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Issues #88-#89 - May-June 2011 PDF Print E-mail
Written by John Weeks   

Issues #88-#89: May-June 2011

________________

Issue #89 - July 4, 2011

July 4, 2011

Integrative Medicine and Integrated Health Care Round-up #45: July 2011

Integrator Special Report shares 15 key areas where complementary and alternative medicine (CAM) and related terms are explicitly included in IOM's major report on pain care, education and research ...  Segments identified where 125 page National Prevention Strategy references "complementary and alternative medicine" ...  Dietary supplement industry worried by S 1310, Durban's plan for additional regulation ... ACCAHC report finds CAM schools received just 4.6% of NCCAM's $1.29-billion (1999-2010) ... 4 new members added to National Advisory Council for Complementary and Alternative Medicine  ... Canadian government in major, multidisciplinary look at safety of spinal manipulation ... Bravewell meets the military around comprehensive pain program ... The Institute for Functional Medicine's formal certification of functional medicine practitioners ...  Cancer Treatment Centers of America and Parker University team for chiropractic internship ... What parts tuition, grants and donations? Inside the budget of a leading university of natural medicine ... Alliance for Massage Therapy Education continues to stake claim toward education leadership for massage's 1440 programs ... Roberti di Sarsina announces unique Italian master course in CAM in business, policy and and practice  ... Physical therapists in push for embrace of psych factors realted to physical maladies ... Freedman's Atlantic feature, Triumph of New Age Medicine, raises storm of debate, possible re-frame of science-CAM issues ... Jackson-Coker physician employment group sends 2 CAM/IM reports to 200,000 MDs ... Reports document dietary supplement use by various specialists and by diabetics ... Notes on the meetings of the International Association for Yoga Therapists (September 2011), Society for Integrative Oncology (November 2011) and Integrative Healthcare Symposium (February 2012). More

July 2, 2011

Integrator Special Resource: Inclusion of "Complementary and Alternative Medicine" in the IOM's Blueprint for Pain Care, Education & Research 

While consumer and practitioner use of complementary and alternative medicine (CAM) and integrative practitioners are each growing, one cannot yet assume that these disciplines and modalities will be included in clinical or policy strategies unless they are explicitly included. So when the Institute of Medicine (IOM) delivered its national strategic document on the massive issue of pain on June 29, 2011, "Relieving Pain in America: A Blueprint for Transforming, Prevention, Care, Education and Research," I explored the document for evidence of CAM/integrative inclusion. To what extent are these widespread consumer choices included in this strategic document? Here is an Integrator Special Resource, with all the specific language in the 15 relevant segments. What do you think of the inclusion, or the report in general? More

June 22, 2011

David Freedman's Atlantic Monthly Feature on Alternative Medicine and the Holy Trinity of Patient-Centered Outcomes

Some associated with integrative practice who read of David H. Freedman's recent Atlantic Monthly feature, "The Triumph of New Age Medicine," are repelled. Some don't get past the wave of antagonism from the anti-CAM vigilantes. Some don't like Freedman's apparently retro decision to call his subject matter "alternative medicine." The article, from the influential author of a recent piece on John Ioannidis dismissal of most claims by conventional medical researchers, is undoubtedly influential. Those who persevere will find that Freedman may well be re-framing the entire argument over science, evidence and CAM. He does this, in this era of aspiration toward patient-centered care, through quietly referencing, one after the other the Holy Trinity of patient-centered outcomes: satisfaction, functionality and cost. More  
June 22, 2011

Greg Garcia, ND, LAc: The New York Academy of Medicine/Clem Bezold's Project on CAM and the Future of Primary Care

What role will complementary, alternative and integrative practices and practitioners have in primary care of the future? Greg Garcia, ND, LAc here responds to the Integrator call for input to Primary Care 2025, a Kresge-funded project led by futurist Clem Bezold, PhD. Garcia reviews some trend-lines in the recent past before describing ethical and evidence issues that will shape what he believes is a preferred, more integrated future. Garcia is a principal with Natural Medicine Consultants who has for over a decade been a member of the faculty at Portland, Oregon-based National College of Natural Medicine. More

June 22, 2011

Columnist Taylor Walsh: A response to the Atlantic Monthly's The Triumph of New Age Medicine

 When Integrator columnist Taylor Walsh spotted the Atlantic Monthly feature by David Freedman, The Triumph of New Age Medicine, he recognized what is certain to be an influential contribution to the nation's debate over medical alternatives. Walsh culls exceptional quotes from Freedman and his subjects on a ride that enters what Walsh calls the Quackadarium and includes Mayo Clinic's integrative care and Brian Berman's center at U Maryland. This Cliff's Notes version of an exceptional article will drive you to read the original. More 



Issue #88 - June 5, 2011

June 5, 2011

Integrative Medicine and Integrated Health Care Round-up #44: June 2011

British Columbia government partners with InspireHealth to expand integrated cancer care to 5 new clinics ... U.S. panel seeks to implant complementary and integrative services in US prevention and health promotion strategy ... HRSA-backed push for team care announces collaboratively-developed competencies; opportunity for integration ... Jill's List invites massage therapists, acupuncturists, chiropractors into integrative pilot with Boston Medical Center, others ... "CAM" academics publish Competencies for Optimal Practice in Integrated Environments ... New NCCAM site for conventional providers includes 25 practice-guidelines with CAM; Briggs notes value of CAM use in promoting health-focused dialogue between MDs, patients ... Major oncology group includes integrative care track ... Penny George Institute offers focused integrative practitioner programs for AOM, massage professionals and administrators ... Myrna Brind Center for Integrative Medicine a marketing jewel for Jefferson Health System ... Bermans' U Maryland program celebrates 20th year with $20-million campaign, $7.5-million committed ... Alliance for Massage Therapy Education promotes significant changes in mechanisms for massage certification ... Haramati's Georgetown program and Winterstein's National University of Health Sciences in collaborative agreement ... Tai Sophia celebrates growth and commitment to a wellness paradigm at 30 year mark ... Naturopathic leader reports on AMA meeting with Coalition for Patient Rights ... NCCAM focuses on real world research at Advisory Council meeting ... Deloitte study finds CAM expenses a key portion of "hidden costs" of health care ... New Yorker writer names provider income as major cause of cost growth ... Anthony Hamm, DC named to leadership of key AMA cost panel ... Natural Products Foundation turns in 13 companies to FTC/FDA for false advertising ... American Botanical Council reports 3.3% growth in botanical sales in 2010 ... Wayne Jonas, MD and InspireHealth to be featured at September 2011 Dr. Rogers' Prize event ... Jeff Bland, PhD honored by Institute for Functional Medicine's with Linus Pauling award ... University of Arizona Center's integrative medicine residency honored by Society of Teachers of Family Medicine. More

May 27, 2011

The Myrna Brind Center of Integrative Medicine at Jefferson: An Interview with Daniel Monti, MD and Ira Brind

Since shortly after its founding in 1998, the integrative medicine program at Jefferson University distinguished itself for the success of its clinical services. Now named the Myrna Brind Center of Integrative Medicine after an early backer, the program delivers over 12,000 patient visits a year from its location in a century-old landmark building formerly housing the Federal Reserve. With three separate sites on the campus, the program is a centerpiece of 2011 marketing for the entire Jefferson Health System. I met with medical director Daniel Monti, MD and the clinic's substantial backer, Ira Brind, on the elements of the center's success. Here is the interview. More

May 23, 2011

Multidisciplinary Group of Integrative/CAM Educators Publishes Competencies for Optimal Practice in Integrated Environments

A team of educators led by chiropractic doctors, acupuncture and Oriental medicine practitioners, naturopathic physicians and massage therapists began a collaboration in September 2009. Their goal was to create a map to guide work that would foster optimal integration. In May 2011, the group, the Academic Consortium for Complementary and Alternative Health Care (ACCAHC), sent out a press release announcing the publication of Competencies for Optimal Practice in Integrated Environments. Here are descriptions of the work from ACCAHC leaders Mike Wiles, DC, MEd, Marcia Prenguber, ND, Jan Schwartz, MA, and Jason Wright, MS, LAc. Their goal is to use these as a cornerstone for a major web portal and organizing site called the Center for Optimal Integration. More

May 12, 2011

"Historic Collaboration" for Interprofessional Education and Team Care: A Boon for CAM/Integrative Practices?

The process of "integration" is often opportunistic. A huge door swung open on May 10, 2011 with announcement of a "historic collaboration." The focus was bettering health care and preventing medical errors and deaths. The focus: move health professions education and practice out of silos and into teams through enhanced competencies in interprofessional education/care (IPE/C). The Interprofessional Healthcare Collaborative consists of leaders from national academic organizations for medicine, nursing, dentistry, public health, pharmacy and osteopathy. The administrator of HRSA endorsed the initiative. Executives with the Robert Wood Johnson Foundation and Josiah Macy Foundation guaranteed muscle in dissemination. The participants referred to it as "transformative" and necessary for true health reform. Can such a patient-centered initiative not include the integrative practices and the licensed "CAM" disciplines? Can "integrative medicine" advance if IPE/C fails? More
May 8, 2011

Taylor Walsh: Report on Meeting with Jeff Levy, Chair of the US Prevention Advisory Group, on "Integrative Health Care"

How "integrative health care" and "integrative health" are understood by the U.S. government is partly in the hands of Jeff Levy. So is understanding of these terms relative to application for Community Transformation Grants. Levy, executive director of the Trust for America's Health, chairs the Advisory Group to the National Prevention, Health Promotion and Public Health Council. The Group has a subcommittee working on definitions on integrative health. This group is supporting development of the National Prevention and Public Health Plan to be released by June 30, 2011. Integrator writer Taylor Walsh met with Levy and asked him about integrative health care. The next Advisory Group meeting, available via WebEx software, is scheduled for May 24, 2011. More   

May 7, 2011

The Integrative Healthcare Community: Is it Kurt Vonnegut's "Karass" or His "Granfalloon"? An exchange with two friends over a decision about a bike trip in Moab, Utah brought to mind a distinction author Kurt Vonnegut made in his 1963 book, Cat's Cradle. Vonnegut describes as a "karass" a true community of people who are "often unknowingly, working together to do God's will." Against this he juxtaposes a "granfalloon," or false community. The reference led to reflection on the nature "CAM" and of the so-called "integrative healthcare community" or "integrative practice community." CAM may well be the definitive granfalloon. But is integrative healthcare karass or is it a granfalloon? More
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