TAI CHI FOR HEALTH: FROM SCIENTIFIC VALUE TO PROGRAM IMPLEMENTATION IN THE US HEALTHCARE SYSTEM

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2018 2 nd Annual Symposium on the Potential of Chinese

PROGRAM IMPLEMENTATION IN THE US HEALTHCARE SYSTEM AUGUST 11,

1 nd Annual Symposium on the Potential of Chinese Medicine (PCM) TAI CHI FOR HEALTH: FROM SCIENTIFIC VALUE TO PROGRAM IMPLEMENTATION IN THE US HEALTHCARE SYSTEM AUGUST 11, :00AM-5:30PM TAMKIN AUDITORIUM RONALD REAGAN UCLA MEDICAL CENTER

2 Welcome Message Dear friends and colleagues, Our warmest welcome to you all for joining us at the Second Annual Symposium on the Potential of Chinese Medicine in the U.S. Healthcare System. This event aims to bring together professionals in Chinese medicine, integrative medicine, and public health, as well as beneficiaries of Chinese medicine, to discuss the potential and challenges of Chinese medicine in the United States. We would like to extend special thanks to Dr. Qi Zhang from the World Health Organizations, Office of Traditional Complementary and Integrative medicine, for his encouragement and academic support to organize this symposium on Tai Chi for Health. Tai Chi is a form of Chinese martial arts and a modality of traditional Chinese medicine with minimal risk of adverse events. It is often described as meditation in motion or medication in motion. In addition to improving quality of life, there is evidence that Tai Chi can improve fitness, stamina, mental health, and symptoms associated with a variety of disorders, such as fibromyalgia, cancer, Parkinson s disease, and chronic heart failure. Tai chi practices are appropriate for all ages and fitness levels and can be modified for patients with physical limitations. It can be practiced alone or as a group in various healthcare settings and as a community exercise. Today, we have the privilege of learning from a diverse group of experts, including distinguished Tai Chi researchers, respected Tai Chi instructors, physicians, acupuncturists and educators. What you will learn today will not only enhance your understanding of Chinese medicine, but also provide strategies for meeting the diverse needs of patients and the healthcare system. We encourage you to share this information with your friends and colleagues. Founded in 1993, the mission of the UCLA Center for East-West Medicine (CEWM) is to improve individual and population health by blending the best of modern Western medicine with traditional Chinese medicine. The Center has established a model system of comprehensive care with emphasis on health promotion, disease prevention, treatment and rehabilitation through an integrated practice of East-West Medicine. The Center successfully combines outstanding clinical care, education, research, and international programs designed to advance the field of medicine and train the next generation of leaders in integrative medicine. In conclusion, we wish to acknowledge the volunteers and CEWM staff who have worked arduously over the past year to make this event possible. We hope it will inspire you on your journey towards becoming a change agent in transforming healthcare to not only make it safer and cost effective, but also accessible and affordable. Weijun Zhang, DrPH, BMed Director of China Affairs, UCLA Center for East-West Medicine Adjunct Assistant Professor, David Geffen School of Medicine -UCLA Ka-Kit Hui, MD, FACP Founder and Director, UCLA Center for East-West Medicine Professor, David Geffen School of Medicine - UCLA

3 AGENDA Meet the Experts The Meet the Experts session starts at 12:45pm. You can participate in one of the following 1-HR session over the lunch break. TIME SESSION PRESENTER 8:00 Registration & Breakfast 8:30am 8:30 Morning Tai Chi Jonathan Wang 9:00am B-Level Lobby 9:00 9:15am Welcome and Opening Remarks Weijun Zhang, DrPH, UCLA 9:15-9:55am Keynote 1: The Science Behind Tai Chi Practice and the Health Benefits Chenchen Wang, MD, MSc, Tufts University School of Medicine RESEARCH B124A&B Discuss with Dr. Shin Lin and Dr. Chenchen Wang on how to best develop a research plan for Tai Chi PROGRAM DEVELOPMENT B120 Learn to formulate a Tai Chi Health Program with Dr. Byeongsang Oh and Dr. Brian Mittman EXPERIENCE TAI CHI B130 - Auditorium Join Dr. Chi-Hsiu Weng and his team for an experiential session on Tai Chi used commonly for Chronic Pain 9:55-10:35am 12:20pm 10:35-10:50am 10:50 12:20pm 12:45-1:45pm 1:50 2:30pm 2:30-4:00pm 4:10 4:25pm 4:25-4:50pm Keynote 2: Physiologic Changes from Practicing Tai Chi 15-Minutes Stretching Break Panel and Q&A - Tai Chi for Chronic Conditions: Research Review & Demonstration 1. Headaches - Ming-Dong Li, PhD 2. Fibromyalgia - Chenchen Wang, MD 3. Cancer Care - Timothy Tin, LAc 4. Fall Prevention and Balance - Jacques MoraMarco, DAOM Lunch Break Meet the Experts Sessions Keynote 3: Implementation and Program Development of Tai Chi for Health Panel and Q&A - Tai Chi Program development in various settings: Challenges & Strategies 1. LA County Department of Mental Health Sarah Gelberd, MD 2. Integrated Health System- Kaiser Permanente Lee Conger, MFT 3. Large Organization UCLA Campus Jonathan Wang 4. Private Clinic Settings John Barber, LAc 15-Minutes Stretching Break Keynote 4: Tai Chi and Qi Gong: Exercise or Medicine? Shin Lin, PhD, UC Irvine Moderator: Chi-Hsiu Weng, PhD, University of East-West Medicine Brian Mittman, PhD, Kaiser Permanente Moderator: Weijun Zhang, DrPH, UCLA Byeongsang Oh, PhD, University of Sydney 5:00 5:20pm Closing Keynote: Be a Change Agent to Transform Healthcare Ka-Kit Hui, MD, FACP, UCLA

Keynote Speakers Chenchen Wang, MD, MSc is Professor at the Tufts University School of Medicine and Director of the Center for Complementary and Integrative Medicine at Tufts Medical Center in Boston.

environment, collaborating actively with multidisciplinary teams around the United States and across the world in Complementary and Integrative Medicine disciplines (CAM). Dr.

4 Keynote Speakers Chenchen Wang, MD, MSc is Professor at the Tufts University School of Medicine and Director of the Center for Complementary and Integrative Medicine at Tufts Medical Center in Boston. She is one of the world s leading authorities on Tai Chi mind-body research and also holds leadership and mentoring roles in the Tufts Clinical and Translational Science Institute research environment, collaborating actively with multidisciplinary teams around the United States and across the world in Complementary and Integrative Medicine disciplines (CAM). Dr. Wang received the NIH award of Midcareer Investigator in Patient-Oriented Research award to protect her time for training the next generation of CAM scientists in innovative, multi-method, multidisciplinary clinical and translational research programs for chronic conditions. In addition, Dr. Wang serves on many NIH study sections and is a reviewer and editorial board member for over 50 scientific journals. She holds many advisory roles, including membership on the National Advisory Council for Complementary and Integrative Health at the National Institutes of Health in the United States. The council offers recommendations to NIH, the top federal agency for research on complementary and integrative medicine. Highlighted Publications/Articles: Wang, Chenchen, et al. "Effect of tai chi versus aerobic exercise for fibromyalgia: comparative effectiveness randomized controlled trial." bmj 360 (2018): k851. Wang, Chenchen, et al. "A randomized trial of tai chi for fibromyalgia." New England Journal of Medicine (2010): Shin Lin, Ph.D. (Biological Chemistry, UCLA) is a professor at the Dept. of Developmental and Cell Biology and a member of the Susan Samueli Integrative Health Institute at UC Irvine. He has been formally designated a 12 th generation inheritor of Chen Style Tai Chi by Grandmaster Chen Zhenglei from the Chen Family Village, the birthplace of Tai Chi. Dr. Lin s Laboratory for Mind/Body Signaling and Energy Research is focused on the biological basis of the many benefits of Tai Chi, producing over 50 publications in this field. He was appointed by the U.S. Secretary for Health and Human Services to the National Advisory Council for Complementary Medicine and Integrative Health, and currently serves on the editorial board of the Journal of Alternative and Complementary Medicine. Highlighted Publications: Lin, Shin. "Changes in mind-body functions associated with Qigong practice." J Altern Complement Med 10 (2004): 200. Lin, S., Z.Y. Shen, and T. Ross. (2017). Factors influencing the use of heart rate variability for evaluating autonomic nervous function in mind/body research. J. Practical Electrocardiology 26: More on Dr. Lin s Laboratory for Mind-Body Signaling and Energy Research:

He co-leads the UCLA Clinical and Translational Science Institute s Implementation and Improvement Science Initiative, and has additional affiliations with the US Department of Veterans Affairs and

5 Keynote Speakers Highlighted Publications: Brian Mittman, Ph.D., is a Research Scientist at the Kaiser Permanente Department of Research and Evaluation, Division of Health Services Research and Implementation Science. He co-leads the UCLA Clinical and Translational Science Institute s Implementation and Improvement Science Initiative, and has additional affiliations with the US Department of Veterans Affairs and RAND Health Program. He serves on the Association of American Medical Colleges Advisory Panel on Research, and on additional advisory committees for research programs, projects, and training institutes in the US and internationally. Mittman received a BSE (engineering) from Princeton University, MA in Sociology from Stanford University and a PhD in organizational behavior and management from the Stanford University Graduate School of Business. Curran, G. M., Bauer, M., Mittman, B., Pyne, J. M., & Stetler, C. "Effectiveness-implementation hybrid designs: combining elements of clinical effectiveness and implementation research to enhance public health impact." Medical care 50.3 (2012): 217. Proctor, E.K., Landsverk, J., Aarons, G., Chambers, D., Glisson, C. and Mittman, B., Implementation research in mental health services: an emerging science with conceptual, methodological, and training challenges. Administration and Policy in Mental Health and Mental Health Services Research, 36(1), pp Byeongsang Oh, Ph.D. is a CEO, International Medical Tai Chi and Qigong Association (imtqa) in USA, a Clinical Associate Professor, Sydney Medical School, University of Sydney, Professor, University of East-West Medicine, a Research fellow at Harvard Medical School, and an integrative medicine consultant at the Northern Sydney Cancer Center, Royal North Shore Hospital. Dr. Oh is currently collaborating in integrative oncology research with Dana Farber Cancer Institute (DFCI), Harvard Medical School, Massachusetts General Hospital (MGH), Yale University and Arizona State University. Dr. Oh s main research area is Tai Chi Qigong mind-body medicine, oxidative stress and quality of life. Dr. Oh also involves the development of integrative oncology clinical medicine [bridging the gap between Western medicine and complementary and alternative medicine (CAM)], with a particular interest in cancer survivorship at Sydney Medical School and Royal North Shore Hospital. Highlighted Publications: Oh, Byeongsang, et al. "Effects of qigong on depression: a systemic review." Evidence-Based Complementary and Alternative Medicine 2013 (2013). Oh, Byeongsang, et al. "Effect of medical Qigong on cognitive function, quality of life, and a biomarker of inflammation in cancer patients: a randomized controlled trial." Supportive Care in Cancer 20.6 (2012):

Ka-Kit Hui, MD, FACP is the Wallis Annenberg Professor in Integrative East-West Medicine and Founder and Director of the UCLA Center for East-West Medicine (CEWM) in the Department of Medicine of the

Hui founded the CEWM in 1993, one of the first integrative medicine centers in the United St

Food and Drug Administration, World Health Organization, Blue Cross, Blue Shield, Health Net, the pharmaceutical industry, medico-legal firms, and the media. Highlighted Publications: Abbott, R. B., Hui, K.

6 Ka-Kit Hui, MD, FACP is the Wallis Annenberg Professor in Integrative East-West Medicine and Founder and Director of the UCLA Center for East-West Medicine (CEWM) in the Department of Medicine of the David Geffen School of Medicine. He is also the Chair of the Collaborative Centers of Integrative Medicine at UCLA. Dr. Hui founded the CEWM in 1993, one of the first integrative medicine centers in the United States. Dr. Hui has worked with the National Institute of Health, U.S. Food and Drug Administration, World Health Organization, Blue Cross, Blue Shield, Health Net, the pharmaceutical industry, medico-legal firms, and the media. Highlighted Publications: Abbott, R. B., Hui, K. K., Hays, R. D., Li, M. D., & Pan, T. (2007). A randomized controlled trial of Tai Chi for tension headaches. Evidence-Based Complementary and Alternative Medicine, 4(1), Hui KK. "The Potential for Incorporating Traditional Chinese Medicine into Clinical Practice". Traditional Medicine: Better Science, Policy and Services for Health Development, WHO International Symposium, Awaji Island, Hyogo Prefecture, Japan, May More articles from UCLA Center for East-West Medicine: Panel Speakers John Barber, MATCM, L.Ac. has nearly three decades experience in teaching energy movement, and has helped thousands of students of all ages and abilities to enjoy the benefits of these dynamic movement arts. A graduate of Yo San University, he is chairperson of the University s Qi Cultivation department, and is currently completing his doctorate in Healthy Aging/Internal Medicine. John is certified in several Ni-heritage forms, including Eight Treasures, Self-Healing Qigong, Taoist Meditation, Dao-In Qigong, Harmony Style Taijiquan and Harmony Sword-Form Taijiquan. In his previous career, John earned a Master s degree from Georgia Institute of Technology, and has worked as an intelligent systems developer, internal consultant, project manager and program manager for several Fortune 500 companies. He has been in private acupuncture practice for fifteen years in Culver City, CA where he successfully integrates energy movement and art with traditional Chinese medicine practice. Lee Conger, MFT is a Licensed Marriage and Family Therapist at Kaiser Permanente Southern California. He has been conducting meditation workshops for 14 years in Kaiser Permanente's Addiction Medicine Department. In 2011, he began a 2-year certification course as an Integral Qigong and Tai Chi Teacher with Roger Jahnke, OMD via the Institute of Integral Qigong and Tai Chi in Santa Barbara. He immediately began offering classes in the community via the Arroyo S.E.C.O. Network of Time Banks and then introduced them at Kaiser's Los Angeles Medical Center, where he now provides 3 per week. For the past 3 years, he has led Kaiser Family Medicine Resident MDs in introductory Qigong sessions and helped organize a series of lectures for them on complementary practices (acupuncture, yoga therapy, Chumash healing with native California plants, Qigong and Tai Chi).

Sarah Gelberd, M.D., Los Angeles County Department of Mental Health (LACDMH) Senior Physician and Medical Director, Older Adult System of Care Bureau and GENESIS.

Her role at LACDMH focuses on enriching lives through partnerships designed to strengthen the community s capacity to support recovery and resiliency.

She has worked to create fellowships for post-graduate medical students so they cultivate expertise in the needs of the older patient, which supports her larger goal of training the next generation

She is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly.

7 Sarah Gelberd, M.D., Los Angeles County Department of Mental Health (LACDMH) Senior Physician and Medical Director, Older Adult System of Care Bureau and GENESIS. She earned her BS in biology from the City University of New York-Brooklyn College. Her role at LACDMH focuses on enriching lives through partnerships designed to strengthen the community s capacity to support recovery and resiliency. Gelberd steers more young people toward caring for older adults. She has worked to create fellowships for post-graduate medical students so they cultivate expertise in the needs of the older patient, which supports her larger goal of training the next generation of young doctors, nurses and social workers. The GENESIS program she affiliated with provides state residents a range of innovative mental health programs and services. She is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. She cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. Ming-Dong Li, PhD earned a Medical Degree and Ph.D. in Chinese Internal Medicine from Heilongjiang University of Traditional Chinese Medicine. Dr. Li has over thirty-two years of experience in clinical practice as well as teaching various topics of Traditional Chinese Medicine (TCM) in China and the United States. He is the author of Chinese Internal Medicine, which was published by People s Medical Publishing House in September Dr. Li is currently practicing and teaching at UCLA Center for East-West Medicine. Concurrently, he is a professor teaching Chinese internal medicine, Tuina, Tai Chi, and Qi-Gong at Yo San University of Traditional Chinese Medicine; Emperor s College of Traditional Oriental Medicine; and Alhambra Medical University. Dr. Li is an avid practitioner of Tai Chi. He has earned 26 gold medals in different national and international competitions. Most recently, in 2012, he won five gold medals along with the title of Grand Champion at The International Chinese Martial Arts Championship held in Denver, Colorado. Jacques MoraMarco, DAOM, OMD, LAc is the Academic Dean at Emperor s College of Traditional Oriental Medicine in Santa Monica, California. Dr. MoraMarco, who took the first acupuncture licensing examination administered in CA in 1977, has over forty years of experience in clinical medicine, academia, and college administration. Much of Dr. MoraMarco s clinical career, dating back to the mid-1980 s, has centered on the treatment of HIV/AIDS patients. He worked in the field as understanding of the disease was beginning to take shape and was among the very first acupuncturists in the country to work with oncologists and immunologists to provide treatment to HIV/AIDS patients. In addition to serving as Dean, Dr. MoraMarco supervises Emperor s College clinical interns at Being Alive, a non-profit organization that provides free wellness services to people living with HIV/AIDS. Dr. MoraMarco is the author of two books, The Complete Ginseng Handbook and The Way of Walking, and the cofounder of the International Sun Tai Chi Association. Timothy Tin, LAc is a Licensed Acupuncturist in South Pasadena and Associate Professor at College of Tai Chi, University of East-West Medicine (UEWM). He also serves as the Director of Cardio Tai Chi Committee of US Collegiate Taiji Federation. He served as medical director for Shuaijiao World Cup San Francisco at San Jose State University in He has been invited to talk about Tai Chi for health frequently at Huntington Memorial Hospital, the Asian Pacific Family Center and City of Hope. Dr. Tin graduated in Tai Chi Master Program in Fall 2016 and the DAOM program in 2018 at UEWM in San Jose.

Sifu Jonathan Weizhang Wang is from Beijing, China and began his studies in Kung Fu at the age of eight when he started training in He Bei Style Xing Yi and under Master Cui Guo Gui.

Grandmaster Jiang is a distinguished graduate of the Nan King Guoshu Institute and was one of the top 10 martial arts professors in China.

and weapons. In his over 35 years of studying martial arts, Sifu Wang has established himself as a leading figure in Kung Fu and Tai Chi both nationally and internationally.

8 Sifu Jonathan Weizhang Wang is from Beijing, China and began his studies in Kung Fu at the age of eight when he started training in He Bei Style Xing Yi and under Master Cui Guo Gui. In 1989, Sifu Wang immigrated to the U.S. and started training under Grandmaster Jiang Hao Quan. Grandmaster Jiang is a distinguished graduate of the Nan King Guoshu Institute and was one of the top 10 martial arts professors in China. Sifu Wang also studied Tai Chi under his father, Master Daniel Yu Wang, who is one of the few people in the world to have mastered all five classical styles of Tai Chi in addition to Tai Chi San Shou and weapons. In his over 35 years of studying martial arts, Sifu Wang has established himself as a leading figure in Kung Fu and Tai Chi both nationally and internationally. He has won 589 medals in many advanced category throughout his years of competition. He currently serves as a Tai Chi instructor for UCLA School of Theater and leads the Tai Chi workshop as part of UCLA s Healthy Campus Initiative. Chi Hsiu Weng, PhD obtained his Ph.D in Physical Education from Ohio State University in He is a Professor in the Department of Kinesiology at San Jose State University and the Dean of College at the Tai Chi University of East-West Medicine. Dr. Weng serves as the President of World Cardio Tai-Chi Association, Pan-American Shuai-Chiao Federation, and the US Collegiate Tai Chi Federation. He was the founder and chairman of the Chinese Martial Art Committee at Chinese Taipei University Sports Federation and a certified International Wushu judge by the international Wu Shu Federation (IWUF). Dr. Weng was an invited lecturer and speaker at the Capital Institute of Physical Education and the 1988 Olympic Scientific Congress, respectively. Weijun Zhang, DrPH, MS, MB is Adjunct Assistant Professor in the Division of General Internal Medicine & Health Services Research at the UCLA Department of Medicine. He obtained his medical training in Chinese Medicine and Integrative Medicine (IM) from Beijing University of Chinese Medicine and his master s degree in Computer Science at the University of Southern California. He completed his Executive MPH in 2008 and Doctor of Public Health (DrPH) in Health Policy in 2011, both in the Department of Health Services at the UCLA Fielding School of Public Health. His research focuses on studying optimal IM services, including factors affecting IM approaches and models, and IM-flavored primary care practice transformation.

Planning Committee The symposium is a collaborative effort from representatives of Chinese Medicine Colleges and the Tai Chi instructor community in Los Angeles.

Barber, LAc Yo San University of Traditional Chinese Medicine Jacques MoraMarco, DAOM, OMD, LAc Emperor s College of Traditional Oriental Medicine Jonathan Wang UCLA School of Theater Art Timothy

9 Planning Committee The symposium is a collaborative effort from representatives of Chinese Medicine Colleges and the Tai Chi instructor community in Los Angeles. Eric Hsiao, PhD, LAc Southern California University of Health Science John R. Barber, LAc Yo San University of Traditional Chinese Medicine Jacques MoraMarco, DAOM, OMD, LAc Emperor s College of Traditional Oriental Medicine Jonathan Wang UCLA School of Theater Art Timothy Tin, LAc Alhambra Medical University Ming-Dong Li, PhD, LAc UCLA Center for East-West Medicine (CEWM) Allen Jang, PhD, CTN Tai Chi Instructor Organizers: UCLA Center for East-West Medicine Weijun Zhang, DrPH, Symposium Chair Sandi Chiu, LAc - Education Program Manager Anna Fong, Marketing Project Manager Annie Law, Education Coordinator Corinna Loo Graphic Design Volunteer Celina Yang CEWM Volunteer Dennis Onggo CEWM Volunteer Supporters: Academic Supporters and Exhibitor:

Acknowledgement Our special thanks to the foundations and family trusts, supporters and individuals who have generously supported our Center and this symposium.

10 Acknowledgement Our special thanks to the foundations and family trusts, supporters and individuals who have generously supported our Center and this symposium. Gerald Oppenheimer Family Foundation Panda Charitable Foundation Shirley Hui Memorial Fund Weiner Family Foundation The Wang Family Charitable Fund Teselle-Abbott Family Trust The Pang Family Trust

11 Celebrate with us! The end of December 2018 will mark the beginning of the 25th anniversary of the UCLA Center for East-West Medicine (CEWM). From our early beginnings, we have grown into a network of 5 clinical sites, and recently initiated an inpatient consult service, providing more than 30,000 patient visits each year. The Center has established a model system of comprehensive care with emphasis on health promotion and disease prevention, treatment and rehabilitation through an integrated practice of East West medicine. It offers professional training programs in integrative East West medicine, Chinese medicine and complementary therapies for health enhancement. Initiatives include promotion of collaboration with multidisciplinary leaders at UCLA and other institutions worldwide in order to develop theoretical, scientific and clinical foundations for a new healthcare paradigm. To learn more about events for the 25 th anniversary celebration, sign up for the CEWM newsletter on the website, By using western medicine to look at the trees and Chinese medicine to look at the forest, we have a much more comprehensive view of health - Dr. Ka-Kit Hui Partnership for a New Healthcare Paradigm The Center has recently begun a partnership with Tzu Chi Medical Foundation (TCMF), a nonprofit nongovernmental organization servicing people in underserved communities. The goal is to adapt UCLA CEWM s healthcare model to TCMF clinics to allow improved access to integrative health practices by developing and implementing an inter-professional training program for their healthcare team members. Together, our goal is to raise $250,000 by December 2018 to develop an inter-professional training program to celebrate the launch of the Center s 25 th Year Anniversary. The Panda Charitable Foundation have generously agreed to match any amount donated, up to $500,000 per year for three years, for this partnership project to make integrative health practices more accessible for the underserved population. Any amount, great or small, would help us grow towards our mutual goal of developing a better healthcare model for us and our future generations. Give online at Donations to the UCLA Center for East-West Medicine strengthen its financial foundation, giving life to innovative programs in patient care, education, and research, and sustaining its growth for the future.

12 Notes

16 Save-the-Date for Next Year s Symposium: October 5-6, 2019 The Joint Conference of 5 th American TCM Congress and 3 rd UCLA Annual Symposium on the Potential of Chinese Medicine in US Healthcare

UCLA Health David Geffen School of Medicine SUMMER 2016

UCLA Health David Geffen School of Medicine SUMMER 2016 MEMORIES ARE MADE OF THIS There s more to memory than just recalling where you left your keys, and scientists at UCLA are working to unlock its mysteries.