N E W S L E T TER OF THE ASSOCIATION OF Complementary Physicians of BC Vo l u m e 5 N u m ber 2 Fall 2005 Devoted to the advancement A Word from the ACPBC President of excellence in complementary Visioning the Future and integrative patient care, by promoting education, research and sharing of Ron Puhky, MD information and knowledge. EDIT O R I A L It is with mixed feelings that I write this, my last editorial for the ACPBC newsletter. Transition is in the air for all of us in the medical profession, myself included, and that will be the theme for the ACPBC workshop to be held up at Hollyhock May 31 – June 4, 2006. Please review the advertisement for Doctors in Transition in this issue and make time in your calendars for what is sure to be a soul nourishing experience. Our organization is still basking in the ‘afterglow’ of the very successful conference When the Body Forgets to Heal: An Integrative Approach to Reactivating the Healing Response at the University of Victoria featuring Dr Andrew Weil. The ACPBC Executive has been very busy completing loose ends from this. It is time for me to pass on the torch to the upcoming generation of integrated physicians. The last ten years have been enjoyable and rewarding and now the ‘gates of Rome’ are open with the BC government and UBC being more open to integrated medicine, as our forward-thinking outgoing President, Dr Ron Puhky, and our very competent President-elect, Dr Warren Bell have found out. (Please see their respective comments.) I look forward to supporting the ACPBC from a back row seat as I once again ‘transform’ myself and to seeing you all at the Doctors in Transition workshop at Hollyhock in May/June 2006. Stephen Faulkner MB, ChB ACPBC NEWSLETTER EDITOR Dr Ashoka Krishnamurthy, Dr Shannon Waters, Margaret Hess, Dr Ron Puhky, Dr Jim Tucker and Dr Peter Nunn. H ere we are post-conference, and what a conference it was! All events sold out and our feedback was tremendous. On behalf of the ACPBC Executive, Conference Committee, general membership and myself, I would like to take this opportunity to express our sincere gratitude to our conference planner Geoff Gosson for his hard work and dedication in turning our expansive conference vision into a splendid reality! In July we had a great time celebrating the conference and visioning the future at our farm on Saltspring. Most of the projects you will read about in this issue were started at this meeting. This will be my last report as President. Dr Warren Bell from Salmon Arm will be moving into my position in the New Year. Long-time deeply dedicated member, Dr Peter Nunn, has stepped down as Secretary/ Treasurer and Dr Steven Kleinman has taken over this role. Current Vice-President, Dr Claire Astley will be stepping down as VP in January, though she will continue in her role as Education Coordinator and be active on committees. As we go to print, there is currently no one standing for election for the VP position. Please contact Nicole Moen, or me if you would like to put your name forward for VP for the ACPBC in this very exciting time for the Association! I will be active in my new role as PastPresident as I want to continue to contribute to the many projects we have started. I was President for two years and I am more than satisfied with the progress the ACPBC has made. On page seven is a summary of the interim report we sent to the Lotte and John Hecht Memorial Foundation. It describes how the ACPBC is involved in moving integrative medicine initiatives forward. Blessings to you all for a healthful and joyful winter season. ◆ CONTENTS Editorial A Word from the President Post-Conference Report Chipping Away General Meeting Schedule Incoming President Doctors in Transition ACPBC Operational Report Summary Membership Application Form 1 1 2 4 5 6 6 7 8 Left: Dr Andrew Weil and Donna Herringer. Right: Stephanie Von Dehn (Medical student), Angela Webster (Executive Director of The Lotte and John Hecht Memorial Foundation), Nicole Moen (ACPBC Executive Coordinator), Dr Roger Rogers. P O S T- C O N F E RENCE REPORT When the Body Forgets to Heal An Integrative Approach to Reactivating the Healing Response This Report was summarized from the Post-Conference Report the ACPBC sent to conference funders The Lotte and John Hecht Memorial Foundation T he ACPBC initiated, planned and delivered a full-scale international, interdisciplinary conference entitled When the Body Forgets to Heal: An Integrative Approach to Reactivating the Healing Response. It was held on May 27– 29, 2005 in Victoria, BC, at the Royal Theatre and the University of Victoria. Conference Speakers and Delegates Our conference attracted a number of prominent individuals in the integrative medicine field. Dr Andrew Weil was our featured keynote speaker. He also sat on our first panel: “Educating a New Generation of Physicians” and attended a lunch for medical students. He is now an honourary member of the ACPBC. Additionally, the conference attracted the following distinguished presenters: Dr Steven Aung, an ACPBC member and a 2005 recipient of the Order of Canada for his work in the health field; Dr Gabor Maté, influential physician, author and psychotherapist; Dr Carolyn 2 | Fa l l 2 0 0 5 DeMarco, author of one of the first integrative health books for women; Dr Charles Moss, one of the few Fellows of Medical Acupuncture in the American Academy of Medical Acupuncture; Dr Leanna Standish, a leading researcher in integrative healing from Bastyr University in Washington state; Dr Marja Verhoef, a dynamic leader at the University of Calgary who has been instrumental in starting many of the “CAM in Canada” organizations (IN-CAM, ICAM, PedCAM, CAM in UME and CAMera). We also stepped quite far out of the box and invited “Adam” a young distance healer; he drew a lot of attention to our conference. We worked hard to have as many medical students as possible attend the conference. One group of four students raised money, deferred exams, rented a van and drove from Calgary. One keynote speaker declined an honourarium and donated that money to the students’ conference fees. In all we had about 25 medical students attend (UBC, U of Calgary, USA). New Connections The ACPBC has expanded its connections with a wide variety of organizations and individuals with which we will be able to partner to work on other projects. The “CAM in Canada” display was an eye-catching installation of ten 6’ x 2 1⁄2’ brilliantly coloured banners that symbolically and literally brought together the following organizations and their representatives for the first time in the same place: ACPBC, Canadian Complementary Medical Association (CCMA), Canadian Interdisciplinary Network for Complementary and Alternative Medicine Research (IN-CAM), Integrative, Complementary and Alternative Medicine—Medical Student Interest Group (ICAM), Holistic Health Research Foundation of Canada (HHRFC), Canadian Complementary and Alternative Pediatric Medicine Network (PedCAM), Complementary and Alternative Health Affiliate —Canadian Health Network (CHN), Alternative and Integrative Medical Society (AIMS), Complementary and Alternative Medicine in Undergraduate Medical Education (CAM in UME) and Complementary and Alternative Medicine Education and Research Network of Alberta (CAMera). That we were able to include 2 student organizations—ICAM (U Calgary) and AIMS (UBC), and a federal health organization —the Canadian Health Network—in this installation, were especially significant and gratifying to us. In addition, we have established relationships with a number of other organizations across Canada. The Association of Massage Therapists and Wholistic Practitioners, operating out of Edmonton, was a generous sponsor. We established a number of other sponsor relationships including: Planet Organic, Quest Vitamins, University of Victoria School of Nursing, Hollyhock Retreat Centre, International Society for Orthomolecular Medicine, Genuine Health and several media sponsors. Conference Feedback and Evaluations As a result of this conference, The ACPBC has established itself in the integrative medicine field. Anecdotally, we heard such comments as, “I’ve been attending health conference for 30 years and this is the best one I’ve ever attended.” In our comments section of evaluation form we read comments such as: “I feel this is a LANDMARK event that will galvanize a whole series of health practitioners to go out into their community and in their own way inspire and create change,” “This was an amazing conference! Attention to detail was done in the most caring and health promoting way,” “Conference is ‘5 Star’—From presenters to publications to organization to food venues, nutrition breaks etc.,” “Simply the best conference I have ever been to; in terms of presenters, the organization of the conference, attention to detail and nurturing envi- “The Stev/phens”, Dr Steven Kleinman, Dr Stephen Malthouse, Dr Stephen Faulkner, Steven Carter in front of the dramatic CAM in Canada display. ronment,” and “That was, without a doubt, the most wonderful inspirational conference I have ever attended. From the choice of speakers to the range of delegates to the inclusion of music to the amazing dinner last night.” We are delighted with these glowing endorsements and also to those who offered tips for the next conference. Longer Term Outcomes of the Conference Communications While the precise impact of our overall communications is hard to measure, we certainly have had more impact with our communication than ever before. We also gained more media coverage than at any time in the past. We had a wide-variety of display ads, journal ads, media releases, flyers, call for presentations and papers, direct mailings and broadcast faxes to BC Physicians, registration brochures, postcards, rackcards, posters and articles. This wide-ranging coverage and extensive word-of-mouth publicity resulted in sold-out events across the board for the conference. We continue to hear stories about how our conference has affected delegates’ lives. For example, one person put together a healing team for himself at the conference itself and several wrote about their experiences at the conference in their own paper and electronic newsletters. Conclusion Overall this conference has been a striking success. We were successful in community building, increasing ACPBC membership, developing ACPBC policy, establishing a leadership role in the integrative medicine community, achieving a positive financial outcome, and raising the public profile of integrative medicine through our conference communications. The positive experience arising from managing our first large-scale conference gives us the confidence to stage other events in the future. ◆ Watch for information about the A C P B C C O N F E R E NCE 2007 Dr Mark Sherman led early morning yoga at the start of each day of the conference. Fall 2005 | 3 Chipping Away Report from the ACPBC Conference “When the Body Forgets to Heal” By Shelley Easthope, Conference Delegate I have just returned to the cocoon of my home and practice on Pender Island after a week-end on the University of Victoria campus, attending When the Body Forgets to Heal : An Integrative Approach to Reactivating the Healing Response, hosted by the Association of Complementary Physicians of BC. Attending the conference were many physicians, medical students, researchers, nurses, TCM doctors, as well as herbalists, massage therapists, and other ‘interested’ parties. To my knowledge, I was the only shiatsu therapist present, and I found a great deal of interest in shiatsu expressed by everyone to whom I spoke. I distributed about 40 of our much-admired brochures and displayed a simple but eloquent poster presenting shiatsu and the Shiatsu Therapy Association. I received an almost overwhelming amount of information and inspiration! The keynote address, which was open to the public and a sold-out event, was Dr Andrew Weil, speaking on the Healing Focus of Integrative Medicine. Dr Weil was a positive and inspiring speaker, describing programs he has founded to train physicians in integrative medicine, and placing the trend toward integrative medicine in a historical perspective. He predicted that integrative medicine is the way of the future and pointed out that the trend toward it is being hastened by economic pressures on the crumbling current medical care system in North America. I believe this is apparent to all shiatsu practitioners, and this, in a sense is the bad and the good news. The program of Saturday and Sunday began with qi-gong, tai chi and or yoga before breakfast and then keynote addresses and workshop presentations throughout the day. Dr Gabor Maté spoke compellingly on the subject of his book, “When the Body Says No: The Mind/Body Unity in Health.” He identified traits associated with illness, such as desire to please, inability to say no, and inability to express anger. He encouraged honesty and self-awareness 4 | Fa l l 2 0 0 5 Debbie Aung, Dr Chris Lam, Dr Steven Aung, Dr Hans Terlingen at the Royal BC Museum Banquet. in both doctor/practitioner and patient, to create a healing environment. Dr Leanna Standish and Dr Marja Verhoef, spoke on Integrative Medicine Research: Canadian and American Perspectives. They called for development of appropriate methodology to evaluate complementary and alternative therapies. Dr Verhoef co-directs the Canadian Interdisciplinary Network for Complementary and Alternative Research (IN-CAM), funded by the Canadian Institutes of Health Research and Health Canada. (see www.incamresearch.ca) Dr Steven Aung led the qi-gong both mornings. The child-like sessions of tree hugging and walking from tree to tree and then people hugging, were great ways to greet the day in a joyful and relaxed manner. I feel I really got to know some of the trees on the campus. Sunday morning, Dr Aung also made a presentation entitled Metta, Karuna, Saydana, Upekkha, and Mudita: The Most Powerful Healing Energies (Lovingkindness, Compassion, Selflessness, Impartiality, and Sympathy). He briefly described his life journey and the powerful Buddhist teaching he received in childhood in Burma. He emphasized that treatment without these qualities will not create true healing, and that having a positive and kind attitude is critical to providing care. I attended three workshop presentations. A most inspiring presentation about creation of an integrated healing centre was presented by Dr Hal Gunn, of the Centre for Integrated Healing in Vancouver. Dr Gunn described the focus of the centre on the shared essence of the healing experience. He also described shared principles of practice and guidelines to create a culture that supports healing. He explained that they begin each day with a group meditation and short reading. “Adam” presented his way of understanding the healing process to an absolutely crowded room. The respect for and fascination with his work was evident. The third workshop I attended, Energized Living: A Personal Journey Through and Beyond Critical Illness, was given by Dale Peterson, of Seattle. Dale moved from the edge of death from HIV/AIDS to a life free from Left to right: Joy Cline and Dr John Cline; Dr Hal Gunn (far right) enjoys the banquet with fellow delegates; Dr Claire Astley: Ann Coombs, Dale Peterson and Dr Hal Gunn part of the final panel discussion. medication and disease. In a lively and witty presentation, Dale took us through his Energized Living Scorecard to capture our personal definitions of absolute well-being and define what we needed to do to get out the way of our own healing magic. He described his experience of seeing the statue ‘David’, in Italy and explained that when asked how he carved it, Michelangelo said, “I simply took the piece of marble and carved away everything that was not David.” Dale said that described how he saw this healing process. The scorecard helps keep track of what is getting ‘chipped away’ to find your true or optimal self. I found this image of us chipping away to find ourselves, very moving. We do this with our clients when we do a treatment—chipping away all that blocks them from being their radiant selves. We do this ourselves in our own healing, and professionally in finding the shiatsu therapist—carve away what is not the shiatsu therapist. Perhaps this is also what we are doing as an Association. The conference was a valuable experience both personally and for our Association. I hope that at the next conference we will be able to assist more than one member of our Association to attend and represent us. I am thankful to my longtime friend and client, Ann Coombs, author of “The Living Workplace,” and one of the two ‘nonmedical’ speakers at the conference, for her suggestion that I be asked to present at this conference. I am thankful for a supportive professional association that I could be proud to represent. ◆ Shelley Easthope practices and teaches shiatsu, reiki and her ‘Ki to Health’ seminars, on Pender Island, and has recently published her first book, “Reflections of Medicine Beach, Conversations with a Place.” www.shelleyeasthope.com ACPBC General Meeting Schedule Date Time Venue 2nd Weds of each month (not July & Aug) 4:00 pm meeting; 5:00 pm educational session The James Bay Community Project 547 Michigan St., Victoria Members gather for business meetings or open forum meetings followed by an educational session about a topic related to integrative and complementary medicine. Guest speakers speak on a wide variety of topics to help members stay current on complementary practices, political issues and current research. This part of the meeting is open to partners and other health practitioners. Left: Louise Rose delivers a riveting conference closing performance. Right: Dr. Penny Whillans presents her workshop “The Interplay: Personality Styles and Chronic Conditions”. Fall 2005 | 5 Incoming President Warren Bell, MD I am honoured to be asked to take on the task of Presidency in 2005. I have accepted this challenge with some trepidation as I live in Salmon Arm in the southern Interior, and most of the members of the ACPBC live farther south—and it’s a long walk! I have accepted this task because of the support and assistance of Ron Puhky, our outgoing President, in maintaining continuity with meetings when I cannot be physically present. I have also accepted because there is a core team of members, enhanced by the efforts of Executive Coordinator Nicole Moen, who will join me in addressing issues as they arise in the coming year. It is clear that “the times they are a-changin’.” Offering patients or clients a wider range of therapeutic options beyond drugs and surgery is simply recognizing reality; patients and clients are making these choices for themselves already. It is now the task of us, as physicians who have already stepped beyond the boundaries of conventional medicine, to reach out to policymakers, educators, fellow practitioners and, of course, to the general public, and find constructive and effective ways to broaden and deepen this process. We need to make it all-inclusive. We need to help remove barriers and obstacles to integration. We need to help to make all therapeutic choices available to all citizens, and to broaden the definition of both “health” and “intervention.” “Health” can come through fitness gained through an exercise program at a community centre or from better biochemistry gained through learning to make more sophisticated choices in the supermarket and kitchen. “Intervention” can mean helping someone with a mobility problem get down to the seashore to smell the salt air and listen to the seagulls’ cries. Or it can mean acupuncture for a chronic back problem. Every decision we make affects our health, for better or for worse. As physicians, we can play a role in leading our communities—academic, administrative, governmental and others—as well as our patients, one at a time, towards a vision of a shared commitment to using all means to achieve health. I hope that in the coming year, through initiatives with UBC and the provincial government, as well as educational events for professionals and public alike, the ACPBC can be two things: first, a support for working physicians who want to share their stories and experiences with like-minded colleagues; and second, a voice for collaboration in advancing integrative medicine in society at large. I hope to facilitate those two streams of ACPBC activity in 2006. ◆ ACPBC WORKSHOP Doctors In Transition, Self-Care & Deepening Integrative Practice May 31– June 4, 2006 ACPBC Presenters include: Dr Ron Puhky, Dr Stephen Faulkner, Dr Warren Bell Open to physicians and other healthcare practitioners. Partners welcome to register. Tuition: $525 CDN, $461 US (meals & accommodation extra), 4 nights Visit www.hollyhock.ca or call 1-800-933-6339 to register and for meal and accommodation information. Write info@acpbc.org or call 1-250-382-6356 for information about the workshop. 6 | Fa l l 2 0 0 5 Dr Andrew Weil, MD, stated in May 2005 at the Association of Complementary Physicians of BC conference, that the Canadian and U.S health systems are going through a period of intense change, as the conventional reliance on industrial medicine comes under increasing challenge. This has significant implications for the modern physician, whether recently graduated or near retirement, not only for how we practice medicine, but also for our own personal lives as citizens, spouses and parents. This workshop is designed for physicians seeking to navigate through these complex times for the benefit of their patients and themselves while still maintaining the enthusiasm and job satisfaction that drew them to this career initially. The syllabus covers the mind, body, emotion and spirit of medicine using lectures, group work, experiential exercises and healing time in this beautiful setting. Attention is also given to addressing relations within the larger medical community, and with the culture as a whole. A C P B C O P E R ATIONAL REPORT SUMMARY Integrated Medicine Initiatives are Moving Forward Ron Puhky, MD This Report Summary was derived from the Interim Report the ACPBC sent to funders The Lotte and John Hecht Memorial Foundation T he profile of the ACPBC increased significantly both during and after the May 2005 conference. This has positioned us to have some significant input on upcoming political, social and educational decisions. We recognize that times have changed and the goals we have been reaching for in integrative medicine are actually coming to fruition. Even the BCMA has put out a research paper supporting “multidisciplinary primary care.” It is important at this time to have individuals who have been working in complementary medical practices for a long time to provide the necessary guidance and philosophical integrity during this period of rapid change. We feel it is an extremely important part of our Mission to step up to this current opportunity, and we are confident we have the necessary skills to do so. ACPBC Mission Statement The mission of the ACPBC is the advancement of excellence in holistic (integrative) patient care, by promoting professional development of physicians through the exchange of ideas, research and continuing education, and by disseminating information and providing education to health professionals, students and the public. The ACPBC has met and is working on fulfilling its Mission through the following: early stages of exploring the idea of an integrative healing centre in Victoria. 2. Mission: promoting professional development of physicians through the exchange of ideas, research and continuing education We are holding a workshop at Hollyhock, developed primarily for physicians, entitled “Doctors In Transition: SelfCare & Deepening Integrative Practice” in May, 2006 (see advertisement in this issue). We have rented a booth at the Family Medicine Forum Trade Show put on by the College of Family Physicians of Canada. The preceptorship program with ACPBC physicians (the fourth year medical school elective at UBC) continues to enjoy success. 3. Mission: disseminating information and providing education to health professionals, students and the public Our web site has increased in popularity which lead has led to an increase in public inquiries. While the workshop at Hollyhock is aimed at physicians, other health professionals may attend also. We are exploring the feasibility of workshop series in the spring of 2006 and plan to host another conference in 2007. 4. Fundraising We learned much about fundraising during the course of the conference and have developed a basic plan to approach supportive organizations with requests for funds. We also have plans to explore other grant opportunities from government, and from other foundations and professional sources and are considering an outreach program to seek donations in wills and from individuals, etc. 5. Other Post Conference Operational Effects We have recognized that some changes are required to carry out the increased number of projects that we have recently undertaken. In the New Year, after our meetings with the Minister of Health and his deputy ministers, we will develop a strategic plan for our interactions with the ministry and with the curriculum development process at UBC. We will also develop further goals and objectives for the Association that will include a detailed action plan and a monitoring and review process. The ACPBC membership has increased and notable new members include Dr Andrew Weil and Dr Steven Aung. Finally, we would like to emphasize that it is important to have individuals such as those in the ACPBC membership, who have been working in complementary medical practice for a long time, to provide guidance in this period of increasing popularity of integrative medicine. We feel we must counter the potential philosophical diffusion by mainstream medicine, and loss of focus, co-option and distortion by market-driven forces. We are taking a widevariety of steps guided by our Mission to address these issues. We have the internal skills and talent to do it and are working at gathering the necessary financial resources required. ◆ 1. Mission: advancement of excellence in holistic (integrative) patient care We have begun conversations about the inclusion of integrative medicine in medical student education with Dr Robert Woollard, who sits on the UBC, Canadian and American medical school curriculum committees. We have also established an initial contact with George Abbott, Minster of Health, with regard to the inclusion of integrative medicine concepts in provincial health policy. We have made strides forward in the Island Medical Program (two ACPBC members are lecturing with them). We are in the Dr Shannon Waters presents Dr Leanna Standish and Dr Marja Verhoef with their gift of First Nation Shawls for their keynote presentations. Fall 2005 | 7 Association of Complementary Physicians of British Columbia Devoted to the advancement of excellence in complementary and integrative patient care, by promoting education, research and sharing of information and knowledge. ACPBC Newsletter Box 526, 185-911 Yates Street Victoria, BC V8V 4Y9 Tel (250) 382-6356 Fax (250) 483-1507 E-mail info@acpbc.org Websites www.acpbc.org www.bodyheals.ca Website Design Eric the Red Newsletter Design Mary Scobie Executive Committee President Vice-President Secretary-Treasurer (interim) Past President (ex officio) Committees Education Medical Student Education Vancouver Chapter Director for the Interior Newsletter Ron Puhky, MD Claire Astley, MD Steven Kleinman, MD Roger Rogers, MD CCMA representative Claire Astley, MD Christopher Lam, MD Jack Sniderman, MD Warren Bell, MD Stephen Faulkner Faulkner, MBChB Steven Kleinman, MD Jack Sniderman, MD Executive Coordinator Nicole Moen, BA The ACPBC is grateful for the support of the Lotte and John Hecht Memorial Foundation. ACPBC Membership Application Form for Medical Doctors Please print clearly. See www.acpbc.org for membership eligibility. Name ___________________________________ Hospital Affiliations ____________________________________________________________________ Birth Date ________________________________ Post-graduate Training _________________________________________________________________ Office Address ___________________________ ________________________________________________________________________________________ __________________________________________ ________________________________________________________________________________________ Home Address (optional) ___________________ Type of Current Practice ________________________________________________________________ __________________________________________ ________________________________________________________________________________________ Phone Work ( ) ____________________ ________________________________________________________________________________________ Home ( ) ____________________ Medical Organization Memberships _____________________________________________________ Cell ) ____________________ ________________________________________________________________________________________ E-Mail ___________________________________ Publications (enclose extra sheet if required) _____________________________________________ Fax ______________________________________ _____________________________________________________________________________________________________ Medical School – Year _____________________ _____________________________________________________________________________________________________ ( __________________________________________ Internship _______________________________ Residency – Specialty _____________________ __________________________________________ Canadian Licensure (province & number) __________________________________________ ACPBC Membership Fee Schedule Practicing MD Medical Student/Resident/ Retired MD $100.00/year* $30.00/year. My name and the city of my practice may be available to the public Yes / No Details of my practice may be listed in a printed Directory Yes / No Above information may be listed on the ACPBC Web Site Yes / No I am willing to serve on any ACPBC or CCMA committees Yes / No If Yes, what are your areas of interest? (e.g. social events, education, newsletter, board member, etc.) ___________________________________________________________ Would you like to share your expertise at educational meetings? Yes / No If Yes, what topics would you like to present/facilitate? __________________________ ______________________________________________________________________________ Fees are due in January of each year. *Note: ACPBC membership automatically confers membership to the Canadian Complementary Medical Association. $25.00 of your ACPBC annual fee is remitted on your behalf to this national organization. Your fees may be paid by cheque to the Association of Complementary Physicians of BC. Please mail it to: ACPBC, Box 526, 185-911 Yates St., Victoria, BC V8V 4Y9 Signature _______________________________________ Date __________________________