Lifestyle Medicine Course Syllabus Creator: Beth Pegg Frates, MD Contributors: Jonathan Bonnet Merlica Coriolan Yasamina McBride Gia Merlo Irena Metanovic Kate Simeon Shannon Worthman; Vision A world in which all physicians and allied health professionals have been trained in evidence-based lifestyle medicine, integrating healthful behaviors into their own lives and incorporating a lifestyle medicine-first approach into clinical practice. lifestylemedicine.org This syllabus is based on the foundational work of Beth Pegg Frates, MD who created a lifestyle medicine course at the Harvard Extension School in 2014, available to undergraduate, master, and other professional students interested in health and wellness. It has consistently been one of the most popular courses at the Harvard Extension School and has been attended by physicians, lawyers, engineers, nurses, wellness coordinators, social workers, business owners, religious leaders, stay at home moms, and retirees. The success of the course and increasing demand for the information inspired Dr. Frates to partner with the American College of Lifestyle Medicine to craft a syllabus that could be widely distributed and used in many different health care institutions, organizations, and schools. This curriculum represents the work of an entire team whose goal is to supply a foundation for a lifestyle medicine course on which instructors and professors can build and personalize it for their own individual needs. It is adaptable to a variety of educational environments, including undergraduate studies, master level courses, nursing school, physical therapy programs, occupational therapy programs, nutrition education courses, health and wellness coaching, or in the exercise and fitness space. We hope that you find the material useful and would love to hear your feedback on ways in which we can improve the syllabus for others. © 2021 American College of Lifestyle Medicine. Introduction to Lifestyle Medicine Syllabus Creator: Beth Pegg Frates, MD, @BethFratesMD Contributors: Jonathan Bonnet MD; Merlica Coriolan; Yasamina McBride; Gia Merlo MD, MBA, DipABLM; Irena Metanovic; Kate Simeon; and Shannon Worthman, NBC-HWC Course Syllabus 4.1.2021 2 Lifestyle Medicine Course Syllabus Author Beth Pegg Frates, MD, is trained as a physiatrist as Dr. Frates is currently working on writing her next book. well as a health and wellness coach. Dr. Frates is a She is passionate about developing programs focused Magna Cum Laude graduate of Harvard College where on lifestyle medicine and wellness. she majored in psychology and biology. She then As a member of the Board of Directors of the American graduated from Stanford Medical School and did her College of Lifestyle Medicine, Dr. Frates established the internal medicine internship at Massachusetts General Donald A. Pegg Student Leadership Award in 2016, in Hospital, after which she completed her physiatry honor of her late father, a New York City businessman, residency at Harvard’s Department of Physical Medicine Donald Pegg, who suffered a heart attack and a stroke and Rehabilitation. Dr. Frates has held a faculty in 1986 when he was 52. In response to this health appointment at Harvard Medical School (HMS) since set back, he went on a mission and searched for ways 2000, and she is now an Assistant Professor, Part Time. to prevent it from happening again. He participated in She is an award-winning teacher at HMS. In 2008, residential intensive lifestyle change programs, added she started the first Lifestyle Medicine Interest Group fruits, vegetables, more whole grains, and healthy (LMIG) at HMS and has worked with ACLM to help protein to his diet as well as started riding a stationary other institutions develop LMIGs in her role as Board bike religiously five days a week. Liaison to the ACLM Trainees. Two years ago, Dr. Frates developed and taught a college lifestyle medicine With this regimen and his medical care, Dr. Frates’ curriculum at the Harvard Extension School, which is father was able to live the best years of his life after his one of the most popular courses offered at the school. heart attack and stroke, enjoying 27 additional years In addition to her academic work, Dr. Frates runs her with family and friends. Donald served as an inspiration own private practice, helping people adopt healthy to many, especially his daughter, Beth who has spent habits, through Wellness Synergy, LLC. As the Director the past 30 years researching, studying, teaching, and of Wellness Programming at the Stroke Institute for practicing lifestyle medicine. Research and Recovery at Spaulding Rehabilitation Dr. Frates and her family believe in the power of lifestyle Hospital, Dr. Frates has created and implemented a medicine to transform lives and help individuals be twelve-month wellness program for stroke survivors healthier and more productive. She is now dedicated and their caregivers. Co Author of the book, Life After to working with young aspiring healthcare students, Stroke: The Guide to Recovering Your Health and understanding that our nation and world need a Preventing Another Stroke, co-author of three chapters transformed and sustainable system of healthcare on behavior change in different medical textbooks, and delivery, built on the foundation of evidence-based author of multiple journal articles on lifestyle medicine, lifestyle medicine. Lifestyle Medicine Course Syllabus 3 Founded in 2004, the American College of Lifestyle Medicine (ACLM) is the only medical professional association for physicians, allied health professionals, health care executives, medical students and residents, and those in professions devoted to advancing the cause of lifestyle medicine. ACLM supports its members by educating, equipping and empowering them to provide an evidence-based lifestyle medicine-first treatment option for chronic disease, as opposed to prescribing ever-increasing quantities of pills and procedures. ACLM provides live and online CME- and CE-accredited events and educational offerings across the medical education continuum, Board and professional certification opportunities, clinical practice tools, patient education resources, networking opportunities, and advocacy—all designed to manifest the vision of lifestyle medicine becoming the foundation of health and all health care. ACLM has a rapidly expanding membership base of more than 4,500 across the United States and around the globe. Its members represent the broad diversity of the medical profession, reflecting the interdisciplinary “team- based” approach of lifestyle medicine clinical practice: primary care physicians, physician assistants, nurses, allied health professionals, researchers, educators, students, lifestyle medicine thought leaders, health care executives and health coaches. Medical students and residents are encouraged to join the American College of Lifestyle Medicine, taking an active role in ACLM’s Trainees . In the true spirit of the Hippocratic Oath, Trainee members are committed to ‘first, do no harm’ as they immerse themselves in specialized lifestyle medicine training, so they are equipped to be on the forefront of an emerging value and outcome-based system of healthcare delivery. As young trainees, they hope to develop the skills and knowledge to effectively prevent, treat, and reverse chronic disease using evidence-based practices. What is Lifestyle Medicine? Lifestyle Medicine is the use of evidence-based lifestyle therapeutic intervention—including a whole-food, plant-predominant eating pattern, regular physical activity, restorative sleep, stress management, avoidance of risky substances, and positive social connection—as a primary modality, delivered by clinicians trained and certified in this specialty, to prevent, treat, and often reverse chronic disease. It is one of the fastest growing specialty career fields in medicine and holds the promise of real value-based care and true health reform as it addresses the root-cause of most chronic illness. Education Offerings Bachelor Level Masters Doctorate Residency Fellowship CMECEMOC Certification Professional Education Professional Experience Learn more about other Lifestyle Medicine educational offerings at lifestylemedicine.org. Questions? Contact [email protected] 4 Lifestyle Medicine Course Syllabus Table of Contents Week 1: Understanding Lifestyle Medicine 6 Week 2: Empowering People to Change 8 Week 3: Collaborating, Motivating, Goal-Setting, and Tracking 10 Week 4: Improving Health Through Exercise 12 Week 5A: The Nutrition-Health Connection 14 Week 5B: Weight Management 17 Week 6: Sleep Matters 19 Week 7: Stress and Resilience 21 Week 8: Peace of Mind With Meditation, Mindfulness, and Relaxation 23 Week 9: The Power of Connection 25 Week 10: Positively Positive 27 Week 11: Substance Use Disorder 29 Week 12: Staying the Course - Self Care 31 Week 13: Education Reform around Lifestyle Medicine Current State of Practice for Lifestyle Medicine 33 Week 14: Review Week 35 Lifestyle Medicine Course Syllabus 5 Week 1: Understanding Lifestyle Medicine The introductory week provides students with a framework from which to build. Starting from Hippocrates and moving forward, the work and research performed by lifestyle medicine pioneers is highlighted. We explore how the development of vaccines and antibiotics changed the landscape of medicine, and how the Industrial Revolution played a part in the spread of lifestyle-related diseases. In addition, the economics of lifestyle medicine are addressed, looking