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Lifestyle Medicine: Prescribing Exercise

Course Description | Faculty | Accreditation | General Information

Course Description

Acknowledgement: This course is co-sponsored by the Institute of Lifestyle Medicine.

This online course is another facet of Lifestyle Medicine. Since Americans are leading increasingly sedentary lifestyles and becoming more overweight/obese, there is a need to educate physicians on the benefits of prescribing exercise to their patients. While the benefits of exercise are widely known, physicians do not always have the necessary training to counsel their patients on how to incorporate exercise into their daily routines. Exercise is Medicine™, which is a nationwide initiative of the American College of Sports Medicine, will equip physicians with the knowledge they need to prescribe exercise to patients in a manner similar to prescribing medication. The ultimate objective of this initiative is to have every physician at every visit prescribe exercise for every patient, as needed and appropriate. The format of the course will be multiple choice, with an explanation as to why a particular answer that is chosen is right or wrong.

Original Release: 2/18/2009
Most Recent Update: 1/9/2014
Termination Date: 1/9/2017

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:

  1. Define exercise prescription.
  2. Understand the four parts of exercise prescription.
  3. Learn how to write an exercise prescription.

CLINICAL LEARNING OBJECTIVES:

  1. Review the benefits of exercise.
  2. Review the risks of exercise.
  3. Identify patients for whom exercise is contraindicated.

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:
Johnson & Johnson, consultant, Health and Wellness Merck, consultant



ELIZABETH PEGG FRATES, MD
Course Co-Director
Elizabeth Pegg Frates, MD, is a Clinical Assistant Professor in the Department of Physical Medicine and Rehabilitation at Harvard Medical School and Assistant Director of Medical Education of the Institute of Lifestyle Medicine. Dr. Frates received her BA degree from Harvard University and medical degree from Stanford University School of Medicine. Her focus is on the academic side of medicine, teaching the Human Central Nervous System, Musculoskeletal System, and Introduction to the Professions at Harvard Medical School. She is also a writer, stroke educator and researcher. Beth completed her internship in Internal Medicine at Massachusetts General Hospital and her residency in Physical Medicine and Rehabilitation at Spaulding Rehabilitation Hospital, where she served as Chief Resident.

Dr. Frates educates the public about stroke basics including risk factors, warning signs, what to do if someone is having a stroke and how to prevent a second stroke. Much of the prevention requires behavior modification. She is the co-author of the book Life After Stroke: The Guide to Recovery and Preventing Another Stroke published by Johns Hopkins University Press. In residency, Dr. Frates worked on a study examining the exercise habits of physicians and comparing that to their counseling. She found that physicians who exercise themselves are more likely to counsel patients about exercise.

Dr. Frates is an avid runner, completing her first race, a 10-mile course on Nantucket Island, when she was in 7th grade. More recently, in May 2006, she completed the Vermont Half Marathon as a member of the Train to End Stroke team with the American Heart Association.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities



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Reviewers
WALTER FRONTERA, MD, PhD
Reviewer
Walter R. Frontera, MD, PhD, is the Dean of the Faculty of Medicine and Professor of Physical Medicine and Rehabilitation (PM&R) and Physiology at the University of Puerto Rico (UPR). Dr. Frontera completed his medical studies and a residency in PM&R in 1983 at the University of Puerto Rico and a doctoral degree in exercise physiology at Boston University in 1986. In 1995 he was Visiting Professor at the Karolinska Hospital in Stockholm, Sweden studying the effects of aging on the biochemical and contractile properties of single human muscle fibers. From 1996 to 2006 he was the Earle P. and Ida S. Charlton Professor and Chairman of the Department of PM&R at Harvard Medical School and Spaulding Rehabilitation Hospital. He was also the Chief of Service at the Massachusetts General Hospital and the Brigham and Women’s Hospital. Dr. Frontera has more than 200 scientific publications in the area of exercise, aging, and rehabilitation including 10 edited books. Currently, he serves as the Editor-in-Chief of The American Journal of PM&R. He is a fellow of the Association of Academic Physiatrists, the American Academy of PM&R, and the American College of Sports Medicine and a member of the American Physiological Society. Dr. Frontera has presented more than 140 invited lectures in 41 countries and served as a grant reviewer and graduate research examiner for Universities in Canada, South Africa and Hong Kong. Active in international sports medicine he is President of the International Federation of Sports Medicine (FIMS). He has received several awards including Best Scientific Research Paper (3 times) presented by the American Academy of PM&R, the Distinguished Academician Award in 2005 presented by the Association of Academic Physiatrists, and the Harvard Foundation Award for his contributions to the field of PM&R. He is an honorary member of the Aragonese-Spanish Society of Sports Medicine, the Spanish Federation of Sports Medicine, the Chilean Society of PM&R, T

DISCLOSURE:
Reported no relevant financial relationships with commercial entities



JOHN LEVINSON, MD
Reviewer
Dr Levinson is a clinical cardiologist at MGH.

He received his PhD in Genetics from Stanford University in 1981 and his MD from the Stanford Medical School in 1983. He completed the Internal Medicine residency at the Hospital of the University of Pennsylvania in 1986, and the fellowship in Cardiology at the Massachusetts General Hospital in 1989. Dr. Levinson has been a member of both the Cardiac Unit of the Massachusetts General Hospital and the faculty of Harvard Medical School since 1989.

Dr. Levinson has a very busy clinical practice -- the last remaining private cardiac practice at MGH. He attends regularly on the Cardiology Consultation Service and in the Coronary Care Unit at the MGH. He is particularly interested in the fading art of clinical medicine, innovative medical practice design, and medical informatics.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities



DAVID H. ROBERTS, MD
Reviewer
Dr. David H. Roberts is an Assistant Professor of Medicine at Harvard Medical School (HMS), and he is the Clinical Director of the Division of Pulmonary, Critical Care and Sleep Medicine at the Beth Israel Deaconess Medical Center (BIDMC) in Boston, Massachusetts.

Dr. Roberts received his Bachelor’s degree with Honors from Cornell University and then went on to medical school at Harvard. Dr. Roberts completed internship and residency in internal medicine and then pulmonary and critical care fellowship at Massachusetts General Hospital.

Dr. Roberts’ current professional activities at BIDMC and HMS include ambulatory patient care, teaching and administration. His clinical practice as a pulmonologist is focused on patients with dyspnea and pulmonary hypertension, as well as other general pulmonary disorders such as asthma and chronic obstructive lung disease.

Dr. Roberts teaches medical students across the four years of HMS training, with emphasis on both the 2nd year Respiratory Pathophysiology course, and the 3rd year year-long continuity course entitled Principal Clinical Experience at BIDMC. Dr. Roberts also teaches residents, fellows and other physicians in practice, and he is a graduate of the Rabkin Fellowship in Medical Education and Harvard-Macy Program for Educators in Health Professions.

Dr. Roberts is the Assistant Director of the Shapiro Institute for Education and Research at BIDMC where he directs the Office of Undergraduate Medical Education, and co-leads the Resource Faculty program with Lori Newman in the Office of Professional Development. He also recently co-directed a continuing medical education course for medical educators from around the world, entitled “Principles of Medical Education: Maximizing your Teaching Skills”.

DISCLOSURE:
Company: Gilead Type of Relationship: Speaker Content Area: Pulmonary Hypertension



ANNE THORNDIKE, MD, MPH
Reviewer
Dr. Thorndike is a general internist at Massachusetts General Hospital and an Instructor in Medicine at Harvard Medical School. She received her undergraduate degree from Harvard College, her medical degree at the University of Massachusetts, and her masters in public health from the Harvard School of Public Health. She completed a residency in Internal Medicine at the University of Chicago and a fellowship in General Medicine at Massachusetts General Hospital. Dr. Thorndike’s research focus has been in the field of smoking cessation and more recently in lifestyle modification to prevent obesity. Dr. Thorndike has authored several articles in peer-reviewed journals and is currently the principal investigator for a large employee wellness program. She works in the Metabolic Syndrome program at the Cardiac Prevention Center at MGH.

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



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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