Lifestyle Medicine in Action: Practice Management
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Lifestyle Medicine in Action
March 2012
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President's Desk: Looking Ahead
Liana Lianov, MD, MPHThis is my first column as I step into the ACLM presidency.

First, I want to thank Dr. Wayne Dysinger for his thoughtful and passionate leadership over the past two and a half years. We have made good progress in the work of our committees and our membership is growing. Of course, we have much more work ahead. But I have full confidence that we can continue to make great progress with the new leadership team - a stellar group of board members, including our President-Elect David Katz, MD, MPH - along with the steady guidance of our executive director, Marc Braman, MD, MPH.

We just returned from the annual conference of the American College of Preventive Medicine and American College of Medical Quality held in Orlando, Florida. ACLM was instrumental once more in convening a phenomenal Clinical Preventive Medicine/Lifestyle Medicine Track with David Ferris, MD, MPH serving as the ACLM liaison and Ariane Marie-Mitchel, MD, PhD, MPH serving as track chair.

Highlights included:
  • An interactive institute Health Coaching in Real Practice with Eddie Phillips, MD and Margaret Moore, MBA,
  • An institute on Nutrition Prescriptions
  • A plenary session entitled Food as Medicine with Mark Hyman, MD.
Informative concurrent sessions included:
  • Teaching Evidence-Based Clinical Decision Making and Lifestyle Medicine to Medical Students and Residents with Wayne Dysinger, MD, MPH and others,
  • How to Build and Sustain a Preventive and Lifestyle Medicine Practice with Jennifer Rooke, MD, MPH, FACOEM, FACPM and John Kelly, MD, MPH
  • Cancer Prevention Across the Lifespan with Neal D. Barnard, MD and Lorenzo Cohen, PhD.
Most of these sessions were standing room only, demonstrating that large numbers of our general preventive medicine colleagues are clearly interested in Lifestyle Medicine.

This year we also look forward to a stand-alone Lifestyle Medicine meeting September 30th to October 2nd in Denver, Colorado. Please mark your calendars!

Continue reading at
Practice Spotlight: Gunter Dymkova-Fuchs, Dr.HSc. MPH
Gunter Dymkova-Fuchs, Dr.HSc. MPHGunter Dymkova-Fuchs, Dr.HSc. MPH
The Fox Group,
Consultants to the Healthcare Industry

Gunter Dymkova-Fuchs, Dr.HSc. MPH, is founder and senior partner of The Fox Group, Consultants to the Healthcare Industry. Earning his Master’s in Public Health and Doctorate in Health Science at Loma Linda University, Dr. Fuchs was instrumental in founding several of the first Lifestyle Medicine programs at Loma Linda. He was involved in the creation, design, and development of the Center for Health Promotion, initially offering on-site and mobile services including risk assessments and lifestyle prescriptions. The Center is still in existence today, providing primary and preventive care at the university and in the surrounding areas.

Dr. Fuchs also led the development of Rancho Loma Linda, a residential lifestyle center developed by the university outside of San Diego. The lifestyle center made use of an existing 100-acre facility featuring lodging, a fitness center, pool, spa, and walking trails. Staffed by graduate students and resident physicians and directed by a full-time physician, the residential program focused on weight management. Promoted through the LA Times, the program attracted participants from around the world. Studies conducted by doctoral candidates showed significant changes not only in weight, but also in a number of other clinical measures with significant reduction in risk factors. Dr. Fuchs highlights the center’s financial and clinical success, noting that "the right clinical indicators were moving in the right direction."

While in his doctoral program, he had the opportunity to tour self-supporting wellness-based physician practices and institutions across the country, an experience he found both rewarding and troubling. "What I found were very dedicated people with great attitudes and philosophy, but no sustainability. I cannot remember anyone who was truly self-supporting in the sense of not depending on donations to survive." During that time, he also visited several corporate settings, where he observed sophisticated employee-based wellness programs that not only provided an array of excellent fitness, nutrition, stress management and other services, but also generated revenue in the process.

A Focus on Sustainability

He began to question how to bring financial sustainability to medical and wellness-based practices. "What became apparent to me was sustainability - my whole focus became sustainability." Seeing a lack of business planning and of due diligence, he set out to define success for medical and wellness practices and institutions. "That became my focus and my passion, having talked with so many who were interested and so few who were approaching it from a hard core business development perspective – building a business enterprise that would ultimately be self-sustaining."

Continue reading at
New CME Events
Healthy Kitchens, Healthy Lives Healthy Kitchens,
Healthy Lives

March 22-25, 2012
Napa Valley, CA

Presented by Harvard School of Public Health and the Culinary Institute of America
The 33rd Annual Meeting and Scientific Sessions The 33rd Annual Meeting and Scientific Sessions
April 11-14, 2012
New Orleans, LA

Presented by The Society of Behavioral Medicine
Food As Medicine Food As Medicine
July 7-10, 2012
Washington, DC area

Presented by The Center for Mind-Body Medicine
Food As Medicine Lifestyle Medicine: Tools for Promoting Healthy Change
June 15, 2012
Boston, Massachusetts

Presented by the Institute of Lifestyle Medicine
ACLM Workshop
Welcome, New Members!
Hesuk (Helen) Baek, MD
Hospitalist and Assistant Professor of Medicine,
Loma Linda University Medical Center
Loma Linda, CA

Cecil Bailey, MD
Internal Medicine,
Heritage Medical & Wellness
Cedar Hill, Texas

Kirby Duvall, MD, MPH, MS
Medical Director, and Physician
Woodward Governor Company
Fort Collins, Colorado

Mark Elderbrock, MD
Physician, Family Medicine
Wooster Family Health Center of Cleveland Clinic
Wooster, Ohio

Mark Faries, MS, PhD
Assistant Professor
Department of Kinesiology & Health Science
Stephen F. Austin State University
Nacogdoches, Texas

Allan Fjelmberg, MD
Physical and Rehabilitation Medicine
Lillehammer, Norway

Donna Hamilton, MD, MS
Chief Wellness Officer, Speaker
Manifest Excellence, LLC,
East Stroudsburg, Pennsylvania

Jacqueline Huntly, MD, MPH
Faculty Physician Family Medicine Residency
Memorial University Medical Center
Savannah, Georgia
Daniel Kaplan, DO
Family Practice, Geriatric Medicine
South Florida Medical Group
Naples, Florida

Morgan Lauer
University of Colorado School of Medicine
Denver, Colorado

Victoria Leiphart, MD
Obstetrician & Gynecologist
Fremont, California

Toni Marthaller Andersen, MSN, ARNP, FNP-C
Integrative Family Nurse Practitioner,
Women To Wellness
Greenbank Washington

Nicolle Martin, MD, MPH
Assistant Professor, Morehouse School of Medicine
Department of Community Health and Preventive Medicine
Atlanta, Georgia

Mona Sigal, MD
Administrative Director and Practicing Physician,
Nourish Health With Food For Life - Pain and Wellness Center
Peabody, Massachusets

Vanessa Solomon, MA
Student, Western University of Health Sciences,
College of Osteopathic Medicine of the Pacific
Claremont, California
ACLM membership empowers the Lifestyle Medicine movement, advancing healthcare that treats the cause. If you are interested in learning more about the benefits of being a member, you can read about them on our website.
Research Summaries
The following presented by WebMD
Exercise Prescription Gaining in Popularity
Chinese Herb Targets Immune System
CDC Study: About 90% of Us Get Too Much Sodium
Customers Would Opt for Smaller Portions if Restaurants Gave Them the Option
Mediterranean Diet May Protect Brain
Even a Little Air Pollution Raises Heart Attack Risk
The following presented by American MedlinePlus
Exercise a Defense Against Dementia
Any Exercise Benefits Kids' Heart Health
Tai Chi May Help Parkinson's Patients
Research backs trading sugary drinks for water to lose weight
Letting Baby Eat Finger Foods May Spur Healthier Weight
No Cancer Benefit From Vitamin B, Omega-3 Supplements in Heart Patients
Mom's Vitamin D Levels Linked to Language Problems in Kids
Vitamin D Deficiency High Among Trauma Patients
Overeating May Double Risk of Memory Loss
Pet owners' hearts may cope better with change
Obesity Appears Linked to Pain
Obesity Linked to Worse Fibromyalgia Symptoms
Female Cancer Survivors Report Worse Health Habits
Exercise in Pregnancy Safe for Baby
Dogs Can Boost Exercise Rates for Moms-to-Be
Exercise Can Build Young Adults' Bones
Specific Dietary Goals May Help Diabetics Eat Better
Mexican-Americans' Diets Suffer as They Abandon Traditional Foods
Daily Diet Soda May Increase Risk of Heart Attack, Stroke
Video Games, Impulsivity Seem to Go Hand-in-Hand
Dieting Can Prove Dangerous for Kidney Disease Patients
Kids From Poorer Families Drink Too Much Juice
The following presented by American Medpage Today (May require log-in)
Stroke Recovery Loves Company
Circadian Clock Times Immune Response
Arsenic Found in Formula, Energy Bars
Pumping Iron Best Exercise in Parkinson's
Oral Nutrition Supplements Give Little Help to Cancer Patients
Contaminated Chicken Meat May Cause some Human UTIs
Group Exercise for the Brain Helps Dementia
Walking Speed and Grip Strength Tests May Flag Dementia, Stroke Risk
Icy Bath May Help Sore Muscles Recover
Exercise Trumps Sitting Time for Kids' Health
No Age Limit on Benefits of Eating Well
Therapy Eases Hot Flashes After Breast Cancer
Vitamin D Offers No Heart Help in Kidney Disease
Bad Sleep Linked to Alzheimer's
Adding Omega-3s May Help Slow Vision Loss
Obesity Ups Risk of Death in Pregnancy
An Orange a Day Keeps Stroke Away
Fructose May Not Be Culprit in Weight Gain
Questions Raised About Gluten Sensitivity
Fish Oil May Fix Heart Risk Tiny Babies Face
Active Video Games No Fix for Kids' Fitness
Vitamin D Eases Menstrual Cramps
Reduced Omega-3 Speeds Brain Aging
The following presented by Kaiser Health News
Restricted Diet Affects Surgery Risk
Scientists Find Target for Resveratrol
The following presented by Berkeley Wellness Alerts
Chocolate: News to Take to Heart
Diet Tips for Bone Health
Kegel exercises may help some men too
Links to Opinion Articles, Practice Advice and Patient Handouts
The following presented by WebMD
10 Lifestyle Habits to Help You Lose Weight
Best Ways to Boost your Immune System
A Diet to Boost your Mood and Energy Level
How Diet can Affect Depression
Lifestyle Tweaks that Fight Pain
Simple Exercises to Relieve Osteoarthritis Pain
How Exercise Works for Rheumatoid Arthritis
20 Tips for Better Sleep
Secrets of Healthy Eating and Portion Control
What Causes Heart Disease in People With Diabetes?
Healthy Oils, Healthy Fats
Best Foods to Feed Your Heart
The Basics of a Healthy Diabetes Diet
6 Simple Steps to Keep Your Heart Healthy
The following presented by KevinMD
In love there is a life giving force
Why patient engagement is reciprocal
The following presented by Medline Plus
Chewing Tobacco Harms Oral Health
Gingko as Herbal Medicine
Desk Jockeys Urged to Take Small Steps to Get Exercise
The following presented by Berkeley Wellness Alerts
Too Darn Dry: A Guide to Humidifiers
The ABCs of CLA Supplements
BHA and BHT: Two Preservatives to Avoid?
Sugar and Cholesterol: Not Sweet News
American College of Preventive Medicine ACPM
Publication Addresses Lifestyle and Other Risks
British Medical Association Board of Science publication, Risk: what's your perspective, aims to help doctors understand and communicate risk to patients and the public. The publication discusses public health risks such as pandemic influenza, natural disasters, and terrorist attacks, and lifestyle risks such as obesity, alcohol, and tobacco use.
Teaching Quality Improvement and Patient Safety in Health Professions Education
Mayo Clinic, May 7-8
This 1.5-day, train-the-trainer interactive workshop will provide the knowledge, best practices and tools necessary to successfully implement Quality Improvement and safety education in medical education and allied health schools.
ACPM Opposes Use of Prevention Fund to Pay for Tax Extender Package
ACPM sent a letter to House and Senate conferees working to negotiate a long-term extension of the "doc fix" in the Medicare physician fee schedule urging they not tap funds from the Prevention and Public Health Fund to pay for higher reimbursements for physician services.
The letter states: The Prevention and Public Health Fund, established through the Affordable Care Act, represents a critical investment in public health and a historic commitment towards efforts that will help shift the focus of our health care system from disease treatment to disease prevention and health promotion.
Lifestyle Medicine in Action is:
Editor-in-Chief: Marc Braman, MD, MPH Managing Editor: Kathleen Jones, MA
Contributing Writer: Wayne Dysinger, MD, MPH Contributing Editor: Kathy Cater
Research Summaries: Lindsey Christenson, M.Ed