The ACPM Board of Regents
in October 2007 agreed to actively pursue the College’s involvement in
evidence-based lifestyle medicine. It was the sense of the Board that the
College should actively explore the scientific basis, best practices, and need
for education in lifestyle medicine, including behavioral change, risk
reduction, and the prevention and treatment of disease through lifestyle
approaches.
The Board's decision was
triggered in part by the growing awareness of and interest in this field among
primary care practitioners, health care purchasers, policy makers, and the
general public. The Board recognized lifestyle medicine is a core competency of
preventive medicine and the College can play an important role in ensuring
lifestyle medicine programs are based on proven and effective methods of
preventing and controlling disease.
Lifestyle
Medicine Competency Development Initiative
On
July 27 and 28, 2009, ACPM convened a blue ribbon panel of physician experts
and representatives from leading primary care and other medical associations to
develop competencies for practicing physicians in lifestyle medicine. Dr.
Lianov and ACPM President Mark Johnson, MD, MPH, FACPM represented ACPM at this
forum. ACPM Past President George Anderson, MD, MPH, FACPM moderated the
meeting. Advance preparation included developing a literature review that summarized the body of
evidence supporting lifestyle interventions.
The
group reached consensus on a draft set of domains and competencies that define
a minimum base of knowledge, skills, and attitudes physicians should possess to
effect evidence-based lifestyle approaches to disease management and
prevention. These competencies have been published in the July 14 edition of
JAMA as part of commentary authored by Drs. Lianov and Johnson (see press release).
The
blue ribbon panel included representatives from the American Academy of Family Physicians, American
Academy of Pediatrics, American
College of Physicians,American Medical
Association,
American Osteopathic Association, American College of Lifestyle Medicine, and American College of Sports Medicine. The effort was made possible by
grants from Lifestyle
Center of America and P&G.
Advocacy
Members
of the blue ribbon panel sent an advocacy letter to each member of Congress during
last year’s health reform debate. The purpose of the letter was to educate each
legislator about the importance of healthy lifestyle behaviors in any effort to
reform health care. The letter resulted from ideas and desires that panel
members expressed at the July 2009 meeting. ACPM delivered the letter to
Congress on September 8, the day legislators returned from August recess. Both
ACPM and the American College of Lifestyle Medicine endorsed the letter as
organizations.