We are 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, stress management, and other core evidence based lifestyle medicine interventions. 

The purpose of the Lifestyle Medicine Education Concentration (LMEC) is to supply residents with an overview of the knowledge and skill base for practicing Lifestyle Medicine (LM), and to solidify this by having them participate in the actual provision of LM to themselves and to patients. 

The specific educational objectives include the following:

  1. Understand the field of lifestyle medicine including its role in health care delivery
  2. Achieve specific skills in the delivery of lifestyle medicine interventions in two settings:
    • therapeutic lifestyle change (TLC), and
    • intensive therapeutic lifestyle change (ITLC)
  3. Improve personal health and ability to influence patient health

The four required activities include: 1) participation in three in person overview, review and summary discussion sessions, 2) completion of three on line didactic sessions, 3) participation in an intensive therapeutic lifestyle change intervention (ITLC) lab, and 4) completion of a personal lifestyle medicine application.  To successfully complete the LMEC a resident must document participation in all aspects of the LMEC and thoughtfully respond to substantive feedback. 

In Person Sessions

(expected time commitment about 3 hours)

Residents will meet with the LMEC director and other faculty in the fall, winter and spring quarters.  During these meetings they will review the following:

  1. An overview of Lifestyle Medicine and the LMEC, creating context and goals for both
  2. Therapeutic Lifestyle Change and Intensive Therapeutic Lifestyle Change (ITLC), including the evidence base and clinical uses of both
  3. A summary of resident activities and learnings while participating in the LMEC, including a final summary of the field of Lifestyle Medicine

On Line Didactic Sessions

(expected time commitment about 6 hours)

Residents will be given access to thirty hours of continuing medical education (CME) via a Dropbox link.  These slide sets are the property of the American College of Lifestyle Medicine (ACLM) and the American College of Preventive Medicine (ACPM).  As such they are proprietary and not for distribution.  They can be viewed in Dropbox only.   Residents will specifically be asked to view the following slidesets:

  1. Lifestyle Medicine Core Competency Foundations
  2. Nutrition Education
  3. Selective chosen from: Health Coaching, Physical Activity, or Sleep/Emotions/Stress Reduction

Residents are expected to view and provide feedback on these slide sets based on the following items: a. core learning points of the slide sets, b. strengths of the slide sets, c. opportunities to improve the slide sets.

Intensive Therapeutic Lifestyle Change

(expected time commitment about 2 hours)

Residents will be required to participate in an ITLC during either the winter (Jan-Mar) or spring (Apr-June) quarters. The ITLC is 18 sessions in length.  Residents are given the opportunity to attend all sessions, but are required to attend at least one of the sessions to pass the LMEC.  During the ITLC residents are expected to be active participants, facilitating patient interactions, providing educational lectures, and/or helping to coordinate the logistics of the ITLC.

Individual Lifestyle Medicine Application

(expected time commitment about 1 hour)

During the first two months of the concentration, residents will choose a package of lifestyle medicine applications that they will incorporate in their own lives throughout the year.  At the end of the year, they will report on their successes, failures, and what they learned from this personal experience.  The Power of Full Engagement by Jim Loehr and Tony Schwartz can be used as a foundation for this.  Please consider purchasing this book.


  • Participation in in-person sessions
  • Participation in didactic sessions throughout the academic year 
  • Attend one ITLC Session (date to be determined)
  • Individual Lifestyle Medicine Application 

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