Integrative Medicine in Residency Site Leader Responsibilities Sample Site Implementation Plans
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University of Arizona Family Medicine R esidency IMR Implementation Plan Intern Orientation Dermatology: EM/Urgent care: Sports Medicine/Ortho Behavioral Medicine: PG2 Core Pediatric Clinic: GYN/MCH Geriatrics/Community Medicine/Surgery: Cardiology/Elective/other: PG3 Core:
ST. LUKE S FAMILY MEDICINE RESIDENCY IMR Guide by Rotation Revised 10/1510 PGY1 Orient. Getting Started 2 Prevention/ Wellness 20 AMTS AMTS AMTS OB PGY2 FMTS FMTS OB Peds Wards PGY3 AMTS AMTS DERM ** ENT/ Ophtho Motivational Interviewing/ Behavioral Change 2 Women s Health Prenatal Care & Lactation 3 GYN 1 Women s Health Dysmenorhea 1 Menopause 2 Depression 2 PMS/PMDD 1 1 Ortho 2/ Women s Health Women s Health Interactive Case Scenario 1 Fibromyalgia 1 Osteoporosis 2 Eating Disorders 2 OB Peds Wards Peds ER Introduction to Pediatric/Integrative Medicine 1 Asthma/Allergies 4 (1 hr group lecture) Sports Med Manual Medicine 8 FM-A Diabetes Millitus II 6 GI/BS/Gastritis 6 ICU GER Peds Office ADD/ ADHD 2 Chronic Pain Syndrome 2 Integrative Medicine Treatment Plans 4 Energy Medicine 2 CCU or Cards Consult Hyperlipidemia 6 Coronary Artery Disease 4 Surg 2** Ortho 1 Chronic Illness Osteoarthritis & Rheumatoid Arthritis 6 FM-C Chronic Illness Chronic Back Pain 6 ER Acute Care 7 FM-B Chronic Illness CD/Nutrition 6 Hypertenstion 4 Practice Mgmt/ Elective Practice Management 4 NICU Special Topics Environmental Medicine 6 URO/ Elective Special Topics HIV 6 Elective or OB* ** Whole Systems 8 Surg 1 Chronic Illness Obesity 6 Psych Special Topics Cancer Survivorship 6 Spirituality 2 Elective ** Integrative Medicine Intake Process 1 Botanicals 4 Mind-Body Medicine 2 *High Track OB **These are rotations where the current 2 nd & 3 rd yrs may complete Prevention/Wellness (20 hrs) SUGGESTION: block 1-2 hrs per week for dedicated IMR time Kristen Reynolds, MD IMR Faculty Coordinator Aurora Family Medicine Residency Program All residents & faculty are required to complete Getting Started & Prevention/ Wellness. Interns will complete all 200 hrs IMR over 3 years. Current 2 nd yrs will complete 160 hrs IMR over 2 years. Current 3 rd yrs will complete 60 hrs IMR over 1 year. (NOTE: Interns, 2 nd, & 3 rd yr residents-about 30 hours of IMR will be completed as group activity in lectures.)
Maine-Dartmouth IMR SYLLABUS New Website: https://integrativemedicine.arizona.edu/main/login.html PGY-1 ORIENTATION IMR Curriculum: IMR VIDEO and SYLLABUS GETTING STARTED: Resident Self-Assessment Knowledge Assessment Wellness Assessment Questionnaires A-1, B-1, C-1 PREVENTION & WELLNESS: Introduction to IM US Preventive Services Guidelines Nutrition and Diet Supplements and Prevention Physical Activity Stress and Mind-Body Medicine Spirituality Sleep and Health CLINICAL INTEGRATION: 7 Cases Distribution of reserved time in your rotation schedule: SURG A/W ER A/W GERI OB 8 hours in 2-3 hour blocks 2 hours 2 hours 4 hours in (2) 2 hours blocks OFFICE: (7) 2 hour blocks during office hours when you are on the following rotations: FMI, PEDS, ORTHO/SPORTSMED FIELD TRIP TO AVENA Botanicals Herb Garden, ROCKPORT, ME SEPT 14, 2010 2-4 PM Page 1 of 3
Maine-Dartmouth IMR SYLLABUS PGY-2 Rotation Hours Unit: Course 1.5 Getting Started: Resident Self-Assessment 2 Knowledge Assessment 2 Wellness Assessment 2 Questionnaires A-2, B-2, C-2 GYN 7 Women s Health Unit: PMS/PMDD Dysmenorrhea Prenatal Care Menopause NF (night float) 8 Women s Health Unit: Osteoporosis Eating Disorders Fibromyalgia Depression in Women/ICS ER 6 Acute Care Unit: Otitis Media Gastroenteritis Upper Respiratory Infection, Adults UTI Vaginitis Acute Back Pain Chest Pain/ GERD PEDS 6 Pediatrics Unit: ADHD Chronic Pain Syndrome MCH 4 Pediatrics Unit: Allergies and Asthma ICU 6 Integrative Medicine Tools Unit: (choose 2 of the 4) IM Patient Intake Botanicals Mind-body Techniques in Practice Motivational Interviewing BLOCK 6 6 Integrative Medicine Tools Unit: (choose 2 of the 4 - combination of Community Medicine, Research, and IM) IM Patient Intake Botanicals Mind-body Techniques in Practice Motivational Interviewing Page 2 of 3
Maine-Dartmouth IMR SYLLABUS PGY-3 Residents will set their own schedule to complete the Year 3 Courses & Modules on their own. Progress reports and completions are viewed every month. Hours Unit: Course 1.5 Getting Started: Resident Self-Assessment 3 Knowledge Assessment 3 Wellness Assessment 3 Questionnaires A-3, B-3, C-3 38 Tools in Integrative Medicine: 8 Manual Medicine 8 Whole Systems 4 Energy Medicine 4 IM Treatment Plan 2 Spirituality 8 Practice Management 58 Chronic Illness: Approaches to Cardiovascular Disease 1 Introduction 2 Metabolic Syndrome 6 Dyslipidemia 6 Hypertension 4 Coronary Heart Disease 4 Patient Case 6 Approaches to Diabetes 6 Obesity 6 GI Disorders 6 Approaches to Rheumatology 6 Chronic Back Pain 18 Special Topics: Environmental Medicine HIV Survivorship Page 3 of 3
The IMR Responds to Resident Interest in Integrative Medicine and Enhances Resident Recruitment 1. Residents are Highly Interested in Learning IM During Residency o 2. Residents Greatly Want to Apply IM in Clinical Practice after Graduation o 3. IMR Enhances Resident Recruitment very important important!!! Residents Show Very High Rates of IMR Course Completion! Residents Rate the IMR Courses Very Highly met the stated learning objectives clinical utility
online technology open-ended comments Residents Have a Statistically Significant Increase in Medical Knowledge p p=