GW Integrative Medicine

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Breaking the Cycle of Physician Burnout Feb 29, 2020

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Burnout is more prevalent among healthcare and health sciences workers, professionals, and trainees than among the general U.S. population. Those working in the healthcare field are more susceptible to depression, anxiety, and job dissatisfaction, which can lead to adverse outcomes for healthcare workers as well as the patients and communities they serve. Evidence shows, however, that effective wellness programming and strong institutional leadership committed to a culture of wellness can make a difference. That's why GW launched the GWell Center for Healthcare Professionals, which is led by Kaylan Baban, MD, MPH, the inaugural chief wellness officer for GW Hospital, GW Medical Faculty Associates, and the GW School of Medicine and Health Sciences. An assistant professor of Medicine at the GW School of Medicine and Health Sciences, Dr. Baban is also the director, Lifestyle Medicine Program, at GW Medical Faculty Associates. She joined us on the latest episode of the GW Integrative Medicine podcast to talk about the GWell Center, the need nationally for initiatives that support those working in health care in all capacities, and why this is so personal for her. ◘ Related content 3rd Annual Sung Symposium: Wellness & Longevity http://bit.ly/sung2020 Kaylan Baban, MD, MPH, Tapped to Serve as Chief Wellness Officer for GW’s Medical Enterprise http://bit.ly/2TcHw29 The GWell Center for Healthcare Professionals https://smhs.gwu.edu/wellness/ Wellness Resources for GW Students, Residents, Fellows, Faculty, Staff, & Alumni https://smhs.gwu.edu/wellness/wellness/resources List of Wellness Books, Podcasts, Websites, Courses & Conferences (Curated by Dr. Kaylan Baban) https://guides.himmelfarb.gwu.edu/mindfulness/booksandmore Clinician Well-Being Knowledge Hub https://nam.edu/clinicianwellbeing/ ◘ Transcript https://www.linkedin.com/pulse/transcript-breaking-cycle-physician-burnout-gw-office-of/?published=t ◘ This podcast features the song “Follow Your Dreams” (freemusicarchive.org/music/Scott_Ho…ur_Dreams_1918) by Scott Holmes, available under a Creative Commons Attribution-Noncommercial (01https://creativecommons.org/licenses/by-nc/4.0/) license. ◘ Disclaimer: The content and information shared in GW Integrative Medicine is for educational purposes only and should not be taken as medical advice. The views and opinions expressed in GW Integrative Medicine represent the opinions of the host(s) and their guest(s). For medical advice, diagnosis, and/or treatment, please consult a medical professional.

Beyond the Calories—Is the Problem in the Processing? Jan 30, 2020

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In the United States, six in 10 Americans live with at least one chronic disease, like heart disease and stroke, cancer, or diabetes. These and other chronic diseases are the leading causes of death and disability in America, and they are also a leading driver of health care costs. Today, we talk to nutrition scientist Leigh A. Frame, PhD, MHS, and gastroenterologist Janese Laster, MD, about their review of trends in dietary patterns, ultra-processed foods, chronic disease, and mortality in the U.S. Drs. Laster and Frame are the co-authors of "Beyond the Calories—Is the Problem in the Processing?" The review was recently published in the journal Current Treatment Options in Gastroenterology. Dr. Laster is board-certified in Gastroenterology, Internal Medicine, and Obesity Medicine, Dr. Laster’s research focus is on nutrition and obesity medicine within the field of Gastroenterology. She is a recent Nestle Nutrition Fellow, member of The Obesity Society and the American College of Gastroenterology, and a Physician Nutrition Specialist diplomate. Dr. Frame is director of the GW Integrative Medicine Programs and executive director of the GW Office of Integrative Medicine and Health. She has used her wide-ranging experience in biomedical research (from wet bench to clinical research) to oversee research programs, including the National Institute of Neurological Disorders and Stroke (NINDS) Parkinson's Disease Biomarkers Program. ◘ Related content Beyond the Calories—Is the Problem in the Processing? https://link.springer.com/article/10.1007/s11938-019-00246-1?shared-article-renderer The Obesity Action Coalition https://www.obesityaction.org/ The Obesity Algorithm®—a set of obesity treatment guidelines https://obesitymedicine.org/obesity-algorithm/ CDC: Overweight & Obesity https://www.cdc.gov/obesity/data/adult.html ◘ Transcript https://www.linkedin.com/pulse/transcript-beyond-caloriesis-problem-processing-gw-office-of/?published=t ◘ This podcast features the song “Follow Your Dreams” (freemusicarchive.org/music/Scott_Ho…ur_Dreams_1918) by Scott Holmes, available under a Creative Commons Attribution-Noncommercial (01https://creativecommons.org/licenses/by-nc/4.0/) license. ◘ Disclaimer: The content and information shared in GW Integrative Medicine is for educational purposes only and should not be taken as medical advice. The views and opinions expressed in GW Integrative Medicine represent the opinions of the host(s) and their guest(s). For medical advice, diagnosis, and/or treatment, please consult a medical professional.

Inflammation in Chronic Disease: Cause, Consequence, or Both? Jan 06, 2020

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Today we’re joined by Paul Marvar, PhD, associate professor, in the Department of Pharmacology and Physiology and the Department of Psychiatry and Behavioral Sciences here at GW. We’re going to discuss the GW Biomedical Cross-disciplinary Seminar Series, a new annual lecture series co-organized by Dr. Marvar and Leigh Frame, PhD, MHS, program director, Integrative Medicine, executive director of the GW Office of Integrative Medicine and Health, and co-host of this podcast. Focused on "Inflammation in Chronic Disease: Cause, Consequence, or Both?" the seminar series will address both the treatment and prevention of chronic inflammatory diseases (CIDs). The goal is to promote networking and collaboration on translational health among researchers, health care providers, and policy makers from different disciplines to shift the paradigm—from seeking a cure to developing a strategy of prevention. The Seminar topics are: ○ Cancer and inflammation ○ Genomics and inflammation ○ COVID-19 and inflammation ○ Bioinformatics and inflammation ○ Precision medicine and inflammation ○ Cardiometabolic disease and inflammation ○ Neuropsychiatric disease and inflammation ○ Treatment approaches and inflammation Join us for this free online lecture series: https://bit.ly/3gvz1JW ◘ Related Content Chronic inflammation in the etiology of disease across the life span https://www.nature.com/articles/s41591-019-0675-0 The Growing Crisis of Chronic Disease in the United States https://www.fightchronicdisease.org/sites/default/files/docs/GrowingCrisisofChronicDiseaseintheUSfactsheet_81009.pdf WHO | Chronic and noncommunicable diseases and their risk factors https://www.who.int/ncds/en/ Chronic inflammatory systemic diseases: An evolutionary trade-off between acutely beneficial but chronically harmful programs https://www.ncbi.nlm.nih.gov/pubmed/26817483 ◘ Transcript https://www.linkedin.com/pulse/transcript-inflammation-chronic-disease-cause-both-gw-office-of/?published=t ◘ This podcast features the song “Follow Your Dreams” (freemusicarchive.org/music/Scott_Ho…ur_Dreams_1918) by Scott Holmes, available under a Creative Commons Attribution-Noncommercial (01https://creativecommons.org/licenses/by-nc/4.0/) license. ◘ Disclaimer: The content and information shared in GW Integrative Medicine is for educational purposes only and should not be taken as medical advice. The views and opinions expressed in GW Integrative Medicine represent the opinions of the host(s) and their guest(s). For medical advice, diagnosis, and/or treatment, please consult a medical professional.

Integrative Medicine & Women's Health Dec 03, 2019

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Earlier in 2019, we collaborated with the GW OB/GYN Department and the GW Center for Integrative Medicine on a Grand Rounds lecture and Q&A on taking an integrative and functional medicine approach to Women's Health. It was so impactful that knew we had to bring it to the podcast. Today we're joined by certified nurse midwife Kimla McDonald, an associate clinical professor with the GW School of Medicine and Health Sciences (SMHS), and Anjali Dsouza, MD, an assistant clinical professor also with GW SMHS. CNM McDonald attended Frontier Nursing University, where she received her training as a nurse-midwife. She has worked with women and families for the past 15 years in San Francisco, New Orleans, and the Washington DC metro area. Along with interests in natural childbirth and primary cesarean prevention, complementary therapies for women's health, the transition to menopause, and mind-body therapies, she is committed to teaching and learning with residents, medical and midwifery students, and patients. Dr. Dsouza is the founder and owner of District Center for Integrative Medicine. She is a board-certified physician specializing in Integrative Medicine, Palliative Care, and Psychiatry. Her approach to healing prioritizes the whole person, rather than a specific system or organ, always honoring the importance of the relationship between patient and physician. She has spent the last 10 years studying Integrative and Functional Medicine. ◘ Related Content Integrative women's health articles by Tori Hudson, ND, author of the "Women's Encyclopedia of Natural Medicine" http://drtorihudson.com/articles/ Aviva Romm, MD https://avivaromm.com/ Sara Gottfried, MD https://www.saragottfriedmd.com/ American Botanical Council http://abc.herbalgram.org/site/PageServer The Institute for Functional Medicine https://www.ifm.org/ District Center for Integrative Medicine https://dcimedicine.com/ "Women's Encyclopedia of Natural Medicine" https://www.amazon.com/dp/B000WJOU14/ref=dp-kindle-redirect?_encoding=UTF8&btkr=1 "Integrative Women's Health" edited by Victoria Maizes and Tieraona Low Dog https://www.amazon.com/Integrative-Womens-Health-Medicine-Library/dp/0190214791/ref=sr_1_1?keywords=integrative+women%27s+health&qid=1574095165&s=books&sr=1-1 ◘ Transcript https://www.linkedin.com/pulse/transcript-integrative-medicine-womens-health-gw-office-of/?trackingId=ngKp6DWL5Q26zBj8D8WmYg%3D%3D ◘ This podcast features the song “Follow Your Dreams” (freemusicarchive.org/music/Scott_Ho…ur_Dreams_1918) by Scott Holmes, available under a Creative Commons Attribution-Noncommercial (01https://creativecommons.org/licenses/by-nc/4.0/) license. ◘ Disclaimer: The content and information shared in GW Integrative Medicine is for educational purposes only and should not be taken as medical advice. The views and opinions expressed in GW Integrative Medicine represent the opinions of the host(s) and their guest(s). For medical advice, diagnosis, and/or treatment, please consult a medical professional.

Weeds & Seeds: Using Supplements for Inflammation & Pain Oct 31, 2019

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Today we’re joined by Sahar Swidan, PharmD, RPh, to discuss using supplements, medical marijuana, and cannabinoids for inflammation and pain management. She talks about the THC-CBD entourage effect, curcumin, boswellia and what the literature now tells us. Dr. Swidan obtained her doctor of pharmacy degree from the University of Michigan, where she completed a 3 year bio-pharmaceutics research fellowship. She is the president and CEO of pharmacy Solutions in Ann Arbor, MI, a unique, personal and educational specialty pharmacy. She is a clinical associate professor of pharmacy at the University of Michigan, College of Pharmacy, and an adjunct professor, Department of Clinical Research and Leadership, at the GW School of Medicine and Health Sciences. Dr. Swidan is also an internationally known speaker in the areas of pain management and bioidentical hormone replacement therapy (BHRT), and the author of several books, articles, and patient education materials in the area of pain management and functional medicine. ◘ Related Content Dr. Swidan's website https://sahar.world/about-sahar/ ConsumerLab.com https://www.consumerlab.com/ NIH's Office of Dietary Supplements https://ods.od.nih.gov/ NIH's National Center for Complementary and Integrative Health Herbs at a Glance page https://nccih.nih.gov/health/herbsataglance.htm ◘ Transcript https://www.linkedin.com/post/edit/6594635565268819968/ ◘ This podcast features the song “Follow Your Dreams” (freemusicarchive.org/music/Scott_Ho…ur_Dreams_1918) by Scott Holmes, available under a Creative Commons Attribution-Noncommercial (01https://creativecommons.org/licenses/by-nc/4.0/) license. ◘ Disclaimer: The content and information shared in GW Integrative Medicine is for educational purposes only and should not be taken as medical advice. The views and opinions expressed in GW Integrative Medicine represent the opinions of the host(s) and their guest(s). For medical advice, diagnosis, and/or treatment, please consult a medical professional.

Integrative Medicine & Breast Health with Dr. Kristi Funk Sep 13, 2019

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Apart from skin cancer, breast cancer is the most common type of cancer and and second leading cause of cancer death among women in the United States. However, many women don’t know that lifestyle factors—especially food choices—can reduce the risk of developing breast cancer and help after a breast cancer diagnosis. Today we’re joined by breast cancer surgeon and author Kristi Funk, MD, to discuss some of the choices your patients can make to improve their breast health and lower overall cancer risk and the Physicians Committee's Let's Beat Breast Cancer: A 4-Pronged Approach campaign. Dr. Funk is an expert in minimally-invasive diagnostic and treatment methods for all types of breast disease. She received her medical degree from the University of California, Davis, School of Medicine. She completed a surgical breast fellowship at Cedars-Sinai Medical Center in 2002. She served as a surgeon and Director at the Cedars-Sinai Breast Center until 2009. That year, she opened the Pink Lotus Breast Center. ◘ Related Content Let's Beat Breast Cancer campaign https://www.pcrm.org/letsbeatbreastcancer ASCO endorses integrative oncology guidelines for breast cancer patients https://www.fredhutch.org/en/news/center-news/2018/06/asco-endorses-integrative-oncology-guidelines-for-breast-cancer-patients.html Increased Fiber Intake Decreases Premenopausal Breast Cancer Risk https://pediatrics.aappublications.org/content/137/3/e20154376 Six Yoga Poses to See You Through Breast Cancer Treatment https://www.yogajournal.com/lifestyle/healing-refuge The State of Integrative Oncology: A New Era https://www.ascopost.com/issues/february-10-2018/the-state-of-integrative-oncology-a-new-era/ Using Integrative Medicine Approaches for Cancer-Related Fatigue https://www.cancernetwork.com/patient-care/using-integrative-medicine-approaches-cancer-related-fatigue ◘ Transcript https://www.linkedin.com/pulse/transcript-integrative-medicine-breast-health-dr-funk-gw-office-of/ ◘ This podcast features the song “Follow Your Dreams” (freemusicarchive.org/music/Scott_Ho…ur_Dreams_1918) by Scott Holmes, available under a Creative Commons Attribution-Noncommercial (01https://creativecommons.org/licenses/by-nc/4.0/) license. ◘ Disclaimer: The content and information shared in GW Integrative Medicine is for educational purposes only and should not be taken as medical advice. The views and opinions expressed in GW Integrative Medicine represent the opinions of the host(s) and their guest(s). For medical advice, diagnosis, and/or treatment, please consult a medical professional.

Health Coaching & Mindful Change Sep 03, 2019

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Changing one's behavior isn't easy even when it concerns a preventable chronic condition. Health and wellness coaches are relatively new members of the health care team, but they are making an impact on patients who just want to be able to take a walk with a grandchild or those with diabetes seeking to reverse the disease. Health and wellness coaches like Elizabeth Ahmann, ScD, RN, PCC, NBC-HWC, help their clients clarify and implement health and wellness goals and sustain life-changing behaviors. Dr. Ahmann is a faculty member engaged in teaching and course development, in the Health and Wellness Coaching Program at Maryland University of Integrative Health. She is certified by the International Coach Federation at the Professional Certified Coach level and is a National Board Certified Health and Wellness Coach through the International Consortium for Health and Wellness Coaching. Dr. Ahmann has a Masters degree in Nursing from Pace University and a Doctorate in Public Health from The Johns Hopkins University. She frequently presents at conferences on coaching, writing, research, evidence-based practice, ADHD, and mindfulness. ◘ Related Content International Consortium for Health and Wellness Coaching (ICHWC) ichwc.org/ The ICHWC Coach Directory ichwc.org/nbchwc-directory/#!directory/map American College of Sports Medicine exercise guidance: www.aliceveneto.com/1/upload/quanti…oping.26_1_.pdf A compendium of the health and wellness coaching literature journals.sagepub.com/doi/full/10.11…59827617708562 A systemmatic review defining health and wellness coaching: journals.sagepub.com/doi/pdf/10.745…gahmj.2013.042 Review of researches on smartphone applications for physical activity promotion in healthy adults. Journal of Exercise Rehabilitation, 13(1), 3-11. www.ncbi.nlm.nih.gov/pmc/articles/PMC5331995/ ◘ Transcript www.linkedin.com/pulse/transcript…-of/?published=t ◘ This podcast features the song “Follow Your Dreams” (freemusicarchive.org/music/Scott_Ho…ur_Dreams_1918) by Scott Holmes, available under a Creative Commons Attribution-Noncommercial (01https://creativecommons.org/licenses/by-nc/4.0/) license. ◘ Disclaimer: The content and information shared in GW Integrative Medicine is for educational purposes only and should not be taken as medical advice. The views and opinions expressed in GW Integrative Medicine represent the opinions of the host(s) and their guest(s). For medical advice, diagnosis, and/or treatment, please consult a medical professional.

The Power of Neuromuscular Therapy Jul 30, 2019

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Today we’re talking about bodywork, specifically neuromuscular therapy, with Elizabeth Goldberg, a licensed massage therapist and wellness coach. Neuromuscular therapy, sometimes called trigger-point massage, is a form of soft tissue manipulation that aims to treat underlying causes of chronic pain involving the muscular and nervous systems. This medically-oriented form of massage therapy addresses trigger points (tender muscles points), circulation, nerve compression, postural issues, and biomechanical problems that can be caused by repetitive movement injuries. By working with incredible practitioners, Elizabeth was able to not only relieve the pain in her back but also developed a new relationship with her body and mind. She believes strongly in the power of therapeutic bodywork. Elizabeth practices at Freed Bodyworks on Capitol Hill, and she first came to massage as a client with a repetitive stress injury. ◘ Related Content Controlled pilot study of the effects of Neuromuscular Therapy in patients with Parkinson’s disease https://www.researchgate.net/publication/6751675_Controlled_pilot_study_of_the_effects_of_Neuromuscular_Therapy_in_patients_with_Parkinson's_disease Effect of ischemic compression on trigger points in the neck and shoulder muscles in office workers: a cohort study https://www.ncbi.nlm.nih.gov/pubmed/23993756 The impact of latent trigger points on regional muscle function https://www.ncbi.nlm.nih.gov/pubmed/18765139 Investigating Neuromuscular Therapy: Efficacy of Application on Chronic Pain (Case Report) https://cns.edu/images/pdfs/research/Depression%20and%20Fatigue.pdf Responsiveness of myofascial trigger points to single and multiple trigger point release massages – a randomized, placebo controlled trial https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5561477/ ◘ Transcript https://www.linkedin.com/pulse/transcript-power-neuromuscular-therapy-gw-office-of/?published=t ◘ This podcast features the song “Follow Your Dreams” (freemusicarchive.org/music/Scott_Ho…ur_Dreams_1918) by Scott Holmes, available under a Creative Commons Attribution-Noncommercial (01https://creativecommons.org/licenses/by-nc/4.0/) license. ◘ Disclaimer: The content and information shared in GW Integrative Medicine is for educational purposes only and should not be taken as medical advice. The views and opinions expressed in GW Integrative Medicine represent the opinions of the host(s) and their guest(s). For medical advice, diagnosis, and/or treatment, please consult a medical professional.

Using Food as Medicine Jun 30, 2019

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Today we’re talking food as medicine with Laura Pole, Director of Nourishment Programs at Smith Center for Healing and the Arts in Washington, DC. An oncology clinical nurse specialist, oncology nurse navigator, and health-supportive chef, she has more than 30 years of experience in oncology clinical care and innovative professional education. Chef Laura provides trainings and “informances” across the country in integrative cancer care, culinary translation in cancer care, palliative care, advance care planning, and the human art of healing. ◘ Related Content American Institute for Cancer Research CUP reports these Continuous Update Project provides review of the most up to date evidence on diet, physical activity and cancer) https://www.aicr.org/continuous-update-project/ Smith Center www.smithcenter.org Beyond Conventional Cancer Therapies www.bcct.ngo 7 healing practices https://bcct.ngo/integrative-cancer-care/integrative-approaches-to-treatment/7-healing-practices/ Eating Well https://bcct.ngo/search-therapies/search-therapy-summaries/eating-well Moving More https://bcct.ngo/search-therapies/search-therapy-summaries/moving-more ◘ Transcript https://www.linkedin.com/pulse/transcript-using-food-medicine-integrative-medicine-and-health/?published=t ◘ This podcast features the song “Follow Your Dreams” (freemusicarchive.org/music/Scott_Ho…ur_Dreams_1918) by Scott Holmes, available under a Creative Commons Attribution-Noncommercial (01https://creativecommons.org/licenses/by-nc/4.0/) license. ◘ Disclaimer: The content and information shared in GW Integrative Medicine is for educational purposes only and should not be taken as medical advice. The views and opinions expressed in GW Integrative Medicine represent the opinions of the host(s) and their guest(s). For medical advice, diagnosis, and/or treatment, please consult a medical professional.

Closing the Nutrition Education Gap May 23, 2019

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The GW University recently launched an concentration in nutrition for health care professionals pursing a Master of Science Health Sciences (MSHS) in Integrative Medicine. Designed by Leigh Frame, PhD, MHS, Integrative Programs Director and GW Integrative Medicine co-host, the new program seeks to close the nutrition education gap that persists among most health care professionals. We talk to Dr. Frame about the new program, how an unhealthy diet is the main contributor to the global burden of disease, and how GW is increasing the amount of nutrition education available to health care providers and students in the health professions. The new MSHS in Integrative Medicine - Nutrition Program is the first and only one in the nation. ◘ Related Content An article on the new program https://smhs.gwu.edu/oimh/news/closing-nutrition-education-gap Link to the new program https://smhs.gwu.edu/integrative-medicine/ The State of Nutrition Education at US Medical Schools https://www.hindawi.com/journals/jbe/2015/357627/ A Time for Change: Nutrition Education in Medicine https://nutrition.org/a-time-for-change-nutrition-education-in-medicine/ The Deficit of Nutrition Education of Physicians https://www.amjmed.com/article/S0002-9343(17)31229-9/pdf ◘ Transcript https://www.linkedin.com/pulse/transcript-closing-nutrition-education-gap-gw-office-of/?published=t ◘ This podcast features the song “Follow Your Dreams” (freemusicarchive.org/music/Scott_Ho…ur_Dreams_1918) by Scott Holmes, available under a Creative Commons Attribution-Noncommercial (01https://creativecommons.org/licenses/by-nc/4.0/) license. ◘ Disclaimer: The content and information shared in GW Integrative Medicine is for educational purposes only and should not be taken as medical advice. The views and opinions expressed in GW Integrative Medicine represent the opinions of the host(s) and their guest(s). For medical advice, diagnosis, and/or treatment, please consult a medical professional.

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