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Integrative Medicine, Complementary Alternative Medicine and Health Round-up #48: October 2011 PDF Print E-mail
Written by John Weeks   

Integrative Medicine, Complementary Alternative Medicine and Health Round-up #48: October 2011

Summary: PCORI hears from complementary and alternative medicine (CAM) group, pushes research culture change ... IHPC-nominated Janet Kahn, PhD appointed to Advisory Group to National Prevention Council ... Canadian survey suggests cost effectiveness of naturopathic services ... Weil's Arizona Center announces move to formally develop integrative medicine and medical specialty ... American Academic of Family Physicians pass resolution against naturopathic physicians in primary care ... Chiropractors pass resolutions against AMA activity that fosters discrimination ... Family doctors fighting against doctors of nursing ... Massage summit identifies needs in education and licensing standards ... National acupuncture group announces strategic planning ... National College of Natural Medicine begins naturopathic medicine for chiropractors programs .. Tai Sophia Institute in new medical herbalism offering ... New York Chiropractic adds sports medicine certification ... PBS "Curious George" engages curiosity about acupuncture and naturopathic medicine ... Growth in employment in MD-academic medicine ... Columbia pediatric oncology group publishes book ... Marja Verhoef wins $250,000 Dr. Rogers Prize ... Mimi Guarneri, MD to be honored with Bravewell's leadership award ... Berkley Bedell and Gladys McGarey, MD highlighted at Samueli Institute 10th anniversary event ... Tabatha Parker, ND with Natural Doctors International one of 25 leaders featured by Utne Reader ... In Memoriam: Lee Lipsenthal, MD ... Pharmacognocist and medicinal plant researcher and long-time American Botanical Council trustee Norman Farnsworth, PhD dies at 81 ... Keith Overland, DC elected president of the American Chiropractic Association ... Linda Bark, RN, PhD, MCC publishes whole person coaching book ...   
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Complementary and alternative medicine presented to Patient Centered Outcomes Research Institute (PCORI) Board of Governors

When the Board of Governors of the new quasi-governmental Patient Centered Outcomes Research Institute (PCORI) met near Seattle, Washington, September 19, 2011, they included an unusual complementary and alternative medicine (CAM) "listening session" in their agenda. The soon-to-be $600-million/year quasi-governmental agency has CAM as a mandated interest. The theme was represented by a panel that included Daniel Cherkin, PhD (Group Health Research Institute), Robert Mootz, DC (Washington State Department of Labor and Industries), Michelle Simon, PhD, ND (Washington State Office of Technology Assessment) and John Weeks (Academic Consortium for Complementary and Alternative Health Care). A dozen of the panel's key arguments are described in this article. A key point was the alignment of PCORI's focus on the patient with the orientation of whole practice disciplines. In comments following the presentation, Cherkin called PCORI's work a sign of "real hope" for US medicine. Calabrese added that PCORI is "the most important work in health care research today." Chiropractor and health services researcher Christine Goertz, DC, PhD sits on the PCORI Board.
Comment: I was among those deeply impressed by the work PCORI has engaged. The Governors openly speak of their efforts as "culture change." A main obstacle they identified and discussed is the closed mind of the conventional research and review communities. Some of their suggested strategies for overcoming the resistance are noted here. There is considerable irony in creating a research institute dedicated to a patient-centered approach. Shouldn't virtually all medical research be patient-centered? If PCORI stays focused on the high-ground of patient-interests rather than succumbing to researcher comfort-zones, this agency could be extremely influential in (finally) exploring health-enhancing, integrative models of treatment.
Janet Kahn, PhD
IHPC-nominated Janet Kahn, PhD appointed by Obama to the Advisory Group to the National Prevention Council

In an October 7, 2011 announcement, Barack Obama appointed Janet Kahn, PhD to the Advisory Group of Prevention, Health Promotion and Integrative and Public Health of the National Prevention Council. Kahn has been a leading advocate for integrative practices and a health-focused delivery system through her service as executive director of the Integrated Healthcare Policy Consortium which nominated her for the post.
Kahn has served on a number of boards, including that of the National Advisory Council for Complementary and Alternative Medicine at the National Institutes of Health. Kahn is the second individual closely connected to the integrative practice fields to gain appointment to the council. The first is Charlotte Kerr, RSM, BSN, MPH, MAc, an emeritus faculty member at Tai Sophia Institute. The Advisory Group is charged with assisting the Council in developing the nation's prevention and health promotion strategy. Kahn consults on federal policy with the Consortium of Academic Health Centers for Integrative Medicine.


Possible savings from naturopathic care
Canadian survey of consumers suggests cost-savings from naturopathic care

A survey of Ontario citizens found that patient perception supports the argument that expanded naturopathic services could be cost effective. The Canadian College of Naturopathic Medicine titled their
September 8, 2011 release Survey Finds Ontario Patients Say Naturopathic Medicine Reduces Use of Prescription Medications and Emergency Room VisitsThe independent polling form found that:
 "almost half of Ontarians treated by naturopathic doctors report naturopathic medicine has helped reduce their use of prescription drugs. Further, approximately 4 in 10 of those individuals report fewer visits to their family doctors and 3 in 10 [reported fewer visits] to hospitals as a result of the care they receive from naturopathic doctors.
The analysis suggested "a general movement moving towards selecting naturopathic medicine as a treatment option based on a strong desire for more natural approaches to boosting and maintaining health." Cited was the finding that "respondents currently seeking treatment from naturopathic doctors indicate they are seeking more natural approaches to health and wellness (67%) as opposed to being motivated by a dissatisfaction with traditional health services (4%)." This study was conducted by Innovative Research Group Inc. through telephone interviews among a sample of 606 interviewees. The survey also found that an estimated 2 million Ontario residents now see a naturopathic doctor.
Comment: These data won't move a researcher but can sure be useful in the courts of political and public opinion.


Maizes: Directing board specialty effort
Integrative MDs: Weil's Arizona Center and ABIHM in major push to create a recognized specialty board

In what they typified as a
"strategic change in direction," the Arizona Center for Integrative Medicine (ACIM) announced that it will lead the creation of a formal specialty society for medical doctors in integrative medicine. ACIM, founded by Andrew Weil, MD and directed by Victoria Maizes, MD, is in dialogue with the American Board of Physician Specialties toward establishing an American Board of Integrative Medicine. They are collaborating with leaders of the American Board of Integrative Holistic Medicine (ABIHM). A brief interview with Maizes notes that ACIM felt pressure on two sides: "It is becoming very hard for the public to discern what it means to be an integrative medicine doctor when someone can take a weekend course and hang up a shingle and declare that they are an integrative doctor. Our Fellows have been asking for this for many years."

 This Integrator article includes the statements from the Center and ABIHM on the decision. ACIM has graduated 800 fellows. Roughly 1500 MDs and DOs have been certified through ABIHM. The process, including grandfathering provisions, is expected to take 18-24 months.
Comment: This strategic decision by ACIM and ABIHM has many dimensions. There are clear public health implications. The ACIM-ABIHM alliance represents a significant new alignment. Grassroots access to the "integrative medical doctor" title or at least board certification may disappear. There are guild dimensions here, ground claiming, and not just for integrative medicine's medical doctors. Many naturopathic doctors and acupuncturists and chiropractors use the term. The brand "integrative medicine" may become even more closely associated with, and effectively owned by, MDs. New clarities will emerge, new boundaries will be drawn, new possibilities empowered and old antagonisms engendered.
Family doctor MDs going after NDs
Family medicine doctors (AAFP) resolve to limit naturopathic doctors' scope, declare themselves not self-interested

Item 8 on the consent calendar of the House of Delegates of the American Academy of Family Physicians at their September 2011 meeting was Resolution 511 entitled "Scope of Practice of Naturopaths." The issue originated in the state of Alaska. Here is the resolution, in full, and the action.
RESOLVED, That the American Academy of Family Physicians (AAFP) oppose any expansion of naturopaths' scope of practice not supported by their training, to include, but not necessarily limited to, liberal prescribing authority, "primary care physician" status, and procedures traditionally performed by physicians, such as work/school physicals and surgery.

A number of members spoke in support of this resolution. Each individual discussed the limited training, lack of clinical and hospital experience and varying medical education of naturopaths around the United States. Despite these varying qualifications, members stated that these practitioners were licensed in 15 states. Nevertheless, members clarified that they were not opposed to the use of complementary medicine by naturopaths - they were opposed to the belief that their experience was identical to that of a physician. Finally, they emphasized that the resolution was a patient safety issue and not one created simply to protect their turf.

The committee agreed wholeheartedly with the members' comments and recommended approval of the resolution.

RECOMMENDATION: The reference committee recommends that Resolution 1 No. 511 be adopted. ADOPTED  
The action follows significant activity from the American Medical Association to attack the advance of naturopathic doctors. See especially AMA SOPP Escalates Campaign Against Nurses, Chiropractors, Naturopaths, Midwives and Others and AMA Scope of Practice Partnership Targets 30 Legislative Efforts of DCs, NDs, LAcs and CPMs in 2009. It is notable that this summary of AAFP action did not include the action against naturopathic doctors among its debated priorities.
Naturopathic doctors opposed by AMA and AAFP
Comment: A guild declaring it is not behaving like a guild is roughly the same as your average shower singer declaring his or her voice gorgeous. Guild-behavior is in the eye of the beholder. AAFP: Where is the evidence of harm to patients from the NDs with their current, broad, primary care scope? Where is the evidence that having hospital experience actually leads to better choices in the outpatient environment? Where is the evidence that naturopathic doctors are saying their experience is "identical to that of a physician"? (I don't think most would like the association with typically reductive, drug-focused approaches.) Where is the evidence that the primary care practices of naturopathic doctors have worse outcomes than your own? If it exists, share it. If not, don't hide from your guild nature.

The timing of this resolution is particularly nasty, given the decision of integrative medical doctors (see above) to form a formal integrative medicine specialty that is limited to MDs/DOs. To many naturopathic doctors, these moves can easily look like one hand of family medicine is pushing down a competitor while another is seeking to formally establish itself above it. The set of comments I have received yet not yet posted on the move to establish the American Board of Integrative Medicine express the vehemence in the continuing mistrust between licensed CAM professionals and MDs. Meantime, the president of the Seattle, Washington-based King Country Medical Society used his September/October 2011 column in that organization's Bulletin to lambaste naturopathic doctors. The title: "Not So Complementary." We've got trouble in River City.
Features MD versus nurses battle
Medical doctors versus nurses with doctorates

An October 1, 2011 New York Times feature, When the Nurse Wants to Be called Doctor, explores the most significant guild-battle percolating toward an eruption in US medicine. The vast expansion of nursing doctoral programs is leading increasing numbers of patients being greeted by nurses who say: "Hello, I am Dr. Jones ..."  In the article, Roland Goertz, MD, the board chairman of the American Academy of Family Physicians, is paraphrased as saying:
" ... that physicians are worried that losing control over 'doctor,' a word that has defined their profession for centuries, will be followed by the loss of control over the profession itself. He said that patients could be confused about the roles of various health professionals who all call themselves doctors."
The writer notes state legislative efforts under way to restrict the use of the title "Doctor" then adds: "The deeper battle is over who gets to treat patients first."
Comment: The MD versus the nurse doctor is the guild battle of battles, engaged fully since last fall when the Institute of Medicine report on Future of Nursing: Leader Changes, Advancing Health fully promoted nurses into leadership. If health care was in better shape, the smart money would be on the MDs. But the facts seems to be that, all in all, health care got pretty messy in the US under the watch and control of MDs this past century. This has been especially true the last 60 years. The MDs are fighting a rear-guard action. Let it go, dudes. Start playing with others. (Thanks to reader Christy Lee-Engel, ND, LAc for tipping me about this article.)
Chiropractic delegates focus on AMA's discrimination efforts
Chiropractors pass resolutions on non-discrimination, opposition to the AMA, and primary care role

At their September 2011 meeting, the House of Delegates of the American Chiropractic Association passed significant resolutions. Some of those highlighted by the ACA, reported here in their words, are:

  • "Chiropractic Physicians Training as Primary Care Physicians." The ACA policy informs the health-care consuming public, policy makers, and payers of the fact that chiropractic physicians are well-trained, portal of entry physicians currently providing primary care services.

  • "ACA Support for Antidiscrimination Language in the Patient Protection and Affordable Care Act (PPACA)." Expanding on the anti-discrimination provision (Section 2706) included in the health care reform law, the ACA policy lists four specific examples of discriminatory practices that could be harmful to public health by restricting access to chiropractic care.

  • "Position on AMA's Discriminatory Resolutions and Practices." The policy opposes attempts by the American Medical Association to limit the use of the titles Doctor, Resident and Residency to physicians licensed to practice medicine, podiatrists, and dentists.

  • "Scope of Practice." The policy states: "It is the ACA's position that the scope of practice of chiropractic physicians and post-doctoral chiropractic specialties should be determined by the education and training provided within [Council on Chiropractic Education] accredited institutions and/or the education and training provided through post-graduate/post-doctoral courses and specialties. The ACA encourages individual states and U.S. Territories to establish uniform scopes of practice commensurate with contemporary education and training."

Comment: Notably, the position on the AMA's Discriminatory Resolutions and Practices also opposes such acts when aimed against other licensed practitioners. The sentence reads: "Resolved, that the American Chiropractic Association remains strongly opposed to attempts by the American Medical Association to limit patient access to care by chiropractic physicians and all other duly licensed non-M.D./DO provider groups." This is good modeling of collaborative policy. I am curious when or if the naturopathic medical, acupuncture and Oriental medical, integrative medicine, nursing, or other integrative practice groups have cast such a broadly protective web in a formal resolution. All the resolutions are available online here. Perhaps more collaborative policy might help in this time.

Massage therapy organizations begin collaborative steps
Massage therapy summit convenes leaders of 7 national organizations to forward to  profession

On September 13-14, 2011,
representatives of the 7 primary organizations that comprise the massage therapy profession gathered in St. Louis for a Leadership Summit. According to a post-meeting notice, the purpose of the meeting was twofold. First: identify the most significant challenges and limitations that currently exist in this field. Second: Begin the process of developing and implementing solutions that will enable it to move forward in its evolution. According to the report, the "current challenge, at its most fundamental level, goes to the inconsistent quality of massage therapy services provided to clients." Uneven education standard were tapped. Barely half of the 1,382 massage therapy programs in the United States have received institutional accreditation and only 100 have received specialized programmatic accreditation.

The massage field is also challenged by the great unevenness in licensing standards from state to state: "On the issue of portability, the group affirmed the role of the Federation of State Massage Therapy Boards in its recently-launched project to develop a Model Practice Act." The dialogue will continue, including
another face-to-face meeting on May 1-2, 2012Organizations represented were: Alliance for Massage Therapy Education, American Massage Therapy Association, Associated Bodywork & Massage Professionals, Commission on Massage Therapy Accreditation, Federation of State Massage Therapy Boards, Massage Therapy Foundation and the National Certification Board for Therapeutic Massage & Bodywork.
Comment: Notably, the group's post-meeting release referred to the field as a "profession" and not a trade. This is one important point of agreement. Consensus on the 2 points noted above - educational standards and licensing standards - would be a huge advance. There remains the wild west of 1,382 mostly for-profit educational programs. Those represents a horde of cats to herd.
Acupuncture organization pulls back for strategic work
Association for acupuncturists focuses on strategy, plans summit for spring 2012

A late September 2011 message from the American Association for Acupuncture and Oriental Medicine (AAAOM) informed members that the association
has decided to devote the next 18 months to planning for a national membership conference to be held in spring, 2013. Instead oif a 2012 conference, the AAAOM host a meeting of the state and national leadership which will address the current and future strategic plans of the AAAOM and other AOM organizations. The message notes that this "scaled-down format for 2012 will give AAAOM the time and resources it needs to focus primarily on membership services, revenue generation programs, organizational sustainability, and a successful 2013 membership conference. The AAAOM mission is to "defend, enhance, and advance the profession."
Comment: Is there a homeopath out there who can suggest a remedy to treat the licensed AOM profession's apparent constitutional inability to create a functioning national organization? The potential is huge. Good luck, this round.


Programs build out former ND school
National College of Natural Medicine offers ND for chiropractors track, plus MS in integrative medicine research

Portland, Oregon-based National College of Natural Medicine (NCNM) began a new track in September 2011 created for working chiropractors to also gain a naturopathic medical degree. Described in detail in this brochure, the course "will take the form of an extended weekend once each month plus summer intensives of 14 days in July and in August each year." NCNM also announced that the program is part of the school's "vision to provide custom-made programs for advanced degree students wishing to study naturopathic medicine." The program takes place over 4 years and is projected to cost $28,000 a year.

The school, which has a naturopathic medical program as its lead offering, has also announced its intention to offer a Master of Science in Integrative Medicine Research. The program is offered as a two-year track or as a interweaving of additional content during a 4-year professional course. Joe Brimhall, DC, president of Portland, Oregon-based University of Health Sciences, which features a chiropractic program, comments:
"Chiropractic physicians that also hold naturopathic credentials will likely help highlight the benefits of naturopathic health care and may assist naturopaths in expanding licensure to those jurisdictions that do not currently recognize the naturopathic profession."
Comment: Those with long memories will know that DC-ND short courses were problematic for chiropractors in the mid-1950s, so were dumped by DC schools. Efforts to create such courses in Arizona and in Canada in the 1970s and 1980s did not live up to emerging naturopathic medical standards and were discontinued. This 4-year and $112,000 tuition commitment would seem to have addressed the quality issue. It will be interesting to see what kind of uptake the program will have. Meantime, plans remain afoot for an articulated MD-ND program, with Oregon Health Sciences University.
NYCC's Michael Mestan, DC
New York Chiropractic College offers new advanced certification in sports science and human performance

New York Chiropractic College has announced that it has been approved to offer an Advanced Certificate Program in Sports Science and Human Performance. According to executive vice president and provost Michael Mestan, DC, the program was created "to prepare the NYCC graduate with the opportunity to serve the growing national interest in attaining and maintaining optimal physical fitness from the professional athlete to the casual exerciser." The program can be completed while the student is matriculating in the chiropractic program. The developers anticipate that the certification will help graduates obtain affiliations with sports organizations, professional and semi-professional teams, and collegiate and high school athletic programs, looking for a healthcare provider.

Tai Sophia's James Snow, RH (AHG)
Tai Sophia offers new Masters of Science in Therapeutic Herbalism

The Tai Sophia Institue is rolling out a redesign of its herbalism course in January 2012 as a Master of Science in Therapeutic Herbalism. The program is under the direction of registered herbalist James Snow, RH (AHG). The 19 month, 36 credit program is offered in a "weekend and intensive format."
A selling point is the opportunity to learn about medicinal plants in James A. Duke's "Green Farmacy" Garden and access to the Institute's on-site library which houses Duke's comprehensive ethnobotanical library. The program builds on an existing certificate program and is described as preparing students for "the post-masters clinical training program" to be offered in 2013.
Comment: I had an opportunity to meet Snow and the Tai Sophia leadership on their campus on October 6, 2011. This program is part of a significant, ongoing build-out of program offerings over the next few years as the institutions assumes a greater presence among the handful of multidisciplinary institutions of natural health sciences. As the only one of these institutions in the Nation's Beltway, I put in a plug for a significant policy and leadership program. Under prior leadership of co-founder Bob Duggan, Tai Sophia was among the very few CAM institutions with an ongoing federal policy involvement.
George curious about naturopathic medicine, acupuncture
Curious George TV show features educational visit to naturopathic doctor/acupuncturist

: Okay, this isn't the usual content for the academics section of the Round-up. Nor is it new, except to me and probably to most of you. Yet perhaps the most influential educational institution for children is television. Segment 13 of season 2 of the PBS show Curious George listed the following as its value:  "Educational Objective (Science) - To illustrate what it's like to be sick with a cold and some ways to take care of yourself when you are sick; get rest, drink fluids, eat healthy food and, if needed, take medicine. Also to introduce some doctor's tools like thermometers and stethoscopes." The show takes children into a "Live Action Segment" that is described in these words: "
The kids visit Dr. Shiva Barton, a naturopathic doctor and learn about alternative healing therapies. The doctor shows them pressure points on their bodies and the importance of staying healthy and eating right." Barton was the physician of the year for his national professional association in 2011. Who knows what seeds of curiosity were sown through the broad reach of that segment? (Thanks to reader Dana Ullman, MPH for the tip.)

Posts striking group of employment opportunities
Employment opportunities popping for academics in integrative medicine

An early October newsletter of the Consortium of Academic Health Centers for Integrative Medicine posted a handful of employment opportunities that speak to the expansion in that field. The sampling includes:

Comment: Quite a list, in a single newsletter, for a field that hardly existed in 2001. These announcement are not likely to please the handful of anti-CAM academics who spend their free time as bloggers trying to stop the advance of what they call the "quackademics."

Integrative Practice

Book from Columbia pediatrics-oncology group
Columbia University integrative group publishes book on integrative cancer program

Kathy Taromina, MS, LAc, part of an integrative medicine group at Columbia University Medical Center, sends news that the team has published a book on their work: Integrative Strategies for Cancer Patients: A Practical Resource for Managing the Side Effects of Cancer Therapy. The authors are Elena J. Ladas, MD and Kara M. Kelly, each part of the Integrative Therapies for Children with Cancer program at Children's Hospital of New York Presbyterian. The book is being promoted as "hands-on instruction for managing the side effects associated with cancer therapy and includes therapies such as aromatherapy, acupressure, herbs & supplements, homeopathy, massage, nutrition, reflexology, and yoga." The authors note that they address 21 side effect commonly experienced by patients with cancer and survivors, including nausea/vomiting, lymphedema, pain, loss of appetite, chemo brain, anxiety/stress are covered from an integrative approach. The authors say that their "recommendations are based on our clinical practice and expertise in research." Taromina writes: "You can imagine how thrilled we are. This took years to complete." She adds: "All the proceeds go to funding CAM services for cancer patients at CU."


Verhoef excepts award
$250,000 Dr. Rogers prize goes to whole systems researcher Marja Verhoef, PhD

The 2011 Dr. Roger's Prize
was awarded to University of Calgary's Marja Verhoef, PhD. The $250,000 prize was awarded to the holder of Canada's only Research Chair in Complementary Medicine. The prize, named after integrative medicine pioneer Roger Rogers, MD, OBC, was established to "highlight contributions of complementary and alternative medicine (CAM) to healthcare by rewarding the pioneers who have made significant contributions to the field." Verhoef is known internationally as a leader in promoting whole systems outcomes research methods that are appropriate to integrative care practices. She was instrumental in creating the exceptional through the Canadian research network, IN-CAM, which she co-founded and helps lead. A statement from the Dr. Rogers' Prize sponsors notes that Verhoef's "degrees in sociology, psychology and epidemiology enabled her to collaborate across many disciplines." A native of Holland, Verhoef grew up with, as she put it, "care from a physician-homeopath and realized much later this was uncommon and unacceptable in many parts of the world."
ImageComment: Verhoef was an exceptionally good choice. I had the chance to participate in the Dr. Rogers' Prize afternoon colloquium and attend the award dinner. I was pulling for her, though had anticipated that if she won, Verhoef would share it with her long-time collaborator, Heather Boon, PhD. The younger Boon's time may yet come and thus the two of them may end up with $500,000 to advance their good work.

On another note, the US integrative medicine community has something to learn from Verhoef, the Dr. Rohers' Prize leadership and the Canadians in general. The September 23, 2011 event fully integrated MDs and NDs and other practitioners. We rarely see this here. The medium of that gathering was the message we need to be imparting. We need to create this medium more often this side of the border, particularly given the challenging integrative MD/licensed CAM relationships in the US. 

Mimi Guarneri, MD
Mimi Guarneri, MD to be honored as the 2011 Bravewell Leadership Award recipient

A black-tie function in New York City on November 10, 2011 organized by the Bravewell Collaborative of philanthropists in integrative medicine will honor author and integrative cardiologist Mimi Guarneri, MD.  Guarneri is the founder and director of the Scripps Center for Integrative Medicine. The Bravewell page on the event notes that Guarneri also serves as chair of the Bravewell Clinical Network and was elected as president of the American Board of Integrative and Holistic Medicine. The Bravewell event will commence with an afternoon program called "Lectures and Luncheon - Integrative Medicine in Action," moderated by Jonathan LaPook, MD, the CBS medical news correspondent. Speakers will include leaders in military medicine and large health system integration. Mehmet Oz, MD will be the Master of Ceremonies for the awards dinner. Bravewell describes the value of the award this way: "
Any successful transformation [of medicine] requires champions who are willing to undertake the risks and sacrifices necessary to catalyze the change. This is especially true in health care. To encourage and sustain leadership in the field of integrative medicine, The Bravewell Collaborative created the Bravewell Leadership Award." The site does not specifically note a financial award with the prize. In the past, the awardee has received $100,000.
Comment: Nice to see women taking both the Canadian and US awards given the dominance of women among integrative health practitioners. This is the first for the Dr. Rogers Prize, which has honored 4 men in the past. Bravewell had previously noted Guarneri and two other women among finalists since their award began in 2003. This is the first to a woman among the three awards given to a single individual. Rachel Remen, MD, a prior finalist, was the one woman among 5 men honored as in Bravewell's Pioneers of Integrative Medicine event in 2007.
Gladys McGarey, MD
Congressman Berkley Bedell and holistic leader Gladys McGarey, MD honored by Harkin/Mikulski at Samueli Institute 10th anniversary celebration

The 10th Anniversary Celebration of the Samueli Institute featured speeches by two of the most powerful US Senators, Tom Harkin (D-IA) and Barbara Mikulski (D-MD). Each came to the event in order to honor a leader of the movement toward holistic and healing-oriented care. Harkin, the undisputed leader of integrative care in the US Congress, toasted his mentor and Iowa seatmate, former Congressman Berkley Bedell. Bedell provided the inspiration in the early 1990s that became what is now the NIH National Center for Complementary and Alternative Medicine. Bedell continues promoting alternative cures through his Foundation for Alternative and Integrative Medicine. Mikulski lauded Gladys Taylor McGarey, MD's decades in creating and moving the field of holistic medicine. McGarey, who like Bedell is over 90-years-old, chose in 2010 to involve herself more deeply in federal health reform. She began a series of visits to Washington, DC to influence the course of events. 

Tabatha Parker, ND
Tabatha Parker, ND selected by Utne Reader as one of "25 people who are changing the world"

Tabatha Parker, ND, co-founder and executive director of Natural Doctors International, was named by the magazine Utne Reader to their 2011 list of visionaries.  Parker, who is featured in the September-October issue, is singled out for
"bridg(ing) Western medicine and indigenous healing worldwide." Parker operates out of Ometepe, Nicaragua where she manages "brigades" of health professions students, mainly naturopathic doctors, who engage in service-learning projects that include clinical services on the islandDavid Schimke, Utne Reader's editor in chief, explains: "Each year, Utne Reader's staff selects a group of notable visionaries who possess an inspiring combination of imagination, determination and energy. These are people who don't just think out loud, but who walk their talk on a daily basis."


Lee Lipsenthal, MD
In Memoriam - Lee Lipsenthal, MD, ABIHM

Lee Lipsenthal, MD died on September 20, 2011. He played key roles in promoting a more humane, integrative health care and a model of "health creation" as one of his friends and colleagues calls it in these notes and remembrances. Lipsenthal served with such leading entities as Dean Ornish's Preventive Medicine Research Institute, the American Board of Integrative Holistic Medicine and his own Finding Balance in a Medical Life program to help physicians re-connect with healing. Here are comments on Lipsenthal from his medical doctor colleagues Scott Shannon, Victoria Maizes, Dean Ornish, Wendy Warner, Vic Sierpina, Karen Lawson and Dave Rakel.

Norman Farnsworth, PhD
Norman R. Farnsworth, Renowned Medicinal Plant Researcher, Dies at 81

Extracted from a this release from the American Botanical Council, where Farnsworth served on the Board of Trustees: Renowned pharmacognosist and internationally-respected medicinal plant research expert, Norman R. Farnsworth, PhD, died on September 10, 2011. Farnsworth was an internationally-recognized scholar and initiator or co-initiator of many significant projects in the fields of pharmacognosy and medicinal plant research. Among other accomplishments, he was a founding member of the American Society of Pharmacognosy (ASP) in 1959 and a founding member of the Society for Economic Botany (1959). In 1975, Farnsworth created the NAPralert (acronym for Natural Products Alert) Database at UIC, the world's first computerized database of ethnobotany, chemistry, pharmacology, toxicology, and clinical trials on medicinal plants. As head of the pharmacognosy graduate program at UIC, he had mentored more than 100 PhD and 30 MS students. He said he had "personally" mentored about 30 PhD and 5 MS graduate students as well as mentored or co-mentored 30 post-doctoral fellows. For the full ABC Obituary, written by ABC founder and executive director Mark Blumenthal, click here.
Comment: I had a chance to serve for a period with Farnsworth on the ABC board, 2007-2009. He was always insightful, focused, pointed, and frequently quite hilarious. A one of a kind, all agree. Check out the whole ABC obituary to get a sense of this giant in pharmacognosy and natural products.
Overland: Takes reins of chiropractic organization
Keith Overland, DC selected as head of American Chiropractic Association

The members of the House of Delegates of the American Chiropractic Association (ACA) elected Keith Overland, DC, of Norwalk, Conn as the ACA's new president. The notice reads: "Dr. Overland brings a wealth of political experience to the position, having served previously as ACA vice president and as chair of the ACA's Political Action Committee. In his home state, he served as co-chair of the Connecticut Governors Committee on Physical Fitness, a member of Sen. Joseph Lieberman's (I-Conn.) Health Care Task Force and a member of Rep. Christopher Shays' (R-Conn.) Task Force on Human Services. Dr. Overland has also made a name for himself in sports chiropractic, having worked with the New York Mets, the United State Speed Skating team, the United States Olympic Training Center, The World Games in Taiwan and countless other state and local teams."

Bark's whole person coaching book
Integrator contributor Linda Bark publishes whole person coaching book

Wisdom of the Whole: Coaching for Joy Health and Success is the title of a book recently published by Linda Bark, PhD, RN, MCC founder of Bark Coaching Institute. Bark is a leader in the field of holistic coaching and has been on the steering committee of the national effort to create educational and regulatory standards for the emerging health coach profession. Barks book brings forward her 20 years in the field, and particularly focuses on a holistic coach model through her Institute. She present
"the real power of the book" as "its multidimensional approach which helps people move more quickly and easily toward their goals with greater authenticity, often eliminating false starts or wrong turns."

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