A sneak peek at Leaps into IM

By Freya Moran

The website is elusive about what happens at LEAPS, and I think for good reason.

Not knowing where the next week would go, I boarded a plane for Oceanside, Calif., the Saturday before finals week. LEAPS was to begin the following day at 4 p.m., and thanks to the Facebook page, I’d made plans to meet up with a student from Texas in Los Angeles and travel together from there. One missed train and a $300 taxi ride later, we arrived in Oceanside at the Old Mission in San Louis Rey at 9 p.m.

The next day, I opened my window to the most beautiful rose gardens and stone archways. The Old Mission is one of the oldest Franciscan monasteries in the country. The grounds have been used to host meditation seminars, rehabilitation programs and weddings, so to say it was one of the calmest, most relaxing places I’ve ever been would be an understatement.

By the time 4 p.m. rolled around, most of the students had already met one another, but our formal introductions took place in the dining hall. There we were sorted into groups of about five or six, introduced to the doctor who would be our mentor and given our first assignment in mindful meal preparation. We were given a book of diet-conscious recipes and each group was responsible for preparing one element of the dinner for our roughly 45-person group. A nutritional specialist coached us on the importance of presence and mindfulness in preparing a meal, as well as eating it. For the first time I had an actual workshop using what I’d learned about clinical nutrition and it gave me real, practical insight in what I would tell my patient with diabetes or hypertension to change their lifestyle.

The mornings at the monastery are spent in total silence until 9 a.m. There’s also no Internet, and cell phone use is restricted to two, one-hour blocks in the afternoon and evening. If the thought of this gives you anxiety, you’re in good company – but by the end of the week, the silence had become welcome and background noise became an insult to the mindfulness of the moment. Every day began with some kind of activity: tai chi, yoga, meditation, journaling and more, which was followed by breakfast provided by the monastery. The bulk of the morning workshops focused on some form of medicine. A speaker or group would come in to lead a short lecture and discussion about their specialty and the rest of the time was spent exploring the technique. Each speaker relayed the evidence and research supporting the use of their technique in practice and how it could be practically applied as an integrative approach. My personal favorite was the acupuncture workshop because, up to that point, I’d never been to an acupuncturist let alone read the literature on it. The speaker graciously used me as her workshop demonstration, and I received a full treatment for stress reduction – in a word, the results were amazing!

Each day at the LEAPS symposium was an exploration into these different disciplines. I experienced lectures in the efficacy of yoga and tai chi in the treatment of various diseases, nutrition counseling, the use of herbology, and the history of osteopathy and a demonstration of their postural assessment and general physical exam. If you thought the psychology of posture was purely a chiropractic topic, then you’d be shocked by what other practitioners are doing with it! There was also a panel discussion led by myself and the four other alternative care practitioners, but more on that later…

The whole program asked nothing of me but to have an open mind and to share my ideas. As someone who has a particular interest in a multidisciplinary approach to patient-centered care, I was exposed to many other styles of health and how to exist among them while maintaining my own philosophy and identity as a chiropractor. The primary care position is a malleable one, with enough freedom (and responsibility) to make it our own.

If you’ve ever had even an itch of interest in the way others practice medicine, then getting involved in the Student Alliance for Integrated Medicine (SAIM) and The Academy of Integrated Medicine (AIHM) are great places to start exploring the vision of integrative medicine. The reason I chose IM was because I discovered early on that even if I didn’t intend to practice in a multidisciplinary environment, my patients would. Knowing how to communicate with understanding and compassion is the key to truly serving your patient.

Study by Northwest Center for Lifestyle and Functional Medicine faculty confirms previous findings showing increased high-risk drinking and driving behaviors among students who combine energy drinks and alcohol

A larger sample of students were surveyed and additional variables related to impaired driving explored

PORTLAND, Ore., Aug. 13, 2015 – Northwest Center for Lifestyle and Functional Medicine (NWCLFM) faculty members Conrad Woolsey, PhD, CHES, CC-AASP, Ron Williams, PhD, CHES, and Will Evans, DC, PhD, MCHES, CWP, recently conducted a larger follow-up study on high-risk drinking and driving behaviors that replicates previous results suggesting that college students who combine alcohol and energy drinks are more likely to choose to drive drunk and to knowingly ride with an intoxicated driver, when compared to students who consume alcohol only.

This investigation represents an expansion of recent studies from this research team, which have been published in multiple peer-reviewed journals and subsequently featured by several news affiliates, such as ABC, CBS and Fox News. The last study on this topic gained considerable attention so the research team wanted to further validate these results.

“It is exciting to see our faculty doing important research that will have an impact on improving public health policy and integrated health care delivery,” Cheryl Hawk, DC, PhD, CHES, CWP, executive director of the NWCLFM said. “Our collaborative focus is on lifestyle and functional research aimed at advancing integrated health care delivery to those we serve.”

The recent investigation surveyed 605 college students regarding their perceptions of high-risk drinking and driving behaviors, as well as their energy drink consumption patterns. Out of that number, 281 participants reported drinking only alcohol within the last month and 268 acknowledged mixing alcohol with energy drinks.

The study’s statistically significant findings include:

  • Among combined-users (i.e., those who consumed alcohol with energy drinks), 36.3 percent indicated they had driven while knowing they were too drunk to drive compared to 17 percent of those who consumed alcohol only (p<.001).
  • 44.1 percent of combined-users said they had chosen to ride as a passenger in a car with a driver who they knew was too drunk to drive safely, compared with 23.6 percent of alcohol-only group (p<.001).
  • Combined-users were also significantly more likely (p <.001) to report indicators of high-risk alcohol use, such as more days drinking and getting drunk as well as riskier binge drinking episodes with more drinks per occasion.

“There is an increasing emphasis on prevention of injuries and dangerous behaviors in health care and public health,” said Dr. Williams, the main contributing author of the study. “We hope these findings can assist health care practitioners to better understand the complex relationship of energy drink consumption and the significant social and public health issue of drunk driving.”

To find out more information on the research team’s most recent article, “Combined Use of Alcohol and Energy Drinks Increases Participation in High-Risk Drinking and Driving Behaviors among College Students,” visit the Journal of Studies on Alcohol and Drugs. To learn more about the research team’s initial findings, read the manuscript “A Comparison of the Combined-Use of Alcohol & Energy Drinks to Alcohol-Only on High-Risk Drinking and Driving Behaviors,” published in the January 2015 edition of Informa.

Other investigations carried out by NWCLFM faculty have shown that increased energy drink use is also a significant predictor of increased illicit prescription stimulant use, with the odds for abusing prescription stimulants increasing by six percent with each additional day of energy drink use in the past 30 days.

Dr. Woolsey’s earlier manuscript, “Frequency of Energy Drink Use Predicts Illicit Prescription Stimulant Use,” published in Substance Abuse, the official journal of the Association for Medical Education and Research in Substance Abuse (AMERSA), was selected as best manuscript for 2014.
Along with Dr. Williams and colleagues at the NWCLFM, a larger follow-up study and even stronger manuscript was recently published by Substance Abuse. The article entitled “Increased Energy Drink Use as a Predictor of Illicit Prescription Stimulant Use,” takes a more comprehensive look at the topic of energy drink consumption and illicit prescription stimulant use. According to Dr. Woolsey, “These finding are important to health care practitioners because of the harmful interactions that can occur when energy drink ingredients, such as ginseng and yohimbe, are mixed with prescription stimulants.”

How did you hear about LEAPS into Integrative Medicine?

By: Freya Moran

I heard about LEAPS in an email. I can’t remember who sent it or why, but administration sent out an update on scholarship opportunities near the end of my fifth quarter (just a few weeks before boards) and amongst the messages stuffing my inbox, something caught my eye.

Now, before I get too far into the application process, let me just say how awesome and powerful it is to be a student. Hear me out. Just by showing interest in a particular direction, we can change the course of opportunities for our education and our careers. Yes, the road to change is long and full of paperwork, but as students we rarely see the paperwork – it’s up to us to do the leg-work. In my short time as a student, I’ve seen more progression for chiropractic in the area of integrative medicine than I can even wrap my head around. As the shortage of primary care physicians grows and our treatment skills grow stronger, I see no reason why chiropractic shouldn’t evolve to fill that void. In fact, up to that point, I had been thinking about what the differences actually were between chiropractic care and the typical medical doctor in terms of primary care. The only conclusion I could come up with, besides prescription rights, was residency.

The typical education sequence for an MD/DO student is four years of medical school followed by a residency program. Residency can be anywhere from two years practicing primary care to eight years studying neurosurgery, living only marginally better than the average graduate student with a tiny stipend after years of maintaining a GPA in order to “match” with a program you want. These programs are meant to aid students in achieving clinical experience in specialized fields, so by the time they matriculate they are literally the most educated, qualified individuals they can be.

Currently, there is residency program for chiropractic students in radiology, a similar placement in the VA and a fellowship in sports medicine. Beyond that, not much post-graduate training exists beyond continuing education seminars and preceptorship. What would it mean to integrate chiropractic medicine with traditional allopathic medicine, traditional Chinese medicine, physical therapy, naturopathic medicine, functional nutrition, acupuncture, etc.?

And there in my inbox was an email for the Leadership and Education Program for Students in Integrative Medicine (LEAPS into IM) annual leadership program. I knew nothing about it, but after reading the short synopsis I learned the program was hosted by the American Consortium for Integrative Medicine in association with the American Medical Student Association. These two governing bodies have never been typically associated with recognizing chiropractic. After a little snooping around on their website, I found the application to be straightforward. It required participants to plan and execute a proposed idea with support from faculty mentors and a core faculty at LEAPS within a year. If the student and their idea were chosen, the consortium would give small monetary grants to help get the project off the ground. Only 30 medical students around the country were to be picked!

As this was the first time the consortium had embraced complementary alternative medical providers, and given my intense passion for integrating medicine, I proposed the project of my dreams: an integrative medicine residency program that would be open to chiropractic students as well as other CAM and allopathic providers.

Although this kind of project is most likely going to be my life’s work rather than something I can accomplish in the next year, it was this idea that grabbed the interest of the coordinator and director of the leadership program and solidified my spot as the first chiropractic student accepted into LEAPS into IM.

Coming Soon! Read about Freya’s experience at the week-long Leaps into IM project in Oceanside, Calif.!

Gresham Integrated Care is now Health Centers of UWS, Gresham

PORTLAND, Ore., July 15, 2015 – University of Western States (UWS), a leader in health care education and community-based health care, announced the university’s clinic in Gresham, Gresham Integrated Care, is now named Health Centers of UWS, Gresham. The name change emphasizes the integration of the university’s health care facilities – five in the Portland and Salem areas – and conveys the clinics’ emphasis on patient-centered health care and collective affiliation with University of Western States. Since opening in 2009, the NW Civic Drive facility has served the health care needs of the Gresham community. Available services include chiropractic care, rehabilitative services, massage therapy, nurse practitioner family medical care, and functional medicine services. The clinics’ health care professionals provide services in a collaborative model to best serve patients’ individual needs. Under its new name, the Health Centers of UWS in Gresham will continue to provide high-quality, accessible, patient-centered health care consistent with the values and standards of University of Western States.

UWS has also launched a new website for patients featuring the ability to download forms, view profiles of clinicians, and access to MyChart. Patients can now view medical records and connect with their healthcare providers.

The Gresham Area Chamber of Commerce will host the Gresham Chamber on Friday morning, August 7 at Health Centers of UWS in Gresham, followed by a ribbon cutting ceremony at 9 a.m. The Health Center has been a member of the Gresham Chamber since 2010.

Online vs. Traditional Classroom Learning

By: Sara Mathov, director of MS exercise and sports science

In 2013, there were 7.1 million higher education students taking at least one online course, which represents 33.5 percent of all higher education students.* With so many students now enrolling in online courses, it is important to look at the differences between learning online and learning in the traditional face-to-face classroom setting.

When online courses started being offered, there was a common belief that the education received from an online course was inferior. But that is not true of today’s online courses. Similarly to the traditional classroom model, online classes have clearly stated learning objectives and outcomes. . In addition, most online courses are designed to have interactive components. It is common to see a mix of videos, group assignments, discussions on a given topic, and many other strategies to increase communication with fellow students and instructors. These activities increase active learning of the student. Many believe that online courses can be superior to traditional classroom learning because of this “active learning” strategy. As with everything, however, you get out of it what you put into it.

Below, I have listed my top five strategies to succeed in an online course and get the most out your learning experience:

  1. Check in more than once a week. One of the biggest downfalls of online courses is that it is very easy to procrastinate and get behind. The easiest way to avoid this is to log into the course regularly – ideally once a day (even if just for five minutes), but realistically a few times per week. This allows you to catch important course announcements, review upcoming deadlines, participate in the discussion forum and possibly interact more with other students and your instructor.
  2. Don’t be afraid to ask questions. Some courses will have a forum specifically designed for this purpose. Other courses may require you to email the instructor directly with questions. Don’t be shy, just ask! In a traditional classroom, it may seem easier to get information because the teacher is in front of you and there are classmates close by. In the online setting, they’re still all around you just can’t see them. You can usually assume that if you have a question, there are others wondering about it too. By posting in a forum, not only is the instructor able to address the question but other classmates can also weigh in and give feedback.
  3. Read announcements and emails. One of my biggest frustrations as a teacher is when I make an announcement in class and then get asked the same information moments later. It is no less frustrating when that information is given in the form of a course announcement or class email only to find out that very few people actually read it. In this digital era, it is very easy to access email and online courses from nearly anywhere on nearly every device. It’s also easy to be overloaded and therefore ignore information coming at you on a regular basis. I recommend setting an alert or having a specific folder so that you never miss a course announcement. It’s never an acceptable excuse to say, “I didn’t read the email/announcement” if you miss an important deadline.
  4. Be active in the discussion forum. Yes, I know that it can seem frustrating to be forced to reply to other posts, but the intention is to help you learn. There is a lot of research behind various learning styles and it is well known that if you participate in your learning you are much more likely to retain that information. The purpose of the discussion forum is to create the discussion that might occur in the traditional classroom setting: teacher asks a question, long silence follows, finally someone answers and often there is some discussion that occurs afterward. It is also a great place to pose a question (see #2 above) of both the teacher and your classmates and see what discussion may arise from that. When you create a thoughtful post that answers a question, it forces you to digest the material enough to be able to form an opinion about it. Each response afterward helps reinforce that knowledge and can also help others see things in a different way.
  5. Don’t count on your exams being “open-book”. When online courses started, this was one of the biggest criticisms. Not only did we question who was actually taking the exam, but also whether the student was using something to help (whether the book, notes or Google). These days, most courses have strict time limits that do not allow one to search various sources for every question and many courses will also use proctoring websites which monitor you while you take the exam (and make sure you are who you say you are). Just as you need to study and prepare for an exam in advance for a face-to-face course, you must prepare for an online exam and not expect that you can use materials to help you.

If you haven’t already taken an online course, the chances are quite high that you will soon. I hope that the suggestions above help you succeed in those courses.

 

*Reference: Allen IE, Seaman J. Grade Change: Tracking Online Education in the United States. Babson Survey Research Group, 2014.

Returning Veterans Project Partnership

The Northwest Center for Lifestyle and Functional Medicine and Returning Veterans Project partner to provide free chiropractic care and massage therapy to area veterans

The new UWS center is now the largest provider of services to the non-profit

PORTLAND, Ore., May 15, 2015 –The Northwest Center for Lifestyle and Functional Medicine (NWCLFM), a new center of excellence at University of Western States (UWS), is partnering with the Portland-based non-profit Returning Veterans Project. Through the alliance, Portland-area, post 9/11 war-zone veterans are eligible to receive free chiropractic care and therapeutic massages at one of the university’s outpatient clinics located on the UWS campus in Northeast Portland. The NWCLFM, in conjunction with UWS, is providing up to 28 hours of free therapeutic services per week to veterans, making it the largest provider of health services in the Returning Veterans Project network.

“What this signifies is that many Operation Iraqi Freedom (Iraq War) and Operation Enduring Freedom (Afghanistan war) veterans living with chronic pain, often due to the heavy equipment they had to carry for long hours, can now get services right away,” Belle Landau, executive director of Returning Vets Project said. “What we have found is that through services like massage and chiropractic care, vets get the help they need to get off their pain meds, stay in school, stay in their jobs, and hopefully become more open to counseling. These are life changing services that make family and work life easier for the people who served our country.”

Returning Veterans Project is one of the few veteran-centered health service providers that incorporates a holistic and integrative approach to treating the physical and mental scars of war. A number of studies support this method, showing that the biochemistry of a person after a massage demonstrates reduced cortisol and increased serotonin and dopamine.* Reports also show the importance of healing through chiropractic care. A study conducted on active duty military who received chiropractic care, along with conventional medical care for low back pain, showed a 73 percent decrease in acute pain versus the 17 percent in veterans who only participated in conventional medical care.**

“I am so excited to team up with Returning Veterans Project. This provides UWS massage students an excellent opportunity to work on a population that can really benefit from massage. Not only will it provide help for the physical ailments associated with combat, but evidence also shows the value massage therapy has for people suffering from PTSD, anxiety and depression,” Eric Polgar, director of the UWS massage therapy program said.

“Offering our service men and women free therapeutic services is our way of saying ‘thank you’ to a group that risked their lives for our country. I am so grateful to be a part of this opportunity and I know our students and the veterans will benefit from this partnership,” Dr. Stan Ewald, associate vice president of clinical internships and assessment added.

Appointments are available starting May 26. Veterans wanting to learn more can visit the Returning Vets Project website at www.returningveterans.org. Chiropractic appointments are available Monday-Thursday and massage therapy appointments are available on Wednesdays at the main UWS campus in Northeast Portland. Please call 503-255-6771 to make an appointment. All veterans will need to show a military ID or other documentation to receive free services.