Agenda for Thursday, October 3, 2019
Hadar Lev-Tov, MD MAS Chair
Raja Sivamani, MD MS AP Co-Chair
Theme: Integrative Dermatology Overview
Session 1: 8:00am-8:20am | 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.
- 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-8:50am | 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.
- 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-9:20am | Humor, Kissing and Sex in Allergic Patients by Michael Traub, ND
The evidence from a series of very interesting clinical trials for the therapeutic use of humor and intimacy in dermatology will be presented, particularly in regards to atopic dermatitis.
- Participants will recall the evidence basis for using therapeutic humor and intimacy in dermatology.
- Participants will recognize some of the proposed mechanisms by which humor and intimacy may be beneficial in the treatment of skin disease.
Session 4: 10:00am-10:20am | 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.
- 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-10:50am | 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.
- 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-11:20am |Is Psoriasis a Bowel Disease? by Haines Ely, MD
Psoriasis appears to have a connection with gut health. Dr. Ely reviews the evidence for gut dysfunction in relation to psoriasis and discusses the role of the gut in psoriasis. This activity will review the evidence for the use of dietary and supplement based interventions for gut health as it pertains to psoriasis.
- Participants will summarize the role of gut health in psoriasis.
- Participants will identify foods and supplements that may worsen or improve psoriasis.
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, including both cutaneous and join based involvement.
- Participants will relate multiple approaches for treatment of psoriasis.
- Participants will formulate strategies for co-managing psoriasis with practitioners from other disciplines.
Hosted Luncheon by Sanofi Genzyme and Regeneron: 12:10pm-1:30pm
Non-CME Presentation by Dr. Lawrence Eichenfield
Poster Presentations to Follow
Theme: Integrative Management of Atopic Dermatitis
Session 8: 1:30pm-1:50pm | 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.
- 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-2:20pm | TCM Management of Bacterial Overgrowth in Atopic Dermatitis by Mazin Al-Khafaji, FRCHM MATCM
Bacterial overgrowth is a common concern with atopic dermatitis. Colonization of the skin with pathogenic bacteria and shifts in the skin microbiome have been associated with flares of atopic dermatitis. This activity discusses the TCM based approaches to preventative approaches to manage shifts in the local bacteria.
- Participants will review the antibacterial properties of herbs used in TCM for management of atopic dermatitis.
- Participants will appraise the evidence for the use of herbs to shift the local skin microbiome.
Session 10: 2:30pm-2:50pm | 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?
- 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).
- Participants will propose situations where more than one discipline can contribute to AD care.
- Participants will demonstrate the rationale for this approach.
Agenda for Friday, October 4, 2019
Yoga Session: 6:30am-7:15am | Keira Barr, MD
Session 1: 8:00am-8:20am | Future of Integrative Medicine and Practice by Mimi Guarneri, MD FACC ABOIM
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.
- 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-8:50am | 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.
- 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-9:20am | 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.
- 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-9:50am | Integrative Approach to Hair Care by Apple Bodemer, MD
During this talk, we will discuss the importance of hair and hair health and the role hair plays in patient quality of life. This activity will review the main categories of hair loss (autoimmune/inflammatory vs hormonal and scaring vs non-scaring) and clarify which conditions integrative approaches will best address. This session will also delve into the roles of diet, supplements, stress management, hair care practices as well as medications and interventional treatments that can be helpful for hair loss.
- Participants will distinguish the importance hair loss plays in quality of life.
Participants will compare the different classes of hair loss.
- Participants wiill recommend dietary and lifestyle choices that can impact hair loss.
- Participants will identify when medications and or interventions might be appropriate.
Speaker: Apple Bodemer, MD
Session 5: 10:30am-10:50am | Financial Models for Integrative Dermatology in Practice by Glen Stein, JD
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.
- 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.
Speaker: Glen Stein, JD
Session 6: 11:00am-11:20am | 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.
- 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.
- 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-1:50pm | Use of Panchakarma in Dermatology by Anupama Kizhakkeveettil, BAMS MAOM LAc CMT PhD
Ayurveda is a traditional healing system with over a 5,000-year history. Ayurveda can complement, supplement, and even provide alternatives in certain conditions to conventional management of skin diseases, thereby enhancing the quality of life, achieving progression-free survival, or reversal of the disease. Ayurveda offers a multimodal approach to the treatment of skin diseases with herbal supplements and Panchakarma therapies (including bio-cleansing and rejuvenation) coupled with yoga to restore the harmony of the body, mind, and self. This presentation will explain Ayurvedic pathology and theoretical and practical application of panchakarma in dermatology as well as evidence that supports its use in supporting general health and for skin diseases.
- Participants will describe Ayurvedic Pathology for skin diseases and their biochemical correlations.
- Participants will recall the role of Ayurvedic medical theory in the management of skin diseases.
- Participants will summarize the theoretical and practical application of panchakarma and its evidence for use in skin diseases.
Session 9: 2:00pm-2:20pm | 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.
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.
Session 10: 3:00pm-3:20pm | 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.
- Participants will summarize the concept and steps of Habit Reversal Training.
- Participants will explain combined treatment approaches for Trichotillomania (Hair Pulling Disorder) and Excoriation Disorder.
- Participants will review the current challenges in implementing this technique in dermatological practice.
Session 11: 3:30pm-3:50pm | Traditional Chinese Medicine Approach to Topical Steroid Withdrawal and Red Skin Syndrome by Trevor Erikson, D-TCM
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 steroid withdrawal and Red Skin Syndrome (RSS).
- Participants will recall common TCM theory as it pertains to RSS and steroid withdrawal.
- Participants will assess the evidence for TCM based approaches for treatment of steroid withdrawal and RSS.
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.
- 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.
- 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.
- 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.
Ticketed Cocktail Reception: 6:00-8:00pm
Agenda for Saturday, October 5, 2019
Yoga Session: 6:30am-7:15am
Welcome: 8:00am-8:10am Research and Integrative Medicine by Howard Maibach, MD
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.
- 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 | Hair Loss and PRP by Tacita Robertson, ND
This lecture will review techniques for hair loss reversal and management, including PRP, along with the proposed mechanism of action and evidence to support it.
Participants will review different types of PRP.
Participants will assess clinical evidence for the use of PRP in hair loss, identifying the causes of hair loss and when PRP may or may not work.
Participants will compare injection techniques.
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.
- Participants will recall various treatment methods used in TCM for aesthetics.
- Participants will assess the benefits of TCM in aesthetics.
Session 4: 9:40am-10:30am |Case Based Discussion: Aesthetics by Leslie Baumann, MD
Can we put this all together? Clinicians go across disciplines to discuss an integrative approach to aesthetics through various cases.
- Participants will compare various integrative approaches to aesthetics.
- Participants will review the application of aesthetics through unique cases.
Session 5: 11:00am-11:30am | Mindfulness Based Practices for Itch and Skin Inflammation by Mamta Jhaveri, MD
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.
- 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: 11:30am-12:00pm | Integrative Approach to Acne by DeJarra Sims, ND
Many patients present to their primary care office with skin conditions desiring a natural approach to treatment. This lecture will review the diagnosis and management of acne, as well as provide an update of naturopathic therapeutics; including the appropriate use of botanical medicines, emollients, homeopathy and nutrition.
Participants will review integrative approaches to the treatment of acne including food eliminations strategies to treat acne.
Participants will evaluate the evidence for the use of oral and topical botanical medicines, vitamin supplementation, homeopathy, and nutrition.
Participants will recognize when to make an appropriate referral to a dermatologist.
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.
- 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.
- 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.
Session 9: 3:00pm-3:30pm |Diet and Skin Aging by Rajani Katta, MD
Diet plays an important role in many facets of health, including skin cancer and aging. This session will explore the evidence behind the impact of diet on skin cancer prevention and the role of diet in aging.
- Participants will identify the different forms of skin cancer.
- Participants will appraise the evidence for the impact of diet on skin cancer prevention.
- Participants will summarize the effects of diet on skin aging.
Session 10: 3:30pm-4:00pm | How to Integrate Compounding into Your Practice by Natalie Gustafson, 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?
- Participants will examine areas in which compounding can augment their practice.
- Participants will employ a strategy for integrating compounding into their practice.
- Participants will identify common errors that can occur when prescribing compounded medications.
Speaker: Natalie Gustafson, PharmD
Program Ends: 4:00pm
Workshop A: 4:30pm-6:30pm | 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.
- Participants will review a Traditional Chinese Medicine approach to atopic eczema.
- Participants will identify common pattern types seen in a clinical setting.
Workshop B: 4:30pm-6:30pm | 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.
- Participants will define qigong and reiki.
- Participants will review basic meditation and qigong practices.
- Participants will experiment with a reiki healing attunement.
Workshop C: 4:30pm-6:30pm | Use of Cannabinoids in Dermatology and Review of Cannabinoid Based Products Jeanette Jacknin, MD
Description: 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 along with botulinum toxin. 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 and botulinum toxin injection demonstration will also be performed to illustrate all aspects of the treatment from start to finish.
-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, such as botulinum toxin injections.