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View Members Meeting functions by clicking on the blue tabs. Members Meeting participation is available to Consortium members only and must be purchased separate from the Symposium.
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Select any of the filters below to view only workshops that meet that criteriaTopics
Clinical Practice Guidelines and Best Practices (e.g., Evidence-based Practice)
Clinical and Translational Research
Dissemination and Implementation
Diversity, Equity and Inclusion
Education Practices (e.g., Interprofessional Education)
Embracing Positive Deviance: Thinking Outside the Box
Health & Healthcare Equity
IM Communications
Lifestyle Medicine & Nutrition
Nourishment of Mind, Body & Spirit
Post-Traumatic Growth in Individuals & Communities
Spirituality & Interconnectedness
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Sunday, February 26
15:30 - 19:00 | |
16:00 - 17:30 | |
17:30 - 19:30 |
Monday, February 27
6:30 - 7:15 | |
7:00 - 19:00 | |
7:15 - 8:15 | |
7:30 - 19:00 | |
8:15 - 10:30 | |
10:30 - 11:00 | |
11:00 - 11:45 | |
11:45 - 13:15 | |
13:15 - 14:00 | |
14:15 - 15:00 | |
15:00 - 15:30 | |
15:30 - 17:00 | |
17:00 - 22:00 | |
17:30 - 19:00 |
Tuesday, February 28
6:30 - 7:15 | |
7:30 - 8:30 | |
7:30 - 19:00 | |
8:30 - 8:45 | |
8:45 - 9:45 | |
9:45 - 10:45 | |
10:45 - 11:15 | |
11:15 - 12:30 | |
12:30 - 14:00 | |
14:00 - 16:00 | |
16:00 - 16:30 | |
16:00 - 16:20 | |
16:30 - 17:30 | |
19:30 - 22:00 |
Wednesday, March 1
6:30 - 7:15 | |
7:30 - 8:30 | |
7:30 - 19:00 | |
8:30 - 8:45 | |
8:45 - 9:45 | |
9:45 - 10:45 | |
10:45 - 11:15 | |
11:15 - 12:30 | |
12:30 - 14:00 | |
14:00 - 16:00 | |
16:00 - 16:20 | |
16:00 - 16:30 | |
16:30 - 17:30 | |
17:30 - 18:15 | |
18:30 - 20:00 |
Thursday, March 2
6:30 - 7:15 | |
7:30 - 8:30 | |
7:30 - 12:00 | |
8:30 - 9:45 | |
10:00 - 11:00 |
Sunday, February 26
15:30 - 19:00 - Registration | |
MM Registration & Information Desk |
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16:00 - 17:30 - Members Meeting | |
Institutional Representative Meeting |
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17:30 - 19:30 - Members Meeting Meal Function | |
Welcome ReceptionJoin your Academic Consortium colleagues for a fun and informal reception to re-connect with your peers, meet new members, and perhaps try out a little NY style salsa dancing with instructor Nina El-Badry. No experience or partner needed! |
Monday, February 27
6:30 - 7:15 - Members Meeting Experiential | |||||
Laughter is a Universal Language: Come and Take a Mindful Journey to Promote Wellbeing, Energy, Collaboration, and ConnectionLaughter brings diverse groups of people together in community, creating bonds, promotes wellbeing and encourages JOY!
Using simulated laughter and movement we will promote wellbeing, stress reduction, relaxation, joy, community, and connection.
This newly formed community will practice deep and nurturing breathing exercises, will reflect and brainstorm to identify the benefits of laughter and gentle movement, will learn how to perform deep belly laughter and combine it with gentle movement, and each member of this community will have the opportunity to lead a laughter exercise (allowing increased engagement and self-efficacy in their self-care practice of laughter).
We will rate stress, discomfort, comfort, muscle tension, and mood before and after the experiential exercises to note any changes and benefits experienced.
Laughter is the gift that keeps on giving.
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Mindful Morning YogaWake up with a moving meditation in this breath-focused hatha yoga sequence designed to cultivate a deep, soulful body/mind/spirit connection. Focusing on the Sanskrit meaning of Vinyasa (To Place in a Special Way) practitioners are invited to move mindfully from one posture to another with calm intention and deep personal connection to their practice. Mindful Morning Yoga will give you the opportunity to tune in deeply to your body/mind/spirit, find joy in motion, connect to your authentic self, and set a positive intention for the rest of the conference.
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7:00 - 19:00 - Members Meeting | |||||
MM Registration & Information Desk |
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7:15 - 8:15 - Members Meeting Meal Function | |||||
Networking Breakfast |
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7:30 - 19:00 - Members Meeting | |||||
Contemplative SpaceA Contemplative Room is available throughout the Symposium. This will be available to all attendees who want a quiet respite for meditation or relaxation.
Supported by: Andrew Weil Center for Integrative Medicine |
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8:15 - 10:30 - Members Meeting Programming | |||||
Opening Session & State of the Consortium |
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10:30 - 11:00 - Break | |||||
Self Care Break & Refreshments |
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11:00 - 11:45 - Members Meeting Concurrent Sessions | |||||
Podcast: Why You Should Start One and How to Make It HappenIM Communications Do you have deep knowledge of a topic or a unique perspective to share? Almost everyone does! Whether it is a health topic, tips on caring for a bearded dragon or guidance on thriving after the kids leave for college, there are people who need what you know. A podcast is the ideal way to allow your fans to get to know you and binge on your wisdom. Podcasts are easy to start and low stress to maintain. Dr. Delia Chiaramonte will give you all that you need to create a successful podcast that will enhance your credibility and enrich your life.
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Why You Should Give a TEDx Talk and How to Land ItIM Communications Giving a TEDx talk establishes you as a trusted authority, and has the power to to change your life, enrich your work and maximize your impact. Dr. Melinda Ring shares the process so you can nail your audition, prepare your compelling talk, and take the stage with confidence. What is your idea worth sharing? See her talk at TEDxChicago here: What if you could be your own, best, first doctor?
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Philanthropy and Fundraising to Maximize Your ImpactIM Communications Given the importance that philanthropy plays in enhancing the financial sustainability of integrative medicine programs in academic or healthcare systems, you will not want to miss this program. It will cover how to identify and engage donors in a meaningful way. Dr. Adan will share her pearls of wisdom, create a dialogue among the attendees and answer your questions
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11:45 - 13:15 - Members Meeting Meal Function | |||||
Lunch with SIGsEngage in conversation over lunch at tables hosted by members of the Consortium's Special Interest Groups (SIGs) and Committees. Tables will be marked with the group name. Open to all! |
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13:15 - 14:00 - Members Meeting Concurrent Sessions | |||||
Communicating with IM SkepticsIM Communications In this 45min session, Drs. Temple and Kogan will briefly discuss real cases to illustrate dealing with soft, medium and hard levels of skepticism from patients and colleagues for various integrative therapies, which many participants likely deal with on a daily basis. Cases include situations encountered in co-managing pain management regimens, incorporating supplements with conventional cancer treatment, and using functional medicine protocols for a medically complex patient.
In this session, participants will use role play to practice conversing with skeptics. We will also use the time as an opportunity for some participants to share practical ways to manage skepticism and to grow personally and professionally from the uncomfortable.
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Global Awareness of Integrative Medicine: Why Opinion Pieces MatterIM Communications Katie Orenstein, founder of the Op Ed project said "If you are not the one telling your story, it's not being told the way you would tell it." We, as integrative medicine professionals, have an important opportunity to shape the world's understanding of how medicine is currently practiced and how it ideally would be practiced. This session will demystify the process and highlight the impact of opinion pieces.
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How to Build a Social Media PresenceIM Communications Are you intimidated by social media? Have you joined but aren't sure what to do next? In this session, we will discuss how you can build your social media presence from wherever you are right
now.
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14:15 - 15:00 - Members Meeting Concurrent Sessions | |||||
The Path Towards Health Equity and InclusionIM Communications How do we promote DEI efforts within integrative medicine at each member institution and throughout the Academic Consortium as a whole? Integrative medicine has a unique opportunity to address health equity within healthcare as it is built upon the cultural practices of diverse communities throughout the world.
The DEI advisory committee will highlight actions that can promote health equity in clinical care, research, medical education, faculty and staff development, and community engagement. Participants will brainstorm on opportunities to improve DEI efforts at their institutions and inform the DEI advisory committee of priority areas for member engagement.
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YouTube Channel: Why You Should Start One and How to Make It HappenIM Communications Do you feel like you are explaining the same concepts to your patients over and over again? Do you feel like there are important updates and article reviews you would love your patients to see/hear from you and not some random news outlets? YouTube is the ideal way to allow your patients and followers to get updates from your wisdom and be up to date on anything you think is important. YouTube channel is free and easy to maintain, requires nothing but your phone or computer to make videos and are very easy to share. Dr. Mikhail Kogan has recently started YouTube Channel and will walk you through details of how to do it and how to use it in your day-to-day medical practice and social medial life.
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Maximize Your Message: Simple Tips for Successful Media InterviewsIM Communications Every day, thousands of reporters are working on stories that would benefit from the integrative medicine perspective. Learn how to engage reporters, become a trusted go-to expert, and get the most out of your interviews.
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15:00 - 15:30 - Break | |||||
Self Care Break & Refreshments |
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15:30 - 17:00 - Members Meeting Programming | |||||
Connection Cafe & Closing Remarks |
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17:00 - 22:00 - Experiential | |||||
Monday Night Meet-upsFurther time and location details will be listed in the mobile app.
Student Networking - Students from All Disciplines Welcome! Meeting at 5:15 pm across from the Hilton Chicago's Herb N' Kitchen, this student meet-up hopes to create new Integrative Medicine community connections and leadership. Led by Roshini Srinivasan, Duke University School of Medicine, Academic Consortium Member Warm Your Heart, Warm Your Hands Come and join us for your favorite warm drink and connect with your consortium community. Learn about them, share about you. Learn from each other and explore opportunities to collaborate. Led by Anne Weisman, Attendee Experience & Engagement Committee Co-Chair Join us for a nature walk from the Hilton to the scenic Adler Planetarium, located on the beautiful Lake Michigan We will stroll through the beautiful Grant Park and take in picturesque lake views along the 2.5-mile route (there and back). Please allow approximately 1 hour for the walk, and make sure to dress warmly! We recommend gloves/mittens, hats, scarves, boots (we may be walking over snow!), warm under and outer layers (at least on top-our legs likely won't get as cold since we'll be walking), and good attitudes. Disposable hand warmers will be provided for all participants. Led by David Victorson and Stephanie Cheng, Chair and Vice Chair of the Nature & Health SIG |
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17:30 - 19:00 - Ancillary Function | |||||
Osher Collaborative Happy HourAll Osher Collaborative members are welcome to join a happy hour, hosted by the Coordinating Center. This informal event will be great opportunity to connect with your Osher Collaborative colleagues from across our eleven Centers. Any member of an Osher Center is considered a member of the Osher Collaborative and encouraged to attend, including students and trainees. Light appetizers will be served, and a cash bar will be available. |
Tuesday, February 28
6:30 - 7:15 - Experiential | |||||||||||||||||||||||
Tai Chi: A Mind, Body and Spiritual PracticeTai Chi is the quintessential mind-body-spirit practice. The movements and practice principles of both Tai Chi and Qigong have been used for centuries to help people develop balance and strength of mind, body, and spirit to be able to confront and overcome life's challenges. This 45-minute Wellness Class will provide Tai Chi and Qigong exercise instruction that you can use to improve balance, flexibility, strength and stamina as well as reduce pain, stress, and anxiety. The Tai Chi and Qigong exercises you will learn can be used for both self-care and patient care to address the current healthcare crisis as it relates to mental health, obesity, aging, chronic pain, and clinician burnout. Also, in light of emerging research on the role spirituality plays in treating medical and psychological conditions, attendees will learn how Tai Chi's mindful movements provide a natural way to cultivate a heightened sense of spirituality.
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Mindful MorningStart the day with clarity by joining us for a short and sweet morning practice that combines gentle stretching, breath work, and meditation. Wear comfortable clothing, layers for warmth, and a towel to lay on the floor for practice.
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7:30 - 8:30 - Tradeshow | |||||||||||||||||||||||
Breakfast, Posters & Exhibits |
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7:30 - 19:00 - Contemplative Space | |||||||||||||||||||||||
Contemplative SpaceA Contemplative Room is available throughout the Symposium. This will be available to all attendees who want a quiet respite for meditation or relaxation.
Supported by: Andrew Weil Center for Integrative Medicine |
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7:30 - 19:00 - Registration | |||||||||||||||||||||||
SYM Registration & Information Desk |
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8:30 - 8:45 - Plenary | |||||||||||||||||||||||
Welcome Remarks |
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8:45 - 9:45 - Plenary | |||||||||||||||||||||||
Plenary Session 01: One Mother's Story: Healing a Broken Heart Became a Mission to Dismantle Health InequityHealth & Healthcare Equity In 2009, Jacque suffered a loss that catapulted her on a path to save her heart and find a way to live for her children. Her road to personal healing opened generational wounds while revealing Truths that became unbearable to hold. Unable to withstand the injustices that led to her son's passing, Jacque started her non-profit to pour her gratitude for restored health and all she had learned into empowering and supporting the communities she loves.
Seeds To Inspire Foundation is a Trauma-Informed, Grassroots, Social Justice, educational organization operating on the ancestral land of the Akimel O'odham and Piipaash people. Their mission is to dismantle health inequity through the Pillars of Lifestyle Medicine and a trauma lens. Through their Community Lifestyle Wellness Initiative, they collaborate with locate grassroots organizations and anchor institutions to bring nutrition literacy, culinary medicine, indigenous ancestral farming and trauma healing education and support to our historically marginalized communities mostly comprised of the peoples of the diaspora and those victimized by European colonialism past and present.
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9:45 - 10:45 - Concurrent Sessions | |||||||||||||||||||||||
Oral Abstract 01: Clinical Practice Guidelines and Best PracticesClinical Practice Guidelines and Best Practices (e.g., Evidence-based Practice) Chair: Daniel Gallego-Perez
OA01.01 - Society for Integrative Oncology Clinical Practice Guidelines - Process and Update Heather Greenlee, Lynda Balneaves, Linda Carlson, Alyson Doyle, Nofisat Ismalia, Richard Lee, Jun Mao, Debu Tripathy, Suzie Zick OA01.02 - Integrative Medicine Approach for Non-alcoholic Fatty Liver Disease Naoki Umeda, Stephen Dombrowski, Robert Saper OA01.03 - Integrative Oncology Referrals to Health Psychology: Frequencies, Predictors, and Patient-Reported Outcomes Aimee Christie, Catherine Powers-James, Lorenzo Cohen, Santhosshi Narayanan, Gabriel Lopez OA01.04 - Boston Cognitive Assessment (BOCA) a Comprehensive Self-administered at-home Test for Longitudinal Tracking of Cognitive Performance Mikhail Kogan, Andrey Vyshedskiy |
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Shared Medical Visits Parts One & TwoNourishment of Mind, Body & Spirit Part One: Shared Medical Visits at an Academic Teaching Hospital: An Engaging, Effective, Efficient Educational Model Benefiting Patients and Clinicians
At the Integrative Health Center at Weill Cornell Medicine/New York Presbyterian Hospital, a number of shared medical appointments (SMA) are offered including Lifestyle Change SMA, Oncology SMA, Yoga Oncology SMA, Narrative Medicine SMA, Women's Health SMA. This session will review key components for successful SMA, obstacles to consider for implementation (institutional support, patient recruitment, protected provider time, program administration), and future models of care for SMA. Part Two: Establish Healing Connections Between Patients and Physicians Through the Use of Narrative Medicine within Shared Medical Appointments Narrative Medicine acknowledges people's stories in clinical practice, research, and education as a way to promote whole-person healing. Narrative Medicine Shared Medical Appointments (SMA) is an innovative, valuable, sustainable practice strategy addressing patients' needs and enhancing empathy, listening and self-reflection in the healthcare provider.
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SPARC Talks - Nourishment of Mind, Body & SpiritNourishment of Mind, Body & Spirit SPARC Talk 1) Healing Circles: Dancing a Group Medical Visit - Arti Prasad
SPARC Talk 2) Momentary Devotion With YOUR Chaplain - Rotunda East SPARC Talk 3) A Second Chance: Life Transformed through Vipassana Meditation - Ruchi Kukreja SPARC Talk 4) How cancer turned my life upside down -- I used integrative medicine to turn it upside right! - Jennifer Ron SPARC Talk 5) An Iranian-American Story of Post-Traumatic Growth and Community-Based Mind-Body Medicine Efforts - Noshene Ranjibar
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An Integrative Tapestry of Care: Collaborating to Nurture Pediatric and Adolescent WellbeingNourishment of Mind, Body & Spirit Optimal healing and wellbeing are relational, a tapestry woven of many aligned threads, all nimble and honoring of our innate capacity for healing, regardless of age or role. Our pediatric integrative care program is an exemplar of creative, joy-filled collaboration facilitating growth and resilience in patients, families and healthcare teams.
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Results from Positive Emotion Interventions: Emotion, Wellbeing, and Mental Health in Underrepresented and Chronically Stressed GroupsPost-Traumatic Growth in Individuals & Communities Although most interventions focus on reducing burden stress and negative emotions, positive emotion is uniquely associated with beneficial health outcomes, independent of the effects of negative emotion, and holds promise for countering the negative psychological and physical health effects of chronic, acute, and minority stress.
Our novel intervention specifically targets positive emotion for people experiencing various types of life stress. This theoretically- and empirically-based program includes eight skills (noticing and capitalizing on positive events, gratitude, mindfulness, positive reappraisal, personal strengths, attainable goals, and acts of kindness), and can be delivered in a variety of formats (e.g., by a trained facilitator or online and self-guided). In this symposium, researchers from the Northwestern University Feinberg School of Medicine and the University of Illinois-Chicago College of Nursing will discuss ways in which positive emotion interventions influence well-being across various time scales (from day-level processes to longitudinal findings). This symposium will also highlight different iterations of this positive emotion interventions, and how it can be modified to meet the needs of underrepresented and chronically-stressed populations (e.g., sexual and gender minority couples, Spanish speakers, individuals with depression). We will discuss aspects of both implementation and efficacy of the interventions. As such, we will address specific pathways through which the intervention improves emotional outcomes, which in turn, enhances health and wellbeing, as well as how this intervention (and others) can be successfully adapted for implementation in underrepresented and chronically stressed populations.
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10:45 - 11:15 - Tradeshow | |||||||||||||||||||||||
Refreshment Break with Poster Viewing & ExhibitsSupported by: George Family Foundation |
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11:15 - 12:30 - Concurrent Sessions | |||||||||||||||||||||||
Oral Abstract 02: Lifestyle-related Interventions: Clinical and Translational ResearchLifestyle Medicine & Nutrition Chair: Leigh Frame
OA02.01 - Effect of OLAVE on Chronic Insomnia in Adult Dayworkers with Normal Sleep Duration (> 6h) Nicholas Keown, Francisco Cidral-Filho OA02.02 - MIND and Mediterranean Diet Adherence in Parkinson's Disease Devon J. Fox, Jae Hwa Park, Laurie Mischley OA02.03 - A Culturally-Tailored, Virtual Shared Medical Program for Adult Hispanics With Obesity: A Bi-Phasic, Collaborative Care Approach Michelle Beidelschies, Marcio Griebeler, Sarah Thomsen-Ferreira, Marilyn Alejandro-Rodriguez, Rosemary Miles, Tawny Jones-Mack, Amrien Ghouse, Monica Yepes-Rios, Elizabeth Bradley OA02.04 - Effect of Tibetan Herbal Formulas on Symptom Length and Reduction Among Ambulatory Patients with SARS-CoV-2 Infection: A Retrospective Cohort Study Tenzin Namdul, Tawni Tidwell WITHDRAWN - OA02.05 - Effects of Omega-3 Fatty Acids on Systemic Inflammatory Responses and Plasma Concentrations of Pro-Resolving Lipid Mediators Provoked by Endotoxin Ann Skulas-Ray |
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Interfaith America Session Parts One & TwoSpirituality & Interconnectedness Part One: Beyond Spirituality: Engaging Diverse Religious Identities in Health Care Settings
The burgeoning community of integrative health practitioners has long valued spirituality as a constituent part of caring for the "whole person". Building on this core impulse, this workshop strengthens integrative health professionals' ability to recognize, learn about, and engage patients' diverse and discrete religious identities, thus enhancing the patient-provider partnership and improving health outcomes. Presented in workshop format, this session will acquaint participants with the key terms, concepts, and framing of "interfaith engagement." Through case studies, they will grow familiar with facets of diverse religious identities that affect patients' approach to a range of health-related settings, from treatment protocols to end of life questions, from concepts of "wellness" to understandings of the body. They will cultivate foundational knowledge and skills that build confidence and competence related to navigating religious and worldview differences. Along the way, participants will reflect on their own values, inspiration, and practices as a platform for fruitful interactions with patients from all backgrounds and worldviews. Part Two: Interfaith Basics: A Needed Skill Set for Healthcare Workers Far too often the inclusion of religion, spirituality, and philosophical beliefs are overlooked and undervalued in healthcare settings. This session dives into the newly developed course for healthcare professionals that applies interfaith work to patient care and the wellbeing of those who work in this field. During this deeper dive session, the five modules of the course will be discussed and explored together. The resources and communication tools used within the course will be available to attendees. This session is intended to be informative and experiential, and participation from all who attend is encouraged. Time will be provided to discuss impressions of the course materials as well as explore what other components are needed to further advance interfaith work within the various aspects of healthcare.
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Better Food for Better Health: A Roadmap to Academic-Community Partnerships for Improving Student Health and NutritionNourishment of Mind, Body & Spirit Food insecurity and inadequate nutrition are important public health problems facing children in the United States. Childhood is a critical time for building healthy food habits, which influence health in both the short and long-term. The role of school food programs for child and community health and wellness has become increasingly recognized at the local, state, and federal levels. Schools must think and act creatively to come up with solutions for these pressing issues: partnerships with academic institutions and other community organizations are one promising avenue for accelerating school-level food system change.
In this session, representatives from the Academy for Global Citizenship (AGC), Chicago Food Policy Action Council (CFAC), Northwestern University Feinberg School of Medicine, and Osher Center for Integrative Health convene for discourse on how meaningful partnerships can propel the implementation of school food system change with the goal of improving student health and wellbeing. Panelists will highlight the academic and community partnerships that have made these goals possible for AGC. Inherent to this project is the recognition of existing inequities in access to healthcare, healthy food, nature, and safe settings for health promotion and education. These partnerships will allow AGC to activate community health outreach and services in a 96% minority and 46% medically underserved constituency. Employing community-based participatory research strategies will engage a wide variety of community members and stakeholders in this primarily Latinx population. Overall, this panel will highlight ways in which schools and communities can provide holistic health and wellness solutions that change behaviors and access to healthy foods.
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Making Connections and Spreading the Word: Integrative Health Communications & Marketing Panel DiscussionEmbracing Positive Deviance: Thinking Outside the Box For integrative health academic researchers, educators, and practitioners, communications and marketing often come as an afterthought. Utilizing best-practice communications and marketing principles and strategies helps tell the story of integrative health work and programs to increase impact and reach to advance health. This panel of integrative health communications and marketing specialists will offer practical tips for creating and executing strategic plans to build connections across departments and institutions, as well as with the broader community. By utilizing social media to build brand awareness and reach target audiences, institutions can better promote the work of individuals and their integrative health programs.
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The Small Steps Healing Project: A Multi-Stakeholder Approach to Traditional Healing in BostonNourishment of Mind, Body & Spirit In the 1970s, many activist groups, such as the Black Panther Party, pioneered a model of community engagement that was rooted in bringing healthcare services to where people lived. Inspired by this history and its modern day legacies with the Freedom Community Clinic in Oakland, California, the Small Steps Project aims to make holistic healing free and accessible to historically marginalized populations in the Boston area.
The twinned and concurrent pandemics of COVID-19 and systemic discrimination have made evident that health inequity is one of the greatest healthcare challenges of our time. Many community members from historically marginalized populations have also made it clear that they want access to holistic healing. Unbeknownst to many, this is not a new phenomenon. In the 1970s, many activist groups, such as the Black Panther Party, pioneered a model of community engagement that was rooted in bringing healthcare services to where people lived.
As part of the non-profit We Got Us, the Small Steps Project model focuses on bridging the gap between institutions, local practitioners, and community members. Through leveraging partnerships with institutions like the Osher Center of Integrative Medicine, Small Steps is able to find and fund local practitioners to provide their services for free to community members. Small Steps then partners with local community organizations and advocacy groups to host the clinics at community events or sites that already service a local neighborhood. Holistic healing services include acupuncture, acupressure, reiki, sound healing and more. In just seven clinics, Small Steps has worked with over 125 community members, all of whom expressed a desire to receive more services. As one person put it best, "We need more healing not just for the body, but also the mind and the soul."
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12:30 - 14:00 - Tradeshow | |||||||||||||||||||||||
Lunch On Own, Poster Viewing & Exhibits |
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14:00 - 16:00 - Concurrent Sessions | |||||||||||||||||||||||
Cultural-Based Medicine Parts One & TwoPost-Traumatic Growth in Individuals & Communities Part One: Cultural-Based Care using Indigenous Reiki TM and Curanderismo Perspective
This presentation is intended to demonstrate the integration of cultural healthcare methods with traditional western medical practices and treatment plans. The primary focus is on underserved and diverse demographic groups who are most reflective in the social determinants of health data, in conjunction with identified historical healthcare disparities. In the spirit of inclusion; all groups affected by trauma and socio-economic challenges would have access to the services proposed. The model of Indigenous Reiki was created and trademarked more than ten years ago. Dr. Chavez combined family Spanish, Mexican and Native American traditional and indigenous practices from the Southwestern United States. Ancestral Medicine addresses how many people of color had the comfort and strength of their ancestral beliefs stripped from them. Historical trauma has affected how people of color value themselves affecting health, self-esteem and confidence. Effective incorporation of spiritual care has the potential to fundamentally influence how individuals interpret their well-being and how they seek meaning in general health and serious illness. Spirituality in many traditional/indigenous cultures is not about religion. It is often understood as connectedness, acceptance of the mystery of life and our aspirations to feel alive with vitality. Ceremonies and rituals are woven into the fabric of life but not always recognized. The experience will demonstrate how using powerful words, mantras, music, sound, aromatic smells, acuricular acupuncture and touch can renew the spirit, relax the mind and heal the body. The model was provided in group settings, fully funded in CCVS HB 18-1409 through Colorado Department of Public Health and Environment, reaching over 200% enrollment and over 93% of the historically underserved. Demonstrated outcomes were reduced symptoms of chronic pain, anxiety and depression. Dr Chavez's goal has been Diversity/Equity/Inclusion to demonstrate the efficacy and cost-effectiveness of traditional and indigenous health modalities for inclusion in primary care with the support of clinical advisors and researchers using Whole Systems methods. Part Two: Decolonizing Your Medicine: Guided Imagery Council Council (aka "Talking Circle") is a facilitated group process that has been used for millennia, rooted in indigenous traditions throughout the world. In modern times, Council has been used in contemporary fields as diverse as social justice, education, and business. Council provides a container for effective delivery of Interactive Guided ImagerySM(IGI), a mind-body modality used to promote stress-reduction, behavioral change, or gain new insights into significant problems from the non-verbal, non-linear unconscious. In underserved, Latinx adolescents, we have shown Guided Imagery Council (GIC) is highly acceptable and deliverable, promotes empathy and group relatedness, reduces subjective stress and biomarker salivary cortisol levels, and reduces type 2 diabetes risk factors. We have also used GIC as a healing modality in young adults with type 1 diabetes, and to promote self-care among pediatric resident physicians serving underserved patients at a large, urban public hospital. This will be a hands-on, experiential workshop. Examples will first be described of the use of guided imagery council to decolonize the approach to patients in an urban, pediatric, academic subspecialty practice. Participants will learn and practice the main principals of Council: 1) sitting in a circle to minimize hierarchy; 2) using a designated object ( "talking piece") to empower "listening and speaking from the heart". In the format of Council, participants will share personal stories of how their training and/or ongoing practice has been colonized by Western-based hierarchical medical practices in ways that limit optimal healing. A guided imagery experience will then be facilitated, inviting images specific to each participant that show or symbolize ways the participants might decolonize their own, personal practice. Extensive discussion and Q&A, conducted in council, will then help participants debrief and integrate the full experience of the session.
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Heals on Wheels (HoW): HoW to Engage Community in Integrative CareEmbracing Positive Deviance: Thinking Outside the Box This session will offer a "deep dive" into Hennepin Healthcare System's innovative Heals on Wheels (HoW) Program. HoW focuses on improving quality and access to holistic, whole-person, integrative care to people who experience chronic pain and/or require palliative care with a particular focus on those who lack transportation/are unable to travel, have limited financial resources, and/or belonging to historically under-resourced communities through the following components:
1. The Appetizer - Integrative providers, students, and a community ambassador bring holistic chronic pain management treatments directly to populations most in need. Community sites receive a single "appetizer-sized" group visit where they experience training in mindfulness, stress management, yoga, acupressure, massage, and lived-experience testimony on integrative pain care.
2. The Meal - A series of "Easing Pain Holistically" GMVs focusing on integrative chronic pain management. Each series includes a multidisciplinary integrative team of medical providers, acupuncturists, integrative physical therapists, psychologists, chiropractors, energy healers, and spiritual care. Patients can attend on-campus for an 8-week series or in community and group home locations for a shorter 4-week series for people who lack resources to travel to the clinic. The HoW programs allow people to receive support not only from medical professionals, but also from others with similar struggles.
3. Integrative Palliative Care - Integrative Home-Based Palliative Care Services (acupuncture, yoga, massage, energy healing, nutrition, meditation/mindfulness, art/music therapy, etc.) are brought directly to the homes and families of those in need of palliative care.
The HoW Program meets people literally where they are at - bringing whole-person, mind body spirit care directly to patients who experience chronic pain and/or are in need of palliative care. Participants in this session will leave with tangible takeaways on how to implement community-based chronic pain and palliative care programs to promote health equity in their own communities.
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Integrative Medicine Education Parts One & TwoEmbracing Positive Deviance: Thinking Outside the Box Part One: A Framework for Teaching and Applying Integrative Mental Health Care
Integrative health is becoming more mainstream due to provider interest and consumer demand. Often, individual providers infuse their practice with various integrative approaches without access to a standardized, evidence-based practice model. The purpose of this session is to discuss the evidence base for integrative psychiatry and provide the clinician with evidence-based point-of-care tools to guide clinicians in applying an individualized approach to whole-person, relationship-based integrative mental health care in the clinical setting. The session will focus on applying integrative tools at various stages based on clinician's skill level and availability of interdisciplinary resources. Part Two: Incorporating Integrative Medicine into Medical Education: Successes & Challenges in the DGSOM HEALS Curriculum The David Geffen School of Medicine (DGSOM) at UCLA has offered educational opportunities for medical students interested in integrative medicine for more than two decades. Until recently, integrative medicine was solely offered through elective courses and extracurricular learning. Attempts to incorporate integrative medicine into core curricular activities has varied over the years and remained at the discretion of individual course chairs. As concepts in integrative medicine were presented sporadically and left out of formative or summative assessment, students had a narrow scope of the benefits of integrative medicine despite increasing curricular representation. As DGSOM prepared for curricular reform, faculty engaged in newer pedagogies to support deep learning which presented novel opportunities to incorporate complementary and integrative health (CIH) concepts in medical education. The DGSOM HEALS curriculum, launched in August 2021, aims to prioritize early authentic clinical experience, integrate basic science instruction with clinical practice to support earlier clinical rotations, and allow for dedicated time to enable students to pursue research, dual degrees, electives, and advocacy. Within the DGSOM HEALS curriculum, integrative medicine education has now been included in the primary courses during first and second year. The integrative medicine curriculum is compromised of five longitudinal curricular objectives that highlight the evidence-based real world practice of integrative medicine. It is aligned with the core themes of structural racism and health equity, narrative medicine & the expressive arts, interprofessional education, as well as student wellness and resilience. In this Deeper Dive, faculty and students from DGSOM will highlight the curricular success and challenges of incorporating integrative medicine in the DGSOM HEALS curriculum. After a didactic session that will provide an overview of our core learning objectives and review the early feedback of our curriculum, we will host a panel discussion to share tips and strategies to foster curricular reform in integrative medicine.
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Healing Our Disconnected Selves and World: A Skills-based Deep Dive into Social Connectedness and SpiritualitySpirituality & Interconnectedness Social and spiritual connection are vital to human health and wellbeing. Hence, integrative practitioners, coaches, and teachers must learn to facilitate discussions and co-create strategies to strengthen this interconnectedness, particularly for those at-risk for social isolation and loneliness. While in conventional approaches, the onus of lifestyle change often rests with the individual, new findings from the relational neuroscience field support what many innately know. Human beings are not only hardwired for close relationships, but when these falter or are limited, humans lose an essential means for accessing self-regulation, gaining an inner sense of safety, tapping into creative problem solving, and experiencing wholeness or spiritual interconnection as well.
This program will present the latest research on how a lack of interconnectedness exceeds other behavioral risk factors for chronic disease, mental disorders, and even mortality rates. The recent and ongoing rise of anxiety and depression among vulnerable populations throughout the pandemic, and the widespread impact of trauma leading to inner disconnections and ruptures in social relationships support this area of work. The application of these findings will be described and experienced through use of deeply attuned and compassionate practical skills that support healing and growth. Findings and practical skills from pioneering programming in coaching, medical training, and patient care will be included from three arenas: 1) trauma-informed integrative coaching conversations; 2) first year medical training in under-represented minorities; and 3) innovative programming for African American patients on hemodialysis for Chronic Kidney Disease.
In addition, experiential learning will facilitate awareness of how interconnection gives rise to spirituality. By the end of this program, participants will not only understand the research supporting these approaches, but on an experiential level, will have practiced specific skills to support interconnectedness that allow resonance, safety, acceptance, and positive energy for healing and growth.
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Promoting Inner Peace: A Spiritually-based Mindfulness Workshop Based on Awakened Awareness PracticesSpirituality & Interconnectedness An epidemic of depression, anxiety, suicidal ideation and loneliness amongst "emerging adults", aged 18-24 has been clearly established. Spirituality practices, mindfulness, and participating in community groups have been shown to have protective factors and have been effective as treatment approaches. Lisa Miller, Ph.D. has developed, researched, and trained facilitators to bring a combined approach to undergraduate and graduate students utilizing mindfulness, meditation, focused spiritual practices in a group setting and have found significant reductions in anxiety, grief, PTSD, depression, and loneliness symptoms. This author has been trained in this approach as has offered it to students on the USC campus. Respondents found the program to be, and I quote, "empowering, calming, restoring, liberating, and powerful". The calming exercises along with developing a sense of a personal relationship with a higher power was very effective. This deep dive workshop will expose participants to the main concepts, experiential practices will be shared, and scientific rationale for each pratice will be given. This will be a workshop of self exploration and well-being as well as an introduction to this curriculum. (Miller, L., Warner, V., Wickramaratne, P., & Weissman, M. (1997). Religiosity and depression: Ten-year follow-up of depressed mothers and offspring. Journal of the American Academy of Child & Adolescent Psychiatry, 36(10), 1416-1425). (Kendler, K. S., Gardner, C. O., & Prescott, C. A. (Miller, L. (2013). Spiritual awakening and depression in adolescents: A unified pathway or "two sides of the same coin". Bulletin of the Menninger Clinic, 77(4), 332-348.
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16:00 - 16:30 - Tradeshow | |||||||||||||||||||||||
Refreshment Break with Poster Viewing & Exhibits |
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16:00 - 16:20 - Experiential | |||||||||||||||||||||||
Joy within YouParticipants are invited to:
1) Engage in a brief reflective guided meditation around JOY- manifesting more and releasing what doesn't serve them. 2) Following the meditation, participants are invited to engage in a brief writing exercises and a closing ritual to cultivate joy! 3) Come as you are, no experience necessary.
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Roll and Release with Foam RollerSymposium attendees will be shown how to help release areas of tension in the body using a foam roller. Specific stretches will be given with modifications.
This activity has a max capacity of 10 people. First come, first serve.
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Kundalini Yoga Meditation PracticeParticipants will experience the practice of a technique called Kirtan Kriya. This is an important meditative practice in the Kundalini Yoga tradition involving simple mantra chanting and finger positions (mudras). This technique has undergone multiple research studies showing that it improves memory performance and reduces perceived stress.
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16:30 - 17:30 - Plenary | |||||||||||||||||||||||
Plenary Session 02: The Intersection of Integrative Medicine, Health Policy and Advancing Care in Chronic Painful ConditionsHealth & Healthcare Equity This session will explore the state of health policy and how integrative medicine is affecting one of the most complex and challenging aspects of various chronic painful conditions. The discussion will surround what our legislative leaders are considering and what the greater medical communities can do to educate, innovate and access care.
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19:30 - 22:00 - Optional Activity | |||||||||||||||||||||||
GalaJoin us for a 1920's inspired evening of sumptuous tastes and sweets, bubbles and brews, socializing, and dancing. Bring your flapper or dapper to an evening that's sure to delight! 1920's accessorizing is encouraged, but not required! There will be a photo booth to capture the unforgettable fun of the evening and a DJ spinning classic and current popular dance hits, hip-hop, R&B, jazz, and 1920's big band favorites! |
Wednesday, March 1
6:30 - 7:15 - Experiential | |||||||||||||||||||||
Living Your Bucket List Daily: The Daily Reflective and Mindful Steps You Can Take to Lead You to Your WHY(s)!We will create a community to include diverse members with unique perspectives, ideas, and gifts and together we will use a reflective, mindful process to begin to create the ideas for our individual Bucket List and the action plans to begin the reflective and mindful journey of taking small steps on a regular basis, that will lead to fulfilling our ultimate dreams, aspirations, ambitions, purpose/Why(s), and desires.
We will discuss our Why(s) and greater purpose(s)
What a gift, to engage in planning to live a life of zest and engagement.
We will discuss how we will create a visual representation of our bucket list, whether a list, a collage, a vision board, or an electronic format (a format that one can access at any time).
It was noted that attendees in past workshops and classes bonded and wanted to keep in touch to share their bucket list journeys long after the workshop ended.
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Beginner's Kundalini Yoga classThis class will be suitable for beginners but also impactful for experienced yoga practitioners. It will include physical postures and exercises, breathing techniques, deep relaxation and meditative practice from the Kundalini Yoga tradition, a well-known major lineage of yoga practice. Participants should wear loose comfortable clothing. Practice will be done on the floor with towels or yoga mats.
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7:30 - 8:30 - Tradeshow | |||||||||||||||||||||
Breakfast, Posters & Exhibits |
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7:30 - 19:00 - Contemplative Space | |||||||||||||||||||||
Contemplative SpaceA Contemplative Room is available throughout the Symposium. This will be available to all attendees who want a quiet respite for meditation or relaxation.
Supported by: Andrew Weil Center for Integrative Medicine |
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7:30 - 19:00 - Registration | |||||||||||||||||||||
SYM Registration & Information Desk |
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8:30 - 8:45 - Plenary | |||||||||||||||||||||
Welcome Remarks |
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8:45 - 9:45 - Plenary | |||||||||||||||||||||
Plenary Session 03: Advocating For and Passing Effective Healthcare LegislationHealth & Healthcare Equity State Senator Laura Fine has worked for the past 10 years to make mental and physical healthcare more affordable and accessible across Illinois. Join Sen. Fine as she talks about her journey to becoming a state legislator and how you can be involved in effective healthcare legislation. She will also be discussing the challenges and opportunities ahead for healthcare policy in Illinois.
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9:45 - 10:45 - Concurrent Sessions | |||||||||||||||||||||
Oral Abstract 03: Pain: Clinical and Translational ResearchClinical and Translational Research Chair: Elyse Thakur
OA03.01 -First-Seen Provider and Pharmacotherapy Patterns Among Patients with New-onset Neck Pain Patrick Romano, Monika Ray, Shao-You Fang, Dave Elton, Scott Haldeman, Peter Wayne, Joshua Fenton, Katrine Padilla, Anthony Lisi OA03.02 - ReCode - Reversal of Cognitive Decline Program Update on Academic Experience Avi Wannon, Mikhail Kogan, Sienna McNett, Brianna Darling OA03.03 - Innovation & Integration in Acupuncture Research in the Underserved Raymond Teets, Arya Nielsen, Donna Mah, Matthew Beyrouty, Phoebe Rosenheim, Estefhany Soto Cossio OA03.04 - Odds of Lumbar Discectomy in Adults Receiving Chiropractic Spinal Manipulation for Radiculopathy or Lumbar Disc herniation: Retrospective Cohort Study Robert Trager, Clinton Daniels, Jaime Perez, Regina Casselberry, Jeffery Dusek |
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How to Start a Wellness Program at Community Hospital for Health Care Burnout and Professional WellbeingEmbracing Positive Deviance: Thinking Outside the Box Burn out was described as a three parts process in the caring industry: Emotional Exhaustion Depersonalization, and Ineffectiveness. Why we care about burn out is because this is a major problem for clinicians, a call to immediate action by our own surgeon general Dr. Vivek Murthy. The prevalence of burnout ranges between 45-54% among all clinician. Among clinicians, those in private practice, specialize in emergency medicine, family medicine, general internal medicine, and neurology, younger age, and men are at a higher risk for burnout. Mayo clinic published work life balance amongst the physicians between 2011 and 2014 and 54% reported at least one symptom, with a depression rate of 40% and suicide ideation of 6%. A PubMed search for terms related to physician well-being confirms increasing research over the last 40 years. The consequences of burnout are tremendous in the health industry. Clinicians with burnout are twice as likely to make a major medical error, are more likely to be involved in a malpractice litigation suit, reduce their clinical work hours, at least twice as likely to leave their job, and, worse yet, five times more likely to leave medicine altogether. An estimated $4.6 billion in societal costs related to physician turnover and reduced clinical hours is attributable to burnout each year in the United States. Clinician burnout is a complex, multi factorial problem and a one size fits all model does not exist. Given the complexity of burn out, a systemic approach is recommended to reduce burn out at each local institute after having knowledge of stakeholders, their goals and environment. Existing data supports such models within academic centers, however the data is lacking for such programs within community hospital.
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SPARC Talks - Health EquityDiversity, Equity and Inclusion SPARC Talk 1) Innovative Approaches for Adapting Mind-Body Medicine to Remote Settings for Underserved Populations - Emily (Shoteen) Allerton
SPARC Talk 2) Nature, Culture, and Human Health (NCH2): Catalyzing Nature-based Solutions for Human and Planetary Health - Teresa Horton SPARC Talk 3) Integrative Medicine in Grief & Healing: A Mother's Journey - Rashmi Mullur
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Research on Yoga for Burnout in Health Care ProvidersNourishment of Mind, Body & Spirit Workplace burnout is a work-related syndrome including stress, depersonalization, emotional exhaustion and a reduced sense of personal accomplishment. Over 50% of physicians have at least one symptom of burnout and a similar prevalence exists in nurses and advanced practice providers. The burnout rate in healthcare providers is higher than in other professions. Burnout negatively impacts healthcare worker health, safety and work effort, the subsequent quality of patient care, self-reported medical errors, worker professionalism, and ultimately the viability of health-care systems. Intervention trials to address burnout and promote resilience and wellness include individual-focused as well as organizational strategies. A growing body of preliminary research has demonstrated the potential for mindfulness- and mind/body-based approaches to improve well-being and decrease burnout. Yoga is a mind-body intervention which includes postures, movement, breath regulation, relaxation and meditation/mindfulness practice. Yoga practices are easily learned, have been successfully implemented in a variety of workplace settings, and are simple and cost-effective. A recent review on the use of yoga to manage stress and burnout in healthcare workers suggests that yoga appears to be efficacious. This symposium will present research from four teams evaluating yoga-based interventions in healthcare workers: a study on medical residents and on physicians both in a Harvard Medical School-affiliated research hospital, a study on mental health workers in a rural Massachusetts medical center, and a study on a mixed population of healthcare professionals in an Ohio academic medical center. The four symposium faculty will present and discuss the scientific rationale for yoga in the healthcare workplace setting, the logistical challenges involved in providing yoga in this setting and conducting the research, the specific psychosocial characteristics that are impacted, and some of the potential mechanisms that may be mediating the efficacy of yoga in the healthcare workplace.
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An Approach to Improving Maternity Care Outcomes Through an Academic Health Center: Community Doula Agency CollaborationPost-Traumatic Growth in Individuals & Communities Multiple studies have found better outcomes for birthing people who have doula support prenatally and during labor. Benefits have included: lower rates of maternal and infant health complications; lower rates of preterm birth and low birth weight infants; lower rates of cesarean sections (C-sections), which are associated with higher rates of maternal mortality, severe maternal morbidity, and an overall increase in medical interventions; and higher rates of breastfeeding. In addition to improved physical health outcomes, doula support is linked to reduced rates of postpartum depression and anxiety as well as increased positive feelings about the birth experience and ability to influence one's own pregnancy outcomes. As doula care is often not reimbursed by insurance, or is reimbursed at a rate significantly lower than community standards, the majority of doulas are paid for as an out of pocket expense to the patient. It is therefore rare for prenatal patients of a Federally Qualified Health Center to utilize doula services during their pregnancy and/or for labor support. The goal of the OHSU Family Medicine at Richmond Doula and Postpartum Doula Program is to provide prenatal, birth and postpartum doula support to Richmond's prenatal patients, of whom 80% are on Medicaid, at no cost to the patients while also reimbursing the doulas at a fair rate when compared to community standards. Doulas offering support to Richmond prenatal patients have been specifically trained to work with diverse and marginalized populations and have additionally received training in trauma informed care and care for prenatal patients with mental health and/or addiction diagnoses. They are able to provide in person support during office visits and as home visits and are trained to support birthing parents throughout their labor. Development, challenges, successes, and initial outcomes of this program will be discussed in this presentation.
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10:45 - 11:15 - Tradeshow | |||||||||||||||||||||
Refreshment Break with Poster Viewing & ExhibitsSupported by: The David and Lura Lovell Foundation |
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11:15 - 12:30 - Concurrent Sessions | |||||||||||||||||||||
Oral Abstract 04: Overcoming Implementation BarriersDissemination and Implementation Chair: Lisa Taylor-Swanson
OA04.01 - The Coalition for Better Health: A Collaborative Effort to Mobilize Preventive Health Specialists Across Tennessee Ruth Q. Wolever, Annie Youngblood, Susan Butterworth, Rick Johnson OA04.02 - Strategic Interprofessional Collaboration Enhances Implementation of Evidence-Based Mindfulness Training that Combines Tradition with Technology Catherine Quatman-Yates, Division of Physical Therapy, Joshua Hagan, Justin Merrigan, Beth Steinberg, Marcus Williams, Jacqueline Caputo, Jamileh Alain, Timothy Rethorn, Riley Summers, Angela Emerson, Jessica Buskirk, Sarah Jonaus, Maryanna Klatt OA04.03 - Implementation of a New Integrative Health and Wellness Clinic for Underserved Veterans: Outcomes of a Mixed Methods Study Karen Seal, Francesca Nicosia, Daniel Bertenthal, Natalie Purcell, Hajra Usman, Ilana Seidel OA04.04 - Using External Facilitation to Build Effective, Equitable TeleYoga Programs in VA Tony Pomales, Mary K. Good, Rashmi Mullur, Molly Delzio, Karen Seal, Catherine Pham, Francesca Nicosia OA04.05 - The Small Steps Healing Project: A Community-centered Approach to Holistic Healing in Boston Eana Meng |
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Receiving and Integrating Patient Feedback in Integrative MedicinePost-Traumatic Growth in Individuals & Communities This experiential workshop will focus on integrative health practitioners' experiences with receiving patient feedback, both privately and publicly in the form of patient reviews.Throughout training, health providers receive frequent evaluation of their clinical and professional skills from preceptors and supervisors. Once providers become independent practitioners, however, the bulk of the feedback they receive is likely to be from patients. Feedback from patients in all its forms (i.e. directly delivered to the provider by the patient or collected via formal patient satisfaction surveys) is an important addition to the potential tools for quality improvement and provider growth, both at the systems and individual level. While large institutions (i.e., hospital systems) have programs dedicated to analyzing and responding to patient surveys at the collective level, most individual providers do not have training, guidance, or support in how to use this information for personal and professional growth. This workshop will provide a supportive environment in which we as integrative health providers can explore experiences with and responses to public and non-public critical patient feedback. Through facilitated discussion, we will provide a framework for receiving this feedback and using it productively for individual and systems growth and improvement. We will present and then practice strategies informed by mindfulness to help process emotional responses to patient feedback that may get in the way of using it for self-reflection or improvement. We will also discuss systems-level interventions and organizational support structures that can help individual providers and teams receive, consider, and use patient feedback more constructively.
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Veterans Affairs Whole Health Approach to Long COVID: Clinical and Administrative PearlsEmbracing Positive Deviance: Thinking Outside the Box Participants attending this Long COVID deep dive will leave empowered with Long COVID clinical and administrative pearls. As the largest healthcare system in the country, VHA clinicians and researchers were among the first healthcare providers to recognize the national pattern that a secondary illness was occurring in those who had initially recovered from COVID-19. In May 2022 VA brought together its Office of Research and Development, Long COVID Community of Practice (CoP), and Long COVID Integrated Project Team (IPT) [AO1] to support health care teams caring for Veterans suffering from Long COVID. The Long COVID CoP developed in April 2021 to bring together clinicians developing care pathways for Veterans and Long COVID IPT was established in April 2022 to create generalizable products to support health care providers and veterans. The Long COVID IPT is evaluating the efficacy and feasibility of five Long COVID clinic models to support the diverse population served by the VHA. The pros and cons of the models, including pre-screening and outreach to center the margins, will be reviewed using case studies. In August 2022, VA released the Whole Health System Approach to Long COVID: Patient-Aligned Care Team (PACT) Guide (VHA Long COVID Guide). The first of its kind, the VHA Long COVID Guide identifies the most common Long COVID symptoms and conditions and provides recommendations using a Whole Health approach for managing care. The Whole Health approach allows clinicians to personalize management based upon what is most important to the Veteran and incorporate Diversity-Equity- Inclusion and Accessibility (DEIA). Conventional testing and treatment are combined with complementary and integrative health strategies. We will discuss a case study showing how to utilize the guide during a busy primary care clinic day, provide easy access to the guide, and present updates about the Whole Health Clinic Guide for Long COVID clinics.
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Leading Professional Well-being Work at the System Level Through an Integrative Medicine LensNourishment of Mind, Body & Spirit Healthcare struggles to address the rise in burnout and declining professional fulfilment. Despite knowledge of the downstream effects on patient satisfaction, quality, and turnover costs, implementation of a comprehensive approach eludes most centers. Understanding Integrative Health approaches can bring needed expertise to this developing field but must be combined with an understanding of administrative structures, clinical operations, and collaboration with diverse groups. Many in Integrative Medicine have the background expertise but not the system-level experience to be successful. As a systems approach to healthcare worker well-being, designing a system-level structure that meets the needs of individuals can be challenging. Local issues vary between clinics, departments, and specific roles. A high-level approach to policies must be met with an ability to customize services to meet the needs of a wide range of groups. Although each institution's needs are unique and require an in-depth understanding of specific drivers and needs, examining what works at high-functioning institutions can drive innovation. Our group will explore paths to assisting in transformation of health systems to consider what it means to be human in healthcare. This session will explore the necessary skills and framework required to move beyond a focus on specific modalities and comprehensively address professional well-being at the level of an academic medical center or health system.
The University of Utah Chief Wellness Officer leads well-being strategy for the health system, targets opportunities at the individual, team and leader level, as well as contribute to the national dialog.
University Hospitals Health System (UH) Connor Whole Health supports UH's vision and mission by offering integrative services that link a person's larger purpose and life goals to their lifestyle.
The George Washington (GW) School of Medicine and Health Sciences Resiliency & Well-being (R&W) Center supports individual, departmental, and institutional level purpose-the foundation of whole person health.
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The Understanding and Application of a Yoga Multidimensional Model in Chronic PainNourishment of Mind, Body & Spirit Patients with chronic pain are challenging to manage and present a significant public health problem. The complete elimination of pain is rarely obtainable for any substantial period. Treatment goals for chronic pain management are to reduce pain, maximize physical function, and improve quality of life. Optimal outcomes are achieved by addressing co-morbid mental disorder conditions (e.g., depression, anxiety). This provides an opportunity to implement nonpharmacologic and complementary therapies for symptom management (1). Yoga is increasingly being recognized as a complementary healing modality for managing chronic conditions including pain. In this context, yoga offers a direct approach to target chronic pain and co-morbid affective conditions.
Yoga is an ancient healing practice rooted in Indian philosophy. The approach of Yoga incorporates various traditional Indian models to treat health conditions. In the modern context, this has led to the field of Yoga Therapy. Yoga Therapy uses a multidimensional model (Pancãmaya), to determine the appropriate personalized approach for the patient. This model views the individual through five dimensions: physical body, vital/energetic body, intellectual mind, personality, and emotional/spirit (2, 3). Therefore, chronic pain condition is viewed through the interplay of these dimensions.
One crucial element when treating chronic pain successfully is being able to target negative effects (such as loss, identity, depression, anxiety, fear, etc.) related to the experience of pain. Because of the multi-dimensionality of the Yoga view of the human system, Yoga Therapy can directly approach and treat these negative effects through specific yoga techniques that will be discussed. This experiential workshop will offer a practical understanding and application of Yoga techniques through the multidimensional model. Participants will gain knowledge and experience of the tools used in yoga to address chronic pain.
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12:30 - 14:00 - Tradeshow | |||||||||||||||||||||
Lunch On Own, Poster Viewing & Exhibits |
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14:00 - 16:00 - Concurrent Sessions | |||||||||||||||||||||
From SOAP to HOPE; Changing Visits Changes Lives - Chronic Pain As an ExampleEmbracing Positive Deviance: Thinking Outside the Box As practitioners we often make assumptions and judgements about patients and what they need, but we can do better. Using new tools will help widen our view of our patient and their wellbeing. We can teach those who follow us into medicine how to avoid some of our biases and work with patients towards true wellness.
Our current healthcare system is broken - but we can miss that we are a part of the problem. Medical education has narrowed the focus of most physicians, with time pressure, templates and insurance- based billing criteria worsening our tunnel vision. We know that 80 % of what causes chronic disease lies outside of the office and hospital, while medical care influences only 20 % of health. Yet our tools are designed to highlight urgencies and emergencies, with the more profound and longer term issues being pushed off to another day - over and over again. Medical students are taught to use the SOAP note format: Subjective, Objective, Assessment and Plan. This suits single issues, but does not get at how multiple factors can overlap, let alone what is needed for overall wellness. In addition, it put the physician in the center of this exchange, with three of the four items being from their perspective. Language and templates can shape how we see the world, so we need a new format to help change our viewpoint and challenge our assumptions. We need to teach and learn a way to interact with patients that centers on their thoughts, goals and values, rather than letting our assumptions lead the way. Using patients with chronic pain as examples we will demonstrate how a different kind of history- taking and interaction can lead to a more fruitful partnership with patients and and better
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Applying an Equity Lens in Integrative Medicine and HealthEmbracing Positive Deviance: Thinking Outside the Box In this session, participants will have the opportunity to hear how four institutions (Academy of Integrative Health and Medicine, University of California San Francisco, University of Wisconsin, and Vanderbilt University) have practiced applying an equity lens to their respective Integrative Medicine and Health education programs and processes. In addition, this session will highlight the importance of embodiment as a practice central to skillfully considering and carrying out health equity work. Patient-provider demonstrations during this session will emphasize the ways in which systematic applications of an equity lens may inform clinical practice.
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Using Sound in Medicine Parts One & TwoNourishment of Mind, Body & Spirit Part One: Title: Dancing to a New Beat: The Art and Science of Sound and Music Healing
The suffering of patients with chronic medical conditions and chronic pain is significant in terms of emotional suffering, cost in healthcare dollars, and preventing individuals from leading their most meaningful lives within the larger community. Integrative medicine is about seeing the whole person, using all healing methods that have a scientific basis, and collaborating through a meaningful relationship to promote a person's own, intrinsic healing wisdom. Sound and music healing has a long tradition in many cultures as a healing modality that decreases pain, increases emotional vibrancy, and lifts the spirit. I will present scientific evidence for sound and music healing in a variety of patient populations. A variety of practices utilizing different sound healing modalities will be shared, including those using singing drums and/or bowls, shofar (ram's horn), and sound/toning. We will then reflect on our own shifts that we experience during the workshop and how these practices are applicable to the healer as well. 75 minutes for presentation and experiences, 15 minutes for discussion and reflection. Part Two: Functional Medicine in Oncology Using Movement-Based Restorative Strategies: Overview, Outline, Pitfalls, References Quality of Life and Beyond Making Moves Universal: Using the raw urban spirit of music and active mindful movement to unify, reconnect and revitalize life situations for those with chronic illness, creating an aura of love, belonging and healing. Introduction: It seems clear that we are in an era of change with respect to health, wellness and purpose as it pertains to the healing of chronic illness (diabetes, hypertension, obesity), including anxiety, stress, confusion, anger and addiction. In examining the human condition today, we have a global problem of inactivity, fear of vulnerability as well as chronic stressors, creating life-long obstacles to self-improvement. On the other hand, we know that movement, in and of itself, saves lives. We also have recognized that "dance" has long been considered the most ancient are of therapy and healing, and thus mindful movement plays a critical role in stress reduction and restoration. However, in present times, those with chronic illness can hardly relate to today's fitness or "dance" industry. Making moves universal offers solutions by connecting the world through meaningful movement, not focused directly on physical fitness, but rather moving freely to music to connect the mind and soul. From the simple head nod to the beat of a favorite song to some sort of catchy gesture or simple pre-choreographed motion, there is an obvious "release" that occurs when people are free to express themselves. The practice of making moves universal, even if it were for 10-15 minutes per day, can be thought of as a sort of meditation as well (with respect to brain wave activity), where now our mind's daily thoughts can be channeled into the emotion of the body. The program has been featured on NBC, CNN espanol, Power of Movement (Amazon Prime), etc.
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Obesity Prevention Parts One & TwoNourishment of Mind, Body & Spirit Part One: LET'S TALK ABOUT WEIGHT, BUT LET'S START WITH KINDNESS: Learning how to approach obesity with sensitivity.
Our country is sick. Recent research shows that less than 7% of the US population is metabolically healthy. This heavy burden of chronic disease is primarily due to the epidemic proportions of obesity and unhealthy weight. And then there is weight bias and stigma, a real issue in today's world. Research suggests that once stigmatized, a lot of patients will not return for any health care needs, not even for preventative or screening exams, which means they feel defeated and hopeless. With obesity being the second leading cause of preventable death, it is important to empower our frontline staff with tools. Our primary care physicians encounter patients with obesity daily but given the chronicity and complexity of the disease, some are unsure about where and how to begin. If we can use ethical, non-stigmatizing communication, we can help providers start talking about obesity comfortably with their patients and that means we can treat obesity as the root cause of many other chronic medical diseases. The content of this presentation is intended for physicians, nurse practitioners, physician assistants and any other health care provider who treat patients in a clinical setting. By the end of the presentation, it will offer tools and knowledge that attendees will be able to take back to their own practice settings. Part Two: TIME RESTRICTED EATING (TRE): Learning how to use this forgotten tool with safety and efficacy. Time restricted eating (TRE) has gained popularity as a novel health intervention tool in recent times. It is a nutritional strategy based on eating in alignment with one's circadian rhythm. It reinforces the concepts of balanced nutrition and mindful eating and has beneficial effects on the gut microbiome. A healthy relationship with food is paramount. What we eat, how much and now the understanding of when we eat has a direct impact on our weight journey. Given the complexity and chronic nature of obesity, it is important to have a toolbox of various options to help our patients. For effective and sustainable weight loss and relief from poor glycemic control, we need to work in partnership with one another to meet our patients where they are. We all know what works for one patient may not necessarily work for another and that's why we must be creative. Additionally, what was handed down as traditional nutritional advice may not have been fully accurate. TRE can help with simple changes in daily dietary habits that can lead to significant health benefits. In the right setting it can be an effective tool for treating obesity and insulin resistance. The practice of TRE addresses elements of behavior modification: how to eat only for nutritional needs, how to effectively manage cravings, and most importantly, how to break away from the repetitive cycle of food addiction are some additional side benefits. This presentation will also include details of how this was effectively incorporated as a pilot study in a rehab setting to help improve the chronic medical disease burden of a cohort of hospitalized geriatric patients. Tiops and tricks of lessons learnt and the way forward to embrace this will also be highlighted.
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The Blessing of the Conversations You Don't Want to HaveEmbracing Positive Deviance: Thinking Outside the Box Clinicians excel at educating patients. We know what we think they should do and have honed our skills at helping patients understand our learned instructions. Yet not all of our patient care conversations are about information delivery, and we may not always know just what to say.
"My cancer came back" "What if your treatment doesn't work?" "Do you know what you're doing?" "Am I dying?" Patient statements or questions that may be particularly challenging include those associated with disease progression, end of life issues, or questioning the value of our clinical guidance. Poorly handled challenging conversations may result in increased patient distress, impaired patient-clinician relationship and clinician feelings of stress or shame. Handling these challenging conversations skillfully is important for both excellence in patient care and clinician wellbeing. This skill-building workshop will focus on communication skills designed to facilitate conversations about disease progression and end of life issues as well as skills for handling verbally confrontational or challenging patients. Patients who have unrecognized fear may present an attitude that triggers defensiveness in the clinician. Identifying this dynamic can not only prevent deterioration of the clinician-patient relationship, it can create deep connection and markedly improve the clinical encounter. Specific skills taught in this workshop will include: - Effective communication about death and dying - Positive reframing without veering into toxic positivity - Identifying patients' goals and values - Discussing advance directives with patients and families - Reflective listening - Use of silence - Uncovering patient fears - Self-compassion - Avoiding countertransference Skillful communication is a crucial part of excellent patient care, yet many clinicians struggle with difficult conversations. In this workshop participants will learn advanced communication skills and practice them in small groups. They will leave with practical skills that can be immediately implemented in their practice.
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16:00 - 16:20 - Experiential | |||||||||||||||||||||
Massage Anywhere! Self- and Partner-Facilitated Relaxing & Revitalizing Massage TechniquesAttendees will be walked through two, back-to-back deliveries of a 9-minute self- and partner facilitated massage routine to include gentle self-directed neck stretching, self- and partner delivered upper back and bilateral shoulder, arm, and hand massage.
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Self-Acupressure for Wellness and ConnectionParticipants will be led in an afternoon Wellness Burst that focuses on acupressure points and techniques to enhance wellness and connection. This will include short qigong breathing/movement exercise to start and then instruction and demo of self-ear massage and 2-3 acupressure points. Instruction will be given in a safe, effective, trauma-informed, healing-justice centered, and accessible way.
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Dance MedicineA chance to let go, feel uninhibited, move the body with no choreography and no restrictions. Enlivening music (possible live drummer if funds available) will allow for a guided experience that will quickly but skillfully open up individuals to feelings of joy and bliss. Micro talk on the benefits of dance on the brain and the body too
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16:00 - 16:30 - Tradeshow | |||||||||||||||||||||
Refreshment Break with Poster Viewing & Exhibits |
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16:30 - 17:30 - Plenary | |||||||||||||||||||||
Plenary Session 04: Pursuing the Quadruple Aim: The Emerging Role of the Chief Wellness OfficerNourishment of Mind, Body & Spirit While healthcare work has always been challenging, the stressors of recent years have highlighted systemic weaknesses. Retention and recruitment of the workforce have become an increasing focus for most health systems. Comfort discussing mental health and personal health needs has increased broadly. Many systems have created new executive roles to address the well-being of health professionals. The work of that person, while becoming more defined, still varies dramatically in terms of scope, target population, and resources. Alongside a deep knowledge of how healthcare systems work is necessary, a whole person health paradigm translates well to considering whole system health. This panel will explore successful models of how a Chief Wellness Officer role can help move medicine and health towards a more person centered model that considers not only the health of patients but of the people who together provide that care.
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17:30 - 18:15 - Optional Activity | |||||||||||||||||||||
Ayodele African Dance and Drum PerformanceChicago's very own nationally renowned Ayodele Drum and Dance company is performing at the Symposium! Firmly rooted in joy and the music and dance of the African Diaspora, attendees will be able to experience the healing energy from this high energy dance and live drum performance! The Academic Consortium's very own member, Dr. Geeta Maker-Clark, is dancing and encourages the IM community to share their talents/interests/passions at our conferences. Learn more at: https://www.ayodeledrumanddance.com/ |
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18:30 - 20:00 - Ancillary Function | |||||||||||||||||||||
Ancillary: BraveNet Research Network Meeting |
Thursday, March 2
6:30 - 7:15 - Experiential | |||||||||||
Hoop Class: Fitness HoopingFitness hooping is a popular aerobic activity that made headlines years ago when Michelle Obama was photographed fitness hooping on the Whitehouse lawn. Fitness hooping is aerobic, increases core strength and improves joint strength and mobility. Join us for hoop class to re-learn how to hula hoop again and how to use hooping as a therapy to relieve chronic low back pain, neck pain, headaches, shoulder, wrist and hand pain.
This class is for beginners, intermediate and advanced hoopers. Spectators are encouraged. *Advanced hoopers who are interested in helping to teach this class, please reach out to me at jemeador@iu.edu
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Morning Holistic Yoga: Rise and ShineA 45-minutes holistic yoga class, all levels. This session will include Asana (posture), pranayama (breath work), and a short meditation. A perfect balance that grounds, energizes and gives inspiration for the day.
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7:30 - 8:30 - Meal Function | |||||||||||
Continental Breakfast |
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7:30 - 12:00 - Contemplative Space | |||||||||||
Contemplative SpaceA Contemplative Room is available throughout the Symposium. This will be available to all attendees who want a quiet respite for meditation or relaxation.
Supported by: Andrew Weil Center for Integrative Medicine |
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7:30 - 12:00 - Registration | |||||||||||
SYM Registration & Information Desk |
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8:30 - 9:45 - Concurrent Sessions | |||||||||||
Oral + Presentation Abstract 05: Education and TrainingEducation Practices (e.g., Interprofessional Education) Chair: Belinda (Beau) Anderson
OA05.01 - Nutrition and Culinary Education for Health Professionals: A response to H. Res. 1118 Jessie Bruce, Melinda Ring, Christine Hamann, David Eisenberg OA05.02 - Variability in Integrative Medicine Education Requirements Among Western Healthcare Professions: A Report on Accreditation Standards Sarah Gorban, Amanda Corbett, Rebecca Carlson, Keturah Faurot OA05.03 - Advancing Integrative Dementia Care: Training Interprofessional Staff to Lead a Mind-Body Group Movement Program for Nursing Home Residents Francesca Nicosia, Jennifer Lee, Molly Delzio, Riya Jacob, Margaret Chesney, Matthew Miller, Catherine Pham, Linda Chao, Deborah E. Barnes OA05.04 - Low Tech to High Tech Parasympathetic State Assessment of Mindfulness Training: Respiration Rate to Continuous Physiology Monitoring Maryanna Klatt, Catherine Quatman-Yates, Justin Merrigan, Jacqueline Caputo, Beth Steinberg, Kayla Daniel, Anne-Marie Duchemin, Claire Seryak, Angela Emerson, Jamie Kronenberg, Joshua Hagan Presentation Abstract 05.05 -Water Cooler Conversation Between Folks at Complementary and Integrative Health and Research-Focused Institutions about Research Collaboration Belinda Anderson, Niki Munk, Steffany Moonaz, Kieran Cooley, Dale Healy, Tabatha Parker |
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Integrative Approaches for Vulnerable Pediatric PopulationsNourishment of Mind, Body & Spirit Nurturing the mind, body, and spirit of a child or adolescent is essential to the goal of supporting his or her flourishing, a central tenet to integrative pediatrics. Integrative pediatrics aims to see and hear patients holistically, and to evaluate and treat them using evidence-informed approaches to reduce symptoms and support flourishing. Given the recent and increasing mental, emotional, and behavioral health challenges, exacerbated by the COVID-19 pandemic, integrative pediatrics is a helpful framework from which to consider the health and well-being of children and adolescents. Drawing on the expertise of three integrative pediatricians, this session will review the cornerstones and framework of integrative pediatrics, describe research, review evidence, and provide clinical examples of integrative approaches for children and adolescents. Drs. Sibinga and Vellanki will review the state of the field and present original research studies on mindfulness for urban school students and mindfulness-based stress reduction (MBSR) for pediatric patients with chronic illness, such as HIV and inflammatory bowel disease (IBD). Dr. Vellanki, an integrative pediatric gastroenterologist will share promising findings of a pilot study of real-time video MBSR for pediatric IBD patients, in response to the COVID-19 pandemic. Forty-four adolescents with IBD participated in four MBSR cohorts, showing excellent feasibility and acceptability; increased awareness of thoughts, emotions, and sensations; and improvements in stress and affect. In addition, Dr. Melanie Brown will present examples of integrative pediatrics in practice, using case-based clinical scenarios from her experience in pediatric palliative care, chronic illness, and general pediatric care. Dr. Brown will detail integrative pediatric evaluation and treatment, as well as providing hands-on opportunities to learn approaches to incorporating integrative approaches with children and adolescents, such as aromatherapy, meditation, and acupressure.
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SPARC Talks - Post-Traumatic GrowthPost-Traumatic Growth in Individuals & Communities SPARC Talk 1) Misdiagnosis and Missed Diagnosis: My POTS Journey - Elizabeth Walsh
SPARC Talk 2) MA Healer's Journey--Understanding Our Wounds - Darshan Mehta SPARC Talk 3)The Wisdom of Trauma: They Gave Me Three Options & Whole Person Care Was Not One - Jennifer Jaki Johnson SPARC Talk 4) 86,400-144,000; I was 6 years old; I want my arm back! - Kaushal Nanavati SPARC Talk 5) Using Your Personal Healing Journey in Clinical Care - Jill Schneiderhan
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Cannabinoids: Evidence-Based, Practical Knowledge for the Busy Clinician, Educator and PolicymakerEmbracing Positive Deviance: Thinking Outside the Box Cannabis sativa is becoming more widely available as a medicine in the United States as well as throughout the world. The knowledge base regarding Cannabis' toxicity and addiction potential is well established, but its evidence as a therapeutic substance is still in development due to many barriers that hamper clinical trials in the U.S. and abroad.
Although its medicinal use dates back thousands of years, health care providers trained in modern times during cannabis prohibition and stigmatization have insufficient knowledge regarding the pharmacology, benefits, risks, and dosing recommendations. At present, patients are increasingly relying on internet testimonials or advice from trained laypersons in cannabis dispensaries to determine if cannabis may be useful for them. Recent surveys have shown a substantial gap between patients' need for quality medical advice on how to incorporate cannabis into their care and what their treating providers are able to discuss with them.
This session will outline the basics of the system of cannabinoid receptors and endocannabinoids, review clinical situations where cannabis may be a useful intervention and discuss some of the currently available delivery systems. This interactive session will conclude with discussing various case presentations and making recommendations for or against the use of cannabis as medicine in a number of clinical situations. The discussion will also include updates in medical professional education and cannabis policy in the adult/recreational and medical spheres.
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Data for Whole Health: Importance, Process, and OutcomesEmbracing Positive Deviance: Thinking Outside the Box Through case examples, interactive experiences, and practice-based research, this presentation will demonstrate 1) the value of data for whole health; 2) how to collect data efficiently using tools such as electronic health records, Research Electronic Data Capture (REDCap), and R; and 3) how to interpret meaningful patient-reported outcomes (PROs) from prior research.
The presenters will begin with background information about the importance of data within whole health. This will include its value for individual patients, care teams, healthcare administrators and payors, and research. Then, through interactive dialogue with the audience, the presenters will demonstrate common data collection inefficiencies and how they can be streamlined through innovations including 1) electronic health record tools; 2) REDCap and its integration with Twilio, a text-messaging platform; and 3) statistical packagers such as R. Participants will have the opportunity to share perceived myths and barriers to collecting PROs. Presenters will address these myths and barriers using examples from prior research and current clinical practice. The presenters will then describe a quality improvement project that resulted in the significant increase of PRO collection among a medical music therapy team.
The presenters will then describe how PROs are used within patient care and research. They will describe the differences between 1) "feeling" measures (e.g., pre- and post-treatment numeric rating scales of pain intensity) and "functioning" measures (e.g., Patient-Reported Outcome Measurement Information System (PROMIS) measures of pain interference); and 2) statistical vs. clinical significance. The presenters will also provide context for comparing PRO changes from integrative therapies to those associated with conventional therapies. The presenters will conclude with a series of brief presentations describing practice-based research within their institutions.
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10:00 - 11:00 - Plenary | |||||||||||
Plenary Session 05: Is There a Balm in Gilead? Integrating Faith and Health in a Religiously Diverse WorldSpirituality & Interconnectedness The United States is the most religiously diverse nation in human history and the most religiously devout nation in the Western Hemisphere. Though some still insist on separating religion and science, those practicing integrative medicine know well that faith often deeply affects the approach to healthcare taken by patient and provider alike. This session will present research that illustrates the salience of faith identity on Covid-19 vaccines, as well as effective strategies for engaging faith communities to address health issues. We will also promote concrete steps health care providers can take to engage religious identity positively and proactively, strengthening the patient-provider partnership in ways that improve health outcomes.
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