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The Integrator Blog. News, Reports and Networking for the Business, Education, Policy and Practice of Integrative Medicine, CAM and Integrated Health Care. - Integrative Academics & Resources: Advocate's Spectrum, U Minnesota Health Coaching, CAM/SPA, plus
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Integrative Academics & Resources: Advocate's Spectrum, U Minnesota Health Coaching, CAM/SPA, plus PDF Print E-mail
Written by John Weeks   

Integrative Academics & Resources: Advocate's Spectrum, U Minn Health Coaching Certificate, UC Irvine SPA, Samueli Supplements, plus K-12 Yoga

Summary:  Two part onsite, part distance learning initiatives. First, integrative medicine clinic leader at Advocate Health, Donald Novey, MD, announces a new "Spectrum Initiative," including "mini-internship" for practicing physicians. Second, Karen Lawson, MD heads up a revamped U Minnesota certificate program which aims to enhance practitioner abilities to facilitate life changes  ... In addition, Marc Micozzi, MD, PhD, comments on the new CAM interest which characterizes a UC Irvine spa management program. Plus, yoga resources for K-12 programs and a Samueli Center scientific conference on supplements.
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The first two programs featured here each offer instruction models which combined some distance learning with onsite instruction. In the case of the model in #1, a long-standing, hospital-based integrative clinic is the base for clinical instruction in complementary therapies. Model #2 seeks to fill a gap in much education - the perhaps primary importance in having coaching skills to support patients in making life-changes.

1. Complementary center-based "Spectrum Initiative" includes mini-internship for practicing physicians

integrative medicine, Advocate Health Care, medical education, residencies
Donald Novey, MD, guiding the spectrum initiative
Donald Novey, MD, a leader of one of the first health system-based integrative clinics to finds its way to profitability (strong chiropractic revenues, early on), has shared with the Integrator an expanded, clinically-oriented educational model he anticipates rolling out in early 2008. The program, which he has dubbed the "Spectrum Initiative," is sponsored through Advocate Health Care with start-up funds through a significant, 4-year grant from the Oberweiler Foundation. Advocate houses Novey's Center for Complementary Medicine where Oberweiler supported a residency from 2002-2006.

The spectrum to which the title refers ranges from medical student to resident to practicing physician. Individuals at each stage could benefit from integrative medicine instruction. Advocate Health Careplans to support professionals at each step. The politically direct Novey notes the importance of indoctrination as he introduces the spectrum:

"Wise educators have always known that education and indoctrination is a process which starts with the young. For medicine, this begins with medical students; a group of individuals who are generally far more open to considering new ideas than their resident-in-training counterparts. Similarly, residents are often more open than the average sub-specialty fellow-in-training, who are more open, in turn, than the average physician in practice.

"The barriers to utilization
of integrative medicine
are attitude and literacy.
It has been our experience
that addressing literacy
also addresses attitude."

- Donald Novey, MD


"For integrative medicine to gain a strong foothold in medical practice, it must start with the young medical students, remain a presence through residency training, and provide the opportunity for fellowship exposure as well. Physicians in practice might also wish to take a 'mini-residency' to learn complementary medicine. This continuum of medical training is the educational spectrum from start to finish. The goal of the Spectrum Initiative is to provide an integrative medicine presence for each step along the process of medical education. Only by maintaining this presence consistently over years of training will the integrative medicine perspective become as natural to physicians as the current allopathic model."
The distinctive core of each component of the Advocate offerings is the clinical experience. Programs as envisioned include, for medical students, either a 2 week or 4 week block, with rotations through the Center. Novey noted that two local medical school deans have endorsed this. For residents, the rotation as established under the early Oberweiler grant will continue.

The more unique offering is a "mini-internship” for practicing physicians. Novey states that these will be offered in on site "packages" of 1 to 5 days, with on site time "augmented by DVD-based lectures. The expectation is that a day of off site work will accompany each onsite, experiential day in which physicians will sample complementary therapies as "one-to-one tutorials" and observe clinical treatment. Offsite study through the DVDs follows a typical smorgasboard of modalities and approaches.

Housing the programs
Says Novey: "The barriers to utilization of integrative medicine are attitude and literacy. It has been our experience that addressing literacy also addresses attitude." He and his colleagues believe that the Center's clinical base
can play a significant role in changing behavior: "With the implementation of the Spectrum Initiative, and the ripple effect that a shift in literacy and attitude can cause on a large scale, this program has the potential to help modern medicine take an important step towards health and healing." At the time of this writing, Novey's group was considering also opening the program to nurse practitioners and physician assistants.

2.   U Minnesota CAM Certificate Program Announces Re-Vamped Health Coach Certificate Program

The University of Medicine Center for Spirituality and Healing is offering a "newly designed" health coaching track as part of its graduate certificate in Complementary Therapies and Healing Practices. The program reaches out to a national student body through combining limited on-site requirements with a phone and web-based structure.

health coaching, academic medicine, holistic medicine
Karen Lawson, MD, U Minn certificate program leader
In a release, Karen Lawson, MD, the
program director for the Health Coaching track explains the value of the program: “Today’s health care system is straining from a multitude of challenges. Between the rising costs of health care, increasing incidence of chronic illness, and the general public’s desire to take more responsibility for their well-being, health coaching is becoming a more common – and necessary – practice. Health coaches provide a client-focused relationship to help consumers make important choices and behavior changes that promote better health and well-being.” Lawson is a past-president of the American Holistic Medical Association.

The program begins in June of 2008, with a week-long intensive. On site attendance is required at just two additional 4-day sessions.  The program leads to a
Certificate in Complementary Therapies & Healing Practices: Health Coaching from the University of Minnesota.

In a release on the program, Mary Jo Kreitzer, RN, PhD, the Center's director, said: “The Center’s program was designed for health professionals who want to expand their practice to include health coaching. While some professionals are being employed as health coaches, many medical practitioners such as nurses, physicians, psychologists, or counselors, are incorporating health coaching into their respective practices. At the end of the day, health coaching skills are proving to be valuable to individual patients and the health care system as a whole.” Those interested can call 612-624-5166 or go online at www.csh.umn.edu.

Micozzi on the CAM-Content in the New UC Irvine Spa Management Program

I received a note recently from Marc Micozzi, MD, PhD, highlighting a new Spa Management program at University of California Irvine. Said Micozzi, recently appointed to their advisory board: "What is significant is that theirs is the first Spa and Hospitality Management Program to require curriculum in CAM." More intriguing in Micozzi's note was his vision of the unfolding future of spa-based care: "The course provides [the industry] with management professionals who have a grasp of what CAM has to offer in residential care settings that are located in natural, healthful environments (such as destination Resort/Spas), rather than hospitals." He notes that even a pricey 5-star spa can be be a money saver amidst the bloat of medical costs in hospitals: "These Resort/Spas can provide five-star accommodations as well as health services at less than one-tenth the cost of hospitals. Our idea is that nature is a better setting for CAM than are hospitals, in contrast to the approach of the hospital-based CAM centers, where clearly the hospitals have transformed CAM far more than CAM has transformed the hospitals."

4.    Samueli Center: 2nd Annual Conference on Nutrition & Supplements

Top notch CME program on supplements
The Susan Samueli Center for Integrative Medicine, University of California, Irvine, is holding a two day conference, March 1-2, 2008 which has sought to "assemble the best scientist and clinicians in the USA to review the latest scientific evidence on the benefits of nutrition and dietary supplements for the prevention and management of disease." Top notch group of presenters.

5.    K-12 Yoga: New Website Links Interests Promoting Yoga in the Schools

Yoga activist, practitioner and organizer Karma Carpenter, LICSW, CAcT, RYT, has created a new website to cross link individuals and organizations working to bring yoga training into K-12 education. The site provides research support as well as networking information on yoga as well as other mindfulness strategies. Carpenter's labor of love is at the not-for-profit k-12yoga. Research by Peter Amato and associates with Integrator sponsor Inner Harmony Wellness Group provides some powerful evidence of the value these programs. See "
Inner Harmony: Outcomes of a Mindfulness Program in an Elementary School," August 16, 2006 and watch the DVD on the site. For more on K-12 Yoga, go to the site or directly contact Carpenter at:

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