MATTERS OF NOTE Bravewell Awards Grant for Leadership Program in Integrative Healthcare The Bravewell Collaborative recently awarded a $1.4 million grant to Duke Integrative Medicine to create and launch the first leadership program focused on integrative healthcare in the United States. Set to begin in early 2015, the Leadership Program in Integrative Healthcare at Duke University will train and mentor the next generation of healthcare leaders to transform practice and improve the health of the nation through a patient-centered, personalized, and prevention-oriented approach to medical care. “There is an urgent need and unmet demand for world-class executives with the qualifications, competencies and leadership attributes to build, sustain and grow integrative healthcare pro- grams and institutions throughout the United States,” said Christy Mack, Co- Founder and President of The Bravewell Collaborative, a community of philan- thropists dedicated to bringing about optimal health and healing for indivi- duals and society. “The need for change within healthcare has never been greater and the program at Duke will create leaders who can address the changing landscape and implement integrative strategies across a variety of healthcare settings.” Integrative healthcare is a rapidly growing and highly credible field that seeks to integrate the best of Western scientific medicine with a broader understanding of the nature of illness, healing, and wellness. Built on this philosophy of care, the yearlong pro- gram begins with personal transforma- tion and ends with the tools for systems reorganization and change. The course includes three in-person retreats, an extensive online curriculum, and a per- sonal mentorship experience, all result- ing in the creation of a business plan for each participant's unique goals and work environment. “This leadership program builds on our mission to bring about optimal health and healing for individuals and society,” added Mack. “We believe that by shifting the focus of our health care system to preven- tion, health maintenance, early interven- tion and patient-centered care, integrative health care holds the power to not only transform the economic models that impede our present health care system but to vastly improve public health.” The Growing Need for Leaders In February 2009, The Bravewell Colla- borative partnered with the Institute of Medicine to convene The Summit on Integrative Medicine and the Health of the Public to examine the scientific basis of integrative healthcare and its poten- tial for improving the health of the nation. Building on key points from the summit, The Bravewell Collabora- tive sought to identify and document the leading models of integrative health- care. As a part of this effort, the group released a survey of U.S. integrative medicine centers last year, finding that 75% reported success using integrative practices to treat chronic pain and more than half reported positive results for gastrointestinal conditions, depres- sion and anxiety, cancer, and chronic stress. The United States spends the most per capita on healthcare across all developed countries, yet lags behind in life expec- tancy and many other health outcome measures. Research shows that integrative healthcare interventions can reduce costs and improve health through increased patient engagement and lower utilization of expensive medical interventions. “Healthcare is moving inexorably toward value based, outcomes based care delivery and taking an integrative approach can more rapidly achieve these goals. But this transformation requires more than clinical skills. We need leaders with business acu- men who can think critically, create colla- borative environments, develop strategic approaches to change and inspire excel- lence throughout an organization,” said Dr. Adam Perlman, Executive Director of Duke Integrative Medicine. “This grant will allow us to build a lasting cohort of new integrative healthcare leaders equipped with the tools to make a significant impact on the way we practice healthcare in this country.” As a collaboration between Duke Integrative Medicine, the Duke Fuqua School of Business, and the Duke Clin- ical Research Institute, the program will include faculty from across the country and cover topics focused on integrative healthcare, leadership training, and busi- ness development. Designed specifically for healthcare and hospital executives, physician leaders and other healthcare providers in leadership positions both in the public and private sectors, registration will open in the sum- mer of 2014, with the first cohort slated to begin in early 2015. For more information please visit: www.integrativehealthleaders.org. ABOIM Offers Physician Board Certification in Integrative Medicine The American Board of Integrative Med- icine s (ABOIM s ) is now accepting applications from qualified physicians who are interested in becoming certified in integrative medicine. ABOIM is a Member Board of the American Board of Physician Specialties (ABPS), the first multi-specialty certifying body to offer physician certification in integra- tive medicine. The application deadline is December 1, 2013 for the initial exam, which will be held in May 2014. Applications are available online at www.abpsus.org/ integrative-medicine. Alternatively, they may be obtained by contacting the ABPS Certification Department at (813) 433-2277. 348 EXPLORE November/December 2013, Vol. 9, No. 6 Matters of Note
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MATTERS OF NOTE
Bravewell Awards Grant for LeadershipProgram in Integrative Healthcare
The Bravewell Collaborative recentlyawarded a $1.4 million grant to DukeIntegrative Medicine to create andlaunch the first leadership programfocused on integrative healthcare in theUnited States. Set to begin in early 2015,the Leadership Program in IntegrativeHealthcare at Duke University will trainand mentor the next generation ofhealthcare leaders to transform practiceand improve the health of the nationthrough a patient-centered, personalized,and prevention-oriented approach tomedical care.“There is an urgent need and unmet
demand for world-class executives withthe qualifications, competencies andleadership attributes to build, sustainand grow integrative healthcare pro-grams and institutions throughout theUnited States,” said Christy Mack, Co-Founder and President of The BravewellCollaborative, a community of philan-thropists dedicated to bringing aboutoptimal health and healing for indivi-duals and society. “The need for changewithin healthcare has never been greaterand the program at Duke will createleaders who can address the changinglandscape and implement integrativestrategies across a variety of healthcaresettings.”Integrative healthcare is a rapidly
growing and highly credible field thatseeks to integrate the best of Westernscientific medicine with a broaderunderstanding of the nature of illness,healing, and wellness. Built on thisphilosophy of care, the yearlong pro-gram begins with personal transforma-tion and ends with the tools for systemsreorganization and change. The courseincludes three in-person retreats, anextensive online curriculum, and a per-sonal mentorship experience, all result-ing in the creation of a business plan foreach participant's unique goals and workenvironment.“This leadership program builds on our
mission to bring about optimal health and
348 EXPLORE November/December 20
healing for individuals and society,” addedMack. “We believe that by shifting thefocus of our health care system to preven-tion, health maintenance, early interven-tion and patient-centered care, integrativehealth care holds the power to not onlytransform the economic models thatimpede our present health care systembut to vastly improve public health.”
The Growing Need for LeadersIn February 2009, The Bravewell Colla-borative partnered with the Institute ofMedicine to convene The Summit onIntegrative Medicine and the Health ofthe Public to examine the scientific basisof integrative healthcare and its poten-tial for improving the health of thenation. Building on key points fromthe summit, The Bravewell Collabora-tive sought to identify and documentthe leading models of integrative health-care. As a part of this effort, the groupreleased a survey of U.S. integrativemedicine centers last year, finding that75% reported success using integrativepractices to treat chronic pain andmore than half reported positive resultsfor gastrointestinal conditions, depres-sion and anxiety, cancer, and chronicstress.The United States spends the most per
capita on healthcare across all developedcountries, yet lags behind in life expec-tancy and many other health outcomemeasures. Research shows that integrativehealthcare interventions can reduce costsand improve health through increasedpatient engagement and lower utilizationof expensive medical interventions.“Healthcare is moving inexorably toward
value based, outcomes based care deliveryand taking an integrative approach canmore rapidly achieve these goals. But thistransformation requires more than clinicalskills. We need leaders with business acu-men who can think critically, create colla-borative environments, develop strategic
13, Vol. 9, No. 6
approaches to change and inspire excel-lence throughout an organization,” saidDr. Adam Perlman, Executive Director ofDuke Integrative Medicine. “This grant willallow us to build a lasting cohort of newintegrative healthcare leaders equippedwith the tools to make a significant impacton the way we practice healthcare in thiscountry.”As a collaboration between Duke
Integrative Medicine, the Duke FuquaSchool of Business, and the Duke Clin-ical Research Institute, the program willinclude faculty from across the countryand cover topics focused on integrativehealthcare, leadership training, and busi-ness development.Designed specifically for healthcare and
hospital executives, physician leaders andother healthcare providers in leadershippositions both in the public and privatesectors, registration will open in the sum-mer of 2014, with the first cohort slated tobegin in early 2015.For more information please visit:
www.integrativehealthleaders.org.
ABOIM Offers Physician BoardCertification in IntegrativeMedicineThe American Board of Integrative Med-icines (ABOIMs) is now acceptingapplications from qualified physicianswho are interested in becoming certifiedin integrative medicine. ABOIM is aMember Board of the American Boardof Physician Specialties (ABPS), thefirst multi-specialty certifying body tooffer physician certification in integra-tive medicine.The application deadline is December
1, 2013 for the initial exam, which willbe held in May 2014. Applicationsare available online at www.abpsus.org/integrative-medicine. Alternatively, theymay be obtained by contacting theABPS Certification Department at(813) 433-2277.
The formation of ABOIM marks amilestone in the development in thefield of integrative medicine. “Finallythere's a way for qualified physicians topresent themselves as experts in offeringcompetent integrative care to patients,”said Andrew Weil, MD, who helpedestablish integrative medicine as aspecialty.ABOIM certification is available to
both allopathic and osteopathic physi-cians in the United States and Canada,who are currently practicing integrativemedicine and have completed a resi-dency training program approved bythe Accreditation Council of GraduateMedical Education (ACGME), the Am-erican Osteopathic Association (AOA),the Royal College of Physicians andSurgeons of Canada (RCPSC), or TheCollege of Family Physicians of Canada(CFPC). As with all ABPS board certifi-cation examinations, the ABOIM examis psychometrically valid.Integrative medicine is defined by
ABOIM and the Consortium of Aca-demic Health Centers for Integrative Med-icine in the following way: It is the practiceof medicine that reaffirms the importanceof the relationship between practitionerand patient, focuses on the whole person,is informed by evidence, and makes use ofall appropriate therapeutic approaches,healthcare professionals, and disciplinesto achieve optimal health and healing.For more information, please visit:
www.abpsus.org/integrative-medicine
Tracy Gaudet, MD
Matters of Note
Dreams of Breast Cancer:Request for InformationReports have recently reached me inwhich women dream that they havebreast cancer without any symptomsas such, with the breast cancersubsequently confirmed by physicalexamination and/or diagnostic tests.
If you have had such a dreamexperience—not just with breastcancer but any illness—I would begrateful to know about your experi-ence via e-mail at [email protected].
Thank you.Larry Dossey, MD
Executive Editor: Explore: TheJournal of Science and Healing
Gaudet and Spar ReceiveLeadership AwardsAt their final Leadership Award Event,The Bravewell Collaborative conferredits Leadership Award to Tracy Gaudet,MD, and Myles Spar, MD, MPH. TracyGaudet, MD, is Director, VHA Officeof Patient-Centered Care and CulturalTransformation. Myles Spar, MD, MPHis Director, Integrative Medicine atVenice Family Clinic's Simms/MannHealth and Wellness Center.The Leadership Award was created by
The Bravewell Collaborative to encou-rage and sustain leadership in the field ofintegrative medicine and includes a$100,000 grant to assist the recipient incarrying out his/her mission to trans-form the culture of healthcare.The two awards were conferred at the
Bravewell Leadership Award Dinner,which was held at Cipriani 42nd Streetin New York City on Thursday, Novem-ber 7, 2013. More than 400 peopleattended. Hosted by Christy and JohnMack, Mehmet Oz, MD, presided asMaster of Ceremonies. Harvey Fineberg,MD, President of the Institute of Med-icine delivered the keynote presentation.
About Tracy Gaudet, MDTracy Williams Gaudet, MD, is theinaugural Director of the VeteransHealth Administration (VHA) Office of
EXPLORE Novem
Patient-Centered Care and CulturalTransformation.In fulfilling its responsibility to opti-
mize the health and healing of everyveteran, VHA created the Office ofPatient-Centered Care and CulturalTransformation. This office is chargedwith ensuring VA transforms fromphysician-centered care to personalized,patient-centered care based on relation-ships—relationships built on trust andcommitted to positive results over theveteran's lifetime. Dr. Gaudet becamedirector of this new office on January17, 2011.Dr. Gaudet was most recently the
Executive Director of Duke IntegrativeMedicine (2001–2010) and Assistant Pro-fessor of Obstetrics and Gynecology atDuke University Health System in Dur-ham, North Carolina. Under her leader-ship, Duke Integrative Medicine created astate-of-the-art healthcare facility de-dicated to the transformation of medi-cine through the exploration of newmodels of patient-centered healthcare.Dr. Gaudet co-founded the Consor-
tium of Academic Health Centers forIntegrative Medicine and chaired itsMembership Committee as well as ser-ving on the Steering, Executive, Educa-tion, and Policy Committees. Prior toher work at Duke, Dr. Gaudet was thefounding Executive Director of theUniversity of Arizona Program in Inte-grative Medicine, helping to design the
country's first comprehensive curricu-lum in this new field, launching a two-year fellowship and then a two-yeardistance-learning fellowship.Dr. Gaudet is a recognized leader in
the transformation of healthcare, whospeaks nationally through both publicand professional venues ranging fromThe Institute of Medicine to The OprahShow. She has been featured in numer-ous national media, including the PBSnationally acclaimed special entitled“The New Medicine,” and was namedby Shape magazine as one of the 11women who shape the world. In Julyof 2011, Dr. Gaudet was recognized asone of the “Top 25 Women in Health-care 2011” by Modern Healthcare. She isthe author of Consciously Female, a bookon integrative medicine and women'shealth, and Body, Soul, and Baby. Shealso writes a regular column for Body þSoul magazine.Dr. Gaudet received her BA degree in
Psychology and Sociology and her MDdegree from Duke University. She com-pleted her residency in Obstetrics andGynecology at the University of Texasin San Antonio. She is board certifiedin Obstetrics and Gynecology, andregularly teaches and writes for theAmerican College of Obstetrics andGynecology.
About Myles Spar, MD, MPHMyles Spar, MD, MPH, is the Directorof Integrative Medicine at the Simms/Mann Health and Wellness Centerof Venice Family Clinic and Medical
350 EXPLORE November/December 20
Director at the Akasha Center for Inte-grative Medicine in Santa Monica, CA.In these capacities, Dr. Spar teachesresidents and medical students as aClinical Instructor at the UCLA DavidGeffen School of Medicine.Having worked as a humanitarian
with Doctors Without Borders in thefield and on the board of directors ofthis Nobel Prize-winning organization,Dr. Spar brings a broad perspective tohis work as a physician. He has a strong,long-term commitment to improvingaccess among all populations to a coor-dinated, multi-disciplinary approach tohealth and to care that focuses onimproving overall vitality and wellness,
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and views his role as being a partner withhis patients, working with them to main-tain optimal health, and to invest intheir own well-being.Born in Charleston, South Carolina,
Dr. Spar graduated magna cum laudefrom Tufts University. After a year ofresearch at Harvard Medical Center, Dr.Spar attended the University of Michi-gan Medical School, from where hegraduated in 1993. He completed hisresidency in Internal Medicine at TulaneUniversity and then pursued a fellow-ship in Health Services Research atUCLA while earning a Masters in PublicHealth. Dr. Spar is board certified inInternal Medicine and completed a fel-lowship in Integrative Medicine at theUniversity of Arizona.In addition to his formal training in
integrative medicine, Dr. Spar has com-pleted coursework at the Institute forFunctional Medicine and has studiedMindfulness-Based Stress Reduction andthe use of herbal and nutraceutical therapyfor prevention and treatment of disease.Dr. Spar has co-authored numerous
papers related to integrative medicineand presents internationally on integra-tive medicine. He is currently editing atext on Integrative Men's Health forOxford University Press.
Matters of Note is written and compiledby Bonnie J. Horrigan, editorial directorfor EXPLORE and author of Voices inIntegrative Medicine: Conversations andEncounters (Elsevier 2003).
