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Armaity Vaghaiwalla Austin, MD MPH FAAFP Associate Clinical Professor Department of Family Medicine USC Keck School of Medicine Integrative Medicine MEDICAL.

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Presentation on theme: "Armaity Vaghaiwalla Austin, MD MPH FAAFP Associate Clinical Professor Department of Family Medicine USC Keck School of Medicine Integrative Medicine MEDICAL."— Presentation transcript:

1 Armaity Vaghaiwalla Austin, MD MPH FAAFP Associate Clinical Professor Department of Family Medicine USC Keck School of Medicine Integrative Medicine MEDICAL SCHOOL CURRICULUM USC KECK SCHOOL OF MEDICINE

2 Armaity Vaghaiwalla Austin, MD MPH FAAFP KECK SCHOOL OF MEDICINE, USC Contact

3 Ali Arastu, MS4 Caryn Brenn, MS4 Lia Jacobson, MS4 Sara Ptasnik, MS2 Kristen Roehl, MS2 Lisa Schamber, MS2 Elaine Yang, MS2 KECK SCHOOL OF MEDICINE, USC Co- Presenters

4 PPM Selective – Year II Clinical Selective – Year IV Student Programming IM Curriculum at KSOM

5 ● 6 sessions in the fall (12-hr curriculum) ● Each session incorporates 2 topics ● Integrative physician speakers ● Student case presentations PPM Selective - Year II

6 ● Introduction to E-W Medicine ● TCM – Acupuncture & Herbalism ● Homeopathy ● Guided Imagery ● MBSR ● Yoga ● Ayurveda ● Chumash Herbal Medicine (“Hike & Healing”) ● Patient Perspective Topics in PPM Selective

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9 ◦IM PPM Selective for past two years, consistently among the highest rated selective, may be expanded to two concurrent sessions due to popular demand ◦Student research project about CAM attitudes surveyed students before and after taking the course Feedback on PPM Selective

10 PPM – INTEGRATIVE MEDICINE IM. SELECTIVE, MS2 COURSE STATS

11 PPM – INTEGRATIVE MEDICINE IM. SELECTIVE, MS2 Scale: Excellent Very Good Average Below Needs Average Improvement

12 List 3 most important learning points from your IM Selective experience.

13 What was the best part of the IM Selective experience?

14 Student Experience: Sara Ptasnik

15 Survey of Medical Students’ Attitudes Towards CAM (Fall 2011) Caryn Brenn, MSIV

16 Demographics 178 second year Keck medical students (MS2) 24 years old 51.1% male 27 students enrolled CAM selective 151 students enrolled other selectives

17 Survey Questions 9 questions from the validated CAM Health Belief Questionnaire (CHBQ) 1 –7 point Likert scale –1=“Absolutely disagree”, 7=“Absolutely agree” –Midpoint 36, Maximum 63 Personal use of CAM therapies Frequency of use Plan to use CAM in future medical career Opinion of CAM education Resources used 1 Lie, D., & Boker, J. (2004). Development and validation of the CAM Health Belief Questionnaire (CHBQ) and CAM use and attitudes amongst medical students. BMC Med Educ, Vol 4(1), 2.

18 Results Hypothesis confirmed PrePostAverage Difference p-value CAM selective (n=24) (+ 5.09)52.17 (+ 4.61) Other selective (n=137) (+ 6.86)42.04 (+ 6.91) Total CHBQ score

19 Results: Secondary Findings All students (n=161), Pre survey 88.7% of all students personally use one or more form(s) of alternative therapy

20 Results: Secondary Findings All students (n=161), Pre survey 92% of students agree that CAM education should be a component of medical school education 82% of students plan to refer CAM therapies 61% of students gained baseline knowledge of CAM from word of mouth or social media –17% from previous CAM education –6% from scholarly and medical journals

21 ●4 weeks in length ●Faculty: Armaity V. Austin, MD, MPH, FAAFP ●“Prevention and Wellness” Clinical Selective - Year IV

22 Wellness Assessment

23 NUTRITION Macronutrients Micronutrients Dietary Supplements PHYSICAL ACTIVITY MIND-BODY Stress Management SLEEP ENVIRONMENTAL HEALTH SPIRITUALITY MOTIVATIONAL INTERVIEWING Curriculum of Clinical Selective

24 Student Experiences: Ali Arastu Lia Jacobson

25 Student Programming ● Integrative Medicine Club ●Student President Sylvia Charles (Psychiatry UCSF) and Co- President Ali Arastu inherited Integrative Medicine Club as first year medical students ●Implemented Weekly Yoga Sessions ●Introduced Meditation to Campus for students ●Began working to provide student input in IIH

26 Integrative Health Interest Group (IHIG) 1. Year II PPM co-facilitation (student leaders) 2. Ongoing involvement with IIH ●Student liaison; monthly breakfast seminars ●Research & physician mentors Interdisciplinary, Longitudinal, Co-Sponsored, Interinstitutional

27 Integrative Health Interest Group (IHIG) 3. Student wellness ●“Wellness Wednesdays” in the quad ●Weekly yoga class ●Mindfulness at ECSHC K

28 IHIG: Events in Spring 2014 ●Women’s Health Symposium ●Research Lunch Talk ●IIH Research Symposium ●BeWellKeck Kick-Off Extravaganza ●Pet Therapy Day

29 IHIG: Goals & Opportunities ●Expand interdisciplinary involvement ●Increase events in the fall semester ●Increase attendance at Wellness Wednesday events, in conjunction with the BeWellKeck initiative ●Develop a sustainable funding mechanism to allow hands-on workshops, outside practitioners, and food at events

30 Mindfulness Meditation for Medical Students: A Pilot Research Study Can the use of a mobile application to deliver minutes of daily guided mindfulness meditation help medical students reduce stress and improve overall wellbeing? General Well-being Scale Perceived Stress Scale Five-Facet Mindfulness Questionnaire

31 Feasability

32 Results 74% of Intervention group used the Headspace app ○Number of days used: M=11.97, SD=7.76, range=28 54% continued to use Headspace after the initial 30-day intervention period Perceived Stress decreased for Intervention, but not Control, over 60 days ○Well-being did not significantly increase across both groups ○Mindfulness increased across both groups for subscales of Observing, Acting with Awareness, and Non-reacting

33 Interinstitutional Programs: Goals ●Increased opportunities for interdisciplinary education ●Enhancement of self-care knowledge and practice ●Regional and national connections among M.D., D.O., and N.D. medical students interested in Integrative Medicine ●Community of like-minded medical students to optimize future collaboration in patient care

34 Interinstitutional Programs: SoCal ●IMMSA-SC: Integrative Medicine Medical Student Association – Southern California Chapter ● Bastyr University California ● David Geffen School of Medicine at UCLA ● Western University of Health Sciences ● UC San Diego School of Medicine ● Keck School of Medicine of USC ● UC Irvine School of Medicine ●Symposium/retreat in the works...

35 Interinstitutional Programs: National ● LEAPS into IM: Leadership and Education Program for Students in Integrative Medicine Jun Kripalu Center for Yoga & Health, Berkshires, MA

36 ● HEART-IM: Humanistic Elective in Activism, Reflective Transformation, and Integrative Medicine Mar 30 – Apr 24, Quaker Center, Ben Lomond, CA Interinstitutional Programs: National

37 ● NSCIM: National Student Conference on Integrative Medicine Oct 26-27, Northwestern University, Chicago, IL Interinstitutional Programs: National

38 ● AHIMSA: American Holistic & Integrative Medical Student Association - Standardized materials for curriculum development and student programming - Regional recruitment/outreach - Student-run integrative medicine journal Interinstitutional Programs: National

39 Challenges for IM Curriculum in Medical Schools Time/ Curriculum Faculty Development Inter-professional Education Resources: Financial

40 Integrative Medicine at KSOM: Future Consortium Institute of Integrative Health (IIH) Education – MS4 Selective Research Clinical

41 Integrative Medicine at KSOM: Future Thoughts/Suggestions?

42 Armaity Vaghaiwalla Austin, MD MPH FAAFP Associate Clinical Professor Department of Family Medicine USC Keck School of Medicine Integrative Medicine MEDICAL SCHOOL CURRICULUM USC KECK SCHOOL OF MEDICINE


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