integrative medicine medical school curriculum usc keck school of medicine
DESCRIPTION
Integrative Medicine MEDICAL SCHOOL CURRICULUM USC KECK SCHOOL OF MEDICINE. Armaity Vaghaiwalla Austin , MD MPH FAAFP Associate Clinical Professor Department of Family Medicine USC Keck School of Medicine. Co ntact Email. Armaity Vaghaiwalla Austin , MD MPH FAAFP [email protected] - PowerPoint PPT PresentationTRANSCRIPT
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Armaity Vaghaiwalla Austin , MD MPH FAAFPAssociate Clinical Professor
Department of Family MedicineUSC Keck School of Medicine
Integrative MedicineMEDICAL SCHOOL CURRICULUMUSC KECK SCHOOL OF MEDICINE
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Ali Arastu, MS4Caryn Brenn, MS4
Lia Jacobson, MS4
Sara Ptasnik, MS2Kristen Roehl, MS2
Lisa Schamber, MS2Elaine Yang, MS2
KECK SCHOOL OF MEDICINE, USC
Co- Presenters
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• PPM Selective – Year II
• Clinical Selective – Year IV
• Student Programming
IM Curriculum at KSOM
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●6 sessions in the fall (12-hr curriculum)●Each session incorporates 2 topics●Integrative physician speakers●Student case presentations
PPM Selective - Year II
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● Introduction to E-W Medicine●TCM – Acupuncture & Herbalism●Homeopathy●Guided Imagery●MBSR●Yoga●Ayurveda●Chumash Herbal Medicine (“Hike & Healing”)●Patient Perspective
Topics in PPM Selective
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◦ IM PPM Selective for past two years, consistently among the highest rated selective, may be expanded to two concurrent sessions due to popular demand
◦ Student research project about CAM attitudes surveyed students before and after taking the course
Feedback on PPM Selective
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PPM – INTEGRATIVE MEDICINE IM. SELECTIVE, MS2COURSE STATS
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PPM – INTEGRATIVE MEDICINE IM. SELECTIVE, MS2
Scale: 5 4 3 2 1
Excellent Very Good Average Below Needs Average Improvement
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List 3 most important learning points from your IM Selective experience.
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What was the best part of the IM Selective experience?
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Student Experience: Sara Ptasnik
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Survey of Medical Students’ Attitudes Towards CAM
(Fall 2011)
Caryn Brenn, MSIV
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Demographics
• 178 second year Keck medical students (MS2)• 24 years old• 51.1% male
• 27 students enrolled CAM selective• 151 students enrolled other selectives
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Survey Questions
• 9 questions from the validated CAM Health Belief Questionnaire (CHBQ)1
– 7 point Likert scale– 1=“Absolutely disagree”, 7=“Absolutely agree”– Midpoint 36, Maximum 63
• Personal use of CAM therapies• Frequency of use• Plan to use CAM in future medical career• Opinion of CAM education• Resources used
1Lie, D., & Boker, J. (2004). Development and validation of the CAM Health Belief Questionnaire (CHBQ) and CAM use and attitudes amongst medical students. BMC Med Educ, Vol 4(1), 2.
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Results
• Hypothesis confirmed
Pre Post Average Difference
p-value
CAM selective(n=24)
46.25 (+ 5.09) 52.17 (+ 4.61) +5.92 0.00001
Other selective(n=137)
42.69 (+ 6.86) 42.04 (+ 6.91) -0.65 0.098
Total CHBQ score
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Results: Secondary FindingsAll students (n=161), Pre survey
• 88.7% of all students personally use one or more form(s) of alternative therapy
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Results: Secondary FindingsAll students (n=161), Pre survey
• 92% of students agree that CAM education should be a component of medical school education
• 82% of students plan to refer CAM therapies
• 61% of students gained baseline knowledge of CAM from word of mouth or social media– 17% from previous CAM education– 6% from scholarly and medical journals
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●4 weeks in length
●Faculty: Armaity V. Austin, MD, MPH, FAAFP
●“Prevention and Wellness”
Clinical Selective - Year IV
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Wellness Assessment
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• NUTRITIONMacronutrientsMicronutrientsDietary Supplements
• PHYSICAL ACTIVITY• MIND-BODY
Stress Management• SLEEP• ENVIRONMENTAL HEALTH• SPIRITUALITY• MOTIVATIONAL INTERVIEWING
Curriculum of Clinical Selective
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Student Experiences: Ali Arastu
Lia Jacobson
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Student Programming
●Integrative Medicine Club●Student President Sylvia Charles (Psychiatry
Intern @ UCSF) and Co-President Ali Arastu inherited Integrative Medicine Club as first year medical students●Implemented Weekly Yoga Sessions●Introduced Meditation to Campus for
students●Began working to provide student input in
IIH
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Integrative Health Interest Group (IHIG)
1. Year II PPM co-facilitation (student leaders)2. Ongoing involvement with IIH
● Student liaison; monthly breakfast seminars● Research & physician mentors
Interdisciplinary, Longitudinal, Co-Sponsored, Interinstitutional
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Integrative Health Interest Group (IHIG)
3. Student wellness● “Wellness Wednesdays” in the quad● Weekly yoga class● Mindfulness at ECSHC
K
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IHIG: Events in Spring 2014
● Women’s Health Symposium
● Research Lunch Talk● IIH Research
Symposium● BeWellKeck Kick-Off
Extravaganza● Pet Therapy Day
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IHIG: Goals & Opportunities
● Expand interdisciplinary involvement● Increase events in the fall semester● Increase attendance at Wellness Wednesday
events, in conjunction with the BeWellKeck initiative
● Develop a sustainable funding mechanism to allow hands-on workshops, outside practitioners, and food at events
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Mindfulness Meditation for Medical Students: A Pilot Research Study
• Can the use of a mobile application to deliver 10-20 minutes of daily guided mindfulness meditation help medical students reduce stress and improve overall wellbeing?
General Well-being ScalePerceived Stress ScaleFive-Facet Mindfulness Questionnaire
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Feasability
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Results • 74% of Intervention group used the Headspace app
○ Number of days used: M=11.97, SD=7.76, range=28• 54% continued to use Headspace after the initial 30-day
intervention period• Perceived Stress decreased for Intervention, but not Control,
over 60 days○ Well-being did not significantly increase across both groups○ Mindfulness increased across both groups for subscales of
Observing, Acting with Awareness, and Non-reacting
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Interinstitutional Programs: Goals
●Increased opportunities for interdisciplinary education
●Enhancement of self-care knowledge and practice●Regional and national connections among M.D.,
D.O., and N.D. medical students interested in Integrative Medicine
●Community of like-minded medical students to optimize future collaboration in patient care
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Interinstitutional Programs: SoCal
●IMMSA-SC: Integrative Medicine Medical Student Association – Southern California Chapter●Bastyr University California●David Geffen School of Medicine at UCLA●Western University of Health Sciences●UC San Diego School of Medicine●Keck School of Medicine of USC●UC Irvine School of Medicine
●Symposium/retreat in the works...
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Interinstitutional Programs: National
●LEAPS into IM: Leadership and Education Program for Students in Integrative Medicine
Jun 2014 @ Kripalu Center for Yoga & Health, Berkshires, MA
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●HEART-IM: Humanistic Elective in Activism, Reflective Transformation, and Integrative Medicine
Mar 30 – Apr 24, 2014 @ Quaker Center, Ben Lomond, CA
Interinstitutional Programs: National
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●NSCIM: National Student Conference on Integrative Medicine
Oct 26-27, 2013 @ Northwestern University, Chicago, IL
Interinstitutional Programs: National
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● AHIMSA: American Holistic & Integrative Medical Student Association
- Standardized materials for curriculum development and student programming
- Regional recruitment/outreach- Student-run integrative medicine
journal
Interinstitutional Programs: National
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Challenges for IM Curriculum in Medical Schools
• Time/ Curriculum
• Faculty Development
• Inter-professional Education
• Resources: Financial
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Integrative Medicine at KSOM: Future
• Consortium
• Institute of Integrative Health (IIH)
• Education – MS4 Selective
• Research
• Clinical
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Integrative Medicine at KSOM: Future
Thoughts/Suggestions?
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Armaity Vaghaiwalla Austin , MD MPH FAAFPAssociate Clinical Professor
Department of Family MedicineUSC Keck School of Medicine
Integrative MedicineMEDICAL SCHOOL CURRICULUMUSC KECK SCHOOL OF MEDICINE