Food recall, micro-nutrient analysis, antioxidant testing, nutrition prescriptions, dietary interventions
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The United States is in the midst of a chronic disease epidemic. Diabetes has increased around forty-fold in the last five decades. Eighty percent of health care effort and cost is related to chronic disease. Eighty percent of chronic disease is directly caused by lifestyle choices. If the diseases are caused by lifestyle choices, shouldn’t the treatments be lifestyle related as well? Yet the average physician receives very little formal education in nutrition, physical activity, stress management, and other core evidence-based lifestyle medicine interventions. Loma Linda University Health is different! We want to treat the root causes of disease as well.
The purpose of the Lifestyle Medicine Education Concentration* is to give residents the tools, knowledge and skills to practice Lifestyle Medicine (LM).
*In Family Medicine and Internal Medicine this is the Lifestyle Medicine Track and for Preventive Medicine residents, this is integrated into their residency requirements.
Educational Goals:
- Complete the Lifestyle Medicine Residency Curriculum (LMRC).
- Become board eligible in Lifestyle Medicine
- Apply LM skills to personal health and patient care
Didactic Component (40 HOURS)
Residents will complete the 40 LMRC didactic modules. For the 2021-2022 academic year, these will be available via PowerPoint presentation videos from fellow residents**. In July 2022, the didactic component will be available in an online learning management system from the American College of Lifestyle Medicine (ACLM) that you will be granted access to.
***In Family Medicine, Internal Medicine and Preventive Medicine residencies, the presentations are integrated into residency didactics.
Intensive Therapeutic Lifestyle Change (20 HOURS)
You will participate and/or observe a group program such as MOVE! at the VA, CHIP, The Dean Ornish program, McDougall program, Canyon Ranch, or Weimar, etc.
Group Visits (20 HOURS)
Group visits consist of a group observation, recording and/or facilitating. This may occur at the same time or separately from an ITLC program.
Application Activities (60 HOURS)
Complete 60 hours of asynchronous application, designed to be presented over your residency. The practicum component enables residents to clearly demonstrate ongoing exposure to and use of the principles of lifestyle medicine in the clinical setting with patients.
Patient Encounters (400)
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Topic |
Requirements |
Comments |
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Lifestyle Medicine approach in primary care or continuity clinic |
400 patient encounters TOTAL |
Address the pillars of lifestyle medicine in primary care/continuity clinic: nutrition, physical activity, substances, sleep, stress management, emotional resilience, and connectedness |
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Nutritional assessments and interventions |
40 patient encounters |
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Physical activity assessments and interventions |
40 patient encounters |
Activity diaries, exercise capacity assessments, percent body fat, exercise prescriptions |
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Emotional and mental wellbeing, sleep and connectedness assessments and interventions |
40 patient encounters |
Stress and sleep assessments, depression/anxiety/mental health screening, monitor/improve heart rate variability, mindfulness, meditation, spirituality and emotional well-being activity prescriptions and referral to resources |
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Tobacco and toxic substance assessment, brief intervention, and referral training |
30 patient encounters |
Smoking assessments, chemical and toxic exposure assessments, abstinence prescriptions, screening and brief intervention, indications for referral |
Elective Rotation with Preventive Medicine
The Preventive Medicine Department will prioritize residents in the LM concentration/track to rotate with them during an elective month. It is possible to obtain some, if not all, of your group and ITLC hours during this month.