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I was called by a consultant to an institute associated with the American Association of Naturopathic Physicians to participate as an outside expert in a strategic process.
The profession has focused on setting and earning recognition of standards for the naturopathic brand of integrative medicine. The consultant's question: How should the Institute set its course to best advance the profession in the next phase? The functional form of integrative medicine, embraced at the Cleveland Clinic, has had naturopathic physicians at its center since its beginning. Author Mark Hyman, MD, the functional medicine organization's current chair, states frankly: "The origins of functional medicine stretch back into the history of naturopathic medicine -- on the idea that health is not the absence of disease, but the creation of vitality and abundant health. When two MD-based holistic and integrative organizations merged in 2013 to form an interprofessional "big tent" organization, the Academy of Integrative Health and Medicine, the founders selected naturopathic physicians to serve as the first directors of education and of certification, Tabatha Parker, ND, and Seroya Crouch, ND, respectively. The guiding organization for opening oncology to integrative practices is the Society for Integrative Oncology.
Even with the profession's recent growth, the fact remains that the sheer lack of numbers means that the vast majority of people will never in any foreseeable future receive care from naturopathic doctors.
So, what, in this context, is the best answer strategic direction for the maximum contribution from the naturopathic profession?
Instead, promote adoption of naturopathic principles far and wide in clinical care of other health professionals. In 2010 The Lancet Report on Education of Health Professionals for the 21st Century urged radical shifts that are deeply consonant with naturopathic principles. Present evidence suggests that the naturopathic profession is proving itself a change agent of the first order.
Following this line, the question for the naturopathic profession and for anyone who seeks to advance health-focused clinical models is clearly something like this: What are the initiatives and social investment that can multiply the profession's change agency work while also attracting allies that will advance the profession's guild requirements? For many naturopathic doctors, burdened by MD-levels of student loan debt and a still wildly inequitable payment and inclusion practices, to strategically focus on anything other than a narrow guild strategy may seem utter lunacy.
The Center for Complementary and Integrative Medicine is dedicated to creating healthy solutions for the mind and body. Bachelor in Holistic Health Sciencesqualifies for the ‘HHP – Holistic Health Practitioner’ certification by the AADP. Bachelor to PhD in Natural Medicine Trackqualifies for the ‘DNM – Doctor in Natural Medicine’ certification by the BNMDP. World CongressWorld Congress of Quantum Medicine is a conference featuring world-renowned speakers in health in Honolulu, Hawaii. Quantum World TVQuantum World TV is an online broadcast dedicated to educate, entertain, and enlighten with renowned speakers. World Summit 2015World Summit of Integrative Medicine is a online 7-day event with 49 world-renowned speakers on October 5 to 11, 2015.

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Nurses as Leaders in Integrative & Holistic MedicineWestern healthcare is in urgent need of reform.
As a Canadian medical doctor for many years and one who has been exposed to the American medical system, I have come to understand the pros and cons of both social and private approaches.
So who will be the most qualified, licensed healthcare providers to implement holistic modalities within the existing system?
By training nurses and nurse practitioners in holistic healing modalities and evaluation techniques, we have the opportunity to define a new area of specialization and redefine their role within the healthcare system.
I have since closely observed its multiple contributions to the subsequent rise of the functional medicine and integrative medicine movements. Despite opposition from the American Medical Association and its affiliates, since 1978 the profession has re-bounded from just a few hundred practitioners, licensing in 6 just states, and a single college. I urged that the profession focus on its broad, health-fomenting mission rather than to cling to its narrow guild interests as a profession.
Parker led the organization's robust 2015 conference and Crouch is teaming with Tieraona Low Dog, MD as associate director of the organization's pioneering interprofessional fellowship in integrative medicine.
It's immediate past president is University of Michigan family medicine associate professor Suzanna Zick, ND, MPH.
These are foundational, standards-based contributions across the education-practice-research-policy continuum.
Apply the docere principle -- to teach -- to exporting the naturopathic therapeutic order (pictured above) into the clinical methods of other professions. Among these: attention to the determinants of health, focus on primary care, behavioral change, community health, and public health.
The values and philosophy, birthed of the standards, are now infused into practices of thousands who may have little awareness of these origins. The costs of sustaining current models of medicine continue to escalate and are becoming increasingly unaffordable. You may think that the answer is the medical doctor, but most of the time they can’t add more to their growing load of responsibilities for less remuneration. I would imagine on a conservative estimate that less than 1% of Physicians in North America, Europe and the developing countires outside China, the Indian subcontinent and Japan practice holistic medicine. Because of their close involvement with patients and their families, it is they who see the failure of mainstream medicine on a daily basis and they know that many things are not right.
Now, while still a vanguard, the profession boasts 8 federally-recognized colleges, roughly 5,000 practitioners and legal practice rights in 20 U.S.

Mightn't the naturopathic guild, paradoxically, benefit from a very non-guild-like, energetic strategy? Sheila Quinn, ND (Hon), the editor of the Textbook of Functional Medicine, earned her integrative chops as a co-founder of a naturopathic college, now Bastyr University, and as executive director of the naturopathic professional organization. Her predecessor, Columbia assistant professor Heather Greenlee, ND, PhD, guided the Society to its crowning achievement: Clinical Practice Guidelines for integrative treatment of breast cancer. Naturopathic clinical leaders are leading the demonstration of integrative patient-centered medical homes.
The question as we move forward is not just one of administration – deciding who will pay the bills – it is, how can we create a more efficient and cost-effective model of practicing medicine?
With a foundation that is symptomatic in its approach, it has not been successful in treating the root causes of chronic diseases or cancer, which statistically have represented a major portion of healthcare expenses. Doctorate in Integrative Medicine, will be able to serve as one of the driving forces behind a profound transformation of the future of medical care. Bastyr's founding president Joseph Pizzorno, ND - essentially a co-founder of the Institute -- has served as the Institute's chair and remains on the executive team. Leaders in the profession's re-emergence were core contributors in forming the most significant interprofessional collaborations for the field: the Integrative Health Policy Consortium and the Academic Consortium for Complementary and Alternative Health Care.
One potential solution is to evolve towards an integrative model of medicine, where nurses and nurse practitioners play an increasing role in the delivery of holistic patient care. There is an increasing consensus that Integrative medicine can play a crucial role in reducing healthcare costs, and in returning us to a more humanistic and holistic approach to medicine. Amongst all of the healthcare providers, these are the people who are already known to have developed a good sense of clinical skills, and are capable of delivering new modalities with the patience and care they require. It must be realised that it takes considerable guts for an MD to deviate from mainstream medicine and start practising natural healing which is becoming clearer every day, that it is the way medicine will be practiced in the future. Many hospitals have already begun using protocols of Integrative medicine for stress management, smoking cessation, weight loss, and pain reduction.
By reputation, they have the most presence at the bedside of the patient and a privileged relationship with both the patient and their families. This examination is based on the Principals of Integrative Medicine and the Examination Description.

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