title: Interprofessional Competencies in Integrative Primary Healthcare.
abstract: In October 2014, the National Center for Integrative Primary Healthcare (NCIPH) was launched as a collaboration between the University of Arizona Center for Integrative Medicine and the Academic Consortium for Integrative Health and Medicine and supported by a grant from the Health Resources and Services Administration. A primary goal of the NCIPH is to develop a core set of integrative healthcare (IH) competencies and educational programs that will span the interprofessional primary care training and practice spectra and ultimately become a required part of primary care education. This article reports on the first phase of the NCIPH effort, which focused on the development of a shared set of competencies in IH for primary care disciplines. The process of development, refinement, and adoption of 10 "meta-competencies" through a collaborative process involving a diverse interprofessional team is described. Team members represent nursing, the primary care medicine professions, pharmacy, public health, acupuncture, naturopathy, chiropractic, nutrition, and behavioral medicine. Examples of the discipline-specific sub-competencies being developed within each of the participating professions are provided, along with initial results of an assessment of potential barriers and facilitators of adoption within each discipline. The competencies presented here will form the basis of a 45-hour online curriculum produced by the NCIPH for use in primary care training programs that will be piloted in a wide range of programs in early 2016 and then revised for wider use over the following year.
authors.affiliation: Mount Sinai Beth Israel Department of Integrative Medicine, New York, United States (Dr Kligler).
authors.forename: Benjamin
authors.initials: B
authors.lastname: Kligler
authors.affiliation: Arizona Center for Integrative Medicine, University of Arizona, Tucson, United States (Dr Brooks).
authors.forename: Audrey J
authors.initials: AJ
authors.lastname: Brooks
authors.affiliation: Arizona Center for Integrative Medicine, University of Arizona, Tucson, United States (Dr Maizes).
authors.forename: Victoria
authors.initials: V
authors.lastname: Maizes
authors.affiliation: Academic Consortium for Complementary & Alternative Health Care, Seattle, Washington, United States (Dr Goldblatt).
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Goldblatt
authors.affiliation: Department of Family Medicine, The Ohio State University College of Medicine, Columbus, United States (Dr Klatt).
authors.forename: Maryanna
authors.initials: M
authors.lastname: Klatt
authors.affiliation: Department of Family and Community Medicine, University of Arizona, United States (Dr Koithan).
authors.forename: Mary S
authors.initials: MS
authors.lastname: Koithan
authors.affiliation: Center for Spirituality & Healing, School of Nursing, University of Minnesota, Minneapolis (Dr Kreitzer).
authors.forename: Mary Jo
authors.initials: MJ
authors.lastname: Kreitzer
authors.affiliation: Department of Pharmacy Practice & Science, College of Pharmacy, University of Arizona, United States (Dr Lee).
authors.forename: Jeannie K
authors.initials: JK
authors.lastname: Lee
authors.affiliation: University of Utah Health Sciences Center, Huntsman Cancer Institute, University of Utah School of Medicine, Salt Lake City, United States (Dr Lopez).
authors.forename: Ana Marie
authors.initials: AM
authors.lastname: Lopez
authors.affiliation: Arizona Center for Integrative Medicine, University of Arizona, Tucson, United States (Dr McClafferty).
authors.forename: Hilary
authors.initials: H
authors.lastname: McClafferty
authors.affiliation: Department of Psychiatry, University of Arizona, Tucson, United States (Dr Rhode).
authors.forename: Robert
authors.initials: R
authors.lastname: Rhode
authors.affiliation: Medical Training and Geriatrics Branch, Division of Medicine and Dentistry, Bureau of Health Workforce, Health Resources and Services Administration, Department of Health and Human Services, Rockville, Maryland, United States (Dr Sandvold).
authors.forename: Irene
authors.initials: I
authors.lastname: Sandvold
authors.affiliation: School of Medicine, Boston University, Massachusetts, Academic Consortium for Integrative Medicine and Health, McLean, Virginia, United States (Dr Saper).
authors.forename: Robert
authors.initials: R
authors.lastname: Saper
authors.affiliation: Mel and Enid Zuckerman College of Public Health, University of Arizona, United States (Dr Taren).
authors.forename: Douglas
authors.initials: D
authors.lastname: Taren
authors.affiliation: School of Public Health, University of Michigan, Ann Arbor, United States (Dr Wells).
authors.forename: Eden
authors.initials: E
authors.lastname: Wells
authors.affiliation: Arizona Center for Integrative Medicine, University of Arizona, Tucson, United States (Dr Lebensohn).
authors.forename: Patricia
authors.initials: P
authors.lastname: Lebensohn
keywords: Interprofessional education; integrative medicine; primary care