Graduate Certificate in Integrative Medicine

Woman in forest

The online Graduate Certificate in INTM curriculum retains the key concepts and approaches defined in GW’s MSHS in INTM program. The Graduate Certificate in INTM requires the successful completion of 18 credit hours. Graduates are equipped to embrace the changing demands and innovations of the healthcare landscape.


Course Number Title Credits
INTM 6201 Foundations in Integrative Medicine 2
INTM 6202 Self Care Methods in Integrative Medicine 2
INTM 6203 Nutritional Metabolism & Environmental Exposure 2
INTM 6204 Metabolic Networks in Integrative Medicine 2
INTM 6205 Clinical Genomics, Proteomics, & Metabolomics 2
INTM 6206 Legal & Medical Ethics in Integrative Medicine 1
INTM 6210 Practical Application of Integrative Medicine I 4
HSCI 6241 The Health Care Enterprise 3
    Total Credits 18

Course Descriptions

INTM 6201 Foundations in Integrative Medicine

This foundation course provides a framework for developing a patient centric approach to care.

Overview of Integrative Medicine in the US

Students learn an overview of the historical, sociocultural, and legal accounting of the evolution of medicine in the United States.

  • Discuss domains of complementary and alternative medicine (CAM) as defined by the National Center for Complementary and Alternative Medicine (NCCAM) of the National Institutes of Health

  • Examine usage patterns of CAM and history of integrative medicine 

  • Analyze competing models of therapeutic approaches, the ascendancy of biomedical reductionism, and a re-envisioned medical system based upon a personalized therapeutic paradigm are explored

Identity and Role of INTM Provider

The role and identity of the Integrative Medicine provider and review of basic professional competencies including fundamental attitudes, knowledge, and skills are analyzed.

  • Define key characteristics, skills and attributes of an INTM provider
  • Review professional competencies, guidelines and legal requirements
  • Demonstrate understanding co-management of patients with conventional and CAM providers, therapeutic, ethical and legal issues

Lifestyle Medicine

The foundations course will focus on Lifestyle Medicine topics to offer in-depth scientific knowledge of the relationships of lifestyle behaviors, such as diet, physical activity, and sleep, with health and chronic diseases.  Students will compare and contrast definitions of Lifestyle Medicine and Integrative Medicine and develop a self care plan for nutrition, exercise and healthy behaviors throughout the course.

Lifestyle Medicine I: Therapeutic Relationships and Behavior change
  • Review the evidence and framework for the Macy Model of Therapeutic encounters
  • Develop emotional and cultural competency by understanding patient in context while demonstrating mastery of verbal and non verbal communication
  • Demonstrate sensitivity to style and level of patient education, patient concerns and feelings with respect to readiness for change
  • Analyze evidence-based methods to cultivate therapeutic connection, shared goal setting and Self Determination Theory
  • Synthesize evidence for sustaining behavior change utilizing the MAPs model and Motivational Interviewing techniques
  • Students will conduct self reflection exercises on listening, interpretation and communication skills
  • Analyze a series of provider patient interactions and apply learned principles and evidence-base of the therapeutic relationship
Lifestyle Medicine II: Exercise Prescription and Physical Activity
  • Define the medical model of exercise, monitoring strategies and appropriate goal setting
  • Discuss meaning of behavior, how these meanings are created and applied to exercise
  • Analyze common barriers to physical activity and demonstrate competency in assigning effective exercise programs based on a patient-centric needs approach
  • Interpret current evidence by ACSM guidelines and pros and cons of prescribing exercise as preventive medicine and for the treatment of lifestyle-induced disease in an integrative medicine setting
  • Demonstrate competency with fitness assessment and exercise prescription in common clinical conditions with assigned cases
Lifestyle Medicine III: Clinical Nutrition, Diet Theory and Food
  • Describe the role of diet in the development of disease, including information on excessive intake of nutrients, under-intake of nutrients and intake of potentially disruptive ingredients in foods, such as trans fats and corn syrup sweeteners
  • Describe the concept of nutrient density and it’s role in health
  • Describe different approaches to healthy diet such as anti-inflammatory diets
  • Review Glycemic Index and Glycemic Load concepts and discuss application
  • Describe macronutrient content and other features of current medically sanctioned weight loss and disease-prevention diets, including: Low fat, low calorie diets; Vegetarian and diets; Anti-inflammatory diets; DASH diet; Mediterranean diet; Low Carb diets 
  • Review weight loss and other outcomes in medical studies of the diets
  • Discuss other current popular, fad, and alternative diets, including raw diets, vegan diets, juice fasts, blood type diets, and metabolic typing diets
  • Discuss other dietary considerations including Gluten elimination and Food Allergens, genetically modified foods, and organic foods
  • Review current online diet and mobile app diets and journals for weight loss and weight management support
  • Demonstrate competency in assigning appropriate diet for various chronic medical conditions
  • Develop a self care nutrition plan and track biometric markers

Go to Top ▲

INTM 6202 Self Care Methods in Integrative Medicine

This course provides a framework to understand and apply Integrative medicine principles to the patient in relationship to self, others and their environment – the biopsychosocial domain. Students will explore the related topics of stress and discomfort, and methods to mitigate ‘dis-ease’ and emotional trauma, improve self-awareness and resiliency, cultivate social connectivity, and a sense of meaning and purpose.

Stress and Sleep

  • Define allostasis and allostatic load and discuss an integrated psycho-physiologic model of the stress response
  • Examine physiologic correlates to stress such as cortisol, heart rate variability, immune competence and autonomic balance
  • Discuss several psychological measurement tools for stress and sleep
  • Examine current literature on sleep, stress and methods to improve sleep quality
  • Demonstrate mastery of common herbs, supplements and behavioral interventions for common stress and sleep disorders

Emotional Trauma, Resiliency and Coping

  • Apply validated scales for emotional trauma, PTSD, and chronic stress and their relationship to chronic illnesses
  • Discuss the Childhood Trauma Checklist, and how perception, beliefs and culture impacts one’s definition of trauma, stress, and crisis
  • Evaluate the four-phase chronic illness model and review psychological coping strategies, framing techniques, and relaxation therapies to build emotional resiliency
  • Demonstrate ability to integrate coping skills and resiliency training in INTM practice
  • Assess caregiver burnout, ‘woundedness’ and whole body approaches to self care
  • Develop an emotion-based self care plan to enhance personal wellbeing

Mind Body Skills

  • Review the relationship of stress to awareness, mindfulness and self care
  • Review common mind body practices in INTM including mindfulness-based stress reduction
  • Examine heart rate variability, autonomic tone and self regulation practices for stress reduction
  • Explore compassionate presence, loving kindness and spirituality in the context of distress, meaning and purpose
  • Identify community resources and referral network for patients requiring support with stress, emotional trauma and coping skills
  • Develop a mind body plan for self care based on personal needs and barriers

Social and Cultural Aspects of Health

  • Identify cultural, socioeconomic and historical factors that shape health disparities across populations
  • Examine the ways in which integrative practitioners can participate in community based health programs, identify barriers to access and develop health resources for underserved populations 

  • Review how language, art and culture shape traditional medical systems, determine medical technologies and influence the role of the healer and patient
  • Demonstrate social and cultural competency in the context of an integrative care plan
  • Implement a self care plan that integrates social connectivity, cultural awareness and personal wellness

Distress, Discomfort and Pain

  • Review common pain-related conditions in Integrative Medicine
  • Examine the evidence for CAM approaches to pain including movement therapies, acupuncture, manual medicine, mindfulness, dietary supplements, herbs and lifestyle behaviors
  • Develop an individualized treatment approach that includes
both pharmacological therapies and integrative methods to common pain conditions
  • Demonstrate competency with organizing a care team for integrated pain management

Go to Top ▲

INTM 6203 Nutritional Metabolism & Environmental Exposure

Students will analyze the relationships between nutrients and environmental exposures and the impact that they have on obesity, diabetes and cardiovascular disease. The learner will become familiar with a variety of dietary strategies and approaches, their evidence and application, as well as discuss current food policies and regulations. Key topics in medical toxicology will be addressed within the framework of exposure, chronicity, implication in human diseases, and appropriate removal. A complete review of cardiometabolic risk, endocrine and cardiovascular diseases will be conducted as well.

Environmental Medicine

  • Examine the emerging field of environmental medicine
  • Identify at risk and vulnerable populations, environmental conditions, and associated chronic illnesses
  • Discuss symptoms, disorders and diseases associated with exposures of heavy metals, pesticides, chemicals, drugs, nutrients, the natural environment and other toxic causes of oxidative stress
  • Examine the literature on exposure, exposure timing, and metabolic reserve in human health
  • Analyze assessment tools and strategies for identifying presence of biotoxins
  • Discuss integrative medicine therapies designed to reduce exposure risk, safely eliminate toxic burden and prevent reaccumulation

Obesity, Inflammation and Cardiometabolic Diseases

  • Examine lifestyle, exposure and genetic predisposition in at risk populations for cardiometabolic disease
  • Review assessment tools and diagnostic strategies for common conditions such as metabolic syndrome, diabetes, hypertension, hyperlipidemia, cardiovascular disease and heart failure
  • Discuss the central role obesity and inflammation play in cardiometabolic disease
  • Develop patient centric, culturally sensitive integrative medicine plans for the cardiometabolic patient to reduce risk and treat associated conditions

Endocrinology and Aging

  • Examine the role hormones play in health across the lifespan of women and men
  • Review assessment and treatment of common gender related conditions
  • Examine the evidence for risk and benefits of hormone management, mitigation of cancer risk, and alternative treatment options
  • Develop integrative treatment plans for women and men with respect to hormonal deficiencies and imbalances based on patient centric, culturally sensitive therapies

Go to Top ▲

INTM 6204 Metabolic Networks in Integrative Medicine

Students will evaluate diseases of the gastrointestinal tract, immune and nervous systems and analyze the interconnectedness of these body systems in the context of chronic disease states. Emphasis will be placed on assessment of symptomatic, functional and disease markers and the development of integrative treatment plans.  Students will synthesize summary cases for INTM 6203 and 6204 and submit to faculty and students for review.

Gastroenterology and Immunology

  • Review epidemiology, pathophysiology and mechanisms underlying dysbiosis, irritable bowel syndrome, GERD, inflammatory bowel disease and gut permeability
  • Analyze the relationship between the digestive tract and immune system
  • Review the various activities of the immune response in the common chronic diseases including inflammation, immune intolerance, allergic, oncologic, adaptive and innate responses
  • Analyze the evidence for the integrative medicine management of gastrointestinal and immune related conditions
  • Discuss validity and reliability of testing methods, conventional and functional, in digestive and immunologic disorders
  • Review cases related to gastroenterologic and immunologic diseases and demonstrate competence in developing integrative care plans

Neurology and Mental Health

  • Review epidemiology, pathophysiology and mechanisms underlying headaches, neuropathy, neurodevelopmental and neurodegenerative disorders and mood disorders and mental illness
  • Analyze the relationship between the peripheral and central nervous system with the digestive tract and immune system
  • Analyze the evidence for the integrative medicine management of neurological and psychiatric related conditions
  • Discuss validity and reliability of testing methods, conventional and functional, in neurological and psychiatric disorders
  • Review cases related to neurological and psychiatric diseases and demonstrate competence in developing integrative care plans

Integrative Medicine Management of Complex Cases

  • Synthesize medical knowledge, patient care skills and clinical judgment in a set of complex patient presentations drawn from INTM 6203 and INTM 6204
  • Demonstrate understanding of underlying causative mechanisms, integrated physiologic processes, and symptom complexes in selected chronic conditions
  • Utilize an evidence based, patient centric approach to develop integrative medicine clinical plans that include lifestyle recommendations, mind body skills, strategic use of dietary supplements and botanicals, and appropriate referrals to CAM and conventional providers

Go to Top ▲

INTM 6205 Clinical Genomics, Proteomics, & Metabolomics

Students will review the emerging disciplines of clinical genomics, proteomics, metabolomics, bioinformatics and the role of technology with Integrative Medicine. Expert faculty from the Human Metabolome Project will help students understand the promise, complexity and challenges related to ‘omics, current application and future trends. Students will apply evidence based ‘omics and technology towards prevention, predictive analysis and patient centered care.


  • Analyze ‘omics in clinical practice including genomics, transcriptomics, proteomics, metabolomics, phenomics, bioinformatics, pattern recognition, and metabolic network assessment  
  • Develop ability to interpret the ‘omics literature, including nutrigenomics, pharmacogenomics, cardiogenomics, and detoxigenomics
  • Describe the importance of isolating patterns of meaning within complex signals and complexity of analyzing large data sets
  • Develop personalized, clinically meaningful solutions based on ‘omics, with attention to lifestyle and wellness focused solutions


  • Examine bioinformatics in healthcare and the responsibility of the medical provider to manage growing amounts of information
  • Review computational biology, systems biology and large data analysis in the context of medical decision making, ‘omics, and technology
  • Examine the impact bioinformatics on Integrative Medicine, predictive analyses and preventive care


  • Examine technological advances in gathering, interpreting, distributing and tracking data in health care
  • Describe issues of data integrity, HIPAA, and data safety
  • Analyze and use on line systems and wearable devices, and the evidence for their variable impact on health outcomes (students will be distributed devices)
  • Demonstrate ability to conduct a technology evaluation in patients, impact on health behaviors, social relationships and daily activities
  • Utilize technology in integrative medicine cases to collect data and biometrics, track behavior and outcomes

Go to Top ▲

INTM 6206 Legal & Medical Ethics in Integrative Medicine

Students will evaluate the legal and ethical considerations in decision making related to patient care. Students will develop business strategies associated with running an integrative medicine practice.

  • Review the legal environment in which the Integrative Medicine physicians operate, how to assess risk and mitigate malpractice events
  • Understand common ethical issues that arise in medical practice today
  • Understand what is PHI, HIPAA Privacy Rule, HIPAA Security Rule, and the Patient Safety Rule
  • Understand what is able to be disclosed, to whom, for what reason and what is needed for disclosure
  • Review physician risk for referral to non-traditional providers
  • Discuss agency relationships and duty to supervise
  • Discuss ‘health freedom laws’ and state medical board regulatory powers
  • Review the Federation of State Medical Boards model guidelines governing CAM therapies
  • Review consumer rights to access versus states rights for regulation and licensure of medical practices
  • Discuss the caveat of DSHEA as consumer right for dietary supplements
  • Define non-FDA approved drug category
  • Review access to CAM therapies in hospital setting
  • Discuss special populations:  children and infants
  • Review third party reimbursement issues and mandated covered therapies
  • Discuss financial risk with regard to departure from insurance guidelines
  • Define advanced beneficiary notice and opting out for Medicare and Medicaid

Go to Top ▲

INTM 6210 Practical Application of Integrative Medicine I

Students apply in-depth application of knowledge and skills of Integrative Medicine to develop comprehensive patient care cases. Students will synthesize principles of systems biology with lifestyle medicine interventions and integrative medicine therapies to restore healthy metabolism and vitality.  Under expert supervision, students will develop a series of cases either derived directly from their clinic, or provided through the program. The student is required to progressively enhance clinical reasoning and integrative clinical practice into the development of comprehensive clinical care plans.

Lifestyle Medicine

  • Practical review and round table discussions with faculty experts on nutrition, exercise prescription and the therapeutic relationship
  • Collect and analyze biometric, metabolic and self report data for patients requiring Lifestyle related interventions
  • Explore and share tools, technology and resources to create specific diet and exercise planning for patients
  • Demonstrate ability to track, coach and encourage patients between visits
  • Demonstrate competency in assigning appropriate diet and exercise for various chronic medical conditions
  • Develop a self care nutrition and exercise plan and reflect on personal strengths and weaknesses by end of course

Stress, Sleep and Group Visits

  • Examine evidence for measurement of the stress response and deploy psychological and physiologic measures in clinical practice
  • Conduct thorough sleep quality analyses and develop Integrative treatment plans based on sleep hygiene, dietary supplements, and mind body techniques
  • Review the group visit model in clinical practice and develop an 8-week program for patients utilizing the theme of Stress Management
  • Conduct thorough literature review of assigned dietary supplements, herbs and nutraceuticals for stress and sleep and submit for discussion by faculty and students

Healthy Metabolism: The Web of Physiology

  • Explore a metabolic model of physiology and its application in clinical systems biology
  • Examine the literature and therapeutic relevance for assigned domains of metabolic networks (i.e. Gut-Immune-Brain axis, Brain-Heart axis, and more) and submit professional slide presentations to summarize findings
  • Demonstrate understanding of prevention, early detection and restoration of functional disturbances to enhance wellness and mitigate common chronic diseases
  • Utilize technology and on line tools to enhance data gathering, analysis, and clinical plan development
  • Demonstrate proficiency of managing complex patients utilizing Lifestyle Medicine, clinical systems biology, predictive biomarkers, tools and technology to develop sophisticated Integrative Medicine plans

Dietary Supplements, Nutraceuticals, Botanicals and Drug Induced Nutrient Depletions

  • Review evidence for use of dietary supplements, nutraceuticals, and botanicals in medical conditions
  • Examine legal, regulatory, GMP, safety and quality issues of natural products
  • Review current literature on assigned products and submit evidence-based reviews
  • Describe nutrient depletions induced by common medications and their appropriate repletion
  • Review common drug-herb-nutrient interactions, utilize tools for identifying potentially harmful clinical situations and demonstrate ability to make recommendations for safer options
  • Demonstrate ability to conduct dietary supplement intake and make appropriate, patient centric recommendations for common chronic illnesses

Clinical Rotation I

  • Demonstrate ability to conduct an Integrative Medicine interview and plan development that reflects patient centric, evidence based decision making
  • Display proficiency in all phases of the therapeutic encounter – acquisition of information, analysis of complex data, and targeted clinical plan development that includes Lifestyle considerations, dietary supplements, herbs and nutraceuticals, and co-management with appropriate CAM and conventional providers
  • Demonstrate effective communication skills, empathy, compassion, and respect to patients throughout the encounter
  • Reflect on personal strengths and weaknesses, and areas for improvement to be discussed with faculty
  • Submit case reports that summarize patient encounters, clinical decision making and future steps with literature cites

Go to Top ▲

HSCI 6241 The Health Care Enterprise

This course provides an overview of general management and business principles related to health care systems with a focus on the strategic management of patient-centered care delivery and strategic health care leadership. Through the development of a strategic plan, students will apply organizational, marketing and fiscal management principles in a process that is developmental towards the stated goal of developing healthcare enterprise leaders.

Business Acumen

  • Define Business Acumen
  • Review the characteristics of leadership skills including visioning, direction, integration, innovation, control and communication
  • Explore the qualities of a leader
  • Discuss the role of personal transformation in leading change
  • Review leadership as organizational spirituality: meaning and purpose in the work place
  • Define personal values and principles as foundation for leadership skills
  • Define business expertise
    • Industry knowledge
    • Competitive mindset
    • Winning strategy
    • Resource requirements
    • Risk considerations
  • Discuss understanding the industry – context, professionalism and market forces
  • Define strategy and strategic plan
  • Discuss elements of a strategic plan
  • Mission and Vision Statement
  • Situation Analysis
  • Long term goals and objectives
  • Strategy and Action Plans
  • Differentiate between a strategic plan and business plan
  • Review the mission statement and its three components and develop a mission statement
  • Define vision statement, or the ‘dream state’ of the business
  • Review examples of vision statements and develop a vision
  • Review elements of situation analysis
    • Market summary, industry trends, and competition
    • Regional demographics and prior use patterns
    • Identify target market
  • Define SWOT Analysis
  • Discuss the development of strategic objectives based upon visioning process
  • Review development of goals and action items and discuss measures of success
  • Discuss the competitive analysis
  • Define Management Processes
    • Strategic Planning Cycle
    • Financial Forecasting
    • Customer Management
    • Regulatory Compliance
  • Discuss elements of operations and management
    • Organizational design
    • Hiring and retention
    • Clinical integration and flow
    • Systems and operations
    • Policies and procedures
  • Review the basics of clinical operations and staffing requirements
  • Conduct a writing exercise for envisioning change in ones medical practice

Marketing, Public Relations and Social Media

  • Review traditional marketing strategies and identify specific advertising channels (TV, Radio, print, billboard)
  • Define how Medical Marketing is unique Information Communication
  • Identify current marketing trends (social media, eblasts, google ad words, twitter, Facebook, YouTube, Instagram, SnapChat, and Tumblr)
  • Learn to create a marketing plan including budget, calendar and goals
  • Discuss the concept and importance of internal marketing
  • Identify creative marketing ideas and common mistakes
  • Identify essential marketing strategies and the correlating financial commitment
    • 1st tier basic marketing (website, basic brochures, email and testimonial collection, team support)
    • 2nd tier (constant contact, facebook, eblasts, newsletters, educational events)
    • 3rd tier (twitter, webinars, YouTube, PR)
  • Identify social media channels and discuss their application in a medical practice
  • Review PR strategies

Inventory Management

  • Define the role and purpose of inventory in IM medical practice
  • Discuss the types of inventory
  • Define inventory costs and opportunity costs
  • Define Mark up and Margins
  • Learn to track inventory
  • Discuss methods of data interchange with vendors
  • Discuss accounting and valuation methods for inventory
  • Discuss ratio analyses
  • Determine handling procedures for aging and out of date stock
  • Discuss differences between ordering cost and purchasing
  • Learn several approaches to reordering inventory, including just In Time, EOQ, and Reorder Point
  • Discuss value of physical inventory versus on line vendor support
  • Conducting the Inventory Audit and methods of cycle counting

Go to Top ▲