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Integrative Medicine What is it? Why do we care? A Rose by Any Other Name. . . “Alternative Medicine” Implies this is being used instead of traditional/allopathic approaches Potential for harm, if potentially effective treatment is not considered “Complementary” Medicine Implies it is used to “complement” traditional/allopathic approaches Implies it is secondary, of less importance or effectiveness “Integrative Medicine” “The practice of medicine that reaffirms the importance of the relationship between practitioner and patient, focuses on the whole person, is informed by evidence, and makes use of all appropriate therapeutic approaches, healthcare professionals, and disciplines to achieve optimal health and healing. The Consortium of Academic Health Centers for Integrative Medicine “Integrative” Medicine = Good Medicine Focus on wellness as well as disease management Integrates the best of all the available modalities More options for effectiveness More options to minimize toxicity More options to meet patient preferences/provide patient-centered care A little comment on my own journey. . . So What Do You Integrate? The Classic Biopsychosocial Model that Family Medicine adheres to. . . i.e. addressing the whole patient in their social and family context. And using an expanded toolkit. . . . The Expanded Toolkit Allopathic and osteopathic approaches Medical Surgical Manipulative Mind-Body (and Spirit?) Nutritional Medicine/Functional Medicine Herbal Medicine Modalities from other cultures: Acupuncture Ayurveda And More?. . . . Why here and now? My own opinion: it is the face of medicine to come because it works. Mainstream medicine is failing in chronic disease management It is “sexy” – attractive to patients and to prospective residents It is the reality of what our patients are doing and we might as well offer them some guidance Some Teaching Points for Discussing Integrative Medicine with Residents. . . Keep your mind open, but not so open th
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