End of Year Report A. Group Name: Integrative Health Interest Group B. Current Officers (Include all elected officers, operating board members, etc) Coordinators: Gillian Kruszka, Kruszka.Gillian@medstudent.pitt.edu Desiree Markantone, Markantone.Desiree@medstudent.pitt.edu C. Estimated group membership for the past year (If membership includes more than just medical students, please provide a breakdown): 40 D. Regularly scheduled events, meetings, etc. (Include brief descriptions, costs, and attendance) 1. Monthly Coordinator Meeting Cost: $0 Attendance: 2-5 Description: IHIG coordinators meet at least monthly to discuss and plan upcoming events. These meetings may include coordinators from other interest/student groups when we are planning collaborative events. E. Other events, meetings, etc. (Include dates, brief descriptions, costs, and attendance) 1. September 19, 2014. Mind-Body-Spirit Healing of ALS and Other Symbolic Diseases: Why I Refused the Ice Bucket Challenge. Cost: $150 (Lunch Talk) Attendance: 30 Description: Dr. Larry Burke, a Pitt Med graduate, spoke about various holistic therapies and his journey from a residency in radiology to finding his way into integrative medicine. He also offered students free electronic copies of his book “Let Magic Happen: Adventures in Healing with a Holistic Radiologist.” 2. November 17, 2014. Stay in the Moment, Don’t Get Too Stressed Cost: $150 (Lunch Talk) Attendance: 60 Collaborators: SHARP Description: Dr. Carol Greco, an assistant professor of Psychiatry, discussed mindfulness-based stress reduction and how students can integrate mindfulness into their everyday lives. The group practiced some brief mindfulness exercises and discussed stress reduction techniques. 3. December 16, 2014. Acupuncture Workshop Cost: $150 (Dinner Workshop) Attendance: 20 Collaborators: APAMSA Description: Dr. Glick and Dr. Liu taught students about acupuncture techniques, the role of acupuncture in health care, and performed it on students to allow them to experience it themselves. 4. January 30, 2015. Ayurveda 101 Cost: $150 (Lunch Talk) Attendance: 30 Collaborators: APAMSA Description: Kerry Tombs-Harling, a National Ayurvedic Medical Association certified practitioner, provided an introduction to Ayurveda, which is a traditional form of Indian medicine that has been practiced for over 5,000 years. Lunch and samples of “healing foods” were provided. 5. February 13, 2015. Holistic Aspects of Nutrition Cost: $150 (Lunch Talk) Attendance: 20 Description: Dr. John Laird, who has a degree in naturopathic medicine, spoke about research related to nutrition and medicine. 6. April 24, May 12, May 19, 2015. Tai Chi Class Cost: $0 Attendance: 15 Collaborators: APAMSA, SHARP, Wellness Committee Description: Dr. Glick began teaching students 10 Form. The classes were held outside or in the Baierl Student Recreation Center fitness room and were 50 minutes long. Dr. Glick educated students about the health benefits and history of Tai Chi and answer any questions they had. We plan to continue the class weekly in the fall and possibly over the summer. 7. May 7, 2015. Integrative Medicine AOC End-of-Year Lunch Cost: $0 (potluck-style lunch) Attendance: 5 Description: We celebrated the graduation of two students who completed the IMAOC this year. F. Future Events: Please list upcoming events that will occur before the end of the ‘14/15 school year. G. Prospectus: Please list any events you have planned for the 2015-2016 school year. 1. Event Title: Introduction to Integrative Medicine Target Audience: MS1-MS4 Amount Requested ± cost breakdown: $150 (Lunch Talk) Potential Collaborators: Description: This panel will introduce students to the many facets of care in the field of Integrative Medicine. It will stress the importance of complementary and preventative care in the treatment of certain disorders. We hope to have Dr. Glick talk about integrative psychiatry, acupuncture and Tai chi, Ms. Cohen talk about naturopathic care and nutrition, Dr. Greco talk about mindfulness, biofeedback, and cardiac coherence training, and Dr. Thorkelson talk about child/adolescent integrative psychiatry. This group of panelist should be able to offer a well-rounded view of what the field has to offer patients and what it is like to work in integrative medicine. 2. Event Title: Introduction to Mindfulness Target Audience: MS1-MS4 Amount Requested ± cost breakdown: $150 (Lunch Talk) Potential Collaborators: Same as mini-elective (see below) Description: Given by Dr. Carol Greco, an experienced mindfulness researcher and certified MBSR teacher, this talk would give an overview of mindfulness meditation and the evidence supporting its many benefits. This talk would also serve as an orientation for the Mindfulness Mini-Elective. Dr. Greco would lead several short mindfulness exercises to give students an idea of what to expect from the minielective. These exercises would be applicable to all students, not just those who are signing up for the mini-elective, and serve as easy tools for them to use at any time to de-stress or refocus. 3. Event Title: Mindfulness Mini-Elective Target Audience: MS1-MS4 with preference given to MS1’s, 10 person maximum Amount Requested ± cost breakdown: $220 o $70 snacks/food for mindful eating exercise o $100 binders/booklets with exercises, resources, and other information o $50 four CDs per person with guided meditations *All supplies requested are based on supplies provided in MBSR prototype program Potential Collaborators: Possibly SHARP or Wellness Committee (We have not discussed it with them yet, but would be open to getting either group involved.) Description: Medical students are at the beginning of an extremely rewarding and demanding career. From day one of medical school, we are warned about burnout and encouraged to develop healthy stress outlets. Assuring that our future patients are met with empathy and compassion is also imperative. An elective modeled after the Mindfulness Bases Stress Reduction (MBSR) program would give students immediate skills to reduce stress, as well as building blocks for life-long mindfulness and loving-kindness. This program has gained incredible momentum across the country and world, helping thousands to develop healthy coping skills. Now, at the beginning of our training, is the perfect time to instill these values. The elective would consist of weekly two-hour sessions for six weeks, and participants would be asked to meditate each day. Through UPMC’s excellent resources, we would have experts in tai chi, mindful yoga, and mindfulness meditation lead experiential and educational sessions throughout the course. This will give participants both the chance to develop personal skills and a knowledge base to spread with others, such as colleagues and future patients, who could similarly benefit from developing healthy coping skills. 4. Event Title: Weekly Tai Chi Class Target Audience: MS1-MS4 Amount Requested ± cost breakdown: $200 (Intro Lunch Talk and two sessions with refreshments) o APAMSA: $50 o IHIG: $50 o SHARP: $50 o Wellness Committee: $50 Potential Collaborators: APAMSA, SHARP, Wellness Committee Description: The ancient art of Tai Chi is great not only for muscle tone, flexibility, and strength but also for relaxation and mindfulness. This complementary therapy is currently being used at the Center for Integrative Medicine to help patients with certain medical conditions reduce stress and increase balance and coordination. We would like to take advantage of Dr. Glick’s training and learn the 24 Form next year through a series of classes held regularly, including an introductory lunch talk and one or two debriefing sessions with snacks throughout the class to further discuss the impact of Tai Chi in our lives, how it allows us to work better with patients, and how we can best encourage patients to try this technique. 5. Event Title: Art and Medicine Series In collaboration with IGN, NSIG, and PsychSIG, IHIG hopes to co-host an “Art and Medicine” Series consisting of interactive evening workshops and a documentary viewing. Human beings exist beyond the diseases we treat. Alongside medications, we often forget that nurturing the soul and keeping alive the human spirit is just as important to the recovery process. Especially in mental illnesses and neurodegenerative diseases where one’s sense of self begins to slip away, art has a way of reaffirming self-identity and providing a creative outlet for sharing the stories of what it means to be human. In medicine, a cure is not always possible but we must still strive to apply interdisciplinary approaches in helping patients manage their illnesses and invest in the healing process. Event Title: Drum Circle Music Therapy Workshop Target Audience: MS1-MS4 capped at 15 students Amount Requested ± cost breakdown: $70 (to provide food/snacks at workshop) o IHIG: $35 o PsychSIG: $35 Potential Collaborators: PsychSIG Description: The drum plays an important role in many cultures through its use in ceremonies and ritualistic practices. With the power of the drum, we can explore the many patterns and rhythms that we find all around us: breathing, heart beat, etc. Robert Miller is a music therapist at WPIC and certified drum circle facilitator. He codeveloped “conscious drumming,” a technique used to express and develop emotions through drumming. This technique allows people to speak their “truths” through music. During this workshop, we will learn more about the history of drum circles and the development and goals of music therapy. We will also then participate in a drum circle aimed for stress relief since this likely faces us all as medical students. Event Title: “Dance for Parkinson’s Disease” Workshop Target Audience: MS1-MS4, capped at 20 students Amount Requested ± cost breakdown: $100 o IGN: $25 o IHIG: $25 o NSIG: $25 o PsychSIG: $25 Potential Collaborators: IGN, NSIG, PsychSIG Description: Dance for PD® is a renowned program that offers specialized dance classes accompanied by live music for people with Parkinson's. It has emerged as an innovative global program impacting thousands of people with Parkinson’s, their families, and caregivers in more than 100 communities in 9 countries. “The program is built on one fundamental premise: professionally-trained dancers are movement experts whose knowledge is useful to persons with PD. Dancers know all about stretching and strengthening muscles, and about balance and rhythm. Most importantly, dancers know how to use their thoughts, eyes, ears, touch and imagination to control their movements.” The program’s specifically trained artists integrate movement from different styles of dance to create an aesthetic experience that uses the elements of narrative, imagery, live music and community to develop artistry and grace while addressing such PD-specific concerns as balance, flexibility, coordination, isolation and depression. The classes engage the participants’ minds and bodies, and create an enjoyable, social environment that emphasizes dancing rather than therapy. We are lucky to have one of their sites here with the Pittsburgh Ballet and faculty like Dr. Samay Jain from the Movement Disorders Division who has previously worked with the organization. We hope to bring in a trained instructor to lead an experiential evening dance session where students can participate in a simulated class and learn about the cognitive/movement strategies that are naturally beneficial for people with Parksinon’s. Such a workshop will contribute to enhancing the working knowledge of future healthcare practitioners in this field. Event Title: Documentary Viewing of “Alive Inside: The Story of Music and Memory” Target Audience: MS1-MS4 Amount Requested ± cost breakdown: $0 Potential Collaborators: IGN, PsychSIG Description: This will be a social evening viewing of this documentary followed by a discussion concerning the topic. “Alive Inside is a joyous cinematic exploration of music's capacity to reawaken our souls and uncover the deepest parts of our humanity. Filmmaker Michael Rossato-Bennett chronicles the astonishing experiences of individuals around the country who have been revitalized through the simple experience of listening to music. His camera reveals the uniquely human connection we find in music and how its healing power can triumph where prescription medication falls short. This stirring documentary follows social worker Dan Cohen, founder of the nonprofit organization Music & Memory, as he fights against a broken healthcare system to demonstrate music's ability to combat memory loss and restore a deep sense of self to those suffering from it. RossatoBennett visits family members who have witnessed the miraculous effects of personalized music on their loved ones, and offers illuminating interviews with experts including renowned neurologist and best-selling author Oliver Sacks (Musicophilia: Tales of Music and the Brain) and musician Bobby McFerrin ("Don't Worry, Be Happy"). An uplifting cinematic exploration of music and the mind, Alive Inside's inspirational and emotional story left audiences humming, clapping and cheering at the 2014 Sundance Film Festival, where it won the Audience Award.” Event Title: Art Therapy Workshop Target Audience: MS1-MS4 capped at 20 people Amount Requested ± cost breakdown: $100 (art supplies) o IHIG: $50 o PsychSIG: $50 Potential Collaborators: PsychSIG Description: Art therapy has many roles in treating patients; it allows for self-expression, development of emotions, reduced stress and anxiety, and increased selfawareness. Art therapists work in a number of settings including inpatient hospital, rehabilitation centers, and out in the community. A variety of patients benefit from art therapy, including those with depression, anxiety, schizophrenia, addiction, dementia, history of trauma, cancer, and those in palliative care. The art therapist creates a session that caters to the needs of the individual or group. Art acts as a medium for self- exploration and completing a piece of artwork is satisfactory. Outside of the creative benefits, the act of making the artwork helps with fine motor skills and provides socialization, which has been shown to increase the quality of life of a number of patients with neurodegenerative diseases. The group sessions provide social support and can help increase self-esteem. During this workshop, we hope to learn more about art therapy in everyday practice, what patients benefit most from this type of therapy, and about the field in general. We will then be lead by a certified art therapist through a session catered towards stress and anxiety reduction. We hope that this intimate experience of learning and practicing will give students a better understanding of the benefits of art therapy. 6. Event Title: Acupuncture Workshop Target Audience: MS1-MS4, capped at 15 students Amount Requested ± cost breakdown: $150 (Dinner Workshop) o AMSA: $50 o APAMSA: $50 o IHIG: $50 Potential Collaborators: AMSA, APAMSA Description: This workshop has been popular in recent years, and we are hoping to provide this opportunity for new students and those who were not able to participate in the past. Acupuncture is a traditional Chinese therapy that has been practiced for thousands of years. It has gained popularity in the West for treatment of many conditions and has become one of the most sought-out alternative treatments in the United States. For this reason, we think it is important for future physicians to be educated about it. Dr. Betty Liu is enthusiastic about teaching medical students and will share both research behind acupuncture and experiential learning with the workshop participants. 7. Event Title: Uniting Conventional and Integrative Medicine Target Audience: MS1-MS4 Amount Requested ± cost breakdown: $150 (Lunch Talk) Potential Collaborators: Description: Integrative medicine has seen a surge in recent years, and this trend is expected to increase. It is important for medical students to start thinking of how these therapies could impact their future patients, even if they do not end up working closely with alternative practitioners. For this talk, we hope to find a physician who does not practice alternative therapies him/herself, but has seen his/her patients be helped by such therapies and can speak about this. We think that coming at this topic from a different perspective might catch the attention of a broader audience. Cardiology, oncology, and family practice are three areas that are often associated with utilizing IM approaches. We are still exploring our resources to find the best physician for this talk, but are hopeful that we will find a great fit. H. Additional Comments: Is there anything else you’d like us to know?