American College of Preventive Medicine
Policy Resolution # 01-06(A)


TITLE: Consultative Preventive Medicine for each American
AUTHOR: Daniel Barr, M.D., D.A.B.P.M. (non-member, ACPM)
Sponsored by Joel L. Nitzkin, MD, MPH, DPA, FACPM
DATE: February 10, 2001


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).