Survey of hospital-practice community resources, Community news, September Conferences in our Integrative health community, blog roundup, and highlights from the Facebook page:  Research and Metrics, Self-care resources, and Leadership/Workplace


HH News
     progress on the pdf version of "How to Get Your Foot in the Door of Hospital Practice"
     fill out the survey for the new directory-in-progress:  Find Your Trail Guide
September Conference Schedule for the Integrative Health Community
August Blog Highlights
Facebook Page August news roundup
     Leadership and Workplace
     Research and Metrics
     Philanthropy highlight
     Self-care Resources

HH News and Updates
Part I.
The Download-able PDF of the “How to Get Your Foot in the Door of Hospital Practice” Series
An update for those of you who pre-ordered it!  It is in editing mode.  If you are perusing the related blog posts and have resources to add, please let me know by email before September.

Part 2.  
Get your hospital-based resource listed in a new HHP directory! 
Find Your Trail Guides:  The Hospital-practice Learning & Mentorship Opportunities Directory

Situation: I often receive inquiries about how to start in hospital practice. 
Assessment:  The community is requesting a short version of the information already in chapter 2 of my manuscript.  The manuscript is still going through edits and not yet available as a published book.
Re-write a chapter of the book as a blog post series and download-able pdf.  This is the “foot-in-the-door” product mentioned in Part 1 of this newsletter (above). 
Follow up the pdf with a path to finding trail guides: how to find and connect with mentors and other learning opportunities.
Background for "directory":  In June I surveyed the hospital practice group and learned we do not yet have a published directory of practitioners and/or programs that offer mentorships or internships or shadow opportunities or courses/programs for EAMPs/L.Ac.s interested in hospital practice OR interested in a new area of hospital practice.  From all the feedback on the directory plus the feedback from publishing the blog post series, it sounds like the directory will be a useful resource for you all and the larger hospital-practice EAMP/L.Ac. community.  The directory also ties in with future Hospital Handbook Projects, including the two interview series, Paths to Practice, and Issues in Hospital Practice Webinar Series.
Plan:  In response, I created an online survey form to collect information. Please share the survey link with colleagues or your hospital admin. I know everyone is busy! Let's see if we can get at least 10 responses by October 1st, 2018, so I can have a goal of getting it up as a pdf on the website soon after.
Review:  The What and Why of the Survey

We are gathering information via an online survey to create a pdf directory that can be accessed via the Hospital Handbook (HH) Project website, the Find Your Trail Guides:  A Hospital-practice Learning and Mentorship Opportunities Directory  [working title]

  • Please follow the survey link and share it with hospital-based colleagues and your hospital admin. 
  • What opportunities qualify for the survey/directory?
    • Any hospital-based practice learning opportunity, to include, but not limited to:
      • Internships
      • Shadow opportunities
      • Mentorship opportunities
      • Preceptorships
      • Fellowships
      • Courses related to hospital-based practice
  • Goal:  Have at least 10 completed survey forms before October 1st, 2018, so we can publish the first edition of the directory soon after.
  • Fill out the survey today! 

Part 3. Upcoming Conferences:  September 2018

  1. The 5th Annual Integrative Medicine Symposium, University Hospital, Cleveland, Ohio, will be Friday, September 14th, 2018 at the Hilton Cleveland Downtown.  This value-packed one day symposium is hosted by the UH Conner Integrative Health Program and Case Western Reserve University.  Conference is open and recommended to all physicians, nurses, physician assistants, psychologists, social workers, acupuncturists, massage therapists, Reiki practitioners, and chiropractors.   The topic is "Non-Pharmacological Approaches to Pain and Clinician Wellness.  There is a nationally recognized speaker line up and the day includes breakfast, lunch, and experiences like music therapy, yoga, chair massage, and more.  Check out the agenda and register here.  More information in the program brochure.
  2. The Evidence Based Acupuncture (EBA) symposium is September 14th-15th, 2018, Providence, Rhode Island.
  3. The Academy of Integrative Health and Medicine (AIHM) conference is September 22nd-26th in San Diego, CA.

Part 4.  August Blog Highlights
August has my family and I settling into a new region of the country, and my time has been focused on the family move and transitions with the kids from healthcare to finding schools (elementary and preschool options).  So, my time in writing for the Project has been limited, and yet I published two blog posts this month.

  • The "10 most popular blog posts since January" [published since January 2018).
    • If you don't see your favorite on the list, please link to it in the comments! Would love to hear what you like!!
  • Practicing Philanthropy:  Positives for you and your community
    • “Every act of kindness creates a positive change for others, no matter how small. Ready to transform kind thoughts into kind actions? Cape optional.“
    • The practice of philanthropy is an important aspect of what makes the longevity “blue zones” successful. 🙂  More links to what the “Blue Zones” are, Dan Buettner’s work and the Blue Zones Solution, along with easy steps you can take to live more like these cultures are in the blog post. 

Part 5.  From the Facebook Page this Month: 
Research, Metrics, Leadership and the Workplace, Self-care resources, and Philanthropy

Leadership and Workplace

  • Nelson Mandela’s leadership style:
    • “True love is an undervalued but priceless tenet both in leadership and in life. And Nelson Mandela understood that. He demonstrated that to love someone truly is to offer them life’s greatest gift.”
  • Dealing with Change in the workplace using integrative health principles.
    How do you help individual employees deal positively with change in a group setting?
    “There is a lot of pressure on leaders to lead their staff through change, and they themselves are not often well-supported. Corporate change communications and employee surveys are great, but just scratch the surface.”
    This researcher from the Garrison Institute reports that having specialized mindfulness sessions accessible to employees on a regular schedule is a useful tool in your organization’s change management toolbox.
    “Combining mindfulness practices and change management techniques is powerful. Here’s why: 
    • It guides an individual through their change journey in a conscious and private way. 
    • It increases an individual’s self-awareness of their emotions, reactions, and behaviors. 
    • It can help an individual decide how they would rather react to the change.”
Case study: Pacific Blue Cross.
RESOURCE: White Paper: ‘Meditation – a Powerful Change Management Tool’. 
“Integrating change management techniques with mindfulness meditation helps people through difficult changes.”
RESOURCE: Research Paper: ‘Dealing with Change Mindfulness Meditation Study’.
“Now that mindfulness is a popular and growing practice, especially in the workplace, it’s a small stretch to add change management techniques into the practice.”

Research and Metrics
New Research Summary from the EBA
Here’s an excerpt:
“Using a review method known as a Network Meta-analysis, it is possible to evaluate various treatments for the same condition. [Some] examples of how acupuncture compares to other treatments:

  • A 2013 network meta-analysis comparing physical treatments for osteoarthritis of the knee found that, when looking at high quality studies, acupuncture had the largest effect compared to usual care out of the conditions evaluated, out-performing exercise, sham acupuncture, and weight-loss.
  • A 2015 network meta-analysis comparing treatments in addition to exercise for shoulder impingement syndrome found that acupuncture was the most effective adjunctive treatment out of 17 interventions, outperforming all other adjuncts such as steroid injection, NSAIDs, and ultrasound therapy.
  • A 2016 comparison of 20 treatments for sciatica ranked acupuncture as 2nd most effective after the use of biological agents, outperforming manipulation, epidurals, disc surgery, opioids, exercise, and ...radiofrequency ablation...
  • In 2018, a network-meta-analysis found that acupuncture was more effective than drugs for treating chronic constipation and with the fewest side-effects.”

Read more at their website.

Metrics:  Don’t underestimate the simplicity and usefulness of patient satisfaction surveys as one of your clinic’s metrics
“We found that hospitals’ patient satisfaction scores are useful signals of quality, which surprised me to some extent,” said Joseph Doyle, an economist at M.I.T. and one of the study’s authors. “Hospitals with more satisfied patients have lower mortality rates, as well as lower readmission rates.” 
New York Times article, 2017.07.24.

Research and delivery method practicality for teaching self-care basic breathing and meditation techniques: email and mobile app.
This study targeted oncology clinicians, who have a high burn-out rate. What delivery method (tool) allows ease-of-access and may increase participant compliance for studying a self-care therapy?

  • “a 6-week cybermeditation program we delivered via email and a mobile app....
  • “The program included five 10-minute meditations (Calming, Nature, Nourishing, Spaciousness, and Releasing) ....accessible to individuals new to yoga and meditation and those with limited physical strength and flexibility.
  • “The study demonstrated effectiveness of the shorter length, portability, and convenience of the app and the brief informational and motivational support emails that minimized time demands compared with meditation interventions used in most studies. The cybermeditation program is scalable, optimizing both reach and efficacy and, once normed, can be adapted for other groups. Although scientific testing is still in early stages, the approach could potentially transform the delivery and effectiveness of meditation training programs for the healthcare industry.”

Moving toward the value-based public health initiatives to improve health outcomes around social determinants of health?
Health insurance plans reimbursing for things that help patients maintain health may really be a gaining momentum. Check out this recent article.

  • “Success also depends on the patient being willing to accept help and on insurers waiting for the payoff. Near-term expenses from primary care visits or food services may rise, but the payoff — preventing a heart attack because of improved health — might be down the road.
  • "Despite those challenges, health care researchers expect this trend to continue.
  • " ‘The U.S. health care system must be redesigned to get away from the idea that more health care equals better health’, said Dr. Sanne Magnan, a senior fellow at the think tank HealthPartners Institute.”

Philanthropy Highlight
Non-profits we've been following this summer:

Self-Care Highlight
A meditation for moving on.🦋

Walk Longer 
Q: “I go for walks, but I can’t seem to stop thinking about ‘all the things’: to do list, etc. It’s not clearing my mind, what should I do?”
A: Walk for longer. Ideally, walk until your brain quiets. Walk in a natural setting (less cars and busy streets and more plants), for better/faster mind-quieting effect.
Learn more in this “Nature Fix” blog post.
As a TCM practitioner, I noted they use the term “rumination” in talking about what the mind is doing and how walking and green space stop it.

  • “Solving problems and multitasking may sound productive, but ironically, too much time thinking and not enough time being, feeling and sensing can profoundly affect our happiness. Monks, poets and now neuroscientists and psychologists have figured this out. For example, as Stanford University psychologist James Gross and others have pointed out, rumination is linked to depression. “
  • The article quotes studies that show walking in a natural setting had significantly more benefits for mind and brain chemistry than walking in a busy urban area.

Happy Summer to You!
Hope you found some helpful information in this newsletter. 

Remember to peruse the blog for resources on hospital-based practice for yourself or your colleagues. If you have a topic or question you don't see covered yet, send us a message via email or on the Facebook page and I can add it to the queue!!

This community resource only gets stronger and more relevant with your constructive feedback.
Thank you.

Looking forward to hearing from you!

Build With Us Today

Things coming up:         
See the list of September conferences above.
September is Chronic Pain Awareness Month.

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