academic medicine

April 25, 2019

US Medicine as a Game of Thrones: The Houses of Volume, of Value, and of Integrative Health

I recently gave a commencement talk at Northwestern Health Sciences University, the day before Episode One of the last season of Game of Thrones. I chose to inject the sacredness of that day by referencing that other world by presenting the landscape of health and medicine that the graduates were entering as a jockeying between three Houses. In power on the Iron Throne: the House of Volume/Industry. The other two Houses are each insurgencies: the House of Integrative Health and the House of Value-Based Medicine. Can this life-and-death game play out favorably with an alliance between the two insurgencies in a field of health creation?
April 20, 2019

An Examination of Research Action at 7 Multidisciplinary Universities of Integrative Health

From the perspective of research contributions from academic institutions in integrative health, the 7 multidisciplinary universities have been key important contributors. These institutions, with one exception, are products of the last 20 years of advance of complementary, integrative and non-pharmacologic approaches in US health care. Each began as a professional school for chiropractic doctors, naturopathic doctors or acupuncturists then chose to expand its offerings for bird-of-a-feather programs, morphing into universities of integrative, natural health sciences. Part 1 of this series, “The Future of Integrative Health – Interviews with Presidents of 7 Multidisciplinary Universities”, examined the cornucopia of their present offerings. Part 2 offers an examination of the current place of research in these integrative health universities as the nation begins to call on their practices and practitioners in developing a new chronic pain strategy.
April 5, 2019

The Future for Integrative Health: Interviews with Presidents of 7 Multidisciplinary Universities

The past 20 years witnessed the expansion of a new type of institution in academic health care – and specifically in integrative health and medicine: multidisciplinary universities with professional degrees in multiple natural health fields. Variously denominated as universities of “natural health sciences” or “health sciences” or “integrative health” or merely as “university,” these 7 institutions were each founded as single purpose colleges to educateĀ  chiropractors, naturopathic doctors or acupuncturists. They expanded to include other disciplines, degrees and certifications. Many have played important roles in the integrative health movement. All sit at the intersection of two fields in turmoil: health care and higher education. I interviewed the presidents of each to access their vantage points. This overview is a first in a two-part series.
February 21, 2019

Boot-Strapping a Research-Base: Naturopathy’s Scientific Journey via a Journal Special Issue

Non-naturopathic doctors will have at least these reasons to explore the Special Focus Issue on Naturopathy. One is the review of the necessary scientific work by that whole system profession’s researchers to examine multimodal and whole person treatment. Its the best concerted effort of any integrative health profession. A second is to witness naturopathic medicine’s journey in the last 35 years to raise a scientific mission from scratch. A third is for insight into this still small profession’s outsized contributions to the evolution of integrative health. Their foundational work in linking science to natural health modalities is at its root. The February 2019 volume from JACM-Paradigm, Practice and Policy Advancing Integrative Health (The Journal of Alternative and Complementary Medicine) is available in open access until March 20, 2019.