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WHEREAS, the consultant function of general preventive
medicine is presently atrophic, and
WHEREAS, a general
preventive medicine led team evaluation is likely to benefit
each American periodically (e.g., every five years) in
advanced (not primary care) preventive medicine, and
WHEREAS, the efficacy
of this approach (consultative preventive medicine) is on
the one hand manifest and on the other hand yet to be
established, and
WHEREAS, it is obvious
that a team of general preventive medicine specialist,
preventive medicine practitioner (a new health
professional), geneticist, psychologist, coach/personal
trainer, and nutritionist working in concert can deliver a
real service to each American, and
WHEREAS, the effects on
morbidity and mortality of this approach is hypothesized to
exist and to represent a needed assessment associated with
promulgation of consultative preventive medicine, and
WHEREAS, a ten year
demonstration project of five Centers for the Advanced
Practice of Preventive Medicine (general preventive medicine
residencies, model consultative preventive medicine
practices, foci of educational development and advanced
preventive medicine research) is a worthwhile beginning step
in the U.S., and
WHEREAS, curriculum
development activities for general preventive medicine
specialists serving this role are needed as are similar
activities for preventive medicine practitioners, and
WHEREAS, research
focused on the interpretation of the human genome for
advanced prevention is highest priority for consultative
preventive medicine, and
WHEREAS, the economic
viability of private consultative preventive medicine
practice depends on informed reimbursement decisions by
third party payers and new forms of insurance (e.g.,
lifetime preventive services), and
WHEREAS, the U.S.
Public Health Service serving the advanced preventive
medicine needs of veterans represents an appropriate
illustrative starting point for the public portion of
consultative preventive medicine practice, and
WHEREAS, a Center for
the Advanced Practice of Preventive Medicine at the National
Institutes of Health represents an ideal starting point to
serve government employees, including members of the
legislative, executive, and judicial branches of government,
Be it RESOLVED that:
(1) The American
College of Preventive Medicine form a Task Force on
Consultative Preventive Medicine (a) to develop a model
consultative preventive medicine practice simulation, (b) to
formulate recommendations for residency training in general
preventive medicine assuming realistic, widespread adoption
of consultative preventive medicine practice (to bring to
the Residency Review Committee in Preventive Medicine), and
(c) to convey the implications of realistic, widespread
adoption of consultative preventive medicine for public and
private sectors and for reimbursement and insurance; and
(2) The American
College of Preventive Medicine advocate the initiation,
conduct, and completion of a feasibility study by the
Institute of Medicine of each American being evaluated by a
general preventive medicine specialist led team periodically
(e.g., every five years).
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