants will evaluate  how biologics can be used as part of a holistic treatment approach to psoriasis.
Session 6: 11:00 am-11:30am | Dietary Strategies in Psoriasis by Rajani Katta, MD
Certain dietary strategies may benefit patients with psoriasis. First, it is well demonstrated that patients with psoriasis have an increased risk of multiple comorbidities, including diabetes, hypertension, hyperlipidemia, and cardiovascular disease. Specific nutrients, foods, and eating patterns may limit these risks. In addition, randomized controlled trials have demonstrated that weight loss in overweight or obese psoriasis patients may improve skin findings. Lifestyle intervention programs such as certified diabetes prevention programs may be recommended. Finally, research has indicated that a small percentage of psoriasis patients may benefit from a gluten-free diet. Screening and testing may identify this subset.

Learning Objectives:

  • Participants will summarize dietary strategies that reduce the risk of metabolic comorbidities in patients with psoriasis.
  • Participants will identify dietary strategies that may improve skin findings in psoriasis.
  • Participants will appraise to identify and screen patients who may benefit from a gluten-free diet.
Session 7: 11:30am-12:10pm | Case Based Discussion Panel: Collaboration in Psoriasis moderated by Mazin Al-Khafaji, FRCHM MATCM
Can we put this all together? Clinicians across disciplines will discuss their management practices for simple and complex psoriasis cases.

Learning Objectives:

  • Participants will relate multiple approaches for treatment of psoriasis.
  • Participants will formulate strategies for co-managing psoriasis with practitioners from other disciplines.
Lunch Sponsored by Sanofi Genzyme and Regeneron: 12:10pm-1:30pm
Session 8: 1:30pm-2:00pm | What Is New in Atopic Dermatitis Management? by Peter Lio, MD
In this session we will review the up-to-date evidence on various integrative therapies for atopic dermatitis from supplements to topical agents. There is a special emphasis on techniques that can be used by any specialty or discipline.

Learning Objectives:

  • Participants will identify common pitfalls in the treatment of eczema, with special emphasis on adherence.
  • Participants will examine the the emerging evidence for both pharmaceutical and non-pharmaceutical approaches for atopic dermatitis management.
  • Participants will differentiate treatments or interventions that have been shown to be of no benefit based on the evidence.
Session 9: 2:00pm-2:30pm | Integrative Management of Itch in Atopic Dermatitis by Mazin Al-Khafaji, FRCHM MATCM
Itch is a defining symptom in atopic dermatitis. How is itch managed in TCM and how can that fit into an integrative treatment paradigm?

Learning Objectives:

  • Participants will review TCM principles of itch management.
  • Participants will appraise the evidence for the use of herbs in the management of itch.
Session 10: 2:30pm-3:00pm | Sleep Like a Baby: Integrative Strategies to Improve Sleep and the Circadian Rhythm in Atopic Dermatitis by Vivian Shi, MD
When it comes to atopic dermatitis, if the patient does not sleep, no one sleeps! What role does sleep play in the pathogenesis of atopic dermatitis, and what are some ways to manage sleep as part of an integrative treatment plan for atopic dermatitis?

Learning Objectives:

  • Participants will discuss effects of atopic dermatitis on sleep.
  • Participants will design a management strategy to integrate sleep considerations into an integrative atopic dermatitis management plan.
Session 11: 3:00pm-3:40pm | Case Based Panel Discussion: Collaboration in Atopic Dermatitis moderated by Peter Lio, MD
In this session we will discuss actual and representative cases and explore how multiple disciplines can collaborate in the care of patients with atopic dermatitis (AD).

Learning Objectives:

  • Participants will propose situations where more than one discipline can contribute to AD care.
  • Participants will demonstrate the rationale for this approach.
Reception: 3:45pm-4:45pm
Workshop: 5:00pm-7:00pm | Use of Cannabinoids in Dermatology and Review of Cannabinoid Based Products by Jeanette Jacknin, MD
The endocannabinoid system is a richly active biochemical pathway in the body and the skin. This workshop will review the endocannabinoid system and the different approaches to assessing safety and utility of emerging products on the market.

Learning Objectives:

  • Participants will compare the difference between CBD from hemp and cannabis.
  • Participants will evaluate studies in regards to the use of cannabidiol within dermatology for conditions such as atopic dermatitis and acne.
  • Participants will assess skin care lines currently on the market and how to appraise their quality.

Day Two

Agenda for Friday, October 4, 2019

Breakfast: 7:00am-7:50am
On own
Session 1: 8:00am-8:30am | Integrative Practice and the Future in Integrative Medicine by Mimi Guarneri, MD
Evidence for integrative medicine is growing quickly. This session will highlight key advances within the field of integrative medicine broadly and how they might impact your practice.

Learning Objectives:

  • Participants will review trends in integrative medicine that are shifting practice.
  • Participants will relate various model for developing an integrative practice.
Session 2: 8:30am-9:00am | Mind-Body Medicine by Paul Mills, PhD
The mind-body connection is a vital component of integrative medicine and within dermatology. This presentation will explore the mind-body connection and it’s evidence for use in an integrative medical environment.

Learning Objectives:

  • Participants will formulate an understanding of mechanisms of mind-body modalities in supporting health.
  • Participants will recall the role of traditional whole medical systems in supporting health and wellbeing.
Session 3: 9:00am-9:30am | Sleep, Stress and Cellular Aging. A Bedtime Story! by Aric Prather, PhD
What is the connection between sleep, stress, cellular aging, and mindfulness? This activity will review how sleep patterns fit within the health of the body and skin.

Learning Objectives:

  • Participants will recall characteristics of normal sleep and its interplay with stress and aging.
  • Participants will appraise approaches to improve sleep.
Session 4: 9:30am-10:00am | TBD
Break: 10:00am-10:30am
Session 5: 10:30am-11:00am | Financial Models for Integrative Dermatology in Practice by Glen Stein, Integrated Dermatology Group
How do changes in the practice setting of medicine and dermatology affect the choices faced by Dermatologists? Trends in the business of dermatology will be analyzed. Participants will explore the implications of changing practice settings for the future of their practices.

Learning Objectives:

  • Participants will examine changing trends in dermatology practices in the US.
  • Participants will describe strategies for how the integrative practitioner can succeed in current changes to the practice setting.
Session 6: 11:00am-11:30am | Integrative Medical Practice 101: Dealing with Practitioner Burnout by Payal Bhandari, MD
Are you sad in your practice? Is that not what you signed up for? You are not alone! Practitioner burnout is real and its effects may jeopardize practice. The extent of the problem will be presented and strategies for change will be discussed through an integrative model.

Learning Objectives:

  • Participants will question physician burn-out by focusing on the key elements to success.
  • Participants will measure patient satisfaction in an integrative practice and how you can both thrive.
Session 7: 11:30am-12:10pm | Creating a Network for Your Practice moderated by Olivia-Hsu Friedman, LAc
Integrative dermatology requires an integrated approach and collaboration. What resources should you have in place for a successful integrative dermatology practice? The panel will share tips, successes, and failure stories.

Learning Objectives:

  • Participants will compare approaches to developing a network with local integrative practitioners.
  • Participants will employ strategies to connect with local practitioners.
Lunch Sponsored by Microbiome Labs: 12:10pm-1:30pm
Session 8: 1:30pm-2:00pm | Use of Panchakarma in Dermatology by Anupama Kizhakkeveettil, PhD LAc AP
Learn about  the Ayurvedic approach of panchakarma in dermatology. Delve into the history of panchakarma as well as evidence that supports its use in supporting general health and for dermatology.

Learning Objectives:

  • Participants will identify the theories used within Ayurveda, especially in relation to the skin.
  • Participants will summarize the approach to panchakarma and its evidence for use in skin care.
Session 9: 2:00pm-2:30pm | Reiki in Integrative Medicine by Judith Hong, MD
Reiki is a complementary health approach in which practitioners place their hands on or above a person, with the goal of directing energy to help facilitate the person’s own healing response.  This lecture will explain what reiki is, how it originated, and how it is utilized. There will be a review and discussion about the research on reiki and other practices like meditation and qigong.

Learning Objectives:

  • Participants will be able to define the main principles of reiki.
  • Participants will learn about the research done on reiki and other “subtle energy” practices.
Break: 2:30pm-3:00pm
Session 10: 3:00pm-3:30pm | Habit Reversal Therapy for Itch and Trichotillomania by Katlein França, MD PhD
When psychiatric diseases overlay with dermatology, integrative medicine can be used to address multiple compounding factors. This session will focus on both common and rare conditions seen in clinic and how to apply an integrative approach to reverse habit formation.

Learning Objectives:

  • Participants will identify approaches for skin diseases with psychiatric interplay.  
  • Participants will evaluate techniques to reverse obsessive compulsive based habit formation.
Session 11: 3:30pm-4:00pm | Traditional Chinese Medicine Techniques by Olivia Hsu Friedman, LAc
Traditional Chinese Medicine (TCM) has thousands of years of history to draw upon for use in modern day dermatology. This session will cover typical techniques used in TCM for treatment of  dermatological conditions.

Learning Objectives:

  • Participants will recall common TCM theory and procedures that are available for use in treatment.
  • Participants will assess the evidence for TCM based procedures for treatment of dermatological conditions.  
Workshop A: 4:00pm-6:00pm | Case Based Approach for Creating Ayurvedic and Chinese Medicine Herbal Formulations by Amy Branum, AHP, Trevor Erikson, D-TCM, and Raja Sivamani, MD MS AP
Both Ayurvedic and Chinese medical traditions have a long history of using herbal formulations that are tailored to support an individual’s unique presentation and constitution. This workshop will review some of the basic methods used by each tradition when evaluating the dermatology patient and how this is used to develop herbal formulas. Basic formulation theory, from both traditions, will be outlined using several practical examples.

Learning Objectives:

  • Participants will review the basics of the Ayurvedic and Chinese medicine evaluation in dermatology.
  • Participants will compare various herbal formulations and their effects on the body, contrasting Chinese and Ayurvedic methodologies.
  • Participants will summarize the effects of different herbs and how they can be tailored toward different Ayurvedic and Chinese medicine imbalances.
Workshop B: 4:00pm-6:00pm | Cosmetic Acupuncture by Shellie Goldstein, LAc
This workshop will describe Cosmetic Facial Acupuncture from a Traditional Chinese Medicine perspective. Benefits and precautions of Cosmetic Facial Acupuncture will be detailed. Participant demonstrations will be available.

Learning Objectives:

  • Participants will recall  an understanding of TCM theory for aesthetics.
  • Participants will evaluate the benefits/precautions of TCM aesthetics.
  • Participants will recall the  the application of Cosmetic Facial Acupuncture.
Workshop C: 4:00pm-6:00pm | Practical Tips to Managing Itch by Peter Lio, MD
In this session we will review the up-to-date evidence on both conventional and integrative therapies for itch. We will focus on all ages, especially the elderly where itch without a rash (pruritus sine materia) is more common, as well as localized pruritus such as genital, scalp, and notalgia paresthetica.

Learning Objectives:

  • Participants will identify common underlying causes of itch.
  • Participants will examine the rationale for an extended ladder for refractory disease, including integrative medicine.
  • Participants will differentiate treatments or interventions that have been shown to be of no benefit.

Day Three

Agenda for Saturday, October 5, 2019

Breakfast: 7:00am-7:50am
On own
Welcome: 8:00am-8:10am Research and Integrative Medicine by Howard Maibach, MD
The National Center for Complementary and Integrative Health funds research grants in integrative medicine. From an academic perspective, how can we collaborate to expand the field?
Session 1: 8:10am-8:40am | Cosmeceuticals by Leslie Baumann, MD
There are many anti-aging skin care cosmeceuticals on the market and the science is confusing. This talk will extensively review the cellular processes that cause skin aging and which cosmeceutical ingredients target these processes. Topics to be discussed include mitochondria, DNA, free radicals, glycation and lysosomal function. Although the science is complicated, this will be discussed in a fun and easy to understand manner. After attending this lecture, participants will be able to make sense of the marketing claims of various anti-aging cosmeceuticals and choose which anti-aging products to recommend to wrinkle-prone patients. This lecture will discuss science and will not promote any particular brands.

Learning Objectives:

  • Participants will underline knowledge on the science of skin aging with an emphasis on cellular processes that various cosmeceutical ingredients target. 
  • Participants will assess which technologies work best together in an anti-aging skincare regimen.
Session 2: 8:40am-9:10am | Holistic Approach to Aesthetics in Skin of Color by Sarmela Sunder, MD
Does skin color affect the approaches to aesthetics? Learn the various holistic approaches that can be applied when treating skin of color for aesthetics.

Learning Objectives:

  • Participants will assemble non-invasive approaches in aesthetics that are mindful of those with darker skin.
  • Participants will review  unique side effect profiles and  recovery protocols for patients with skin of color.
Session 3: 9:10am-9:40am | Traditional Chinese Medicine Aesthetics by Shellie Goldstein, LAc
Traditional Chinese Medicine (TCM) is becoming increasingly popular in aesthetics. The benefits of TCM will be discussed along with common treatments.

Learning Objectives:

  • Participants will recall various treatment methods used in TCM for aesthetics.
  • Participants will assess the benefits of TCM in aesthetics.
Session 4: 9:40am-10:20am |Case Based Discussion of Aesthetics moderated by Leslie Baumann, MD
Can we put this all together? Clinicians go across disciplines to discuss an integrative approach to aesthetics through various cases.

Learning Objectives:

  • Participants will compare various integrative approaches to aesthetics.
  • Participants will review the application of aesthetics through unique cases.
Break: 10:20am-10:50am
Session 5: 10:50am-11:20am | Mindfulness Based Practices for Itch and Skin Inflammation
Many dermatologic conditions have a significant impact on the quality of life of those impacted, including worsening stress, anxiety and lower quality of sleep. We will review how to use mindfulness based practices to help decrease itch and inflammation and help empower the patient.

Learning Objectives:

  • Participants will define mindfulness and review common practices.
  • Participants will discuss how mindfulness can decrease inflammatory markers and de-activate the anterior cingulate cortex.
  • Participants will classify nostril breathing and how it can be incorporated to decrease stress markers and modulate hormones.
Session 6: 11:20am-11:50pm | Integrative Approach to Acne by DeJarra Sims, ND
Acne is a multifactorial approach. Learn about integrative approaches to the treatment of acne.

Learning Objectives:

  • Participants will review integrative approaches to the treatment of acne.
  • Participants will evaluate the evidence for the use of supplements, probiotics, and diet for acne therapy.
Lunch: 11:50pm-1:30pm
Session 7: 1:30pm-2:00pm | Probiotic and Women’s Skin Health by Jennifer Hsiao, MD
The gut microbiome can play a significant role on your skin health. Learn how probiotics can impact skin health among women.

Learning Objectives:

  • Participants will review the role of the gut microbiome on the skin.
  • Participants will appraise the benefits of probiotics for women’s skin health.
Session 8: 2:00pm-2:30pm | Inflammation and the Gut-Skin Axis by Heather Zwickey, PhD
Gut and skin health are intertwined. The gut microbiome can impact skin health through neuroimmune interaction as well the production of secondary byproducts such as short chain fatty acids. In this seminar, we will review gut-skin interaction as well as which therapies previously considered ‘gut’ focused may have important impact on skin.

Learning Objectives:

  • Participants will discuss how gut microbiome influences inflammatory and neurological mediators.
  • Participants will identify systemic cytokine pathways that impact skin health.
  • Participants will recall gut-based therapies that increase and decrease skin inflammation.
Break: 2:30pm-3:00pm
Session 9: 3:00pm-3:30pm | Hair Loss and Platelet Rich Plasma
Hair loss can be challenging to treat with only pharmacological or herbal based therapy. Platelet rich plasma is a new treatment technique that is gaining use. This session will explore the evidence for the use of platelet rich plasma for hair loss.

Learning Objectives:

  • Participants will identify the different forms of hair loss.
  • Participants will appraise the evidence for the use of platelet-rich plasma therapy as an approach to treat hair loss.
Session 10: 3:30pm-4:00pm | How to Integrate Compounding Pharmacy into Your Practice by Larry Woodhouse, PharmD
Compounding is a disappearing art in dermatology. What can a compounding pharmacy do for you, and how can you work effectively with a compounding pharmacy?

Learning Objectives:

  • Participants will appraise common errors in compounding.
  • Participants will employ a strategy for integrating a compounding pharmacy into their practice.
Workshop A: 3:30pm-5:30pm | Ancient Method, Modern Cure: Treating Atopic Eczema with Chinese Medicine by Mazin Al-Khafaji, 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.

Learning Objectives:

  • Participants will review a Traditional Chinese Medicine approach to atopic eczema.
  • Participants will identify common pattern types seen in a clinical setting.
Workshop B: 4:00pm-6:00pm | Introduction to Subtle Energy Practices: Meditation, Qigong, and Reiki by Judith Hong, MD
This workshop will introduce the subtle energy practices of meditation, qigong, and reiki. These types of practices are increasingly popular forms of alternative healthcare and health maintenance. We will discuss how they can be incorporated for both self care and patient care.  This will be an experiential workshop where participants are guided in different meditation and qigong exercises. Of note, this is not a reiki certification class but will introduce basic concepts of reiki.

Learning Objectives:

  • Participants will define qigong and reiki.
  • Participants will review basic meditation and qigong practices.
  • Participants will experiment with a reiki healing attunement.
Workshop C: 3:30pm-5:30pm | Microneedling Techniques by Sarmela Sunder, MD
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.

Learning Objectives:

  • Participants will appraise the history of microneedling and the scientific studies that support the treatment.
  • Participants will identify the skin’s intrinsic healing response to an extrinsic stimulus.