Fellowship in Integrative Medicine

Group physical therapy

The Fellowship in Integrative Medicine (INTM) requires students to successfully complete a Master of Science in Health Sciences (MSHS) in INTM, a standardized patient assessment, and a mentorship. The Fellowship in INTM is an inter-disciplinary, longitudinal program comprised of 1150+ hours delivered through an online curriculum, supervised clinical training, personal self-care projects, and experiential modules. Fellows will earn the following hours assigned to each content area below.

Curriculum Hours

Curriculum Summary Hours
Clinical Activities 580
In-Person Training 320
Research & Scholarly Activities 370
Total 1270

Clinical Activities

Clinical activities are an essential component of the Fellowship in INTM. Clinical education opportunities provide depth and breadth to the unique educational experience of each fellow.

Course Content Area Content Area Hours Total Hours
INTM 6201 Foundations in Integrative Medicine 70
  Overview of Integrative Medicine in the US 10  
  Identity and Role of IM Provider 5  
  Lifestyle Medicine 55  
INTM 6202 Self Care Methods in Integrative Medicine 70
  Stress and Sleep 10  
  Emotional Trauma, Resiliency and Coping 20  
  Mind Body Skills 10  
  Social and Cultural Aspects of Health 10  
  Distress, Discomfort and Pain 20  
INTM 6205 Clinical Genomics, Proteomics, & Metabolomics 70
  'Omics 30  
  Bioinformatics 10  
  Technology 30  
INTM 6206 Legal & Medical Ethics in Integrative Medicine 50
INTM 6210 Practical Application of Integrative Medicine I 160
  Lifestyle Medicine 10  
  Stress, Sleep and Group Visits 10  
  Healthy Metabolism: The Web of Physiology 80  
  Dietary Supplements, Nutraceuticals, Botanicals and Drug Induced Nutrient Depletions 50  
INTM 6211 Practical Application of Integrative Medicine II 160
  Healing Environments 5  
  Healing Presence 5  
  Traditional Healing Systems, Collaboration and Interprofessional Leadership Skills 50  
  Mindfulness Based Stress Reduction 30  
  Evidence based INTM 10  
  Community Health: Social and Cultural Competency 30  
  Homeopathy, Traditional Herbal Medicine and Natural Compounds 30  
Total     580

In-Person Training

In-person training that includes didactic lectures, case-based learning, experiential vignettes, and small group discussions. These courses focus on the clinical sciences related to Integrative Medicine and ensure depth of knowledge, critical skill development, and patient care competencies.

Course Content Area Content Area Hours Total Hours
INTM 6203 Nutritional Metabolism & Environmental Exposure 72
  Environmental Medicine 24  
  Obesity, Inflammation and Cardiometabolic Diseases 24  
  Endocrinology and Aging 24  
INTM 6204 Metabolic Networks in Integrative Medicine 70
  Gastroenterology and Immunology 24  
  Neurology and Mental Health 24  
  Integrative Medicine Management of Complex Cases 22  
INTM 6210 Practical Application of Integrative Medicine I 60
  Clinical Rotation I 60  
INTM 6211 Practical Application of Integrative Medicine II 60
  Clinical Rotation II 60  
Standardized Patient Assessment     8
Mentorship     50
Total     320

Research & Scholarly Activities

The courses corresponding in this section are devoted to research and scholarly activity and their application to the practice of Integrative Medicine. Emphasis is placed on clinical research skills as fellowship graduates may be offered an opportunity to enter a practice-based research network (PRBN) that is linked to the GW INTM Clinical Research Center. The PBRN will facilitate the collection of outcomes and cost-effectiveness data, publish research papers and clinical guidelines, inform the curriculum, and improve the evidence base of the field of Integrative Medicine.

Course Content Area Content Area Hours Total Hours
INTM 6212 Clinical Research in Integrative Medicine 70
HSCI 6241 The Health Care Enterprise 100
  Business Acumen 40  
  Marketing, Public Relations and Social Media 30  
  Inventory Management 10  
HSCI 6263 Biostatistics for Clinical & Translational Research 100
HSCI 6264 Epidemiology for Clinical & Translational Research 100
Total     370

Course Descriptions

Below are descriptions specific to the Fellowship in INTM. For detailed information regarding the subject matter, approach, and applicability of the course, please refer to the MSHS in INTM course descriptions.

Standardized Patient Assessment

This one-day immersion will occur at the George Washington University patient simulation center as part of the INTM Fellowship Program.

  • Perform an in-depth INTM assessment
  • Demonstrate advanced skill in collecting essential components of an INTM assessment, including identifying patients’ health concerns, goals, and expectations
  • Conduct a thorough conventional medical history and physical exam
  • Conduct a thorough history of current and past complementary and alternative medicine (CAM) therapies, dietary supplement intake, nutrition, physical activity, and sleep patterns
  • Discuss stressors and stress management skills
  • Review personal relationships, social network, and support systems
  • Discuss religious and spiritual history
  • Demonstrate ability to counsel patients on the risks, benefits, and alternatives to an INTM treatment plan, including a discussion of existing evidence to facilitate informed decision making on INTM approaches to care

Mentorship

Students will spend one to two weeks with clinical faculty observing patient care in INTM practices.

  • Observe professional INTM care in a clinical setting that demonstrates the principles and practices contained in the Fellowship Program
  • Document a de-identified list of all patient interactions, including demographics, chief complaint, findings, and clinical recommendations
  • Develop 5 narrative case reviews of complex patients, based on a defined set of criteria, to be reviewed by faculty. Include literature citations, decision-making process, and selection of appropriate CAM and conventional providers
  • Conduct self-reflection on mentorship experience(s), strengths and areas for improvement and define professional learning goals for improving knowledge, skills, and attitudes

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