In the minds of many in the dominant school of medicine, all of integrative medicine is frontier science. That bias often holds that the integrative frontier toward which one may sail is a chimera. Yet new continents have been found. Witness findings supporting acupuncture effectiveness and telomere lengthening through meditation. For integrative health, the frontier of that frontier is subtle energy and biofield healing. Spearheading efforts to quantify and advance science and action in this $2.8-billion industry is a self-styled “collaboration accelerator,” the Consciousness and Healing Initiative (CHI). CHI posits that the world they are mapping in their just published resources positions energy medicine as “the new mindfulness.” The multi-year CHI mapping project offers fascinating interactive journeys to 6,200 studies, 74,000 US practitioners, 250 energy devices, and a literal map that takes one to the location of 400 researchers globally who are examining these subtle therapies. Their goal is nothing less that systems change. They believe their work can be a model for all in the integrative health field who favor dramatic shifts in the health and medicine landscape.
The push for evidence to assist in formulating more effective clinical response to the COVID-19 pandemic is awakening scores of research projects and multipliers more of recommended directions. In the integrative sphere, a team led by Lise Alschuler, ND from the University of Arizona Andrew Weil Center for Integrative Medicine published a paper on “considerations” for natural practices and agents. The Chinese government claims the use of traditional Chinese medicine is in part responsible for its apparently relatively rapid turn-around there. TCM researcher John Chen, PhD, PharmD, OMD, LAc and others have brought that work to the United States. Ryan Bradley, ND, MPH at Helfgott Research Institute led a global team to create a Traditional, Complementary and Integrative Health and Medicine COVID-19 Support Registry. I helped promote it with this JACM editorial. Yet the US government has been quiet, when not frankly antagonistic to supportive COVID-19 strategies. I connected with the NIH National Center for Complementary and Integrative Health (NCCIH) to see what they are up to related to COVI-19. This column reports the exchange with Helene Langevin, MD, NCCIH’s director.
It may be said that turning away from obsession with COVID-19 news to examine the professional shift in the life of integrative medicine leader Myles Spar, MD, MPH is a hard pivot. The Venice Family Clinic provider of integrative services to the underserved – and Bravewell Award winner for that work – recently moved from Los Angeles to New York to take a position as chief medical officer at Vault Health. The business is a start-up funded recently with an infusion of $30-million. Spar’s more recent re-positioning of his professional focus toward men’s health narrows the gap between the worlds. The specialty of Vault Health is male sexual vitality, around which Spar’s responsibilities include developing some integrative support. The hard pivot may be characterized as from service to the underserved to services for the under erect.
The easy access by medical doctors to accredited continuing medical education in integrative medicine is an engine of the field’s growth. So as stories emerged of what was believed to be an Accreditation Council on Continuing Medical Education (ACCME) clamp down, I engaged a series of interviews and reports. I reported direct and indirect assurances from ACCME’s CEO Graham McMahon, MD, MMSc that integrative medicine is not being targeted. Yet a recent commentary from leaders of the Osher Collaborative for Integrative Medicine raised the question again. I decided to review evidence to this date. I cannot but conclude that integrative medicine is, in fact, at the center of the bullseye in ACCME’s recent push for new standards of “content validity” regarding “controversial areas”. Here is the evidence.