The Nutritional and Biological Integrative Medical Treatment of Diseases
Purposes of the Activity
According to recent research nearly one in three Americans seek use some
kind of complementary therapy. Health care providers need a good
basic understanding of the science of nutrition so that they can keep up
with the burgeoning literature to which they (and their patients) are
exposed. The latest scientific findings on Integrative Medicine
approaches and nutrition are needed to further their knowledge.
Nutrition can serve as a foundation for preventive medicine and the new
health care model. Patients should be provided information about
treatments to make informed decisions about the non-traditional
therapies.
Goals
- To review recent findings about medical conditions and aspects of optimal health and Integrative Medicine interventions.
- To highlight the laws affecting health professionals.
- To recognize the appropriate consent for Integrative Medical treatments, malpractice and fees.
- To review types of medical malpractice insurance.
Objectives
At the conclusion of this course, participants should be better able to:
- Evaluate and implement best practices in the treatment and prevention of common medical conditions and chronic illnesses using evidence-based Integrative Medicine.
- Integrate patient-care treatment including Integrative Medicine into their practices or refer to specialists as necessary.
- Implement appropriate patient consent procedures in their practices.
Target Audience
The conference is designed for family practice, internal medicine,
primary care, integrative medicine physicians; nurses; pharmacists;
dentists; dietitians; and other health professionals.
Faculty/Planner/Staff Disclosure
Disclosure of faculty and commercial relationships will be made known at
the activity. Speakers are required to openly disclose any limitations
of data and/or any discussion of any off-label, experimental, or
investigational uses of drugs or devices in their presentations.
Disclaimer
The information provided at this CME activity is for continuing medical
education purposes only and is not meant to substitute for the
independent medical/clinical judgment of a healthcare provider relative
to diagnostic and treatment options of a specific patient’s medical
condition.
Educational Grant Disclosure
Apex Energetics, Xymogen, Genova Diagnostic Lab, Fairway Physicians
Insurance Company, Immuno Laboratories
This CME activity has been planned and implemented in accordance with
the Essential Areas and Policies of the Accreditation Council for
Continuing Medical Education thru the Joint Sponsorship of the Institute
for Medical Studies (IMS) and North Carolina Integrative Medical
Society. IMS is accredited by the ACCME to provide continuing
medical education for physicians.
The Institute for Medical Studies designates this educational activity
for a maximum of 10 AMA PRA Category 1 Credits™. Physicians should
only claim credit commensurate with the extent of their participation in
the activity.
Nurses may claim credit for activities approved for AMA PRA Category 1
Credits ™ in most states, for up to 50% of the nursing requirement for
recertification. This activity is designated for up to 10 AMA PRA
Category1 Credits ™
Nurse Practitioners: The American Academy of Nurse Practitioners (AANP)
accepts AMA PRA Category 1 Credit(s)TM from organizations accredited by
the ACCME. IMS is accredited to provide continuing medical education for
physicians and will provide nurse practitioners who successfully
complete each activity with a certificate of participation indicating
that the activity was designated for AMA PRA Category 1 Credit(s)TM.
The American Academy of Physician Assistants (AAPA) accepts AMA PRA
Category 1 Credits™ from organizations accredited by the ACCME. The
provider of this program, the Institute for Medical Studies, is
accredited by the ACCME and designates this educational activity for a
maximum of 10 AMA PRA Category 1 Credit(s)TM. Physician assistants
should only claim credit commensurate with the extent of their
participation in the activity.
American College of Medical Practice Executives (ACMPE) accepts AMA PRA
Category 1 Credit(s)TM from organizations accredited by ACCME.
Administrators should only claim credit commensurate with the extent of
their participation in the activity.
Nutritional Evaluation:
The Link Between Depression & Fatigue Issues
And Nutritional Biochemistry
- Patrick Hanaway, MD
Disclosure Statement
No Conflict of Interest
Purpose of Activity
Vitamin and nutritional supplementation is a critical factor in
correcting physical and mental illness, as well as an effective means
for promoting health and maintaining wellness. Over the past 30 years
there has been an exponential increase in the utilization of nutritional
supplements, though the development of empiric tools to quantitative the
need for these supplemental nutrients – in the form of vitamins and
minerals – has not been well characterized. Through the deepening
understanding of nutritional biochemistry and biochemical individuality,
tools are now available, utilizing in silica processing to determine the
functional effect of nutritional deficiencies in: B-vitamins,
anti-oxidants, amino acids, nutritional co-factors, essential minerals,
and essential fatty acids. The proper application of essential minerals,
B-vitamins, anti-oxidants, amino acids, and essential fats promotes the
body’s ability to heal from illness and disease. Now practitioners will
have tools in their toolbox to personalize supplement recommendations.
This is exactly what patients have been asking for from their
physicians.
Goals:
• To review the functional need for nutrients and diagnostic testing to
individualize supplement therapies.
• To recognize the clinical benefit of personalized vitamin therapies.
• To highlight individualized nutritional needs based upon genomic
polymorphisms and genetic predisposition.
Learning Objectives:
At the end of this presentation, the participants should be able to:
• To apply functional nutritional testing to issues of depression,
addiction, fatigue, and aging.
• Review different methodologies for assessing functional nutritional
needs.
• To recognize the inter-relationship of digestion, absorption, and
amino acid
Integrating Advanced Vascular Risk Factors - James Biddle MD
Disclosure Statement
No Conflict of Interest
Purpose of Activity
Atherosclerotic Vascular Disease is the leading cause of death in the
industrialized world. Physicians need to know the pathophysiology
of atherosclerosis, the classic vascular risk factors, and novel and
emerging vascular risk factors. These include inflammation, poor
dietary choices, sleep apnea, testosterone deficiency, homocysteine, Lp(a),
iron overload, and elevated burdens of lead, cadmium, mercury, and
arsenic. In addition, physicians should understand non-invasive
methods to evaluate the severity and progression of ASCVD.
Goals
• Review the pathophysiology of vascular disease propagation.
• Review classic risk factors for vascular disease.
• Introduce novel and emerging risk factors for vascular disease.
• Educate physicians about non-invasive techniques to monitor the
progression of vascular disease.
Objectives
• At the end of the session the participant will be able to…
• Learn the pathophysiology of ASCVD.
• Identify classic and novel risk factors for vascular disease.
• Review techniques for assessing the severity of ASCVD.
The Bent Creek Germplasm Repository, A Research and Conservation
Tool for Natural Product Research
– Joe-Ann H. McCoy, PhD
Disclosure Statement
No Conflict of Interest
Purpose of Activity
The establishment of robust germplasm collections is an important tool
for the development of natural product reserach through the long-term
conservation of valuable selections. Germplasm is stored in
the form of seeds, living plants and DNA. As natural product
research becomes more sophisticated, there is increased demand from peer
research agencies to require plant materials of known genetic origins in
order to produce high quality, reproducibleresearch results, however,
access to a recognized source of known-origin material for many
experimental studies is not currently available. The Bent Creek
Germplasm Repository (BCGR) at the NC Arboretum, located in Asheville
focuses primarily as a supplier and long-term storage facility for
natural product germplasm associated with all project collaborations.
A germplasm collaboration ensure that all research materials used for proposed projects have associated 1) authenticated botanical vouchers in triplicate scanned at high resolution and stored under controlled conditions in the NCA Herbarium 2) plant material and / or extract samples stored under controlled conditions and available by researcher upon request , 3) DNA samples collected on FTA cards and stored under controlled conditions available for analysis, and 4) seed samples representing appropriate allelic diversity for each accession and stored under vacuum in controlled long-term storage facilities. All germplasm collection, drying, and storage methods utilized follow specific guidelines established by the USDA NPGS (National Plant Germplasm System), PGOC (Plant Germplasm Operations Committee) and specific guidelines for preserving plant genetic diversity. In addition all collection permits are procured in advance in accordance to state and federal regulations. Collection, drying, harvesting, and seed and sample storage follow the AHPA-AHP Good Agricultural and Collection Practices methods (2006) and that of Europe (2006) and WHO (2003). In addition, the BCGR edits all associated publications to ensure that germplasm sources are correctly identified and taxonomically represented accurately. A collaborative germplasm focus enables researchers and stakeholders to have full access to identical germplasm sources and helps insure that associated future studies can potentially be replicated with similar results.
Goals
• To introduce the concept and importance of germplasm repositories for
natural product research for the long-term storage of research lines,
extracts, and DNA samples
• To give examples of numerous state and federal research projects
resulting from robust germplasm collections
• To stress the importance of utilizing source materials of known origin
for natural product research in order to replicate current studies in
the future
Learning Objectives
At the end of this presentation, the participants should be able to
understand the concept of source material variation and importance of
germplasm repositories for natural product research.
Anticipating Potential Medico-Legal Risk Affecting the Practice Of
Medicine
– Jeffrey Segal, MD, JD, FACS /Jean Boyles, Licensed to Practice in
NC since 1973
Disclosure Statement
Jeffrey Segal, MD is founder and CEO of Medical Justice.
Jean Boyles – No conflict of interest.
Purpose of Activity
It is critical that health professionals understand the Medioco-Legal
risks so that they prepare consent forms and establish office procedures
that reduce risks. Patients need to have clear information about
the treatments they receive and the associated fees. Health
professionals must be able to use websites and the internet
productively.
Goals
• Address how online comments can build and destroy practitioner’s
reputation
• Focus on steps that can and cannot be taken to address online assaults
against practitioner’s reputation
• Define concrete ways to avoid frivolous medical malpractice lawsuits
• Define ways to introduce and use innovative medical techniques in line
with state licensing board expectations
• To review appropriate patient consent for non-conventional therapies,
fees, and malpractice.
Objectives
At the end of this presentation, the participants should be able:
• To implement appropriate patient consent procedures in their
practices.
• To recognize malpractice financial options.
• Participants should be able to preemptively address medico-legal
threat initiated by online defamatory attacks.
• Participants should be able to thwart meritless professional liability
lawsuits
• Participants should be able to preemptively address concerns by state
licensing boards.
An Integrative Approach to Effective Clinical Management of
Osteopenia/Osteoporosis
-
Dr. Cheryl
Burdette, ND
Disclosure Statement
No Conflict of Interest
Purpose of Activity
Educate practitioners in the field of bone health and re-growth and the
strategies therein. Instruct participants about the use of FDA
approved testing strategies that detect early onset of disease resulting
in early intervention and innovative modes of treatment through improved
documented reduced risk for fractures and the monitoring of improvements
of these values.
Goals
• To review current education on the debilitating disease of
Osteoporosis.
• Recognize the clinical benefit of personalized vitamin therapies
• To highlight individualized nutritional needs based upon genomic
polymorphisms and genetic predisposition.
Objectives
At the end of this presentation, the participants should be able to:
• To apply functional nutritional testing to issues of depression,
addiction, fatigue, and aging.
• Review different methodologies for assessing functional nutritional
needs.
• To recognize the inter-relationship of digestion, absorption, and
amino acid
An Integrative Medical Approach to Lyme Disease and other Tick-Borne
Illnesses
- John C. Pittman, MD bsp;
Disclosure Statement
No conflicts of interest.
Purpose of Activity
Lyme Disease may be fully regarded as a symptom complex of Borreliosis
and multiple co-infections with associated musculoskeletal and
neurologic inflammation as well as immune dysfunction. The
Integrative Medical approach to Lyme disease focuses on the appropriate
use of antibiotics to treat Borrelia and co-infections, as well as on
therapies to address immune system dysfunctions, inflammatory problems,
hormonal abnormalities and neurological issues related to the
pathogenesis of these infections. In addition, this approach
addresses the co-morbidities of neurotoxic substances (both chemicals
and metals), non-tick borne infections, intestinal inflammation,
nutritional deficiencies, food allergies, and autoimmunity.\
Goals
• To review the causes of Lyme Disease and Tick Borne Illnesses,
including Borrelia species, co-infections and the probable predisposing
role of immune system impairment.
• To review the key issues in diagnosis, staging, and laboratory testing
for Lyme disease.
• To identify the secondary disturbances found in many cases of
tick-borne illnesses.
• To recognize the clinical benefit of treating the infections and
secondary disturbances using a combination of conventional and CAM
modalities.
• To highlight antibiotic strategies and address the optimal use of
antibiotics in the context of Integrative Medicine.
• To delineate the therapeutic rationale for using specific supplements,
hormonal support, immune modulating therapies, hyperbaric oxygen
therapy, and other CAM strategies for the treatment and management of
Lyme Disease.
Objectives
At the end of this presentation, the participants should be able to:
• Apply functional medicine testing to assess the underlying biological
needs of patients diagnosed with Lyme Disease and Tick Borne Illnesses.
• Review different methodologies for the Integrative Medical management
of Lyme arthritis, myalgia syndromes, chronic fatigue, and other
Lyme-associated problems.
• Recognize the CAM strategies that are most likely to benefit Lyme
disease patients.
Mechanisms Of Neurodegeneration: Nutritional Approaches to
Prevention and Treatment
– David Clark, DC, DACNB
Disclosure Statement
No Conflict of Interest
Purpose of Activity
Neurodegeneration affects many physiological systems, including
endocrine, immune, gastrointestinal and hepatic. However, clinically,
neurodegeneration is often missed as the root cause of non-neurological
symptoms. Recent research has given us a better understanding of this
connection as well as some of the mechanisms behind neurodegeneration,
including microglia activation, the energy-linked excitotoxic model,
hypoxia, as well as gluten sensitivity. The literature also reveals many
natural compounds found to be effective at preventing and/or dampening
these specific mechanisms.
Goals
• To review the some of the extra-neurological effects of
neurodegeneration.
• To review some of the mechanisms of neurodegeneration, specifically
microglia activation, the energy-linked excitotoxic model, and hypoxia.
• To review the literature for natural compounds shown helpful in the
prevention and/or treatment of the mechanisms of neurodegeneration.
• To review the literature for connections between neurodegeneration and
gluten intolerance.
Objectives
At the end of this presentation, the participants should be able to:
• Recognize the relationship between certain extra-neurological symptoms
and neurodegeneration.
• Have an understanding of some of the mechanisms of neurodegeneration.
• Identify natural compounds for clinical use in the prevention and
treatment of the mechanisms of neurodegeneration.
• Recognize the connection between neurodegeneration and gluten
intolerance.
The Role of Hidden Infections in Chronic Fatigue
- Joanne Pizzino, MD, MPH, FACOEM
Disclosure Statement
No conflicts of interest
Purpose of Activity
Provide practitioners with a comprehensive understanding of Chronic
Fatigue/Immune Deficiency Syndrome (CFIDS) and its relationship to
underlying infections. Describe the clinical disease
presentation and the detection of infections. Through deepening
understanding of intervention and innovative modes of treatment,
patients will have improved functioning.
Goals
• To review definitions and presentations of Chronic Fatigue/Immune
Deficiency Syndrome (CFIDS)
• To present a comprehensive multi-system model of the pathogenesis of
CFIDS
• To review literature demonstrating a role for the immune system and
infection in CFIDS
• To present Integrative Medicine modalities to improve functioning in
CFIDS patients
Objectives
At the end of this presentation, the participants should be able to:
• Recognize the relationship between Chronic Fatigue/Immune Deficiency
Syndrome (CFIDS) and inflection.
• Have an understanding of comprehensive multi-system model of the
pathogenesis of CFIDS.
• Recognize the role of support for the immune system in the treatment
of CFIDS
• Understand the Integrative Medicine modalities to improve functioning
in CFIDS patients
The Link between Foods and
your Patient’s Chronic Conditions
- Amir Koohestani DO
Purpose of Activity
Over the course of a lifetime, an average American, consumes an
estimated 25 tons of food. Foodstuff must traverse the GI tract and
comes in contact with approximately 400 square meters of GI mucosal
membrane, the largest interface between our body, and the outside
world. This obviously provides ample opportunity for both toxic and
nontoxic interactions between food and the human body. Nontoxic
adverse food reactions are classified based on their pathogenic
mechanisms into food allergy and food intolerance. This
presentation examines the pathophysiology of adverse food reactions
and their role in initiation and propagation of chronic disease
states while specifically elaborating on evidence-based integrative
medical solutions for evaluation and treatment of individuals with
food allergies.
Goals
- To review the current classification of adverse food reactions
- To review the pathophysiology of food allergy and intolerance and the link to chronic disease
- To introduce an evidence-based integrative medical model for evaluation and treatment of a patient with food allergies
Objectives
- At the end of this presentation, the participants should be able to:
- Successfully differentiate between nontoxic and toxic food reactions
- Recognize the distinct processes involved in food allergy versus intolerance
- Understand the pathophysiology of food allergies in chronic disease
- Have a working knowledge of testing for immediate versus delayed food allergies
- Implement an integrative medical plan in caring for patients with food allergies