Abstract
Lifestyle and behavior modifications are the primary preventative strategies to mitigate the growing morbidity, mortality, and cost of chronic disease in the USA (Trilk et al., American Journal of Preventive Medicine 56:e169–e175, 2019); hence, there have been multiple calls to train all healthcare professionals in lifestyle medicine (LM). This paper describes and evaluates the implementation of a novel Whole Health/lifestyle medicine (WH-LM) education initiative for physician assistant (PA) students embedded within a clinical rotation at the VA Boston Healthcare System (VABHS). Students demonstrated increased knowledge of WH-LM principles and increased self-efficacy in utilizing these principles following training.
Data Availability
The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.
Abbreviations
- LM:
-
Lifestyle medicine
- WH:
-
Whole Health
- PA:
-
Physician assistant
- PM&R:
-
Physical Medicine and Rehabilitation
- VABHS:
-
Veterans Administration Boston Healthcare System
- VA:
-
Veterans Health Administration
References
American College of Lifestyle Medicine. http://www.lifestylemedicine.org. Accessed 26 May 2020.
Bodai BI, Nakata TE, Wong WT, Clark DR, Lawenda S, Tsou C, et al. Lifestyle Medicine: a brief review of its dramatic impact on health and survival. Perm J. 2018;22:17–025.
Katz DL, Frates EP, Bonnet JP, Gupta SK, Vartiainen E, Carmona RH. Lifestyle as medicine: the case for a true health initiative. Am J Health Promot. 2018;32(6):1452–8.
Trilk J, Nelson L, Briggs A, Muscato D. Including lifestyle medicine in medical education: rationale for American College of Preventive Medicine/American Medical Association Resolution 959- ClinicalKey. Am J Prev Med. 2019;56:e169–75.
Polak R, Dacey ML, Keenan H, Phillips EM. Bridging the gap- planning lifestyle medicine fellowship curriculum: a cross sectional study. BMC Med Educ. 2014;14:1045.
Polak R, Pojednic RM, Phillips EM. Lifestyle medicine education. Am J Lifestyle Med. 2015;9:361–7.
Wetherill MS, Davis GC, Kezbers K, et al. Development and evaluation of a nutrition-centered lifestyle medicine curriculum for physician assistant students. Med Sci Educ. 2018;29:163–72.
North S, Beck B, Liveris M, Vega A, Boyington N, Stockwell L, et al. Students’ knowledge and self-perceptions regarding integrative medicine and health following training in first-year graduate PA, PT, and OT programs. J Allied Health. 2018;47(3):e91–5.
The American Academy of Physician Assistants. What Is A PA? https://www.aapa.org/what-is-a-pa/#:~:text=What%20is%20a%20PA%3F,about%20the%20PA%20profession%20%2D%20AAPA&text=PAs%20are%20medical%20professionals%20who,PAs%20are%20versatile%20and%20collaborative. Accessed 11 Jun 2020.
Keyes S, Gardner A. Should lifestyle medicine be a core curricular component for physician assistant students? J Physician Assist Educ. 2017;28(3):125–6.
Nawaz H, Petraro PV, Via C, Ullah S, Lim L, Wild D, et al. Lifestyle medicine curriculum for a preventive medicine residency program: implementation and outcomes. Med Educ Online. 2016;21:29339.
Keyes SA, Gardner A. Educating physician-assistant students as agents of lifestyle medicine. Clin Teach. 2020;17(6):638–43.
Polak R, Pober D, Finkelstein A, Budd MA, Moore M, Silver JK, Phillips EM. Innovation in medical education: a culinary coaching tele-nutrition training program. Med Ed Online, 2018. https://doi.org/10.1080/10872981.2018.1510704.
Acknowledgments
The authors would like to acknowledge Vanessa D’Orio, former fellow at VA Boston, and Beth Buyea, and Fernando Ona of Tufts University School of Medicine, for their assistance on the project.
Funding
Funding for payment of non-VA faculty (culinary and health coaching) was provided by the following:
Preventive Medicine Residencies Training Grants
Funder: Health Resources and Services Administration
Grant No.: D33HP26994
Grant Period: 07/01/2017–06/30/2018
Site PI: Haq Nawaz, MD, MPH
Physician Training Award in Cancer Prevention
Funder: American Cancer Society
Grant No.: 124289PTAPM0408113PTAPM
Grant Period: 01/01/2013–06/30/2018
PI: Haq Nawaz MD, MPH
Preventive Medicine Residencies Training Grants
Funder: Health Resources and Services Administration
Grant No.: D33HP31664
Grant Period: 05/01/2018–04/30/2023
Site PI: Victoria Costales, MD, MPH
Author information
Authors and Affiliations
Contributions
Curriculum designed and implemented by Edward Phillips, Susan McGlynn, and David Topor. Program evaluation conducted by Edward Phillips, Susan McGlynn, and David Topor. Quantitative data compiled and analyzed by Edward Phillips, Susan McGlynn, David Topor, and Claire Stauffer. Editing and writing done collectively by Edward Phillips, Susan McGlynn, David Topor, and Claire Stauffer.
Corresponding author
Ethics declarations
This project has been reviewed according to VA Boston Healthcare System procedures and has been determined to be non-research; oversight by VABHS Research Committees is not required.
Conflict of Interest
The authors declare that they have no conflict of interest.
Disclaimer
The contents of this paper do not represent the views of the U.S. Department of Veterans Affairs or the United States Government.
Code Availability
Not applicable.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Phillips, E.M., McGlynn, S.M., Topor, D.R. et al. Training Physician Assistant Students to Provide Evidence-Based, Holistic, Patient-Driven Care: a Novel Curriculum. Med.Sci.Educ. 31, 319–323 (2021). https://doi.org/10.1007/s40670-020-01150-5
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s40670-020-01150-5