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Lifestyle Medicine Competencies Case Study

Course Description | Faculty | Accreditation | General Information

Course Description

The physician serves a crucial role in the interdisciplinary team that can effectively help patients prevent and manage chronic disease by initiating and sustaining healthy lifestyle practices. Studies show that when physicians offer counseling, patients are more likely to attempt lifestyle change, make improvements, and achieve healthy lifestyle goals.

This lifestyle medicine curriculum reviews 15 core competencies for prescribing lifestyle medicine, which were identified by a blue ribbon consensus panel of representatives from major physician organizations. A case study highlights the management of a typical patient with chronic disease conditions and risk factors (including hypertension, pre-diabetes, obesity, sedentary lifestyle, and social isolation with a complicating mood disorder) to demonstrate the application of these skills in clinical practice.

Original Release: 2/20/2013
Most Recent Update: 1/27/2014
Termination Date: 1/27/2017

NUMBER OF CREDIT HOURS: The Harvard Medical School designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This course should take approximately 1 hours to complete.

COST: COST: $25.00

OVERALL LEARNING OBJECTIVES:

Upon completion of this activity, participants will be able to:

  1. Summarize the 15 lifestyle medicine competencies for primary care, as outlined in a consensus statement of representatives of major physician organizations
  2. Describe how to train physicians to effectively implement these competencies in their practices
  3. Identify resources for patients and for medical practices to support lifestyle prevention and treatment plans

CLINICAL LEARNING OBJECTIVES:

Upon completion of this activity, participants will be able to:

  1. Discuss tools that support the practice of lifestyle medicine and measure outcomes for practice improvement, including information technology systems
  2. Cite the evidence that lifestyle has a positive effect in the management of chronic disease, such as diabetes, and demonstrate leadership skills for initiatives that promote healthy behaviors
  3. Cite studies demonstrating that physician personal health behavior affects physician practice of lifestyle medicine
  4. Assess the history, physical, vital signs, risk factors, and stages of change readiness level of patients for developing a lifestyle medicine treatment plan
  5. Apply national guidelines in managing lifestyle risk factors
  6. Develop achievable lifestyle action plans and prescription
  7. Identify referral indications and community resources to support lifestyle change

METHOD OF PARTICIPATION:

Registrants participate in the learning process by answering interactive multiple choice questions that are dispersed throughout the case presentation. You must answer a question correctly in order to continue through the course. If you answer a question incorrectly, you will be prompted to try again.

In order to earn credit, physicians must complete the entire educational activity before the termination date (see above). Non-physicians may register for the course but are not eligible for AMA PRA Category 1 Credits™. Instead, non-physicians will earn a certificate of participation after successfully completing the course before its termination date.

COMBINATION OF MEDIA USED:

This internet enduring material is a case-based, interactive presentation comprised mainly of text, interactive questions, and images. A variety of media, including video clips, audio clips, and Flash animation, may be presented. Links to any necessary plugins are provided when necessary, but no plugins are required for general use of the CME website, and you may skip the multimedia presentation(s) within the course if you choose.

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Faculty
EDWARD M. PHILLIPS, MD
Course Director
Edward M. Phillips, MD, is an Assistant Professor of Physical Medicine and Rehabilitation at Harvard Medical School. He is the Director of Outpatient Medical Services of the Spaulding Rehabilitation Hospital Network in Boston, Massachusetts. Dr. Phillips’ clinical and academic work at the intersection of exercise physiology and mental health spawned his interest in Lifestyle Medicine. He is founder and director of The Institute of Lifestyle Medicine in the Department of Physical Medicine and Rehabilitation at Harvard Medical School. Additionally, Dr. Phillips serves on the American College of Sports Medicine task force that has initiated and developed the Exercise is Medicine program. His book on the topic, Exercise is Medicine, The Clinician's Guide to the Exercise Prescription was published by Lippincott, Williams and Wilkins in early 2009.

DISCLOSURE:
Member, Scientific Advisory Board -- On Life Health Inc.



LIANA LIANOV, MD, MPH, F
Course Contributor
Dr. Liana Lianov is the current President of the American College of Lifestyle Medicine (ACLM) and the General Preventive Medicine/Public Health Regent on the board of the American College of Preventive Medicine (ACPM). She chairs the Lifestyle Medicine Task Force of ACPM and serves as Professor in the Department of Internal Medicine at the University of California Davis. Her company, HealthTypeTM, offers consulting services and innovative interventions, including mobile technologies, to support sustainable health behavior changes based on principles of positive psychology, motivational interviewing and cognitive behavioral techniques. Dr. Lianov’s previous roles include Vice President of Clinical Operations at Berkeley HeartLab-- where she directed a national cardiovascular disease and lifestyle management program, Director of the Healthy Lifestyles Division at the American Medical Association, Chief Medical Officer for Quality at the California Department of Corrections and Rehabilitation, and chief of the California Heart Disease and Stroke Prevention Program and women’s cancer screening programs at the California Department of Health Services. She is board certified in both preventive medicine/public health and internal medicine and has completed a consultation-liaison psychiatry fellowship.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities.



RANI POLAK, MD
Course Contributor
Dr. Rani Polak is currently a Research Fellow in the Institute of Lifestyle Medicine, Joslin Diabetes Center, Harvard Medical School. Prior to this position Dr. Polak was board in Family Medicine at the Hebrew University Medical School. He was also complete a MBA degree in the Technion, the Israeli Institute of Technology and a Cuisine degree at the Le Cordon Bleu, Sydney, Australia. Dr. Polak had the good fortune to be the founder of the Hadassah Healthy Cooking and Lifestyle Center. His current focus, along with clinical care, is in clinical and translational research relating to lifestyle medicine especially in the areas of healthy food preparation and medical education. Dr. Polak’s first lifestyle intervention won the Hebrew University’s Kaye Award for Innovation, and his book, Delicious Diabetic Recipes, is a gold best seller. He currently works under the mentorship of Dr. Edward Phillips, and is focusing on incorporating healthy food preparation into Joslin’s lifestyle programs, food preparation coaching, and lifestyle medical education.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities.



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Reviewers
WINFIELD SCOTT BUTSCH, MD
Reviewer
Dr. Butsch is an obesity medicine specialist. He works at the Massachusetts General Hospital (MGH) Weight Center. Following his internal medicine residency, he completed fellowships in clinical nutrition at the University of Alabama at Birmingham and in obesity medicine and nutrition at MGH/Harvard Medical School. He is board certified in both Internal Medicine and Nutrition. His clinical interests focus on the management and treatment of obesity, specifically combination pharmacological treatment of obesity and complications of weight loss surgery. Dr. Butsch is an Instructor in Medicine at Harvard and is actively involved in medical education. He currently leads the training and education of medical students, residents, and subspecialty fellows in obesity medicine and clinical nutrition at MGH. He is the Director of Education in the division of Nutrition at HMS and the director of the Introduction to Clinical Nutrition course. He was selected as a Curtis Prout Fellow in Medical Education in 2010 and recently was awarded an industry education grant to create an obesity curriculum at HMS.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities.



SUZANNE KOVEN, MD
Reviewer
Suzanne Koven M.D. is a primary care internist at Massachusetts General Hopsital, an assistant professor of medicine at Harvard Medical School, and a columnist for the Boston Globe. Her column, “In Practice” appears monthly and her blog by the same name appears weekly at boston.com. Dr. Koven received her medical degree from Johns Hopkins and also received an MFA in nonfiction writing at Bennington. She has written essays and reviews for The Boston Globe and Psychology Today, among other publications. Her first book, Say Hello to a Better Body: Weight Loss and Fitness For Women Over 50, was released in 2012. Visit her website: www.suzannekovenmd.com

DISCLOSURE:
Reported no relevant financial relationships with commercial entities.



DARSHAN MEHTA, MD
Reviewer
Darshan Mehta received his BA in Biology from Illinois Wesleyan University and an MD from University of Texas-Southwestern Medical School. He completed his residency in internal medicine at University of Illinois-Chicago Hospital. He recently completed a clinical research fellowship in complementary and integrative medicine at the Harvard Medical School Osher Research Center, during which he received a Master of Public Health degree from the Harvard School of Public Health. His educational and research interests include curricular development in complementary and integrative medical therapies, mind/body educational interventions in health professions training, and promotion of professionalism in medical trainees. He directs medical student and resident rotational electives at BHI-MGH. Dr. Mehta sees patients in a consultative role for use of complementary and integrative medical therapies, as well as mind/body interventions for stress management and stress reduction. Dr. Mehta in an Instructor in Medicine at Harvard Medical School. He is also active in the Massachusetts Medical Society, and is a member of the American College of Physicians and the American Medical Association. Dr. Mehta is a diplomate of the American Board of Holistic Medicine, and has completed professional training in mindfulness-based stress reduction at the University of Massachusetts Medical School.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities.



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Course Planners
SANJIV CHOPRA, MD
Planner
Dr. Sanjiv Chopra is Professor of Medicine at Harvard Medical School. He is also the the James Tullis Firm Chief in the Department of Medicine and a Senior Consultant in Hepatology at the Beth Israel Deaconess Medical Center, Boston. He served as Faculty Dean for Continuing Education at HMS for 12 years. Dr. Chopra has more than 150 publications and seven books to his credit. Dr. Chopra is Editor-in-Chief of the Hepatology Section of UpToDate, the most widely used electronic textbook in the world subscribed to by more than 850,000 physicians in 149 countries. He is also the recipient of numerous awards and accolades. For a complete bio, click here.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities.



CHRISTOPHER DRURY, MA
Planner
Mr. Drury is founder of The Quill Consulting, LLC, a privately-owned medical writing and editing company. With graduate degrees in both English and biology, Chris has written and edited professionally for over a decade in areas that span medicine, pharmaceuticals, marketing, outcomes research, health devices, and several others. He has also worked extensively in CME by planning and building CME programs; reviewing, writing, and editing proposals and CME content; moderating programs; and following through on outcomes deliverables. Chris currently operates out of his home in Mount Pleasant, South Carolina.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities.



ANDI LONG, EdM
Planner
Andi Long directs the Department of Continuing Education’s Distance Learning group, which offers a variety of online continuing medical education programs to health care professionals around the world. Andi develops strategies for new pilot programs and systematically rolls out new distance learning initiatives and has a leadership role in IT planning and other online processes for HMS DCE. She oversees the day-to-day operations of each distance learning activity and ensures ACCME compliance across all enduring programs. She has had the privilege of working with hundreds of Harvard Medical School Faculty members to develop high-quality, engaging online programs that physicians in more than 170 countries have taken part in. Andi earned her Ed.M. in Technology, Innovation, and Education from Harvard Graduate School of Education and graduated from Bridgewater State College with a degree in English. Her professional interests focus on teaching and learning with new technologies and online course development.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities.



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Accreditation

NUMBER OF CREDITS: 1 

The Harvard Medical School is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Harvard Medical School designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This course should take approximately 1 hours to complete.

Within 2 weeks of completing the course, you will receive your certificate via email.

Click the image to view a sample of the certificate


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General Information

HARDWARE/SOFTWARE REQUIREMENTS

Computers
Any computer running Windows, Mac OS, or Unix machines are supported.


Internet Connection
Your computer should be configured to access the Internet. A high speed internet connection may be required to view some of the large multimedia files.

Browsers
Firefox or Internet Explorer 5.5 or higher are recommended. JavaScript and cookies must be enabled.

Plugins
Some of the multimedia resources in this course require Apple Quicktime, RealMedia, or a Flash player. You will be prompted to download the appropriate plugin when necessary. No plugins are required for general use of the CME website, and you may skip the multimedia presentation(s) within the course if you choose.


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