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.
Amidst of the waves of information on local, national and global developments related to COVID-19, efforts stand out of a few organizations to capture and bundle content that targets the integrative practice communities. Among the entities that have established resources pages are the University of Arizona Andrew Weil Center for Integrative Medicine, the American Association of Naturopathic Physicians, and the American Nutrition Association. In contradistinction to the advisories of the United States’ federal agencies and state governments, these organizations have in common that their leaders believe that there is more that an individual can do than “healthy waiting” (sleep, exercise, don’t smoke, limit sugar) as the virus continues its course through their communities. Each organization directly suggests multiple steps that might be indicated, and the science supporting it.