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Timezone:
Sunday, April 11
Day 1
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11:00 - 11:15 Welcome Remarks
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11:15 - 11:45 Breakout Sessions
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11:45 - 12:30 Plenary
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12:30 - 12:45 Experiential Break
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12:45 - 13:15 Special Session
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13:15 - 13:30 Experiential Break
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13:30 - 14:15 Experiential Workshop
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14:15 - 15:15 Plenary
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15:15 - 15:30 Experiential Break
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15:30 - 16:15 Breakout Sessions
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16:15 - 16:30 Experiential Break
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16:30 - 16:45 Special Session
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16:45 - 17:00 Reflection/Closing
Monday, April 12
Day 2
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11:00 - 11:15 Welcome Remarks and Opening Ceremony
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11:15 - 12:00 Plenary
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12:00 - 12:30 Breakout Sessions
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12:45 - 13:45 Concurrent Sessions
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13:30 - 14:15 Break
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14:15 - 16:00 Concurrent Sessions
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16:00 - 16:45 Plenary
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16:55 - 17:25 Breakout Sessions
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17:25 - 17:40 Symposium All-Group Reflection
Tuesday, April 13
Day 3
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11:00 - 11:15 Welcome Remarks and Opening Ceremony
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11:15 - 12:00 Plenary
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12:00 - 12:30 Breakout Sessions
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12:45 - 13:45 Concurrent Sessions
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13:30 - 14:15 Break
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13:40 - 14:10 Experiential Break
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14:15 - 16:00 Concurrent Sessions
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16:00 - 16:45 Plenary
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16:55 - 17:25 Breakout Sessions
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17:25 - 17:40 Symposium All-Group Reflection
Sunday, April 11
11:00 - 11:15 | |||||
Welcome Remarks |
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11:15 - 11:45 - Breakout Sessions | |||||
Networking Ice Breaker |
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11:45 - 12:30 - Plenary | |||||
Engineering Learning for Healthcare Professionals: Adapting and EvolvingThe learning expectations for healthcare professionals have always been in evolution, but responding to their needs with technology, format, and content has been accelerated by the COVID-19 pandemic. In this presentation, Dr. McMahon will discuss lessons learned from the deployment of novel educational technology and describe principles and practices for effective pedagogy in the new world.
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12:30 - 12:45 - Experiential Break | |||||
Dance and Movement Therapy Break |
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12:45 - 13:15 - Special Session | |||||
Association Business |
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13:15 - 13:30 - Experiential Break | |||||
Art Therapy Break |
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13:30 - 14:15 - Experiential Workshop | |||||
Teaching CALM (Culinary and Lifestyle Medicine) for Health Care ProfessionalsAre you interested in learning more about integrating culinary medicine education into academic programming? Would you like to hear about a program thats won a national award for innovation in teaching future health care professionals? Join the two faculty co-leads of the Jack, Joseph, and Morton Mandel Wellness and Preventive Care Pathway from Case Western Reserve Universitys School of Medicine as they highlight an innovative approach to culinary medicine from curriculum development to implementation.
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14:15 - 15:15 - Plenary | |||||
Conscious LeadershipThis introductory workshop explores ways that Consortium members can expand their skillset through conscious leadership. Personal reflection and small group breakouts provide an opportunity to examine opportunities to grow as a leader, personally and professionally, by exploring concepts of presence, curiosity and vulnerability.
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15:15 - 15:30 - Experiential Break | |||||
Yoga Therapy Break |
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15:30 - 16:15 - Breakout Sessions | |||||
SIG Breakouts |
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16:15 - 16:30 - Experiential Break | |||||
Music Therapy Break |
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16:30 - 16:45 - Special Session | |||||
Association Business/Awards |
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16:45 - 17:00 | |||||
Reflection/Closing |
Monday, April 12
11:00 - 11:15 | |||||||
Welcome Remarks and Opening Ceremony |
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11:15 - 12:00 - Plenary | |||||||
Counting Those Things That are Difficult to Count: Innovations Towards a Salutogenic ScienceHealth payers are transitioning to rewarding health outcomes which is not served by the old reductionistic, double-blind controlled trial. We need to evolve our science to show how complex systems heal. In order to do that, we need to recognize complexity. I will share personal stories of mystery and awe to explore how we can create a new salutogenic science. One that requires innovative models that support self-healing, transcending the "pill for every ill" pathogenic medical culture.
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12:00 - 12:30 - Breakout Sessions | |||||||
Affinity Rooms |
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Plenary Chat |
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12:45 - 13:00 - Concurrent Sessions | |||||||
Accessible and On-Demand Integrative Medicine and Healthcare Solutions From the Department of Veterans AffairsCOVID-19 Pivots As the largest integrated healthcare system in the US, VA policy often impacts other organizations. Lessons learned from VA's Whole Health (WH) work could help inform other hospitals and academic institutions. The Integrative Health Coordinating Center (IHCC) within the VA Office of Patient Centered Care and Cultural Transformation (OPCC&CT) was established in 2014 to identify and remove barriers to complementary and integrative health (CIH) access across the VA, and to serve as a resource for clinical best practices and education. In fiscal year 2020, almost 30,000 Veterans received over 130,000 WH/CIH approach visits through telehealth. This is over a ten-fold increase in similar telehealth visits in fiscal year 2019. We expect ongoing growth as health care delivery continues to be shaped by this pandemic. To help increase the provision of Whole Health and CIH approaches and access to care, the VA has developed provider skills trainings for a variety of CIH and Whole Health services. Due to COVID-19 closures and restrictions, many of these usually live courses transitioned to virtual delivery, including clinical hypnosis, Whole Health coaching, and mindfulness facilitator training. On demand skills trainings are also being developed for guided imagery and acupressure. In addition, the #LiveWholeHealth blog series highlights, on demand and accessible self-care experiential videos and resources that Veterans can experience at home. This ongoing series showcases a variety of VA resources, such as breathing exercises, stretching, meditation, fitness, yoga, and tai chi, that can be used by Veterans, family members, and caregivers. OPCC&CT has also created a Live Whole Health Mobile Application, where Veteran and non-Veteran users can take inventory of their current health and develop a roadmap to a healthier lifestyle.
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12:45 - 13:30 - Concurrent Sessions | |||||||
The Roles of Natural Products in COVID-19 Vaccine and TherapeuticsLifestyle Medicine & Nutrition The coronavirus disease (COVID-19) caused by the SARS-CoV-2 virus has now become a global pandemic that has lasted for more than a year. COVID-19 patients can have severe illness, mild symptoms or be asymptomatic. However, infected but asymptomatic individuals can still spread the disease, and may represent a major vector of transmission. While FDA approved coronavirus vaccines and therapeutics are now available to the general public, there is continued interest among patients in the use of natural product to prevent infection by SARS-CoV-2, suppress virus transmission and replication, and/or regulate the immune system in response to the virus or the vaccines. This NCCIH-sponsored symposium will highlight three innovative scientists, recently funded by NCCIH, to discuss their work on natural products and COVID-19 therapeutics and vaccines. The first speaker, Dr. Jon Clardy from Harvard Medical School, will present a highly innovative approach to discover and develop novel adjuvants from gut microbiome that may augment the potency of the current SARS-Cov-2 vaccines. The second speaker, Dr. Sean Brady from Rockefeller University, will present a novel screening assay to identify antiviral natural products and their biosynthetic genes from human associated bacteria to combat SARS-Cov2 infection. The third speaker, Dr. Margherita Cantorna from Pennsylvania State University, will highlight her recent work on studying the role of vitamin D to regulate immunity to prevent systemic and lung pathological inflammation and virus replication in animal models of COVID-19.
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Medical School Journeys Into Integrative Medicine: The Role of the American Medical Student Association Integrative Medicine Scholars ProgramResilience & Well-Being How can emerging, young health providers practice compassionate, patient-centered care using integrative medicine clinical modalities while fostering their own resiliency and wellbeing? The AMSA Integrative Medicine Scholars Program (IMSP), founded in 2012, serves as an international platform to address this very question. The session presenters completed this nine-month IMSP and now serve as Course Directors. The goals of this presentation are two-fold: 1: Personal Experiences Related To Integrative Medicine: Share their journeys through medical school and how STP shaped their awareness and ability to engage with patients holistically beyond just clinical pathology; Describe how mind-body medicine approaches and mindfulness alleviated their own stress/fatigue and burnout; Propose ideas/initiatives for how they will take integrative medicine practices into their residency training programs. 2. Experiences Related to Teaching AMSA IMSP: Describe the Mission of IMSP, including creating a space for a community of students to develop a personal self-care practice, embrace a multi-dimensional view to patient care and learn about integrative medicine approaches; Explain responsibilities as Course Directors, such as curriculum design, coordination of expert led bi-weekly webinar discussions and evaluation of student advocacy projects; Present results and interpretation of a 10-question survey of knowledge, attitudes and practice of integrative medicine and student wellbeing/resiliency administered January 2021; Assess how AMSA IMSP course continues to transform the next generation of integrative medicine practitioners. This session will foster dialogue among attendees with a goal to heighten the voice of medical students and residents within the integrative medicine field in order to advocate for inclusion across all levels of training.
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12:45 - 13:45 - Concurrent Sessions | |||||||
Oral Abstracts: COVID-19 Pivots |
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Oral Abstracts: Health & Healthcare Equity |
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13:00 - 13:15 - Concurrent Sessions | |||||||
Supporting University Hospitals Employees During the COVID-19 Pandemic Through Integrative Health Services via the UH4YOU InitiativeCOVID-19 Pivots The COVID-19 pandemic has adversely impacted the well-being of healthcare workers' and increased their stress, workload and/or financial burden. To support the 28,000 University Hospitals (UH) employees during the COVID-19 pandemic, the Connor Integrative Health Network (CIHN), UH Human Resources and the UH Communications Department created an innovative program called UH4YOU.
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13:15 - 13:30 - Concurrent Sessions | |||||||
Transitioning a Group Visit for Chronic Pain to a Telehealth Platform During the COVID-19 PandemicCOVID-19 Pivots We will share our experience of shifting a group visit for chronic pain to a virtual platform during the pandemic. The educational program is unique in its blending of the modern neuroscience understanding of pain with the ancient wisdom of traditional Chinese medicine. The premise of the program is that chronic pain is a mind body condition involving changes to the brain that can be improved by using the tools of the program. The program is co-facilitated by the MD and LAc who developed the Transforming Pain Shared Medical Visit Program. Each of the 8 weekly visits of 2.5 hours includes practice in tai chi and qi gong and an educational topic such as Neuroscience of Pain and Traditional Chinese Medicine View of Pain. The first 7 cohorts of this program were offered in person. In the fall of 2020 the program was adapted to a Microsoft Teams platform and the initial virtual offering was completed in November 2020. Presenters review the processes and obstacles for transitioning the program to a telehealth offering; unanticipated benefits (such as improved attendance, reduced geographic barriers in recruitment), patient experience (including reduced feelings of isolation), and observed outcomes.
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13:30 - 14:15 - Break | |||||||
Movement/Meal Break |
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14:15 - 15:00 - Concurrent Sessions | |||||||
Tell Us What You Need: Development Strategy of a Mobile Application to Train Adults With Sickle Cell Disease in Mindfulness-Based Pain ManagementHealth & Healthcare Equity A Home Visiting Program for patients suffering from Sickle Cell Disease (SCD) has expanded to include a three year community-based participatory research project. We are developing a mobile application to train adults with sickle cell disease in mindfulness-based pain management. This experiential session will be a walk through our journey of discerning project outline and implementation, informed by considerations of racism, social justice, and health equity.
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Eliciting Motivation in Clinical Encounters in 5 Minutes: A Conversation Roadmap and Skills WorkshopLifestyle Medicine & Nutrition To help manage chronic disease, clinicians need tools to support their patients in behavior change. This experiential workshop will teach a simple yet powerful communication sequence that can be used in under 5 minutes in clinical encounters, to link behavior changes to patients' intrinsic motivation. This innovative workshop involves 1) helping participants understand the rationale, 2) observing a demonstration, and 3) practicing skills with a partner in a breakout room, while receiving personalized feedback from trained mentors.
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Interoceptive Awareness Training: Key Elements of Mindful Awareness in Body-Oriented Therapy (MABT) and Study Results Highlighting Within-Person Modulation of Neural Networks Following TrainingResilience & Well-Being Interoception, the representation of the body's internal state, is increasingly recognized for informing subjective wellbeing and promoting adaptive regulatory behavior. Clinically-efficacious mindfulness interventions improve mental health outcomes in part by cultivating interoceptive awareness through therapist facilitation, affording trainees with tools for self-care that can be integrated into daily life. Mindful Awareness in Body-oriented Therapy (MABT) is particularly oriented towards teaching fundamental skills for interoceptive awareness, with a focus on sustaining mindful attention towards the body; the stabilization of interoceptive attention promotes reappraisal of somatic information, greater well-being, and a more integrated sense of self. Multiple studies of MABT as an adjunct to substance use disorder treatment show it to be efficacious in increasing interoceptive awareness, as well as showing increased emotion regulation and reduced symptoms of mental and physical distress.
This symposium highlights the MABT approach, and new results from a cross-disciplinary collaboration between MABT developer Dr. Price and cognitive neuroscientist Dr. Farb. Dr. Price will describe the primary elements of MABT, and lead an experiential exercise involving sustained interoceptive awareness. Following this experiential grounding, Drs. Price and Farb will describe a randomized clinical trial, which explored changes in interoceptive networks in participants completing 8 weeks of MABT compared to a waitlist control group. Participants (N=22) with elevated stress were recruited to this study and completed both a baseline and post-intervention assessment. The assessment included self-reported symptoms of distress and interoceptive awareness (MAIA), followed by fMRI neuroimaging to characterize changes to interoception while participants performed a sustained interoceptive attention task, similar to what was taught in MABT. Dr. Farb will describe the study results, which are the first to show that mindfulness training promotes within-participant plasticity in interoceptive networks. Functional connectivity analyses demonstrated training-related changes in interoceptive networks, such that MABT enhanced communication between interoceptive regions and the prefrontal cortex. Connectivity changes were also correlated with subjective reports of enhanced interoceptive awareness. Mindfulness training therefore appears to re-configure neural networks to increase the availability of interoceptive signals to conscious reflection and control. These findings address critical questions regarding the potential role of interoceptive awareness and sustained attention in the body to support and enhance resilience and well-being in mindfulness and mind-body therapies.
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Using Integrative Medicine Approaches to Improve Workplace Wellbeing of Individuals and Groups in Healthcare: Lessons from Institutions in the U.S.Resilience & Well-Being Healthcare struggles to address the rise in burnout and declining professional fulfilment. Despite knowledge of the downstream effects on patient satisfaction, quality, and cost of turnover, implementation of a comprehensive approach eludes the grasp of most centers. An understanding of 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. COVID-19 has brought a new intensity to these discussions, leading institutions to rapidly scale up their attention to professional well-being. As organizations approach clinician 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. This session will explore how 4 institutions used elements of Integrative Health to develop interventions that address workplace well-being of health professionals and how they adjusted during COVID-19. Our group will share models, successes, and struggles at 4 institutions. The University of Utah Resiliency Center and Chief Wellness Officer leads well-being strategy for the health system, provides personal resilience and support programs, as well as contribute to the national dialogue through research. Georgetown University Medical Center and MedStar Health have expanded the mind-body medicine program in place for medical students to a broader audience including residents, faculty and staff. The University of Minnesota develops leaders who have the knowledge and skills to create cultures of well-being within their academic units or residency programs, can address system issues and tap into institutional resources. The Ohio State University Gabbe Health and Wellness Initiative has created the Mindful Medical Center uniting nursing, physician and administrative leaders in forging a well-coordinated and collaborative path forward to wellness.
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COVID Pivot: Offering TeleHealth to Healthcare Providers, Hospitalized Kids, and Families in NeedCOVID-19 Pivots Integrative Touch for Kids (ITK) and Banner Health have partnered for the past 7 years to deliver high quality, hands-on, integrative medicine services to hospitalized children, their parents and healthcare providers. COVID-19 created an unexpected challenge. To protect the most vulnerable among us, the entire program needed to shift to a Telehealth platform. ITK explored and selected software, developed and implemented a new program model, and created an evaluation team and methodology to assess program outcomes. The new Telehealth model was implemented in less than two months and has been running successfully since May of 2020. The program includes: 1) a TeleWellness curriculum for frontline healthcare providers and parents of children with special medical needs and 2) a TeleFriend curriculum for hospitalized children and kids who are isolated at home due to COVID-19. Parent, caregiver and patient clinical care and education strategies have helped to meet an urgent need. More than $100,000 in scholarships have been offered to Telehealth participants so they can access these services at little to no cost.
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15:15 - 16:00 - Concurrent Sessions | |||||||
A Closer Look at the Wound Beneath the Surface: Exploring Key Facets of Structural Racism in the United States and Its Impact on HealthHealth & Healthcare Equity The atrocious death of George Floyd shocked the global collective consciousness and exposed the deeply embedded structural racism in the U.S. Structural racism infiltrates every aspect of human interaction with substandard delivery of both traditional health care and integrative medicine leading the way. We cannot pretend that we are living in a post-racial society. All fields of health care delivery have been forced into a process of intentionally and deeply examining how racism and bias affect diverse patient populations. We are now called to enter into deliberate dialogue about white privilege, power sharing dynamics, opening access to medical education for communities of color and delivering equitable solutions regarding the social determinants of health. Dismantling the systems that perpetuate and support racism and bias are the ultimate long-term goals. The Black, Indigenous and People of Color (BIPOC) Taskforce of the Academy of Integrative Health and Medicine (AIHM) was created to have a role in leading this dialogue and building a coalition of diverse individuals, organizations and institutions to address these needs. In June of 2020, the BIPOC Task Force of the AIHM initiated monthly interactive webinars on topics related to addressing racism and bias, and guided important changes in the annual conference program and within the organization. Our conference was a call to action for all health care providers with participants from 38 countries. The BIPOC task force stepped forward to help conference attendees explore the ways in which structural racism has been woven into all institutions, particularly integrative health and healthcare in general. These efforts have had excellent participant feedback, and the work of the Taskforce is ongoing.
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A Breathing Space: Incorporating Mind-Body Interventions Into Residency Education as an Innovative Approach to Systemic Healthcare ChangeResilience & Well-Being Mind-Body Interventions (MBIs) have been shown to benefit physicians' personal and professional wellbeing during education, training and practice. During residency in particular, studies have indicated that mind-body training not only supports residents to skillfully meet the challenges of stress, burnout, depression and anxiety, but also has the potential to enhance clinical acumen including working memory, empathy, procedural competency, and communication skills. This panel includes four physicians who have developed, facilitated and evaluated MBIs for resident physicians at multiple academic institutions, for different specialties. Each panelist will describe their motivations and experiences in developing mind-body curricula, while highlighting key practices that optimize facilitation and implementation of an MBI from a practical standpoint. We will describe and discuss two recent advances in using MBIs in medical education and training. 1) how MBI basic skills training can be adapted and reinforced across the training and practice trajectory, and 2) how MBI training intersects with organizational change.
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An Analysis of the Governmental Funded Meta-Analyses and Reviews of Research on Homeopathic MedicineResilience & Well-Being Four government-sponsored reports on homeopathic research have been published, including reports from Great Britain and Australia and two reports from Switzerland. Two of these analyses were published in peer-review journals and two were not. Three of the four government-funded reviews of research on homeopathy were critical of homeopathy, claiming that there was no "reliable evidence" that homeopathic medicines were effective, but these three studies were found to have significant flaws in their methodology and analysis, with at least one review possibly having both scientific and ethical flaws. The most comprehensive review of homeopathic research, including analysis of clinical and basic science concerns, found the most positive results for homeopathy. One of the negative reports was from Australia, though investigative effort has led the government to acknowledge there was an earlier unpublished report on homeopathy that found "encouraging evidence" for efficacy of homeopathic medicines in five complaints. Critics of Australia's published report also express concern that the definition of "reliable evidence" required three independent clinical trials of 150 subjects to be deemed "reliable." No previous medical report from Australia has ever required this standard, and the BMJ's Clinical Evidence guidelines deem 20 subjects to be a reasonable minimum for reliabilty. Recently, some countries, including France, Great Britain, and Spain, have chosen to no longer provide reimbursement for homeopathic treatment and homeopathic medicines in part due to the publication of these government-sponsored reports. It is therefore important for health and medical professionals as well as health policy analysts to understand what these reports really found, what they didn't find, and what minor and significant flaws have been found in these documents.
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Remote Delivery of Mindfulness-Based Interventions for Underserved Communities in Response to COVID-19COVID-19 Pivots The global COVID-19 pandemic and government-mandated efforts to slow its spread have plunged the planet into a global recession. This new public health crisis reveals a lack of preparedness to meet the psychological needs of individuals, especially those in low-income communities and health care workers. Given that natural disasters are well-known to increase symptoms of stress, anxiety and depression, the urgent challenge to mental health is to rapidly respond with remotely delivered services to meet the surge in demand. Integrative practices such as mindfulness lend themselves to low-cost, strengths-based interventions that can be delivered remotely.
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Yoga for Anxiety: Science and ResearchLifestyle Medicine & Nutrition This symposium will provide an overview of recent science and research on the rationale and efficacy of yoga for anxiety and anxiety disorders. Three scientists who are expert in the field of clinical yoga research will each deliver lectures. Dr. Holger Cramer, Ph.D. (Research Director at the Department of Internal and Integrative Medicine at the University of Duisburg-Essen in Germany) will review the scientific rationale and purported psychophysiological mechanisms underlying the efficacy of yoga for anxiety and anxiety disorders, and the published research literature on the efficacy of yoga for anxiety and anxiety disorders. Dr. Suzanne Danhauer, Ph.D. (Professor in Social Sciences and Health Policy at Wake Forest School of Medicine) will review her research on yoga for anxiety and worry, including a NIH-funded study on yoga for late-life worry and anxiety published recently in the journal Depression and Anxiety. Dr. Sat Bir Singh Khalsa, Ph.D. (Assistant Professor of Medicine at Brigham and Women's Hospital, Harvard Medical School) will review his research on yoga for anxiety and anxiety disorders, including a NIH-funded study on yoga for generalized anxiety disorder published recently in the journal JAMA Psychiatry. A question and answer session with attendees will follow the three presentations.
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16:00 - 16:45 - Plenary | |||||||
Innovations in Nutrition - Eating to Beat DiseaseLifestyle Medicine & Nutrition Physiological defense mechanisms have been identified that are responsive to nutrition. Dietary factors can activate or suppress these defenses. Innovative targeted nutrition strategies are being developed to prevent, ameliorate, and reverse acute and chronic diseases. The data supporting foods and bioactives will be presented for dietary strategies influencing angiogenesis; regeneration; gut microbiome; DNA protection; and immunity. Recent findings of immunomodulation and tissue injury related to acute and post-acute sequelae of COVID-19 will be discussed.
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16:55 - 17:25 - Breakout Sessions | |||||||
Affinity Rooms |
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Plenary Chat |
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17:25 - 17:40 | |||||||
Symposium All-Group Reflection |
Tuesday, April 13
11:00 - 11:15 | ||||
Welcome Remarks and Opening Ceremony |
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11:15 - 12:00 - Plenary | ||||
Health & Healthcare Equity
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12:00 - 12:30 - Breakout Sessions | ||||
Affinity Rooms |
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Plenary Chat |
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12:45 - 13:00 - Concurrent Sessions | ||||
A Review of the Evidence in Support of Clinicians Recommending Nature-Based Care as Adjunct Therapy in the Oncology PopulationResilience & Well-Being Green space contributes to physical and mental wellbeing and offers therapeutic benefits for recovery from illnessess. Research from around the world demonstrates that 'green' prescriptions are increasingly being used by healthcare professionals.
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12:45 - 13:30 - Concurrent Sessions | ||||
Education Goes Viral: What We Are Learning From Online PivotsCOVID-19 Pivots In the wake of the COVID-19 pandemic, traditional pedagogical strategies based on in-person learning were forced to rapidly transition to virtual formats. This transition has changed all components of teaching and learning in higher education, with unique challenges and opportunities for educators in the "high-touch" field of integrative medicine. Faculty from 3 Osher Centers share lessons learned and strategies for effective integrative medicine education while remaining meaningful and true to its core precepts.
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Addressing Inequities in Pain Care by Advancing Integrated Pain Management ProgramsHealth & Healthcare Equity Chronic musculoskeletal pain is a leading cause of disability in the United States, with significant economic, emotional, and societal costs. Pain is often mismanaged, particularly in underserved and marginalized populations. Racial, socioeconomic, and geographic inequities in pain assessment and treatment persist based on a variety of factors, including barriers to accessing and affording health care and insurance, and systematic biases in assessment and prescribing practices. Untreated and poorly managed pain can also contribute to substance misuse and use disorders, especially in underserved and rural communities. A growing evidence base suggests that integrated pain management (IPM) models - which incorporate an array of treatments to address the biopsychosocial and functional needs of individual patients - can be effective in managing and reducing the burden of pain and delivering care in a more equitable and patient-centered manner. These models take a holistic approach to examining the physiologic, psychological, social, and economic impacts of pain on patients' lives, and prioritize improving patients' overall well-being rather than solely focusing on reducing pain. Additionally, IPM models deliver coordinated care, reducing barriers to access. As part of treatment in IPM programs, patients are often connected to additional resources, including behavioral health, social, and legal services, to address social factors that exacerbate the burden of pain. IPM programs also promote patient-centered goal-setting, education, and self-regulation, providing patients with the necessary tools to manage their pain outside of the formal health care system.
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12:45 - 13:45 - Concurrent Sessions | ||||
Oral Abstracts: Lifestyle Medicine & Nutrition |
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Oral Abstracts: Resilience & Well-Being |
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13:00 - 13:15 - Concurrent Sessions | ||||
Follow an Ancient Way, or Path, to Resiliency & Well-BeingResilience & Well-Being It is well known that fostering resilience can help people confront and overcome all types of adversity and improve their sense of well-being. As health care is looking for innovations in integrative medicine to enhance resilience and well-being for patients, providers, communities, and organizations this presentation will take you on an ancient journey, or path, that provides the empowering way, or instructions, on how to achieve this goal. In this Ted-style talk the presenter will reveal to you how the journey he has taken through his education in Traditional Chinese Medicine, his understanding of the literal meanings of ancient Chinese calligraphy, and his pursuits in martial arts has provided him the skills that he teaches in behavioral health settings to help patients improve their sense of resiliency and well-being as they are struggling with anxiety, depression, suicidal ideation, and addiction.
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13:15 - 13:30 - Concurrent Sessions | ||||
Reflections From a Decade in Motherhood and Integrative MedicineResilience & Well-Being In 2010, my eldest son was born, and shortly after his birth, he was diagnosed with a congenital brain malformation and developed intractable epilepsy by 6 months of age. That same year, I began my career as an integrative endocrinologist at an academic medical center. As I expanded my clinical experience into various modalities of integrative medicine, I recognized early in my son's life, that integrative medicine could help us both. Integrative treatments and therapies helped him cope with the pain and fatigue caused by both his chronic medical disease and his medications; this approach allowed him to thrive, despite his severe and complex medical needs. Integrative medicine also helped me manage my caregiver stress, which often manifested with a myriad of physical, mental and emotional symptoms often associated with anxiety, fatigue, depression, pain and exhaustion. Over the course of the next several years, as my career blossomed and I began to innovate in integrative medical education and telemedicine, my son's health took a turn for the worse. In December 2019, my son, my inspiration in integrative medicine, passed away. I entered 2020, grieving a loss like no other. When the pandemic hit, I struggled with my personal integrative practice. I mentally knew the importance of using integrative medicine techniques to manage the stress and trauma of life in 2020, and I encouraged all of my patients and students to engage in these practices, but I found myself unable to enjoy even a few moments of yoga or meditation. I felt like a fraud and failure. But then, in the summer of 2020, as I was considering leaving clinical and academic medicine, something strange happened-a weird encounter with a dying hummingbird re-awakened my connection to spirit. Six months after my son's passing, I started to feel his spirit and energy with me while I was in nature. I knew that I had to come to peace with how my son passed-knowing that I had "done" enough for him. I am forever grateful that we were blessed to hold our son in his final moments-a gift that has been ripped away from so many in 2020. Integrative medicine allowed me to care for my son in a way that traditional approaches could not. Integrative medicine allowed me to heal from my caregiver stress when traditional approaches did not. And now, in 2020, integrative medicine allows me to heal and honor my son's spirit in a way that traditional medicine does not. I am again inspired and determined to advance the science, study, and education of integrative medicine because the world needs this approach now more than ever.
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13:30 - 14:15 - Break | ||||
Movement/Meal Break |
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13:40 - 14:10 - Experiential Break | ||||
Tai Chi
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14:15 - 15:00 - Concurrent Sessions | ||||
mHealth for Managing Headache: Overview of Current Technologies and Future OpportunitiesCOVID-19 Pivots The use of smartphone applications (apps) as technological interventions for medical needs (mHealth) has increased rapidly over the last decade. A variety of apps have shown to be efficacious tools in guiding self-management and promote healthy lifestyle change for people with an array of of health conditions. The COVID-19 pandemic has created an urgent and unprecedented demand for validated, virtual apps and technological platforms to support patients with multiple chronic pain conditions including headache disorders. Despite the increased availability of mHealth interventions, some applications and mHealth programs have not been properly validated. Given increased stress, changes in daily patterns and work/life schedules, and reduced access to traditional integrative management therapies, patients with migraine are especially vulnerable during the pandemic. Composed of more than 50,000 individuals, the migraine patient population may benefit immensely from psychometrically valid, collaborative, and patient-centered virtual platforms that enable trigger identification, support lifestyle modification, and provide comprehensive migraine education.
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Yoga for Spinal and Mind/Body Health in the Time of COVID-19 and TelehealthResilience & Well-Being COVID-19and increased tele-health are challenging our bodies, mind and spirit. Sitting hunched over a computer for long periods of time are taking a toll on clinician health and well-being. A short (10-15 minute) yoga spinal series combined with breath work and mantra repetition can help us attain a parasympathetic dominant state of relaxation and improved focus. It has worked for thousands of years. Clinicians need practices that can be done in a chair, are practical, give immediate benefit and are brief yet powerful. In this workshop, participants will be introduced to a short yoga set based on Kundalini yoga, with modifications, that can easily be taught to others including patients in a chair or bed. The benefits of breath work, yoga, and mindfulness are well researched. Participants will gain a simple set of skills that are powerful in this time of COVID-19 and for their future well-being.
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Virtual Group Medical Visits to Promote Healthy SleepCOVID-19 Pivots Group medical visits (GMVs) are seen as a way to increase time with patients, encourage social support, promote clinic profitability, improve many outcome measures, and improve provider satisfaction (Jaber, 2006; Jones, 2014; Quiñones, 2014; Housden, 2016). The Center for Wellness at the University of Wisconsin has been offering GMVs, including Healthy Sleep, a 4-meeting GMV co-taught by an integrative physician, and a health coach and yoga instructor. The Healthy Sleep BMV is designed for people with mild insomnia. Healthy Sleep bridged the arrival of the SARS-CoV-2 pandemic; two GMVs were offered pre-pandemic in-person, while two GMVs were offered virtually during the pandemic. Intramural funding allowed for a rigorous assessment of the medical benefit, patient satisfaction, and other outcomes for visit participants. A primary goal of this session is to explore this clinical technique as a useful, important, and effective integrative approach to one condition (mild insomnia) even with limitations during the pandemic, hopefully empowering participants to apply this approach to needs that may exist in their own communities
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Integrative Approaches for LymeLifestyle Medicine & Nutrition Lyme disease is a tick-borne illness caused primarily by B. burgdorferi with approximately 300,000 new cases reported annually. Most patients with Lyme Disease recover completely with appropriate antibiotic treatment. Approximately 10-20% of patients may have persistent symptoms after appropriate antibiotic therapy. Typical symptoms include fatigue, musculoskeletal pain and complaints of cognitive difficulties. Quality of life in this population has been reported to be below general US population. Several randomized clinical trials have shown that prolonged antibiotic therapy is not useful in treating PTLDS symptoms. The etiology and optimal treatment of this disorder is unknown. There is a significant amount of confusion, controversy and unanswered questions with respect to Lyme diagnosis and treatment of patients with persistent symptoms. Patients are often treated with various types and durations of courses of antibiotics as well as unvalidated treatments such as hydrogen peroxide infusion, immunoglobulin therapy, hyperbaric oxygen therapy. This information highlights the lack of treatment options in this patient population. There is limited research on the use of Integrative Medicine modalities in patients diagnosed with Lyme disease with persistent symptoms. However, many patient with chronic Lyme symptoms seek Integrative Medicine care. The Integrated Lyme Program at University of Maryland offers integrated approach using both conventional and integrated therapies.
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Building Cultural Competency in the Acupuncture ProfessionHealth & Healthcare Equity Diversity. Inclusion. Accessibility. Cultural Competency. Racism. Bias. Prejudice: The Beginning of a Conversation This session outlines the process of industry assessment and outcomes of the NCCAOM/ASA* Acupuncture Medicine Cultural Competency Taskforce. The Taskforce was created to assess, educate, and begin the work of addressing structural and systemic racism and bias; increase accessibility and inclusion for all communities of color; educate individual practitioners and increase cultural competency, in order to eliminate health disparities and raise health equity. *NCCAOM(National Certification Commission for Acupuncture and Oriental Medicine) and ASA (American Society of Acupuncturists)
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15:15 - 16:00 - Concurrent Sessions | ||||
Whole Health 4 You: A Whole Health Learning Campaign for Educators, Parents, and ChildrenResilience & Well-Being Whole Health empowers and equips people to take charge of their physical, mental and spiritual health and live a full and meaningful life. It starts with your purpose, what really matters to you, and focuses on self-care together with your community and care team. Whole Health is deeply relevant across the board in the COVID-19 era and especially important to support resiliency and well-being within school and family settings. Educators, students, and parents have been thrust into difficult scenarios in 2020 and finding ways to address all aspects of health and well-being within family and educational systems has become increasingly important. In order to support this pressing need, the Whole Health Institute in partnership with WholeHealthEd created a whole health learning hub called: 'Whole Health 4 You' (WH4U).
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Medical Education on Herbal and Dietary Supplements During COVID-19Lifestyle Medicine & Nutrition Despite the widely recognized need for greater education on nutrition and dietary supplements, very few medical schools provide an adequate nutrition curriculum or educational clinical electives in this area. Studies have demonstrated how medical trainees across institutions feel unprepared to discuss nutrition and dietary supplements with patients due to shortfalls in experiential learning opportunities. During this session, presenters from 3 different academic medical institutions will discuss how they developed, implemented, and evaluated virtual learning opportunities aimed at advancing students' baseline knowledge on dietary supplements and nutrition. This session will expand upon the course topics and dynamic virtual education consisting of self-study materials, multidisciplinary lectures, didactic discussions, culinary instruction, and independent nutrition and herbal medicine projects.
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Overcoming Isolation During COVID-19: Integrating Music Therapy and TechnologyCOVID-19 Pivots A presentation of virtual music therapy applications within a large-scale expressive therapy program. Specifically, this systematic overview will include practice pivots, clinical protocol design and service deployment of virtual music therapy services. Additional suggestions for future applications and research implications will be discussed. Topics within a macro perspective will involve team mechanics, standardization of both clinical and implementation protocols, and data collection, while topics within a micro perspective will involve software and hardware technology overviews, techniques to achieve the best audio quality for patients, and tested solutions for common logistical problems. Finally, data will be presented to show the effects of virtual music therapy on patient isolation.
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Embedding Brief Mindfulness Based Interventions in Medical Settings to Improve Medical OutcomesResilience & Well-Being This symposium will review five different randomized clinical trials (RCTs) examining how embedding a brief, single session, mindfulness based intervention (MBIs) in various medical settings (e.g., cancer hospital, general hospital, orthopedic surgery center) can improve patient outcomes. First, an audio-guided MBI delivered while patients waited for an osteopathic manipulation session (N=39) increased patients' mindful connection to and safety within their bodies as well as their session satisfaction relative to listening to an informational recording. Second, an audio-guided MBI delivered while cancer patients' warmed-up for an exercise training session (N=99) decreased cancer related fatigue and increased physical performance at the 3-month exercise re-evaluation relative to warming-up as usual. Third, an in-person MBI delivered to hospitalized patients reporting "intolerable pain" or "inadequate pain control" (N=244) decreased pain, increased relaxation, and increased pleasant body sensations relative to pain psychoeducation. Fourth (N=285) and fifth (N=118), an in-person MBI delivered preoperatively to knee and hip replacement patients was found to 1) immediately decrease pain, anxiety, and pain medication desire, 2) decrease postoperative pain and opioid use, and 3) increase postoperative physical function relative to cognitive behavioral pain psychoeducation.
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At the Intersection of HIV, Stigma, Poverty, and Structural Racism - Can Mindfulness Help the Complex Challenges Faced by Youth With HIV in Baltimore?Health & Healthcare Equity This symposium will share research and discussion of social supports and the integration of mindfulness-based stress reduction (MBSR) in the care of a remarkable and resilient population of urban adolescents and young adults living with HIV (AYALH). Taking antiretroviral therapy (ART) daily is essential to achieving HIV viral suppression. Unfortunately, only 30% of AYALH in the United States achieve viral suppression, leading to significant vulnerability to illness and limiting efforts to end the HIV epidemic (EHE). The integration of MBSR in HIV care for urban AYALH is an innovative approach to supporting self-regulation, ART adherence, and interpersonal relationships.
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16:00 - 16:45 - Plenary | ||||
Transforming Trauma: Wellness and Resilience in the Time of COVID-19Resilience & Well-Being The worldwide response to the COVID-19 pandemic has understandably been focused on preventing transmission of the virus with masks, social distancing, and quarantines, and on treating those who have been infected. There is, however, a third element in a therapeutic approach, a program of simple self-care techniques—including breathwork, movement, and self-expression in words and drawings— that has been scientifically-proven to help reverse the damage the pandemic has done to our mental health and wellbeing.
This time of trauma can be our teacher. The ancients knew what the modern psychology of post-traumatic growth has reaffirmed: the lessons that trauma teaches can make us more healthy and whole, wiser and stronger than we've ever been, kinder and more committed to creating a world in which we care for ourselves and love one another.
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16:55 - 17:25 - Breakout Sessions | ||||
Affinity Rooms |
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Plenary Chat |
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17:25 - 17:40 | ||||
Symposium All-Group Reflection |
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