background resources in PDF |
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some CAM/IM publication links |
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Issues #88-#89 - May-June 2011 |
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Written by John Weeks
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Issues #88-#89: May-June 2011
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Issue
#89 - July 4, 2011
July 4, 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
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
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
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
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, 2011June 5, 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
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
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
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
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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