Author's Accepted Manuscript

Osher Centers Named at Northwestern, Vanderbilt

Bonnie Horrigan

PII: S1550-8307(14)00078-0DOI: http://dx.doi.org/10.1016/j.explore.2014.04.008Reference: JSCH1941

To appear in: Explore

Cite this article as: Bonnie Horrigan, Osher Centers Named at Northwestern,Vanderbilt, Explore, http://dx.doi.org/10.1016/j.explore.2014.04.008

This is a PDF file of an unedited manuscript that has been accepted for publication. As aservice to our customers we are providing this early version of the manuscript. Themanuscript will undergo copyediting, typesetting, and review of the resulting galley proofbefore it is published in its final citable form. Please note that during the productionprocess errors may be discovered which could affect the content, and all legal disclaimersthat apply to the journal pertain.

www.elsevier.de/endend

OSHER CENTERS NAMED AT NORTHWESTERN, VANDERBILT Through multi-million dollar donations from San Francisco businessman Bernard Osher, Northwestern Integrative Medicine will now be named the Osher Center for Integrative Medicine at Northwestern University, and the Vanderbilt Center for Integrative Health will now be known as the Osher Center for Integrative Medicine at Vanderbilt University. The Osher grants will connect Vanderbilt and Northwestern with the three existing Osher Centers for Integrative Medicine at the University of California, San Francisco; Harvard Medical School with a clinical program at Brigham and Women’s Hospital; and the Karolinska Institute in Stockholm. All five institutions are committed to creating and furthering programs that focus on research, education and clinical care in integrative medicine. The goals of the Osher Centers for Integrative Medicine include conducting research on integrative medicine therapies and developing an empirical case for their application; reaching out to the larger community with an emphasis on preventive care; conducting seminars and conferences to educate medical practitioners and the general public about the benefits of non-traditional approaches to good health and health care; and establishing clinical treatment programs in which the knowledge and resources of integrative medicine can be used to directly help people and to train medical students. The Bernard Osher Foundation, founded in 1977 to improve quality of life through support for higher education and the arts, has been a committed participant in the emerging field of integrative medicine over the past two decades. The Foundation has provided important assistance to the health sector through financial support of leading centers of integrative medicine in the U.S. and abroad. “As the architect of the Osher integrative medicine program, the Foundation takes great pride in the program’s expansion through the personal gifts of Bernard Osher to Northwestern and Vanderbilt,” explained Mary Bitterman, president of The Bernard Osher Foundation. “Mr. Osher has been greatly impressed with Vanderbilt’s and Northwestern’s leadership in the integrative medicine field and is confident that the newest Osher Centers will make contributions to the network of Osher Centers across the country and in Sweden.” “I am thrilled that the Osher Center for Integrative Medicine at Northwestern has joined the family of Osher Centers,” said Medical Director Melinda Ring, MD, who is also Assistant Clinical Professor of Medicine at Feinberg and a physician at Northwestern Memorial Hospital. “I look forward to working with our partner Osher Centers to create innovative clinical models of care, further medical education and collaborate on research initiatives. With the support provided by Mr. Osher, through our combined efforts we want to have a meaningful impact on the healthcare landscape in the U.S., furthering the goal of personalized, whole-person care for all.” The Osher Center for Integrative Medicine at Northwestern emphasizes the relationship between the doctor and patient, the innate healing ability of the body and the importance of addressing all aspects of an individual’s life to attain optimal health and healing. Its 19 affiliated clinicians provide integrative medicine consults, integrative primary care, traditional Chinese medicine, chiropractic, naturopathic medicine, body and energy work, health psychology, mind-body medicine, nutrition and smoking cessation counseling, and a diverse array of wellness classes. The Osher Center for Integrative Medicine at Vanderbilt provides relationship-centered care and uses an inter-professional team-based model to engage the whole person. The Center has well-developed clinical, educational and research programs. Its 25 talented clinicians provide the following services: mindfulness

training, massage therapy, nutrition coaching, health coaching, acupuncture, physical therapy, yoga, tai chi, qigong, health psychology, and integrative consultations by physicians and nurse practitioners. “We are extremely honored to join UCSF, Harvard/Brigham and Women’s Hospital, Northwestern, and the Karolinska Institute in developing effective treatments to add compassion and value to our patients,” said Roy Elam, MD, Associate Professor of Medicine and Medical Director for the Osher Center for Integrative Medicine at Vanderbilt. Both new Osher Centers for Integrative Medicine are members of the Consortium of Academic Health Centers in Integrative Medicine (CAHCIM), a group of 57 esteemed national academic centers, as well as being part of the 14 centers that constitute Bravenet, the integrative practice based research network established by The Bravewell Collaborative. Use of Integrative Medicine in the Military    A recently released report from the Acting Under Secretary of Defense to the Congressional Defense Committees — Integrative Medicine in the Military Health System Report to Congress — provided the criteria used to evaluate the effectiveness of integrative medicine programs, the results of those evaluations, and the number of service members receiving integrative medical treatment. The report also outlined Department of Defense plans for future expansion of the evaluation and implementation of integrative medicine within the Military Health System (MHS).   The review found that 120 (29%) of the Military Treatment Facilities (MTFs), 99 in the Continental United States and 21outside the Continental United States, offer a total of 275 complementary and alternative medicine (CAM) programs. Active duty (AD) military members used 213,515 CAM patient visits in calendar year 2012.  The types of CAM programs available at the 120 MTFs are acupuncture, biofeedback, breath‐based practices, chiropractic care, clinical nutrition therapy, cognitive behavioral therapy, massage, meditation, naturopathic medicine, spiritual prayer based practices, and yoga. The most commonly offered CAM programs are acupuncture and clinical nutrition therapy followed by chiropractic care. Sixty‐nine US Air Force MTFs offered acupuncture, chiropractic, and/or clinical nutrition programs. Twenty‐five US Navy MTFs offered acupuncture and/or chiropractic programs. Fourteen (58%) offered both therapies. The US Army MTFs offered the greatest variety of CAM programs with chiropractic programs having the highest utilization.  In addition, the United States Army Medical Research and Materiel Command (MRMC) funds thirty CAM related research projects to identify safe and effective therapies to treat MHS patients. Six are at military sites, eight are at Veterans Affairs (VA) sites and 16 are at civilian sites.  The report also noted the various assessment tools being utilized by the sites offering CAM 

therapies, including patient assessment/feedback, qualitative assessment by the provider, pre‐ and post‐appointment questionnaires, patient satisfaction questionnaires, and measurements of physical improvement.  Military patients using CAM interventions reported improvement in symptoms, reduction in anxiety, improved sleep and decline in psychological symptoms.  The report recommended that the MHS continue to evaluate CAM programs for safety and effectiveness, as well as cost‐effectiveness. It also recommended that, as resources allow, the Department consider widespread implementation in the MHS of cost‐effective CAM programs meeting TRICARE guidelines for safety and effectiveness.  The complete report is available at: http://tricare.mil/tma/congressionalinformation/downloads/Military%20Integrative%20Medicine.pdf  Gordon Receives Integrative Healthcare Symposium’s Visionary Award James S. Gordon, MD, the founder of The Institute for Mind Body Medicine, was honored as a visionary leader at the 2104 Integrative Healthcare Symposium in February at the Hilton Hotel in New York.

Following an award ceremony, Dr. Gordon, delivered a keynote address, “The Healer’s Journey.” Dr. Gordon explored the physician’s role as a spiritual and moral as well as professional leader. He discussed the necessity for clinicians who wish to fulfill their healing mission to sometimes challenge conventional assumptions and practices—among them, the profit motive that limits and constrains patient care and the disastrous neglect of prevention in favor of often inappropriate and expensive treatment.

Dr. Gordon developed the world’s largest and most effective program for healing population-wide psychological trauma. A Clinical Professor at Georgetown Medical School, he chaired the White House Commission on Complementary and Alternative Medicine Policy and was formerly a researcher at the National Institute of Mental Health. For 40 years, he has been a leader in the development of Integrative Medicine. In his most recent book, Unstuck: Your Guide to the Seven Stage Journey Out of Depression, Dr. Gordon offers a devastating critique of the promiscuous use of psychotropic medication. The book provides a comprehensive, evidence-based, integrative program for healing depression that includes meditation, guided imagery, exercise, nutrition, acupuncture, self-expression in words, drawings and movement, and group support. His work with depression and with war and disaster traumatized populations in Kosovo, Israel, Gaza, Haiti, and in post-Katrina New Orleans and with returning veterans in the US has been featured in The New York Times, The Washington Post, The Atlantic, People Magazine, CBS Evening News, and in The Jerusalem Post among other media.

APA launches Spirituality in Clinical Practice The American Psychological Association (APA) has announced that it will begin publication of

a new journal, Spirituality in Clinical Practice, in March 2014. The quarterly journal is designed for clinical practitioners and will feature articles that embrace spiritually-oriented psychotherapy and spirituality-sensitive cultural approaches to treatment and wellness. Spirituality in Clinical Practice plans to integrate psychospiritual and other spiritually-oriented interventions involved in psychotherapy, consultation, and coaching. The journal will provide a forum for those engaged in clinical activities to report on their efforts. The journal will foster original scientific development in the field by highlighting actual and potential applications of spirituality in clinical practice. It intends to report on therapeutic approaches that are supported by research and to initiate research on questions informed by clinical practice. Spirituality in Clinical Practice, which will publish articles, reviews, commentaries, reflections, and practice case reports, is currently accepting submissions. It welcomes approaches from related fields of study, including medicine, integrative medicine, biology, neuroscience, ethnology, anthropology, and natural sciences. Guidelines regarding submissions can be found on the journal's homepage: http://www.apa.org/pubs/journals/scp. The journal is co-edited by Dr. Lisa Miller, Director of Clinical Psychology at Columbia University and Dr. Len Sperry, Professor and Director of the Doctoral Program in Counseling at Florida Atlantic University. Articles published in Spirituality in Clinical Practice will also be available through PsycARTICLES®, the most used full-text database in psychology and one of the most popular databases in all scholarly disciplines and fields. In Memorandum Tanya Edwards, MD   Tanya Edwards, MD, who led the Cleveland Clinic’s Center for Integrative Medicine for nearly a decade, died recently of breast cancer.

A native of Flint, Michigan and a graduate of the University of Michigan Medical School, Edwards joined the Clinic in 2004. In September of that year, she opened the Center for Integrative Medicine's outpatient clinic in Broadview Heights, the first of what would be five outpatient locations before the center consolidated its operations to expanded space in Lyndhurst in 2008.

The center, part of the Clinic’s Wellness Institute, was created to provide a holistic approach to medicine with an emphasis on research and education.

Edwards, who earned a master’s degree in medical education from John Carroll University and Case Western Reserve University, taught complementary and alternative medicine courses at CWRU School of Medicine. She established the area of concentration for alternative medicine, and served as faculty adviser of the medical students’ integrative medicine interest group and of the Student National Medical Association. Edwards also helped to integrate complementary medical education into the Cleveland Clinic Lerner College of Medicine of Case Western Reserve University.

“As an institute chair, what you want is your department leaders to keep pushing the envelope of science and transmit that to medical care," said Dr. Michael Roizen, chief medical officer of the Clinic’s Wellness Institute. “She kept innovating and developing.”

Edwards, Roizen said, was someone with a gift for bringing out the best in everyone near her. “When she found out that [the cost of] acupuncture was getting out of the reach of some of the community members, she developed shared medical acupuncture visits,” Roizen said. “It lowered the cost [to patients] by more than 50 percent.”

“She cared deeply about us all and made all of us feel like family … and made everyone feel like they were a part of her family,” he said.

In February the Clinic renamed the Center for Integrative Medicine after Edwards, dedicating it in her honor. Her family requests donations to The Tanya I. Edwards MD Center for Integrative Medicine, 1950 Richmond Road, Lyndhurst, Ohio 44124.

Fig. 1

Fig. 2

Fig. 3