title: Integrative Medicine in Preventive Medicine Education: Implementation Analysis.
abstract: In September 2012, the Health Resources and Services Administration funded 12 preventive medicine residency programs to participate in a 2-year project aimed at incorporating integrative medicine (IM) into their residency training programs. The grantees were asked to incorporate competencies for IM into their respective preventive medicine residency curricula and to provide for faculty development in IM. The analysis conducted in 2014-2015 used the following evidence to assess residency programs' achievements and challenges in implementation: progress and performance measures reports, curriculum mapping of program activities to IM competencies, records of webinar participation, and post-project individual semi-structured phone interviews with the 12 grantee project leaders. Key findings are: (1) IM activities offered to residents increased by 50% during the 2 years; (2) Accessing IM resources already in existence at local grantee sites was the primary facilitator of moving the integration of IM into preventive medicine residencies forward; (3) Among all activities offered residents, rotations were perceived by grantees as by far the most valuable contributor to acquiring IM competencies; (4) Online training was considered a greater contributor to preventive medicine residents' medical knowledge in IM than faculty lectures or courses; (5) Faculty were offered a rich variety of opportunities for professional development in IM, but some programs lacked a system to ensure faculty participation; and (6) Perceived lack of evidence for IM was a barrier to full program implementation at some sites. Grantees expect implemented programs to continue post-funding, but with decreased intensity owing to perceived faculty and curriculum time constraints.
authors.affiliation: Center for Health, Media and Policy, Hunter College, City University of New York, New York, New York. Electronic address: dburton@hunter.cuny.edu.
authors.forename: Dee
authors.initials: D
authors.lastname: Burton
authors.affiliation: IMPriME Center, American College of Preventive Medicine, Washington, District of Columbia.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Trask
authors.affiliation: Bureau of Health Workforce, Health Resources and Services Administration, Rockville, Maryland.
authors.forename: Irene
authors.initials: I
authors.lastname: Sandvold
authors.affiliation: Division of Preventive Medicine, University of Maryland School of Medicine, Baltimore, Maryland.
authors.forename: Sania
authors.initials: S
authors.lastname: Amr
authors.affiliation: General Preventive Medicine Residency Program, Johns Hopkins University, Baltimore, Maryland.
authors.forename: Sajida S
authors.initials: SS
authors.lastname: Chaudry
authors.affiliation: Schools of Medicine and Public Health, Loma Linda University, Loma Linda, California.
authors.forename: Marc
authors.initials: M
authors.lastname: Debay
mesh_terms: D002983:Clinical Competence / Q000592:standards*; D003479:Curriculum / Q000592:standards*; D004503:Education, Medical, Graduate / Q000592:standards*; D005178:Faculty; D055048:Integrative Medicine / Q000191:economics / Q000592:standards*; D007396:Internship and Residency / Q000592:standards*; D011315:Preventive Medicine / Q000193:education*; D014481:United States; D014488:United States Health Resources and Services Administration