An organization that sees its mission as larger than its present reach hits natural barriers if it uses an association management firm. The management organization is not an “association growing” firm. Nor is the firm devoted solely to the association. In fact, the management firm’s financial incentive structure is akin to that of a fitness center: the best member is one who pays dues and never requires anything. It’s job is to manage and control something that, optimally is passionate, dynamic, and slightly out of control because it is actively flourishing in multiple directions. These disparate tendencies came to mind as good news arrived December 21, 2018 – Solstice Day – that arguably the most powerful engine in the integrative space, the Academic Consortium for Integrative Medicine and Health (“the Consortium”), completed a transition away from an association management firm to its first, 100% time, fully devoted executive director.
At one point over the past three years of robust expansion of dialogue related to chronic pain care I received a somewhat panicky email from an integrative care advocate. He was concerned that by me speaking of the “opportunity” for integrative health produced by the US’ enthrallment with opioids that his field would be tainted as “opportunists.” Fact is, the dialogue over right use of “non-pharmacologic” practices and practitioners in chronic pain treatment has provoked a quantum opening in many quarters. This article shares an invitation to a December 4-5 workshop at from the National Academy Medicine (NAM) – the most robust inclusion of integrative health there since the 2009 Summit. Also included: another positive development at NAM, and first notes of advances at AIPM’s recent Integrative Pain Care Policy Congress. The bad news of the opioid crisis is proving very good for opening needed dialogue.
If one views “integrative health and medicine” as an organic movement, then its shape consists of the stories documenting its milestones and the work of its pioneers. Only the telling of these stories are less likely to be around a fire than around the modern substitute: the web. This article offers three slices of achievement. It involves multiple streams among those that flow together to support an integrative future: a milestone in academic medicine in the dominant school, for naturopathic medicine, and a changing of the guard for direct entry (homebirth) midwifery.
Beth Frates, MD recalls her first effort, ten years ago, to give students at Harvard Medical School more grounding in lifestyle medicine: “I met with my Dean and explained how I would bring [the material] to them. He was all enthusiastic. He told me he loved what I was doing. Then he said: ‘We can’t possibly do this right now.’” Frates’ excitement cycled high then hit the cellar.