CAMLAW: Complementary and Alternative Medicine Law Blog

The Bulldog at Yale Gets No Tail

The Bulldog at Yale Gets No Tail (we used to sing that at Columbia), But he can get integrative medicine CME.

Yale is offering integrative medicine CME:

Yale School of Medicine, Integrative Medicine at Yale

Integrative medicine combines treatments from conventional medicine and complementary and alternative medicine (CAM) for which there is evidence of safety and effectiveness. Integrative Medicine at Yale was established in 2007 to create a forum for interdisciplinary research and education in complementary, alternative and integrative medicine. This symposium will showcase recent findings in CAM research and will provide attendees with evidence-based information about integrative therapies.

 

The mission of this conference is to: (1) showcase the breadth and depth of complementary, alternative, and integrative medicine (CAM/IM) research and clinical care already in progress by Yale researchers and clinicians; (2) educate and increase awareness among the community about integrative medicine topics and modalities, and (3) support interdisciplinary discussion and future collaboration. 

 

In April 2008, Integrative Medicine at Yale and Yale CME sponsored the 1st Annual Yale Integrative Medicine Scientific Symposium. This conference featured presentations from experts in CAM/IM from Yale and other leading medical institutions and drew national and international attention. The symposium was attended by 170 participants. Since few opportunities exist for Yale-affiliated clinicians, researchers, and students to learn about CAM/IM therapies, demand is high for a second conference with a larger capacity. 

 

Learning Objectives  

 

Participants who attend will be able to:  

 

-Describe the latest trends in the use of complementary and integrative therapies in the United States

-Identify methodological challenges in complementary and integrative medical research
-Distinguish the role of evidence in translating complementary and integrative medical research into clinical practice
-Describe recent advances in core complementary and integrative medical research areas
-Assist patients in making informed, evidence-based choices about commonly used complementary and integrative therapies

-Identify complementary and integrative therapies used by cancer patients and explore their evidence base 

 

Thursday, March 4, 2010

5 AMA PRA Category 1 CreditsTM
Harkness Auditorium - Yale School of Medicine

333 Cedar Street

New Haven, CT

 

Registration Fees


Registration fee includes all conference materials and refreshment breaks

 

$150                             Physicians

$100                             Nurses/PAs

$100                             Allied Health Professionals

$100                             Others

$ 25                              Non-Yale Residents/Fellows/Students

Complimentary              Yale Residents/Fellows/Students


*A letter of verification from department head must accompany registration. If registering online, letter should be sent separately to Yale CME address below. 

 

All cancellations must be received in writing (or via email) at least one week prior to the start of the conference to receive a refund. Any requests for refunds received after this date, or by telephone, will not be honored.

 

Center for Continuing Medical Education
333 Cedar Street
PO Box 208052

New Haven, CT
06520
-8052 

 

Accreditation Statement


The Yale School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

 

The American Medical Association has determined that physicians not licensed in the US who participate in this CME activity are eligible for AMA PRA Category 1 Credit. 

 

Designation Statement


The Yale School of Medicine designates this educational activity for a maximum of 5 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

 

Disclosure Policy


It is the policy of Yale School of Medicine, Continuing Medical Education, to ensure balance, independence, objectivity and scientific rigor in all its educational programs. All faculty participating as speakers in these programs are required to disclose any relevant financial relationship(s) they (or spouse or partner) have with a commercial interest that benefits the individual in any financial amount that has occurred within the past 12 months; and the opportunity to affect the content of CME about the products or services of the commercial interests. The Center for Continuing Medical Education will ensure that any conflicts of interest are resolved before the educational activity occurs.

 

Nursing Credits

 

Yale-New Haven Hospital is an approved provider of continuing nursing education by the Connecticut Nurses' Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This activity is designated for a maximum of 4.5 CEU Credits.

Medical students want CAM:

Are up-and-coming young doctors going to practice the same kind of mainstream medicine as their predecessors? Will the next generation of docs turn up their noses at alternative therapies such as acupuncture, yoga, herbs and vitamins -- just like the majority of the current crop of docs? In what may come as a surprise to many mainstream physicians, the answer to those questions may be a resounding "no".

According to research published in the online edition of the peer-reviewed journal Evidence-based Complementary and Alternative Medicine (eCAM), 75 percent of medical students surveyed think it would be beneficial for conventional Western medicine to integrate with complementary and alternative medicine (CAM). CAM places emphasis on natural therapies and using the body's own healing powers instead of relying on drugs, vaccines and other standard Western treatments.

A University of California at Los Angeles (UCLA) and University of California, San Diego, research team comprised of experts in the fields of CAM, integrative medicine, Western medicine, medical education and survey development created a first of its kind 30 question survey that was distributed to 126 U.S. medical schools. Some 1,770 medical students completed the survey -- roughly, about three percent of the 68,000 medical students nationwide. Although the response rate to the survey was fairly low, the researchers say it provided valuable insights into current medical students' perceptions of CAM.

For example, the findings revealed that 77 percent of the medical student participants agreed patients whose doctors are knowledgeable about complementary and alternative medicine in addition to conventional medicine benefit more than those whose doctors are only familiar with Western medicine. In fact, 74 percent agreed that a medical system which integrated conventional medicine with CAM could be more effective that either type of medicine used independently.

A whopping 84 percent of the participants surveyed said CAM contains beliefs, ideas and therapies that could benefit conventional medicine. Some of this attitudinal shift in medical students could be the result of personal experiences -- almost half of the participants said they had used complementary and alternative treatments themselves.

The Washington Post keeps us out of a nutritional haze:

Many people take just one supplement, a multivitamin. Here are some tips for choosing the best multivitamin, from Andrew Weil, founder of the Arizona Center for Integrative Medicine at the University of Arizona, which focuses on combining alternative treatments with conventional medical practices...

Others see dietary supplements as a type of insurance: "There is a big discrepancy between what people think they eat and what they actually are eating," said Kelly Dorfman, a nutritionist in North Potomac. "Taking nutrients just makes good sense."

And for certain medical conditions, such as diabetes, supplements are highly recommended. Benjamin Caballero, a professor at the John Hopkins Bloomberg School of Public Health, said he does not think any "healthy person with a healthy diet" should take dietary supplements, with a few exceptions: "pregnant woman; children under the age of 6 months who are being breast-fed, as breast milk is not rich in vitamins A, C, and D; and people with gastrointestinal problems." And, in those cases, he believes a doctor would have already been consulted.

A quick blood test at the doctor's office can determine a person's vitamin levels. District nutritionist Mindy Block Feirman recommends asking for the test during your next physical. "Many individuals are coming back with their blood work low on Vitamin D," Feirman said. "We don't want to sit in the sun because we don't want to get skin cancer, so we don't get enough Vitamin D." She takes Vitamin D and calcium supplements every day.

Consumers should research brands before they buy. Siobhan DeLancey, a spokeswoman for the Food and Drug Administration, said that the FDA can take action against a manufacturer only after a supplement is on the market and complaints have been filed. Because of this lack of oversight, many labels are misleading.

"Vague claims, which make no mention of a disease but offer generalizations such as 'improves heart health' or 'builds strong bones,' have no FDA stamp of approval," Dorfman said.

Sleep well with Chinese medicine:

An approach that can also aid in the quest for a good night's sleep is that of Chinese Medicine. This ancient healing system has offered relief to the sleep challenged for thousands of years. While new to many, Chinese Medicine is mainstream in China, and it is used today for a wide range of conditions by an estimated one-fourth of the world's population.

The Roots of Traditional Chinese Medicine

Chinese Medicine is considered the oldest, most continuously practiced, professional, literate medicine in the world. Written records date back over 2000 years, although the medicine is believed to go back even further. Some experts believe Chinese Medicine is at least 5000 years old.

Chinese Medicine employs acupuncture, herbal medicine, nutritional therapy, tuina (pronounced "twee nah") massage, acupressure, and qigong.

The Huangdi Neijing (The Yellow Emperor's Inner Canon) is considered the Bible of Chinese Medicine, emphasizing medical theory and acupuncture. Some scholars estimate that it dates back to the first century B.C. In addition, The Shen Nong Ben Cao Jing (The Divine Farmer's Materia Medica Classic) details the medicinal uses of 365 herbs and is believed to have been compiled around 200 A.D. Many of the protocols mentioned in these ancient texts are still used today....

Chinese Medicine and the West

The development of East-West relations has promoted the use and interest of Chinese Medicine in the United States. During the past 30 years, the practice of Chinese Medicine has dramatically increased here. The National Institutes of Health (N.I.H.) has reported that visits to Chinese Medicine practitioners in the U.S. tripled from 1997 to 2007.

At the same time, the United States is seeing an increase in the practice of integrative medicine. University centers and hospitals are offering Chinese Medicine. Integration has been common in China, where Chinese Medicine is often practiced side-by-side with Western Medicine.

The Chinese Medicine Approach to Sleep

Insomnia comes in various forms, such as trouble falling sleep, difficulty staying asleep, and having dream-disturbed sleep. When a Chinese Medicine practitioner is gathering information to put together a treatment plan, the pattern of the sleep disturbance as well as health and lifestyle issues will be taken into consideration.

A Chinese Medicine practitioner might use the term "calm the shen" when describing a treatment principle. "Shen" is best translated as the spirit of the person in a nonreligious sense. When evaluating Shen, the Chinese Medicine practitioner is looking for the emotional state and presence (or lack) of radiance, calm, and balance. Often with sleep disturbances, the patient will be experiencing patterns of stress, anxiety, or agitation. Chinese Medicine would call this "disturbed shen."

A new book compares and contrasts shamanism and psychiatry:

Review - Psychiatrists and Traditional Healers
Unwitting Partners in Global Mental Health
by Mario Incayawar, Ronald Wintrob, Lise Bouchard (Editors)

This may well be because positive aspects of health (to undertake effectively clinical care, prevention and health promotion) have recently incorporated the emerging concepts of complementary and integrative medicine as attempts to harmonize conventional or scientific medicine and traditional medicine. (Juan E. Mezzich, President of the World Psychiatric Association, 2005-2008, p. xv) But what has led to this idea of complement and integrating traditional healing in western medicine? According to a general observation, expressed concisely by Raymond H. Prince, Emeritus Professor of Psychiatry, that their treatments, whatever they were, were as efficacious as his own. (Foreword, p. xi)

To start with, it is relevant to realize upfront that "the majority of the 450 million patients with mental disorders around the world are not receiving even the most basic mental health care. In developing countries, 76.3%-85.4% of serious cases receive no treatment". (ch 20, p. 251) And the number of people with psychiatric disorders is likely to rise in the coming decade becoming a pressing global issue.

 

1. DIAGNOSIS

Diagnosis similarity is a one of the topics addressed in the book. It is assumed that diagnosis and treatment are 'evidence-based' and that evidence is 'scientific'. So why are there so many people that turn to traditional alternative medicine? (ch 1) Don't people want science? There is a need to prove traditional healer's skills relying on their ability to provide a similar diagnosis (ch 5) and that is important in the sense that for centuries, Quichua people/ Inca Confederation (Bolivia, Ecuador, Peru and parts of Argentina, Chile and Columbia) lived under a regime of domination and exploitation which still persists today. Oppression, persecution and imprisonment. (ch 5, p. 54, 55; the same also happened in South Africa, ch 16) The diagnosis situation is a polemic one, even among psychiatrists, since there are several classification systems around the world ("DSM-IV", produced by the American Psychiatric Association; "International Classification of Diseases" (ICD) an international standard diagnostic classification for a wide variety of health conditions, including mental and behavioral disorders; Chinese Society of Psychiatry's Chinese Classification of Mental Disorders (currently CCMD-3), Latin American Guide for Psychiatric Diagnosis (GLDP). The Maori (New Zealand) have openly questioned the use of a diagnostic manual such as DSM IV because it seems to conflict with cultural understanding. (ch 19, p. 247) Treatment is in some cases not as effective as in Western Medicine (ch 14) but the fact that symptoms and diagnosis are correctly assessed, or it is assed as accurately as in Western Medicine, is important in the sense that it attests 1) seriousness in the observation of the patient by traditional healers; 2) affirming traditional healing knowledge itself as a different alternative/ possible method of classification.

 

2. INTEGRATION VS COLLABORATION

The WHO Strategy for Traditional Medicine 2002-2005 (World Health Organization, 2002) has encouraged countries to integrate traditional medicine within national health care systems, safely, and at affordable prices for the general population. But a main question remains: what aspects to keep from biomedicine and which one to eliminate? By whose standards? How can one consider legitimacy on this topic and why to address it, it is better to say collaboration instead of integration? (ch 2, p. 17, 18, 22)

Collaboration can be, for example, an experience of culture immersion where anthropology and cultural psychiatry meet (ch 6, p. 76), promoting a closer relation with the environment (ch 19), or engaging in the doctor as someone multi-dimensional, inserted in a community and not so much office based (ch 3, ch 8). The main idea is that a medical pluralism model that represents a health care environment should be a goal (ch 8, p. 105). Disregarding culture and cultural heritage when it comes to health may have serious consequences in disrupting individuals and social order. (ch 9)

The interaction between health, psychiatry and religion is also explored in the book. In Italy, religion plays a very important role in healing (ch 18); Islam, promotes self-help through religion but also encourages family, community, doctors and psychiatrists as additional resources (ch 15); Japan's view psychiatry is a complex one, precisely because it triggers a cultural ambiguity: should one aim at healing or salvation, should illness be battled or accepted? (ch 13)

Read the review (excerpted above).

Integrative medicine award awarded (now I know that's redundant!):

GAINESVILLE, VA -- In recognition of her commitment to integrative therapy, the economic power of Integrative Medicine, the American Association of Integrative Medicine, recently awarded Taras NK Raggio, MPA, HHP the prestigious Board Certified in Integrative Medicine, BCIM™, credential by the American Association of Integrative Medicine (AAIM)™. The BCIM designation is reserved for those individuals who are able to meet the stringent requirements of AAIM in the areas of knowledge, skill, education, training, and experience in their health care specialty.


About Taras NK Raggio, MPA, HHP, BCIM
For the past 10 years Taras has address whole person management; mind, body, spirit, to include negative emotions associated with stress. Her service differential is to educate, inspire, and integrate life coaching and wellness programs as an alternative to traditional diagnosis and treatment. Her specialties include: Stress Depression/Anxiety Emotional Wellbeing Aromatherapy and Breath work. Taras' honors include: Masters of Public Administration (Public Health); Credentialed Holistic Health Practitioner, Certified Holistic Stress Management Specialist, Life Coach, Lifestyle and Weight Management Specialist, and Clinical Aroma therapist.

Her Company, TARAS TECHNIQUES, LLC- Holistic Health Services provides Health Promotion Programs for employers, large and small. Established in 2001, the firm is a National Minority Certified Woman; Veteran owned and operated small business comprised of subject matter experts with extensive military and commercial experience. The goals of the firm are to deliver behavioral health and lifestyle management solutions to corporations and public safety organizations that enhance the overall health and wellness of a workforce.

About AAIM
AAIM is an international membership association that brings together health care professionals from a variety of specialties. Membership is comprised of integrative, alternative, holistic, complementary, and traditional health care professionals. This forum allows members to share information in an effort to increase both public and professional knowledge and acceptance of integrative medicine, thereby benefiting the patient as well as the practitioner.

F or membership information, please visit the AAIM website at www.aaimedicine.com or contact AAIM Headquarters toll-free at (877) 718-3053(877) 718-3053. American Association of Integrative Medicine 2750 E. Sunshine • Springfield, MO 65804

Media Contacts
Phone: 703.636.4123703.636.4123
Email: info@tarastechniques.com

Website Link: http://www.tarastechniques.com/tarasraggio


For additional information, please contact:
Contact: Taras NK Raggio, MPA, HHP, BCIM
Telephone: (703) 636-4123(703) 636-4123
Fax: (703) 636-4123
E-mail: info@tarastechniques.com

- Dr. Mark Beitel, a licensed clinical psychologist and psychotherapist, has joined the Greenwich Hospital's Center for Integrative Medicine at 35 River Road in the town's Cos Cob section, as a clinical psychologist.

The Minnesota complex of hospitals providing integrative medicine services gets profiled:

AN OVERVIEW
An overview of how complementary medicine expanded in this region of the country begins with the Hennepin County Medical Center. It began clinical trials with acupuncture in 1986 and in 1993, and it was the first conventional medical facility in the United States to open an alternative medical clinic.

Two years later, the University of Minnesota created the Center for Spirituality and Healing. This center was designed to conduct research, educate health professionals and empower consumers. Once a public clinic, the Center for Spirituality and Healing closed that operation in 2002.

Then in 1998, the second oldest hospital in Minnesota, Lakeview Hospital, began offering a holistic approach to care by incorporating non-traditional therapies with standard conventional patient care. Administrators there believed the addition of complementary therapies benefited patients by providing pain relief, stress reduction and recovery enhancement.

In 1999, Children’s Hospitals and Clinics of Minnesota launched an integrative medicine program in its oncology department following suggestions by parents who felt their children needed more help managing symptoms. The program used therapies in the treatment of cancer with simple approaches like mind/body skills, aromatherapy, and massage. To date, the integrative medicine program at Children’s, one of sixteen in the nation, is the largest and longest running.

In 2000, the Woodwinds Health Campus opened in Woodbury. It is an 86-bed hospital built around a holistic care model that recognizes the role of the individual and the family in the health care experience.

In 2002, the concept for the Penny George Institute for Health and Healing was developed around the idea of creating an optimal healing environment. By 2003, the inpatient program was in operation, managed by teams of nurses. A year later, its outpatient clinic was opened, featuring an acupuncturist, massage therapist, nurse/healing coach, and nutritionist, and the healing institute has continued to expand its services to date. In addition to inpatient and outpatient care, in 2007 the Penny George Institute opened a center to research both clinical trials, as well as the economics of integrative medicine.

In 2006, Regions Hospital opened its Complementary Care Therapies Department as a result of an internal grant opportunity. Regions had been trying to expand its nursing services, and there was interest from nursing and other professionals, but a lack of time. With the grant in place, two nurse managers were able to create the complementary therapies program.

PHILOSOPHY, THERAPIES AND GOALS
The following is a brief look at the health care clinics, centers and health systems that will be explored in more depth in coming months.

Integrative medicine at the new Disney center:

The new Roy and Patricia Disney Family Cancer Center at Providence Saint Joseph Medical Center is not only equipped with the latest technology but it has a complete floor reserved for Eastern-style therapies such as herbal medications, yoga and meditation.


With the goal of treating body, mind and spirit, the Sheri and Roy P. Disney Center for Integrative Medicine will offer complementary therapies that have proven safe and effective when used with conventional approaches including radiation and chemotherapy. These therapies include acupuncture, tai chi, Qigong and guided imagery.

“Integrative medicine considers all aspects of a person’s lifestyle and combines complementary and conventional medical therapies into an individualized, evidence-based treatment program,” said oncologist Lisa Schwartz, M.D., Director of the Center for Integrative Medicine.

“By giving patients access to a broad range of proven therapies, we ultimately give them more control over their own destinies. We also hope to contribute to the increasing body of research that demonstrates patients using integrated therapies experience improved quality of life and better outcomes compared to patients receiving conventional therapies alone.”

Sheri and Roy P. Disney contributed $1 million to the integrative medicine program. Roy P. Disney’s parents, the late Roy E. Disney and Patricia Disney, donated $10 million on behalf of their family to the new Providence Saint Joseph Medical Center free-standing cancer center.

“We do not live in isolation but as an integrative whole,” Roy P. Disney said. “Sheri and I feel strongly that this cancer center is an extension of that philosophy.”

AAIM has a new credential:

 

AAIM Releases First Integrative Medicine Certifications

New AAIM Board Certifications lend additional credibility to complementary and alternative medicine (CAM) practitioners worldwide.

01.20.2010 – Springfield, MO – The American Association of Integrative Medicine (http://www.aaimedicine.com), the medical society for the 21st century, today announced the release of certifications designed to enable holistic, natural and complementary and alternative health professionals to lend additional credibility to their practice of integrative healthcare. Board certification also enables consumers to make an informed decision when selecting a provider.

“Today there are millions of medical practitioners that are embracing both traditional and alternative medicine in response to increasing consumer demand,” said Dr. Zhaoming Chen, Chief Spokesman & Board Chairman for the American Association of Integrative Medicine (AAIM). “However, it has become more difficult for individuals to choose, and for practitioners to stand out from other providers. These certifications ensure quality in the industry by providing a high standard.”

For licensed integrative medicine professionals, including physicians, nurses, therapists, veterinarians and dentists, AAIM Board Certification in Integrative Medicine (BCIM) is available to those with a Bachelor’s Degree or higher from an accredited college or university, a current license from at least one state and a minimum of three years of experience in a role related to integrative medicine. In addition, professionals must pass the rigorous AAIM Board Certification exam.

For health practitioners, such as naturopaths, homeopaths, nutritionists, massage therapists, reflexologists, Reiki practitioners, herbalists and practitioners of other CAM modalities, AAIM Board Certification in Integrative Health (BCIH) is available to those with a Bachelor’s Degree or higher from an accredited college or university and a minimum of three years of experience in a role related to integrative medicine. Like the BCIM certification, individuals must also pass the rigorous AAIM Board Certification exam.

For more information about becoming certified visit www.aaimedicine.com or call toll free (877) 718-3053(877) 718-3053.

# # #

About the American Association for Integrative Medicine
Founded in 2000 and headquartered in Springfield, Missouri, the American Association for Integrative Medicine (AAIM) educates and certifies practitioners in the integration of Eastern and Western medicine with the goal of improving clinical outcomes for patients. For consumers, they provide information and education about the benefits of integrative health care, as well as a careful selection of trusted providers. For healthcare providers, AAIM promotes their high standards of professional competence to consumers and provides a gathering place for like-minded individuals who are committed to preserving global indigenous therapies and evaluating new approaches. They have thousands of members worldwide representing over 22 medical specialties. For more information, visit www.aaimedicine.com.

Press Contact: Carol Arnold, Arnold Communications, (877) 718-4604(877) 718-4604 x2, carol@arnoldcomm.com.
Duke offers mindfulness training:

In-depth professional training and development are cornerstones of the program at Duke Integrative Medicine. Participants from across the medical and allied health fields—medicine, nursing, physical therapy, health education, teaching, exercise physiology, psychotherapy, nutrition, acupuncture, massage therapy, acupuncture, etc—are encouraged to register for our programs.

 

Mindfulness Training for Professionals

An 8-day training in two parts:

February 4-7, 2010 and March 18-21, 2010.

Mindfulness Training For Professionals offers an extensive training in this core concept, designed to help optimize the health and well-being of clients and patients. Mindfulness is recognized as an increasingly important element in healing, and in the helping relationship between professionals and their clients and patients.

To assess your healthcare legal and regulatory issues, contact the Michael H. Cohen Law Group.  Our healthcare and FDA legal team counsels health and wellness products and technologies, practices, and ventures, that accelerate health and healing.


Michael H CohenMichael H Cohen
Founder
The Los Angeles / San Francisco / Bay Area-based Michael H Cohen Law Group provides healthcare legal and FDA legal & regulatory counsel to health & wellness practices and ventures, including health technology companies (medical devices to wearable health and nanotech), healthcare facilities (from medical centers to medical spas), and healthcare service providers (from physicians to psychologists).Our legal team offers expertise in corporate & transactional, healthcare regulatory & compliance, and healthcare litigation and dispute resolution, in cutting-edge areas such as anti-aging and functional medicine, telemedicine and m-health, and concierge medicine.Our Founder, attorney Michael H. Cohen, is an author, speaker on healthcare law and FDA law, and internationally-recognized thought leader in the trillion-dollar health & wellness industry.
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