S02: Standardizing Competencies for Integrative Medicine Clinical Fellowships

RobertSaper1, MelindaRing2, MarcBrodsky3, TieraonaLow Dog4, Peter Heusser5

1Boston University Medical Campus Family Medicine, USA; 2Northwestern Feinberg School of Medicine, USA; 3Stamford Hospital (Columbia University Affiliate), USA;4University of Arizona College of Medicine, USA; 5University of Witten/Herdecke, Germany


Over the last decade the number of integrative medicine clinical fellowships in the U.S. has substantially increased.  Despite this growth, to date there are no national guidelines or standards for clinical integrative medicine fellowship learning competencies.  To address this need, the Consortium for Academic Health Centers for Integrative Medicine (CAHCIM) created an Integrative Medicine Fellowship Task Force in 2011 with member representation from 11 U.S. academic integrative medicine programs.  The goals of the 2-year Task Force are to  1) develop a set of competencies based on the ACGME framework that graduates from integrative medicine clinical fellowships should demonstrate, and 2) recommend necessary components and characteristics of an integrative medicine clinical fellowship curriculum for training fellows in these competencies.  In this Discussion Session, Task Force members will 1) review the ACGME competency framework, 2) present the design and outcomes of a survey instrument used to assess components and characteristics of existing U.S. fellowship programs, and 3) propose a set of competencies for integrative medicine clinical fellowships which provide minimum standards for training while allowing flexibility for each program to build on local educational resources.  Findings of an international survey on medical resident education in integrative medicine will also be discussed for a European perspective on fellowship training.