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Integrative Medicine, Complementary Alternative Medicine and Health Round-up #51: January 2012 PDF Print E-mail
Written by John Weeks   

Integrative Medicine, Complementary Alternative Medicine and Health Round-up #51: January 2012

Summary: IHPC publishes integrative care stakeholder report on Affordable Care Act ... Center for Practical Bioethics forms national group to promote Institute of Medicine pain blueprint ... Huffington Post publishes Top 10 lists for 2011 ... Grassroots efforts help protect National Prevention Fund ... Certified Professional Midwives get backing from Barney Frank ... Harkin and Hatch ask FDA to redraft guidance on New Dietary Ingredients ... Lori Knutson steps down from Allina/Penny George Institute position to lead The Marsh ... U Wisconsin free clinical module for hypothyroidism ... Huge drop off in number of CAM educational programs in Britain ... Chiropractors take battle over accreditation to the Department of Education ... Article examines standards debate in massage therapy ... University of Western States begins MS program in functional medicine ... Ted Kaptchuk featured in New Yorker article on placebo ... Chicago Tribune reporter goers after NCCAM ... Military turns to integrative medicine ... Dieticians in Functional Medicine established, sets standards ... After 8 years, IN-CAM begins charging dues ... Australian CAM-public health research organization reports exceptional year of growth ... Chiropractors call for presentations for public health conferences ... Carla Wilson, LAc, DAOM honored by SF Mayor Edwin Lee ... Joseph Pizzorno honored by Natural Products Association ...  
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Led stakeholders conference on ACA
Report from IHPC Stakeholder Conference lays out priorities for federal integrative care strategy under the Affordable Care Act

The long-awaited report of an integrative health policy summit has been published by the
Integrated Healthcare Policy Consortium (IHPC). The outcomes from the 3-day gathering of a multidisciplinary group of 60 leaders is entitled The Affordable Care Act and Beyond: A Stakeholder Conference on Integrated Healthcare Reform. The 54-page report includes recommendations from each of 6 work groups: Access and Non-Discrimination; Integration in Practice; Comparative Effectiveness Research and the Patient-Centered Outcomes Research Institute; The Healthcare Workforce; Prevention and Wellness; and Current Procedural Technology (CPT) Codes. Most were pegged to portions of the Affordable Care Act (ACA) that directly include complementary medicine and integrative health. The recommendations are summarized on pages 10-12. An additional value of the document are the appendices, a series of IHPC statements on key aspects of the ACA. Joining IHPC in convening the gathering were The Institute for Integrative Health and Palmer College. Hylands and Bastyr University provided additional financial sponsorship.
Strategic steps on inclusion
: Nearly 15 years ago US Senator Tom Harkin told a group of individuals who would later become founders of IHPC that members of Congress would value collaborative efforts from the integrative health community on policy. This document is the first such declaration since the 2001 National Policy Dialogue to Advance Integrated Health: Finding Common Ground. The conference that produced this document was a tremendous meeting which I attended under my Academic Consortium for Complementary Health Care (ACCAHC) hat.  The report is a blueprint for policy action. Like reports from Institute of Medicine committees and other significant national summits, this document needs organized activity to bring the recommendations to life. If you are part of any organization, business, institution or professional group that values integrative care, consider joining the other 12 entities that will help move these recommendation as IHPC's Partners for Health. Congratulations to IHPC chair Len Wisneski, MD and his team for getting this report out.
Christopher: PAAINS organizer
Center for Practical Bioethics organizes national pain initiative (PAAINS) to promote recommendations of the IOM's Blueprint

A vision of integrative, multidisciplinary care is advanced through the Institute of Medicine's 2011
Relieving Pain in America: A Blueprint for Transforming, Prevention, Care, Education and Research. Kansas City-based Center for Practical Bioethics doesn't want this report to languish on a shelf, gathering dust. The Center, directed by Myra Christopher, a member of the IOM panel that created the Blueprint, is in the process of creating a Pain Action Alliance to Implement a National Strategy (PAAINS). The campaign site lists the 18 organizations involved in developing PAAINS. Work is presently underway to transform the initiative into a formal alliance. The 11 organizations that have joined are here. The diverse group ranges from a pharma company to the American Osteopathic Association toi diverse pain-related clinical and research organizations, to a CAM academic organization. Those interested in more information or participation are asked to contact Christopher at .

Integrative Top 10 for 2011
Huffington Post: Top 10 for Policy and Action plus a Top 11 Breakthroughs for integrative medicine

What is a field without an annual Top 10 list? The year the
Huffington Post, the most significant popular media source to espouse an integrative medicine editorial line, published two such lists. The first was the Top 10 for Integrative Medicine Policy and Action. This is a list traditionally posted at the Integrator Blog News & Reports. (Links to Top 10 lists for Policy and Top 10 People going back to 2006 are here.) This Top 10 focuses on policy and payment-related developments that made 2011 a very good year for integrative medicine. The Huffington Post editorial team separately reviewed stories from their blog and produced 11 Integrative Medicine Breakthroughs for 2011. The editorial team write that "it's been a year of big breakthroughs for integrative medicine." They then commence a slideshow of the breakthroughs. The first: "Yoga approved for back pain."
Comment: The Huffington Post has more online readers than the New York Times. A personal resolution for 2012 is to take the conversation about the contributions of integrative health to this large audience. Go, take a look, check out the comments, comment, become a fan.
ImageGrassroots efforts helps maintain funding for National Prevention and Public Health Fund

On December 15, 2011, the
Integrator Blog News & Reports joined the American Public Health Association and various national associations in a "National Day of Action to Protect the Prevention Fund." The request came from Janet Kahn, PhD, LMT, a recent presidential appointee to the Advisory Group on Prevention, Health Promotion, Integrative and Public Health of the National Prevention, Health Promotion and Public Health Council. Kahn is also immediate past director and senior policy adviser to the Integrated Healthcare Policy Consortium. The Council and its Advisory Group were created via the Affordable Care Act. The Council's make-up represents the first US policy-level recognition that health is a whole system and multi-agency concern. Involved in the Council are agencies related to agriculture, transportation, education, energy and more, together with Health and Human Services." The Advisory Group includes Kahn and 3 other individuals from the integrative practice community. The Council and make-up of the Advisory Group are each breakthroughs, and reason alone to preserve this Fund.

The grassroots effort was effective. According to a December 23, 2011 note from
Michael Traub, ND, IHPC policy committee chair, legislation was passed that fully funded the Prevention and Public Health Fund at $1-billion. Traub's note added: "It is our understanding that the Community Transformation Grant program will be funded at $280 million, a $135 million increase over FY 2011.  A full funding chart should be available early this week." A copy of the bill is here and joint statement of the Congressional managers of the campaign to pass the legislation is here
Comment : Thanks to each of you who participated in the grassroots effort. The whole system vision of health and its determinants that define the Council represent a tremendous step that we must not only support but assist Kahn and Dean Ornish, MD and their other integrative colleagues on the Advisory Group to help shape. 
ImageCertified Professional Midwives pick up Barney Frank as co-sponsor on access bill

Midwives and Mothers in Action (MAMA) campaign announced that Congressman Barney Frank (D-MA-4th) is the latest member of Congress to co-sponsor H.R. 1054, the Access to Certified Professional Midwives Act of 2011. The act would allow coverage of homebirth by Certified Professional Midwives under Medicaid programs. The MAMA Campaign was successful in getting coverage of CPMs in birth centers into the Affordable Care Act. Disclosure: I am a donor to the campaign and, with my spouse and two children, a twice-grateful client of homebirth midwifery services.

Natural Products

US Senator Orrin Hatch
Harkin and Hatch ask FDI to withdraw New Dietary Ingredient (NDI) draft guidance

notice from the American Herbal Products Association (AHPA) on January 5, 2012 announced that U.S. Senators Orrin Hatch, R-Utah, and Tom Harkin, D-Iowa have asked the Food and Drug Administration (FDA) to immediately withdraw the agency's "controversial draft guidance on new dietary ingredients" (NDIs). In a letter to FDA Commissioner Margaret Hamburg, MD, they request "a new draft that will provide needed clarification on what constitutes an NDI, but does not undermine the balance Congress struck in [Dietary Supplement Health and Education Act (DSHEA)] to provide consumers with access to safe, affordable dietary supplement products." In December, AHPA and other leading natural products industry organizations all called for an overhaul of the guidance document. AHPA president Michael McGuffin states: "This request is in alignment with the position AHPA stated in our comments submitted to the agency in December. We look forward to working with FDA to create new guidance that is consistent with DSHEA and ensures that consumers will continue to have access to safe, affordable dietary supplement products." Harkin and Hatch are the principal authors of the  DSHEA.

Integrative Care Delivery

Lori Knutson, RN, BC-HN
Lori Knutson, leader of the nation's most significant inpatient integrative care initiative, leaves Allina for new position

"I am just starting to realize all that has occurred." So reflected Lori Knutson, RN, BC-HN in late December 2011 on her 9-year run as the leader of the nation's most significant integrative care delivery initiative. The work began with creation of an outpatient integrative center, the Penny George Institute for Health and Healing. Shortly thereafter, Knutson led efforts to initiate care in Abbott Northwestern Hospital, with which the Institute was affiliated. Analysis of outcomes on the over 7000 inpatient visits found, among other things, over $2000 savings per inpatient. Findings from a pilot project led to a major NIH grant. These data helped lead Allina Hospitals & Clinics, of which Abbott is part, to announce a system-wide integrative medicine initiative. Knutson took on the role as director of integrative health care.

In this ever-expanding process, Knutson and Allina became the nation's single biggest employer of licensed acupuncturists and most significant health system employer of massage therapists. To maintain a pipeline of qualified candidates for these inpatient positions, Knutson and her team developed unique educational intensives programs (see
short article here) to train-up these practitioners for an optimal role in the inpatient environment. The team began a program to train integrative nurse leaders. Throughout, Knutson, her team, and Allina have made these advances through the generous support of psychologist and philanthropist Penny George, her spouse Bill George, and their family foundation. The Institute's 2010 Outcomes Report gives a much more detailed look at the remarkable clinical, educational and research work Knutson led. Via these combined initiatives, Knutson's group began to build the case for the transformational pilot project for the nation that the Georges seek to make of the Allina initiative. Knutson will take a new position as president of The Marsh, A Center for Balance and Fitness.
Comment : Normally an article like this would be under People. Yet Knutson's exit from the Institute and Allina is news of a different order. As a long-time observer of the challenges integrative initiatives face inside resistant systems, I marvel at how Knutson has continuously moved this work. Her leadership violates the core adage in hierarchical medicine that "physicians only listen to physicians." Knutson never bought that. Thus integrative medicine's most significant and influential initiative has been guided not by a medical doctor but by a board certified holistic nurse. Knutson grew to favor the term "integrative health care" over "integrative medicine" as a more appropriate and inclusive description of both the movement and of where the work should be headed. Now in moving to the Marsh, she is headed "upsteam," as she put it in a recent interview -- away from all the morbidity in the disease care system into the health and wellness world. Her exit is a huge loss for Allina. What mix of personnel will replace her? And what Knutson's fertile spirit will co-create with her new team at The Marsh? Thanks, Lori, for your many contributions.


Surya Pierce, MD
University of Wisconsin offers clinician/patient information on integrative approach to hypothyroidism

This freely access program is entitled
"Integrative Treatment of Hypothyroidism: Overview for Clinicians."  Integrative doctor Surya Pierce, MD created the PDF and video for clinicians and a PDF for patients. In the December 2011 newsletter of the Consortium of Academic Health Centers for Integrative Medicine, David Rakel, MD, introduces the resources this way: "There is much controversy about this condition, particularly when the (thyroid stimulating hormone) is mildly abnormal. What happens to endogenous thyroid hormone production if we start hormone too soon? What can we recommend before starting thyroid hormone? Should we treat numbers or symptoms? What should I know about nutrition and thyroid function? What supplements or nutrients may help the body convert T4 to T3? Is there any benefit to prescribing T3 with T4?"
Comment : A naturopathic colleague reviewed the material and said: "Excellent. Looks like someone from the University of Wisconsin took the (Institute for Functional Medicine) training.
CAM programs disappearing
British schools drop degree programs in reflexology, homeopathy, aromatherpay, others

According to an article in the London telegraph entitled
Lie back and relax: reflexology and aromatherapy degree are dropped, "the number of bachelor and masters degrees in subjects such as reflexology, aromatherapy, acupuncture and homeopathy has halved since 2007, from more than 40 to 21."  Starting this year, the study of homeopathy at a degree level will no longer be available in a British university. Meantime, many of the surviving courses are under review. The termination of the courses is attributed to "rising tuition fees, a decline in applications and campaigns by scientists." A half-decade ago things were different: "In 2007, when alternative medicine was highly popular, 16 state-funded degree-awarding institutions were offering 42 fully accredited BSc/BA courses in 12 non-evidence-based forms of medicine." One antagonist is given significant credit: "The closures are partly the result of a campaign led by David Colquhoun, professor of pharmacology at University College London, and the rationalist pressure group Sense about Science." Acupuncture and traditional Chinese medicine are reported to be the programs that are likely to have the most staying power.
Comment : This is an important development for integrative academics in the U.S. to observe, especially given the parallel efforts of academics here to shut down integrative programs in academic health centers. A difference in the States is that most education to prepare one for the distinctly licensed natural health care disciplines is through independent, private schools and universities. The issue in this country will be whether we'll see dropping enrollment and failure of colleges. Over the past decade, chiropractic has shown such reduction in enrollment, and some school closures. (Thanks to Integrator adviser Glenn Sabin for the tip on this article.
Cherie Sohnen-Moe
Massage Today
offers useful discussion of the specialty certifications debate in the massage field

Massage Today
recently featured a useful pulse-check on the current state of the debate within the massage field over educational standards and the field's future. The article by Kathryn Feather is entitled Massage Education's Future: Will Advanced Degree programs Give Therapists Portability and the Respect of the Allopathic Health Care Community? The lead voice in the article in favor of advanced certification programs is Ruth Werner, president of the Massage Therapy Foundation. Werner argues that "having advanced degrees available in massage therapy will open many doors for us in the research world and in the public health policy world." Consultant, author and business coach Cherie Sohnen-Moe raises concerns that massage therapists may price their services out of the reach of many consumers if the financial barrier to entry into the field is increased by raising program standards. Individual states presently show wide variation in licensing requirements. Texas requires just 500 hours and New York 1000, for example. These variations limit portability of massage licenses from state to state. Sohnen-Moe urges board specialty certifications rather than higher basic standards: "I think the way to go about addressing the education issue is to have specialty national certifications rather than advanced degrees. While I know this is a difficult and expensive process, I really think it's the way to go." The article includes additional useful basic information about the current state of the massage field.
Jan Schwartz, MA
Comment from Integrator adviser Jan Schwartz, MA
: I asked Schwartz, a past president of the Commission on Massage Therapy Accreditation, board member of MTF, and co-founder of online-focused Education and Training Solutions, for her perspective. She wrote: "Ideally, I would like to see a consortium of schools, or even one school, design an in-depth program for people who already have a bachelor's degree. That would allow the school(s) to truly teach in an (evidence-informed practice) way from the beginning. The administrators would already know that students had baseline communication skills in verbal and written formats and had some critical thinking/reasoning skills. The school may even require a basic anatomy and physiology course prior to entry. With a strong set of competencies (not hours), students would learn what it takes to be part of the healthcare system. The title Massage Therapist has already been taken and because education is now all over the board, a new title would have to be found, with the word massage in it.  People who want to be massage therapists and work with relaxation massage should be able to do that. But by the same token, those who want to advance should have that opportunity in a way that informs the public about the differences in the scope of practice. Right now we are all perceived to be the same by the public. We need a culture change.
Schwartz adds, regarding a comment of Werner in the article, that "starting a BS degree in schools could work too, but I don't see that happening because there are too many corporate/investor driven schools in massage therapy where the bottom line trumps education. It's easier to keep someone in school for a year or less than it is for 4 years." She sums up: "Currently massage is sitting in the foyer and waiting to be invited to the health care table. Unless something changes in our education, I don't think that is going to happen except in 'token' cases."
Joe Brimhall, DC, UWS president
Predominantly chiropractic University of Western States initiates Masters of Science in Functional Medicine

Starting in April 2012, Portland-Oregon-based
University of Western States (UWS), will offer a Masters of Science in Nutrition and Functional Medicine. The program, developed in collaboration the Institute for Functional Medicine (IFM), is described as a "unique partnership" between the two entities. IFM will directly provide 4 required credits and up to 4 elective credits. Alex Vasquez, DC, ND, DO was charged with program development and will also have the lead in delivering it. According to the website, the program "will be delivered in a distance-learning format using the University's online learning management system." The total program consists of 50 quarter-credits of graduate coursework (33 semester credits). UWS notes that a distinctive feature of this nutrition program is that it "integrates standard Clinical Nutrition subject material with the systems biology approach of Functional Medicine."
Comment: The timing of this program is interesting in the context of the battle over the future of the chiropractic field referenced in the article in this Round-up about the chiropractic accrediting agency. UWS, under the leadership of president Joe Brimhall, DC, prefers the term "chiropractic medicine" to "chiropractic" and "chiropractic physician" to "chiropractor." It will be interesting to see both how many chiropractors, and non-chiropractors will be drawn to this MS program. Credit IFM for another success in moving its program out into academic centers. 


Ted Kaptchuk, OMD: placebo expert
Ted Kaptchuk's work on placebo is the subject of a New Yorker feature

The title of the article is
"The Power of Nothing: Could studying the placebo effect change the way we think about medicine?" Featured is Ted Kaptchuk, OMD, described as "the most knowledgeable person in the world on all matters placebo" by a quoted NIH senior faculty member in bioethics. Kaptchuk, an early colleague at Harvard with David Eisenberg, MD, began an acupuncture practice in 1976. He has since terminated his practice as his study of the placebo has increased. Kaptchuk offers a significant, practical twist on the value of placebos. He references "a study that demonstrated that, without a change in  objective data, you still get incredible subjective improvement ... So, is the Doctor supposed to say, 'Gee, the patient is really feeling good, but I better ignore that and go by the numbers.'" Kaptchuk believes that much of the antagonism to proactively using placebo is "ethical judgment masquerading as science." Kaptchuk has recently established an Institute to further the study of placebo.
Comment: This piece offers, among other things, an excellent brief on the recent history of placebo. Somewhere in this placebo discussion is this challenge for an evidence-informed practice: If a practitioner has excellent evidence of the power of an approach to suppress a symptom, but only light evidence of what it is that will move a person toward health, what is the practitioner to choose? No wonder patients as well as practitioners are willing to choose the unknown behind the screen rather than what's in the jar.
Trine Tsouderos: antagonistic toward NCCAM
Chicago Tribune
author skewers NCCAM, questions value in ongoing funding

The second half of December brought a holiday gift to the anti-CAM polarizers who thrill to the idea of shutting down the
NIH National Center for Complementary and Alternative Medicine (NCCAM). Award-winning Chicago Tribune science and medical reporter Trine Tsouderos has a sense of responsibility to objectively report on NCCAM that: 1) leads with aromatherapy, clairvoyants and coffee enemas and the 2) moves directly to comments from long-time NCCAM antagonists Wallace Sampson, MD and David Gorski, MD. The article, widely picked up and re-published, is called "Federal center pays good money for suspect medicine." The internet tab is "CAM: Taxpayer money spent on studies with questionable scientific value." Gorski goes after NCCAM's funding: "Lots of good science and good scientists are going unfunded."

Berman: letter-to-editor response
The article subsequently includes comments from NCCAM director
Josie Briggs, MD, and two of the Center's researchers with the highest funding, Brian Berman, MD and Daniel Cherkin, PhD. Each are presently on the NCCAM Advisory Council. Berman posted a follow-up letter-to-the-editor on December 16, 2011. He begins this way: "Trine Tsouderos' article on NCCAM is off base. Applying rigorous research to evaluate therapies that are widely used but not a part of mainstream medicine is not only a wise use of resources; it is also good science and essential for providing optimal clinical care."
Comment: Tsouderos appears to have known the story she wanted to write before she began reporting it. The most-important choices for a journalist are in what in broadsheet terms was called the "above the fold" content. If one reads no further, that's the whole story. In the internet format for a feature, the parallel is the first page, before one decides whether or not to click through. Page 1 of the 4 devoted to this feature is virtually all a rump caucus. Briggs is pinned to the wall before the readers meet her. One recalls at moments like this that NCCAM could benefit from an active "friends" organization to support it, and its ongoing funding, in the way that such a group exists to back the Agency for Healthcare Research and Quality. Grassroots action may be necessary to save NCCAM before long as federal budget worries and competition at the NIH deepens.
Features in Wired and Huffington Post focus on integrative health care in the military

The title of a December 23, 2011 feature in
Wired magazine is Inside the Pentagon's Alt-Med Mecca, Where the General's Meditate. The article, based in part on presentations at a Samueli Institute October 2011 event,  includes significant coverage of the Institute's work. One revelation: "More than half of the Institute's $13.5 million in annual funding is provided by congressional funding (or 'earmarks') from the Department of Defense and Veteran's Affairs." Huffington Post blogger Alison Rose Levy posted another useful feature, Integrative Health Care: The New Military Strategy. Levy's piece is based on the Integrative Medicine in Action event sponsored by the Bravewell Collaborative in November 2011. 

Organizations and Professions

At the center of chiropractic's identity issues
Chiropractors' battle over accreditation standards reaches federal panel

The December 15, 2011 article in the
Chronicle of Higher Education was entitled Chiropractic Accreditor Gets Special Scrutiny from Federal Panel. The article captured the end-point of 3 years of debate inside the Council on Chiropractic Education (CCE), the US Department of Education (DOE)-recognized accrediting body for chiropractic education, over a revised set of accreditation standards. The federal panel listened to 4 hours of debate before giving the CCE a minimum 1 year extension. CCE president David Wickes, MA, DC was perceived by some to be fanning flames he was seeking to douse when he published an 8-page Open Letter to the Profession in early December. A release from the American Chiropractic Association after the DOE hearing noted that the "dissenting opinions were expressed by several groups and individuals, who cited concerns about CCE's leadership, performance and its recently approved revision of chiropractic education standards." The International Chiropractic Association led the opposition to the CCE. Key issues broke over whether chiropractic should be called medicine and whether the subluxation should continue to have a central role in chiropractic education.
Comment : As soon as someone resolves the Middle East crisis we should give them a shot at healing the rift in chiropractic. The CCE is expected to remain in the hot-seat for the next 12 months. (Thanks to Integrator adviser Jan Schwartz, MA for the Chronicle link.)
Benefits from evidence module
Massage Therapy Foundation to benefit from new online research course

Megan Klawitter, program manager for the Massage Therapy Foundation (MTF), sends notice that a new online research course is now available that will benefit the MTF. The course, entitled Basics of Research Literacy (BRL), is a 6-hour workshop for massage therapists and educators about incorporating principles of research literacy into practice and education. Information on the BRL site underscores that massage therapists who wish to work with health systems need to be able to work in an "evidence-informed" way.
Comment: The MTF stimulates research in the field and produces a top-flight research symposium every third year. The language on the site is similar to that related to evidence-informed practice in the Competencies for Optimal Practice in Integrative Environments.
Swift: Leading integrative, functional dietetics group
"Dietitians in Integrative and Functional Medicine" founded, sets practice standards

Integrative dietician
Kathie Swift, MS, RD, LDN sends the following update: "The Dietitians in Integrative and Functional Medicine (DIFM) is a specialty practice group of the Academy of Nutrition & Dietetics (formerly the American Dietetic Association). With approximately 3,000 members, (the practice group is) comprised of Registered Dietitians (RDs) who integrate whole-foods, supplements, mind-body modalities, functional laboratory testing and nutritional genomics in practice. These practices form the basis of 'integrative and functional medicine nutrition therapy' (IFMNT)."

Swift continues: "DIFM has taken the lead by publishing the first formal
Standards of Practice and Standards of Professional Performance in the integrative and functional medicine community. In addition, three integrative RD leaders from the group published a Nutrition Care Radial to serve as an instructional roadmap for the future education of dietitians in integrative and functional medicine. Integrative RD's are nutrition change agents and recently petitioned the Academy of Nutrition & Dietetics for a Board Specialty Certification in Integrative and Functional Nutrition." The reference for Standards of Practice and Standards of Professional Performance and the Radial is J Am Diet Assoc 2011;111:902-913.
Comment: This is yet another place where the functional medicine model is being integrated into existing professional education. On a personal note, I confess that I have special pleasure in seeing others create acronyms (IFMNT) that are even worse than some with which I have been associated.
Asking members for dues
Canadian research network IN-CAM to begin charging dues as part of a "sustainability" effort

The 8-year-old Canadian Interdisciplinary Network for Complementary and Alternative Medicine Research (IN-CAM) has announced to members that it plans to begin requiring membership fees. Leaders write: "The sustainability of IN-CAM is very important, therefore, we need to implement initiatives and strategies to ensure IN-CAM's sustainability over the next 10 years." The fees ($100 CND regular, $50 CND student, with discounts for current members) are presented as a first step toward sustainability. Those in the network who wish to stay must pay by February 28, 2012. IN-CAM has been funded to this date through government and philanthropic support. One example was their creation of the Outcomes Database honored as part of the Integrator Top 10 for 2008.

American Public Health Association
Network of Researchers in the Public Health of CAM reports robust year in 2011

A December 2011 note from Jon Adams, executive director of the
Network of Researchers in the Public Health of Complementary and Alternative Medicine (NORPHCAM) reports robust growth in the network to over 190members: "We are very excited to see that the Network is attracting a widespread international audience and that researchers, practitioners and policymakers are committing to membership." The Austrialia-based, international organization focuses on real world research that is "both practice and policy relevant." The organization's executive team was involved in publication of over 40 peer-review articles in 2011. For the prior 3 years, external grant support "exceeded $6-million." Adams reports "major inroads this year in gaining international external funding in Canada and the US."
Comment: It is intriguing though not surprising that the predominantly capitalist medical model in the United States did not produce an integrative organization with such a public health focus. (Notably, neither did the US system lead to creation of an interdisciplinary network as happened in Canada.) Happily, the value of the public health-CAM linkage in the United States is finally strengthening with the appointment of the Advisory Group on Prevention, Health Promotion, Integrative and Public Health of the National Prevention, Health Promotion and Public Health Council noted elsewhere in this Round-up.
Jon Adams, PhD
Chiropractic research to be presented at the 2012 APHA Conference

Claire Johnson, DC, MSEd sends notice that the
Chiropractic Health Care Section of the American Public Health Association (APHA-CHC) invites abstracts for presentation at the 2012 Annual Meeting to be held in San Francisco, CA October 27 - 31, 2012. Johnson says that the topics related to APHA's theme, "Prevention and Wellness Across the Life Span" and in all areas related to public health and chiropractic health care will receive high priority. Abstracts are limited to 250 words and the submission deadline is February 10, 2012. Abstracts must be submitted electronically through the APHA website. Michael Schneider, DC, PhD is 2012 program chair for the Chiropractic Health Care Section. Contact:


Wilson: honored in her transition
Carla Wilson, DAOM, LAc honored by San Francisco Mayor Edwin Lee for clinic leadership

Acupuncture and Oriental medicine leader
Carla Wilson, DAOM, MA, LAc was presented with a Certificate of Honor from San Francisco Mayor Edwin Lee. The occasion was Wilson's exit from leadership of the Quan Yin Healing Arts Center after 15 years. Wilson successfully obtained federal Ryan White funding that allowed the clinic to provide full-service acupuncture and alternative medical services. These included counseling, Chinese herbal medicine, Tai Qi, Qi Gong, and health education to over 800 HIV patients according to this release. Wilson, the immediate past chair of the Accreditation Commission for Acupuncture and Oriental Medicine, will take a new position as director of the Doctor of Acupuncture and Oriental Medicine (DAOM) program and of research at the American College of Traditional Chinese Medicine.

Joseph Pizzorno, ND
Bastyr founding president and IMCJ editor Joseph Pizzorno, ND to receive industry award

InnoVision Professional Media, the publishers of
Integrative Medicine: A Clinician's Journal (IMCJ), sent an announcement January 5, 2012 that Joseph Pizzorno, ND "has been selected by the Natural Products Association (NPA) to receive the association's annual clinician award." The announcement continues: "The award is presented to a licensed healthcare professional whose work 'exemplifies the best standards and dedication to responsible holistic, non-invasive, and integrative, complementary, and alternative medicine modalities.'" Pizzorno has one of the most distinguished resumes in the integrative practice world. Among his current involvements, in addition to editor of the IMCJ, is his founding of Salugenecists. Pizzorno is also directly involved in the industry as chair of the scientific advisory board of Bioclinic Naturals. The NPA announcement is here. Two other individuals associated with Bastyr will also be honored will be Leanna Standish, PhD, LAc, ND and Miochael Murray, ND.

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Issues #73 & #73 - Jan-Feb 2010
Issues #69, #70 & #71 - Nov-Dec 2009
Issues #67 and #68 - Sept-Oct 2009
Issues #65 and #66 - July-August 2009
Issues #63-#64 - May-June 2009
Issues #60-#62 - March-April 2009
Issues #57-#59 - Jan-Feb 2009
Issues #55-#56 - Nov-Dec 2008
Issues #51-#54 - Sept-Oct 2008
Issues #47-#50 - July-August 2008
Issues #46 & -#47 - May-June 2008
Issues #43-#45 Mar-April 2008
Issues #41 & #42 - Feb 2008
Issues #39 & #40 - Dec-Jan '08
Issues #37 & #38 - Nov 2007
Issues #35 & #36 - Oct 2007
Issues #33 & #34 - Sept 2007
Issues #30-#32 - July-Aug 2007
Issues #28 & #29 - June 2007
Issues #26 and #27 - May 2007
Issue #25 - April 2007
Issues # 23 & #24 - March 2007
Issues #21 and #22 - Feb 2007
Issues #19 and & 20 - Jan 2007
Issues #17 and #18 - Dec 2006
Issues #15 and #16 - Nov 2006
Issues #13 and #14 - Oct 2006
Issues #11 and #12- Sept 2006
Issues #9 and #10 - Aug 2006
Issues #7 and #8 - July 2006
Issues #5 and #6 - June 2006
Issues #3 and #4 - May 2006
Issues #1 and #2 - April 2006
All Articles by Subject: 2006
All Articles by Subject: Jan-June 2007
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