Strong evidence shows that chronic inflammation is a major driver of many chronic diseases including diabetes, heart disease, digestive disorders, and certain cancers. Taking advantage of all the current data on nutrition and its impact on inflammation, the anti-inflammatory diet is based on dietary patterns found in traditional Mediterranean and Asian eating habits. The diet is designed to replace inflammation-triggering foods with nutrient-rich micro and macronutrients that fight inflammation.

This freshly updated course provides clinicians with an in-depth understanding of how to counsel patients on dietary strategies that can reduce inflammation, decrease the risk for many chronic diseases, and improve mood and energy levels. Resources offer clinicians and patients methods to increase healthy foods on the family table.

Course objectives:

• Describe the role of inflammation in overall health and specific medical conditions.
• Explain the relationship between dietary intake and systemic inflammation.
• Identify specific dietary components that can increase inflammation in the body.
• Summarize the evidence for eating patterns that are associated with lower levels of systemic inflammation.
• Gain proficiency in structuring anti-inflammatory diets that maximize patient adherence.

Completion Requirements

Complete all the coursework, course evaluation, and the final test with a score of 70% or better. You are allowed unlimited re-attempts. Upon successful completion, you will be able to print your certificate of completion.

Curriculum

Introduction - Learn the components of the anti-inflammatory diet and how food and nutrition can help ameliorate certain conditions.
Understanding Inflammation - An explanation of how long-term inflammation can contribute to, and even cause, numerous unhealthy conditions.
AI Diet as an Eating Pattern - Get a detailed description of the food groups that comprise an anti-inflammatory diet, including a sample 1-day meal plan.
Implementing the AI Diet - An overview of a variety of conditions influenced by inflammation and diet, coupled with cost-effective strategies to implement and adhere to an AI Diet, including a sample 1-week meal plan.
Patient Waiting Room - Apply the concepts from the course in a case-based interaction with four virtual patients.
Exam
Evaluation

Target Audience

Physicians, nurse practitioners, physician assistants, nurses, and dietitians.

Enrollment

You can register and start immediately. If you register for the course and pay with a credit card, you will have immediate access to the course. Once your registration is complete, log out and log back in, and your course will be listed on the campus page. If you cannot remember your account information, click the Forgot Password link on the login page, and it will be emailed to you.

Credit

11.00 AMA PRA Category 1 Credit(s)™ available for Physicians
11.00 NCPD Credits for Nurses

Anti-Inflammatory Diet
Disclosure & Credit Information

Nursing Continuing Professional Development Information:

Completion Requirements

Complete all the coursework, course evaluation, and the final test with a score of 70% or better. You are allowed unlimited re-attempts. Upon successful completion, you will be able to print your certificate of completion.

Current NCPD Approval Period: 8/24/2024 to 8/23/2026

Current NCPD Approval Number: 240740E

Relevant Financial Relationship Disclosure Information

Any individuals in a position to control the content of an activity, including faculty, planners, reviewers, or others, are required to disclose all financial relationships with ineligible entities (commercial interests). All relevant financial relationships have been mitigated prior to the commencement of the activity.

Dr. Alschuler has disclosed that she is an advisor for Vitazan; is a speaker for NFH Inc., Gaia Herbs, and OptimalRX (relationship has ended); referral commission through Fullscript; receives sponsorship from Kyowa Hakko, American Biosciences, Essential Formulas, and Integrative Therapeutics; and received grant/research support from Pharmavite (relationship has ended).

All other individuals in a position to control the content of this activity, including faculty, planners, reviewers, or others, have disclosed that they have no relevant financial relationships with ineligible companies that would constitute a conflict of interest concerning this activity.

This nursing continuing professional development activity was approved by the Colorado Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation.

ACCME/AMA PRA Accreditation and CME Designation Statement

The University of Arizona College of Medicine - Tucson is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The University of Arizona College of Medicine - Tucson designates this enduring material for a maximum of 11.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This course includes an assessment of 15 questions. You must answer 70% or more correctly to receive credit for participation. You are allowed unlimited re-attempts.

Current CME Approval Period: 8/24/2024 to 8/23/2026

Most Recent Review by Author: 08/23/2024

Relevant Financial Relationship Disclosure Information

University of Arizona College of Medicine - Tucson Continuing Medical Education adheres to the ACCME's Standards for Integrity and Independence in Accredited Continuing Education. Any individuals in a position to control the content of a CME activity, including faculty, planners, reviewers, or others, are required to disclose all financial relationships with ineligible entities (commercial interests). All relevant financial relationships have been mitigated prior to the commencement of the activity.

Dr. Alschuler has disclosed that she is an advisor for Vitazan; is a speaker for NFH Inc., Gaia Herbs, and OptimalRX (relationship has ended); referral commission through Fullscript; receives sponsorship from Kyowa Hakko, American Biosciences, Essential Formulas, and Integrative Therapeutics; and received grant/research support from Pharmavite (relationship has ended).

All other individuals in a position to control the content of this activity, including faculty, planners, reviewers, or others, have disclosed that they have no relevant financial relationships with ineligible companies that would constitute a conflict of interest concerning this activity.

Commercial Support

There is no commercial support for this activity.

Faculty / Authors

Lise Alschuler, ND; Assistant Director, Fellowship Andrew Weil Center for Integrative Medicine; Professor, Department of Medicine University of Arizona College of Medicine-Tucson

George Schatz, MD, ABOIM, IFMCP; Associate Clinical Professor, Department Family & Community Medicine, University of Arizona College of Medicine -Tucson; Physician, Banner University Medical Center - Tucson; Faculty, Andrew Weil Center for Integrative Medicine

Planning Committee

Lise Alschuler, ND; Assistant Director, Fellowship Andrew Weil Center for Integrative Medicine; Professor, Department of Medicine University of Arizona College of Medicine-Tucson

Priscilla Abercrombie, RN, PhD, AHN-BC; Women's Health & Healing Integrative Health Coach

Molly K. Burke, MFA, CMT; Director of Online Education, Andrew Weil Center for Integrative Medicine

Copyright

All rights reserved - Arizona Board of Regents.

Everyone has anxiety at some time, as we are all faced with uncertainty about the future. A certain amount of anxiety is normal and an adaptive response that has evolved to allow us to avoid danger and to stay alive. Anxiety becomes maladaptive when it interferes with functioning and restricts our life choices.

Anxiety disorders are highly prevalent and cause substantial functional impairment; they constitute the most frequent mental disorders worldwide (WHO, 2022). In the US, an analysis of epidemiologic data concluded that there is a 21% twelve-month prevalence and 34% lifetime prevalence of anxiety (Szuhany, 2022). Social anxiety, generalized anxiety, panic, and agoraphobia are the most common anxiety disorders (Szuhany, 2022).

An integrative approach dissolves the artificial boundaries between classical psychotherapy, psychopharmacology, and non-pharmacological approaches. This course will cover a variety of integrative modalities, including nutrition, mind-body, movement, manual medicine, Ayurveda, East Asian Medicine, and much more. Explore the latest research and apply the learning in clinical case-based activities.

Learning Objectives

1. Describe the public health impact of anxiety on youth and adult populations.
2. Discuss brain circuitry related to anxiety and fear, as well as the sensitization leading to pathology.
3. Compare the Diagnostic Statistical Manual of Mental Disorders (DSM) to the National Institute of Mental Health's Research Domain Criteria.
4. Identify symptoms and characteristics of anxiety disorders in children and adults.
5. List medical problems and disease states known to cause anxiety or are associated with anxiety.
6. Identify medications and dietary supplements that may contribute to feelings of anxiety or panic.
7. Assess the evidence for the safety and benefit of complementary and integrative approaches/practices in the treatment of anxiety.
8. Assess the evidence for the safety and benefit of supplements in the treatment of anxiety.
9. Assess the evidence for the effects of nutrition and physical activity on anxiety.
10. Apply and review integrative medicine approaches in a variety of patient cases with anxiety.

Curriculum

• Overview
• Integrative Approaches
• Clinical Application
• Evaluation
• Exam

Completion Requirements

Complete all the course work, course evaluation, and the final test with a score of 70% or better. Upon successful completion you will be able to print your certificate of completion.

Target Audience

This activity is intended for physicians, nurse practitioners, nurses, physician assistants, psychologists, and behavioral health professionals in any specialty. In addition, all health care professionals who have an interest in an integrative approach to healing are targeted.

Certificate

When all of the above requirements are met (during the agreed upon timeline), a link for the completion certificate is available to download and print anytime from "My Account." If a specific credit type was selected at registration, your certificate will indicate earned credits.

Disclaimer

This course does not constitute medical advice. Healthcare providers should exercise their own independent medical judgment.

All case studies and patient scenarios in this course are used for illustrative purposes. All depictions of persons (other than faculty) are models and not actual patients.

Credit

6.50 AMA PRA Category 1 Credit(s)™ available for Physicians
6.50 NCPD Credits available for Nurses.

Anxiety: An Integrative Approach (2024-2026)
Disclosure & Education Credit Info

Physicians

ACCME/AMA PRA Accreditation and CME Designation Statement

The University of Arizona College of Medicine — Tucson is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The University of Arizona College of Medicine — Tucson designates this enduring material for a maximum of 6.50 AMA PRA Category 1 Credit(s) ™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This course includes an assessment of 11 questions that you must answer 70% correctly or above in order to receive credit for participation. You are allowed unlimited re-attempts.

Current CME Approval Period: March 1, 2024 to February 28, 2026

Relevant Financial Relationship Statement

University of Arizona College of Medicine - Tucson Continuing Medical Education adheres to the ACCME's Standards for Integrity and Independence in Accredited Continuing Education. Any individuals in a position to control the content of a CME activity, including faculty, planners, reviewers or others are required to disclose all financial relationships with ineligible entities (commercial interests). All relevant financial relationships have been mitigated prior to the commencement of the activity.

Dr. Alschuler has disclosed that she is an advisor for Vitazan, receives honoraria from NFH Inc. and Gaia Herbs, and received grant/research support from Pharmavite (Relationship has ended). Dr. Chiasson has disclosed grant/research support from Pharmavite (Relationship has ended).

All other individuals in a position to control the content of this CME activity, including faculty, planners, reviewers or others have disclosed that they have no relevant financial relationships with ineligible companies that would constitute a conflict of interest concerning this CME activity.

Commercial Support

There is no commercial support for this activity.

Nurses

Nursing Continuing Professional Development Information

6.5 NCPD Contact Hours for RNs

Current Approval Period - NCPD

Approval Period: March 1, 2024 to February 28, 2026

Approval #: 240301S

Relevant Financial Information

Dr. Lise Alschuler, ND, a content author for this course, is a speaker for Gaia Herbs, received research support from Pharmavite, a member of the Medical Advisory Panel for NFH (Vitazan), and a speaker for Optimal Rx.

All of the relevant financial relationships listed for these individuals have been mitigated.

All others in control of content have disclosed that they have no relevant financial relationships with ineligible companies that would constitute a conflict of interest concerning this activity.

Completion Requirements

Complete all the coursework, course evaluation, and the final test with a score of 70% or better. You are allowed unlimited re-attempts. Upon successful completion, you will be able to print your certificate of completion.

Nursing Continuing Professional Development (NCPD)

This nursing continuing professional development activity was approved by the Colorado Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation.

Faculty / Authors

Most Recent Review by Author: December 7, 2023

Except where noted below, the following faculty, planners, and the CME/NCPD reviewers have disclosed that they have no financial interest, arrangement, or affiliation that would constitute a conflict of interest concerning this CME/CPD activity.

Lewis Mehl-Madrona, MD, Physician, Acadia Psychiatric Hospital, Bangor, ME; Physician, Family Medicine Residency, Eastern Maine Medical Center, Bangor, ME

Vivian A. Kominos, MD, FACC, ABOIM; Integrative Cardiologist at Kominos Integrative Cardiology, LLC, Clinical Assistant Professor, Andrew Weil Center for Integrative Medicine

Lise Alschuler, ND, Professor of Clinical Medicine, University of Arizona; Assistant Director of the Fellowship in Integrative Medicine, Andrew Weil Center for Integrative Medicine

Noshene Ranjbar, MD; Medical Director, Integrative Psychiatry Clinic, Banner-UA Tucson; Medical Director, Child and Adolescent Psychiatry Clinic, Banner-UA Tucson; Co-Director of Integrative Medicine in Residency-Psychiatry, Department of Psychiatry, University of Arizona. Faculty, Center for Mind-Body Medicine; Faculty, Andrew Weil Center for Integrative Medicine

Amelia Villagomez, MD; Clinical Assistant Professor of Psychiatry, University of Arizona; Clinical Assistant Professor of Psychiatry, University of Saskatchewan

Planning Committee

Ann Marie Chiasson, MD, MPH, CCFP; Director, Fellowship in Integrative Medicine, University of Arizona Center for Integrative Medicine.

Vivian A. Kominos, MD, FACC, ABOIM; Integrative Cardiologist at Kominos Integrative Cardiology, LLC, Clinical Assistant Professor, Andrew Weil Center for Integrative Medicine

Priscilla Abercrombie, RN, PhD, AHN-BC, Founder, Women's Health & Healing Integrative Health Coach

Molly K. Burke, MFA, CMT; Director of Online Education, Andrew Weil Center for Integrative Medicine

Copyright

All rights reserved - Arizona Board of Regents.

Overview

One out of every eight women in the US will be diagnosed with breast cancer during their lifetime, a number that has been increasing steadily over the past decade. The prevalence of breast cancer in men is also on the rise. Given the number of breast cancer diagnoses, practitioners must be equipped with up-to-date, comprehensive information about prevention, treatment, and survivorship.

Breast cancer treatment is complex and demanding. It is important that busy providers have the tools they can incorporate into conventional cancer treatment — integrative interventions that new research shows can impact not only quality of life but also cancer-specific outcomes. These powerful integrative adjuvants include stress management, exercise, sleep, and diet.

Practitioners trained in an integrative medicine model have the potential to improve outcomes, encourage optimism and resilience, and teach innovative, effective approaches to self-care in their patients. Information in this course will help practitioners better serve patients with breast cancer in all stages of treatment.

Learning Objectives

Breast Cancer Risk Reduction
Participants will be able to:

• List key risk factors for breast cancer and identify modifiable risk factors.
• Gain familiarity with the role of risk reduction in breast cancer.
• Understand the Society's recommendations, indications, and limitations of breast cancer screening.
• Define strategies to help patients address modifiable risk factors, including alcohol intake, physical activity, and obesity.
• Discuss the role of dietary patterns and nutrition in breast cancer risk reduction.
• Recognize the contributors and impact of insulin resistance in breast cancer risk.
• Develop familiarity with lifestyle strategies to lower insulin resistance.
• Review the role of environmental endocrine disruptors as risk factors for breast cancer.
• Recognize genetic variants and mammographic findings that identify women at high risk for breast cancer and appropriately refer those patients for genetic screening, intensive surveillance, and risk reduction.
• Apply evidence-based integrative approaches to breast cancer risk reduction using case-based learning.

Breast Cancer Treatment
Participants will be able to:

• Gain an appreciation of the role of biopsy in breast cancer diagnosis.
• Discuss surgical options for breast cancer treatment and reconstructive surgery.
• Gain insight into how to support patient dialogue and decision-making from a benefits and risk perspective in their surgical treatment decision-making.
• Assess methods used to optimize surgical outcomes, improve patient experience, and reduce the risk of surgical complications.
• Describe classes of drug therapies and radiation therapy for breast cancer treatment, their associated adverse effects, and evidence-based approaches to prevent or minimize these effects.
• Recognize the Traditional Chinese Medicine interpretation of the causes and treatment approaches to breast cancer, especially the use of acupuncture for addressing some of the adverse effects of conventional treatment.
• Evaluate commonly used mind-body medicine approaches used to prepare and support women during breast cancer treatment.
• Discuss the clinical evidence for nutrition, exercise, mind-body approaches, whole systems approaches, and dietary supplements which have been shown to improve the efficacy and/or mitigate adverse side effects of breast cancer chemotherapy.
• Discuss the clinical evidence for integrative strategies which mitigate adverse side effects of breast cancer radiation therapy.
• Apply evidence-based integrative medicine strategies to breast cancer using case-based learning that addresses a variety of diagnostic and treatment scenarios.

Breast Cancer Survivorship
Participants will be able to:

• Discuss guidelines for post-treatment surveillance.
• Gain familiarity with monitoring breast cancer patients for treatment-related effects and signs of recurrence post-treatment.
• Discuss integrative medicine strategies, inclusive of diet, physical activity, stress management, and dietary supplementation, to address modifiable risk factors for breast cancer recurrence.
• Demonstrate approaches to prevent or reduce symptoms of physical weakness, functional impairment, lymphedema, and cognitive and nerve damage caused by surgery and radiation therapy for breast cancer.
• Identify the impact of long-term breast cancer endocrine therapy on general health, and discuss evidence-based integrative approaches to manage hot flashes, osteoporosis, and sexual function.
• Assess evidence-based integrative medicine approaches to mental health after breast cancer treatment, including depression, anxiety, insomnia, and fatigue.
• Apply evidence-based integrative medicine strategies in case-based learning format to address the complex needs of breast cancer survivors.

Curriculum

Course Modules

RISK REDUCTION
Breast Cancer Risk Reduction
Breast Cancer & Insulin Resistance
Breast Cancer & the Environment
High-Risk Patients

TREATMENT
Treatment Options
Reducing Adverse Effects of Drug Therapy
Reducing Adverse Effects of Radiation Therapy

SURVIVORSHIP
Monitoring and Decreasing Recurrence Risk
Physical Rehabilitation in Breast Cancer Survivors
Endocrine Considerations
Mental Health and Breast Cancer

EVALUATION & EXAM
Breast Cancer Evaluation
Breast Cancer Exam

Completion Requirements

Complete all the coursework, course evaluation, and the final test with a score of 70% or better. You are allowed unlimited re-attempts. Upon successful completion, you will be able to print your certificate of completion.

Target Audience

Physicians, physician assistants, and other health practitioners who have an interest in integrative medicine.

Certificate

When all of the above requirements are met (during the agreed-upon timeline), a link for the completion certificate is available to download and print anytime from "My Account." If a specific credit type was selected at registration, your certificate will indicate earned credits.

Disclaimer

This course does not constitute medical advice. Healthcare providers should exercise their own independent medical judgment.

All case studies and patient scenarios in this course are used for illustrative purposes. All depictions of persons (other than faculty) are models and not actual patients.

Credit

14.75 AMA PRA Category 1 Credit(s)™ available for Physicians

Breast Cancer: An Integrative Approach & Education Credit Info
Disclosure & Education Credit Info

ACCME/AMA PRA Accreditation and CME Designation Statement

The University of Arizona College of Medicine – Tucson is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The University of Arizona College of Medicine – Tucson designates this enduring material for a maximum of 14.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Current Approval Period - CME

October 1, 2023 to September 30, 2025

Most Recent Review by Author: August 30, 2023

Completion Requirements

Complete all the coursework, course evaluation, and the final test with a score of 70% or better. You are allowed unlimited re-attempts. Upon successful completion, you will be able to print your certificate of completion.

Commercial Support

There is no commercial support for this activity.

Relevant Financial Relationships Statement

Dr. Alschuler has disclosed the following relevant financial relationships: research support from Pharmavite; speaker for Gaia Herbs and Nutracorp; advisor for L-Nutra. Dr. Echols has disclosed the following relevant financial relationships: research grant and advisor for Abbvie; research grant and consultant for Coloplast; consultant for Medtronic; research grant from Watson-Conti. Dr. Perron has disclosed the following relevant financial relationships: consultant for NURX. All relevant financial relationships have been mitigated.

All others in control of content have disclosed that they have no relevant financial relationships with ineligible companies that would constitute a conflict of interest concerning this CME activity.

Faculty / Authors

Lise Alschuler, ND; Co-Director, Fellowship in Integrative Medicine, Andrew Weil Center for Integrative Medicine

Dawn Lemanne, MD, MPH; Founder, Oregon Integrative Oncology, Ashland, OR

Ana Maria Lopez, MD, MPH, ABOIM; Founder, Oregon Integrative Oncology, Ashland, OR

Bridget Bongaard, MD; Medical Director, Islands Hospice, Kahului, HI

Cheryl Beighle, MD; Partner, Pediatrician, Everett Clinic, Everett WA

Adi Benito-Herrero, MD; Owner and Director, Princeton Integral Endocrinology, Princeton, NJ

Karolynn Echols-Lara, MD; Chief of Female Pelvic Medicine and Reconstructive Surgery in Ob/Gyn at Thomas Jefferson University, Philadelphia PA

Pio Guerrero, MD; Attending Physician, Colorado Rehabilitation Specialists, Colorado Springs, CO

Steven Gurgevich, PhD, MA, MEd, BS; Clinical Asst Professor of Medicine and Director, The Mind-Body Clinic, Tucson, Arizona

Celia Hildebrand, DAOM, LAc; assistant professor at the University of Arizona College of Medicine, Tucson, Arizona.

Robert Pendergrast, MD, MPH; Associate Professor at Georgia Health Sciences University

Jaimie Perkunas, DPT, e-RYT, C-IAYT; Owner, Yoga Is Therapy, Tucson, AZ

Joanne Perron, MD, MPH, FACOG; FACOG, Lecturer, UC Berkeley, Berkeley, CA

Santosh Rao, MD; Medical Director of Integrative Medicine, Banner MD Anderson Cancer Center, Gilbert, AZ

Justine Robbins, MED, LMT, CLT; Lymphedema Therapist, Banner University of Arizona Cancer Center North, Tucson, AZ

Diljeet Singh, MD, MPH, DrPH; Gynecologic Oncology, Mid-Atlantic Permanente Group, McLean, VA

Sharon Taylor, MD; Retired, Durham, NC

Rena Zimmerman, MD; Radiation Oncologist, Midwest Radiation Oncology Consultants, McHenry, IL

Planning Committee

Lise Alschuler, ND; Associate Director, Fellowship Andrew Weil Center for Integrative Medicine; Professor, Department of Medicine University of Arizona College of Medicine-Tucson

Molly K. Burke, MFA, CMT; Director of Online Education, Andrew Weil Center for Integrative Medicine

Build on your integrative knowledge, in this course focused on addressing patients with depression. According to the Centers for Disease Control (CDC), in 2020, one in five adults in the US reported a diagnosis of depression by their health provider. Depression is a major contributor to morbidity, mortality, and economic cost. It cuts across socioeconomic boundaries, race, age, and gender and is associated with serious comorbidities such as cardiovascular disease, obesity, chronic pain, diabetes, and substance abuse.

Within conventional practice, the combined use of antidepressant medications and psychotherapy has been considered the standard recommendation for the treatment of all patients with major depressive disorder (MDD). Increasingly, however, the reliance on medications has been questioned in the scientific literature.

For patients to have access to safe and evidence-based integrative approaches, a shift in focus and priorities of funding within the society as a whole are needed. Given the significant impact of depression on patients' lives, safer and more efficacious therapeutic approaches to depression are urgently needed, a fact that has lent momentum to the development of integrative approaches to this complex illness. Expand your ability to support your patients with an integrative approach to depression.

Learning Objectives

At the end of this course, participants will be able to:

1. Describe the public health impact of depression, including suicide rates and disparities across age, gender, race, and geographic location.
2. Discuss concerns related to medication-focused treatment of depression.
3. Review etiological factors for depression.
4. Identify symptoms of depression.
5. List medical problems and disease states known to cause or are associated with depression.
6. Identify medications with depression as potential adverse effects.
7. Review conventional treatment approaches for depression.
8. Assess the evidence for the safety and benefit of complementary and integrative approaches/practices in the treatment of depression.
9. Assess the evidence for the safety and benefit of supplements and botanicals in the treatment of depression.
10. Assess the evidence for the effects of lifestyle factors on depression.
11. Apply and review integrative medicine approaches in a variety of patient cases with depression.

Curriculum

• Overview
• Treatment Approaches
  - Conventional Treatment Review
  - Lifestyle Factors
  - Botanical and Dietary Supplements
  - Mind-Body Techniques
  - Other Integrative Approaches
  
• Clinical Application
• Course Evaluation and Exam

Completion Requirements

Complete all the coursework, course evaluation, and the final test with a score of 70% or better. Upon successful completion, you will be able to print your certificate of completion.

Target Audience

This activity is intended for physicians, nurse practitioners, nurses, physician assistants, psychologists, and behavioral health professionals in any specialty. In addition, all healthcare professionals who have an interest in an integrative approach to healing are targeted.

Certificate

When all of the above requirements are met (during the agreed-upon timeline), a link for the completion certificate is available to download and print anytime from "My Account." If a specific credit type was selected at registration, your certificate will indicate earned credits.

Disclaimer

This course does not constitute medical advice. Healthcare providers should exercise their own independent medical judgment.

All case studies and patient scenarios in this course are used for illustrative purposes. All depictions of persons (other than faculty) are models and not actual patients.

Credit

7.25 AMA PRA Category 1 Credit(s)™ available for Physicians
7.25 NCPD Credits available for Nurses.

Depression: An Integrative Approach (2024-2026)
Disclosure & Education Credit Info

Nursing Continuing Professional Development Information

7.25 NCPD Contact Hours for RNs

Current Approval Period - NCPD

May 6, 2024 - May 5, 2026

Completion Requirements

Complete all the coursework, course evaluation, and the final test with a score of 70% or better. You are allowed unlimited re-attempts. Upon successful completion, you will be able to print your certificate of completion.

Relevant Financial Relationship Disclosure Information

Any individuals in a position to control the content of an activity, including faculty, planners, reviewers, or others, are required to disclose all financial relationships with ineligible entities (commercial interests). All relevant financial relationships have been mitigated prior to the commencement of the activity.

Dr. Chiasson has disclosed grant/research support from Pharmavite (relationship has ended).

Dr. Raison has disclosed that he is a consultant for Usona Institute, Novartis, and Otsuka.

Dr. Alschuler has disclosed that she is an advisor for Vitazan; is a speaker for NFH Inc., Gaia Herbs, and OptimalRX (relationship has ended); referral commission through Fullscript; receives sponsorship from Kyowa Hakko & Dr. Ohhira Probiotics, American Biosciences, Essential Formulas, and Integrative Therapeutics; and received grant/research support from Pharmavite (relationship has ended).

Dr. Lee has disclosed that she owns stock in Cybin, MindMed, and Compass Pathways. The content that she authored was reviewed and found unrelated to the business/product lines of these companies. Therefore, Dr. Lee's relationships are not relevant to the content she authored for this course.

All other individuals in a position to control the content of this activity, including faculty, planners, reviewers, or others, have disclosed that they have no relevant financial relationships with ineligible companies.

This nursing continuing professional development activity was approved by the Colorado Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation.

ACCME/AMA PRA Accreditation and CME Designation Statement

The University of Arizona College of Medicine – Tucson is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The University of Arizona College of Medicine – Tucson designates this enduring material for a maximum of 7.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Current Approval Period - CME

May 6, 2024 - May 5, 2026

Most Recent Review by Author: January 31, 2024

Completion Requirements

Complete all the coursework, course evaluation, and the final test with a score of 70% or better. You are allowed unlimited re-attempts. Upon successful completion, you will be able to print your certificate of completion.

Relevant Financial Relationship Disclosure Information

University of Arizona College of Medicine – Tucson Continuing Medical Education adheres to the ACCME's Standards for Integrity and Independence in Accredited Continuing Education. Any individuals in a position to control the content of a CME activity, including faculty, planners, reviewers, or others, are required to disclose all financial relationships with ineligible entities (commercial interests). All relevant financial relationships have been mitigated prior to the commencement of the activity.

Dr. Chiasson has disclosed grant/research support from Pharmavite (relationship has ended).

Dr. Raison has disclosed that he is a consultant for Usona Institute, Novartis, and Otsuka.

Dr. Alschuler has disclosed that she is an advisor for Vitazan; is a speaker for NFH Inc., Gaia Herbs, and OptimalRX (relationship has ended); referral commission through Fullscript; receives sponsorship from Kyowa Hakko & Dr. Ohhira Probiotics, American Biosciences, Essential Formulas, and Integrative Therapeutics; and received grant/research support from Pharmavite (relationship has ended).

Dr. Lee has disclosed that she owns stock in Cybin, MindMed, and Compass Pathways. The content that she authored was reviewed and found unrelated to the business/product lines of these companies. Therefore, Dr. Lee's relationships are not relevant to the content she authored for this course.

All other individuals in a position to control the content of this activity, including faculty, planners, reviewers, or others, have disclosed that they have no relevant financial relationships with ineligible companies.

Commercial Support

There is no commercial support for this activity.

Faculty / Authors

Allison Lee, MD; Owner, Private Practice - C. Allison Lee, M.D.

Lewis Mehl-Madrona, MD; Physician, Acadia Psychiatric Hospital, Bangor, ME; Physician, Family Medicine Residency, Eastern Maine Medical Center, Bangor, ME

Lise Alschuler, ND; Professor of Clinical Medicine, University of Arizona; Assistant Director of the Fellowship in Integrative Medicine, Andrew Weil Center for Integrative Medicine

Noshene Ranjbar, MD; Medical Director, Integrative Psychiatry Clinic, Banner-UA Tucson; Medical Director, Child and Adolescent Psychiatry Clinic, Banner-UA Tucson; Co-Director of Integrative Medicine in Residency-Psychiatry, Department of Psychiatry, University of Arizona. Faculty, Center for Mind-Body Medicine; Faculty, Andrew Weil Center for Integrative Medicine

Charles Raison, MD; Professor, Department of Psychiatry, School of Medicine and Public Health: University of Wisconsin-Madison.

Planning Committee

Ann Marie Chiasson, MD, MPH, ABOIM; Director of Education and the Fellowship, University of Arizona Center for Integrative Medicine.

Elizabeth Knight, PhD, DNP, FNP-C; Integrative Health Coach, Flower Power Health and Nurse Practitioner, Reed College

Environmental health is based on the premise that what we eat or are exposed to in our environment directly affects our health. It examines the impact of air pollutants, pesticides, heavy metals, toxicants, and other environmental factors on the health of individuals and populations.

Designed for medical and nursing personnel, this Introduction to Integrative Environmental Health course primarily focuses on the broader patterns of disease caused by environmental toxicants. Learn about major chemicals affecting our health – as we break down impacts through our environment: Air, Land, and Water. Sharing the latest research linking chronic disease and environmental toxicants, students see how to support a patient's whole health. The course is not an exhaustive review of individual toxicants but focuses on the toxicants of greatest concern and prevalence. Important resources are shared throughout.

Once you've completed this Introduction course, enroll in The Integrative Environmental Health: Advanced Approaches. This course will build upon the Introduction course by exploring a more in-depth clinical approach – what populations are most at risk, how to take an environmental health patient history, emerging research, and case-based learning – to reinforce clinical relevance.

Learning Objectives

At the end of this course, participants will be able to:

1. Appraise the emerging research links between environmental toxicants and the documented rise of complex chronic illnesses, such as obesity, metabolic syndrome, cancers, neurodevelopmental disorders, and reproductive health.
2. Identify how an integrative medicine model may be applied in the prevention of environmentally-associated diseases.
3. Identify the primary categories of chemical toxicants present in the environment and interpret how their mechanisms of action may impact human health.
4. Recognize and identify the range of toxicants known to demonstrate endocrine disruptor activity in humans.
5. Acquire familiarity with consumer resources that can help individuals reduce unnecessary environmental toxicant exposures and recognize how cultural and socioeconomic status may influence their number of exposures and ability to limit exposure.
6. Identify several resources for patients and clinicians interested in environmental advocacy.

Curriculum

• Module 1: Introduction
• Module 2: From Environment to Humans
• Module 3: Air
• Module 4: Land
• Module 5: Water
• Course Evaluation and Exam

Completion Requirements

Complete all the coursework, course evaluation, and the final test with a score of 70% or better. Upon successful completion, you will be able to print your certificate of completion.

Target Audience

This enduring material educational program is intended for physicians, nurse practitioners, nurses, physician assistants, psychologists, and psychiatrists in any specialty. In addition, all healthcare professionals who have an interest in an integrative approach to healing are targeted.

Certificate

When all of the above requirements are met (during the agreed-upon timeline), a link for the completion certificate is available to download and print anytime from "My Account." If a specific credit type was selected at registration, your certificate will indicate earned credits.

Disclaimer

This course does not constitute medical advice. Healthcare providers should exercise their own independent medical judgment.

All case studies and patient scenarios in this course are used for illustrative purposes. All depictions of persons (other than faculty) are models and not actual patients.

Course Fees

Physicians - $239.54
Other Healthcare Professionals/General Public - $169.22.
Students - $143.77

The Center (AWCIM) is waiving the registration cost. Enrollment is free!

Credit

7.25 AMA PRA Category 1 Credit(s)™ available for Physicians
7.25 NCPD Credits available for Nurses.

Integrative Environmental Health: An Introduction (2024-2026)
Disclosure & Education Credit Info

Nursing Continuing Professional Development Information

7.25 NCPD Contact Hours for RNs

Current Approval Period - NCPD

January 15, 2024 to January 13, 2026

Completion Requirements

Complete all the coursework, course evaluation, and the final test with a score of 70% or better. You are allowed unlimited re-attempts. Upon successful completion, you will be able to print your certificate of completion.

Relevant Financial Relationship Disclosure Information

None of the presenters, planners, or faculty for this activity have relevant financial relationships to disclose with ineligible companies.

This nursing continuing professional development activity was approved by the Colorado Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation.

ACCME/AMA PRA Accreditation and CME Designation Statement

The University of Arizona College of Medicine – Tucson is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The University of Arizona College of Medicine – Tucson designates this enduring material for a maximum of 7.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Current Approval Period - CME

January 15, 2024 to January 14, 2026

Most Recent Review by Author: November 6, 2023

Completion Requirements

Complete all the coursework, course evaluation, and the final test with a score of 70% or better. You are allowed unlimited re-attempts. Upon successful completion, you will be able to print your certificate of completion.

Relevant Financial Relationship Disclosure Information

All Faculty, CME Planning Committee Members, and the CME Office Reviewers have disclosed that they do not have any relevant financial relationships with ineligible companies that would constitute a conflict of interest concerning this CME activity.

Commercial Support

There is no commercial support for this activity.

Faculty / Authors

Lyn Patrick, ND

Joanne Perron, MD, MPH, FACOG; Public Health Consultant

Lise Alschuler, ND; Professor of Clinical Medicine, University of Arizona; Assistant Director of the Fellowship in Integrative Medicine, Andrew Weil Center for Integrative Medicine

Priscilla Abercrombie, RN, PhD, AHN-BC; Founder, Women's Health & Healing Integrative Health Coach

Planning Committee

Victoria Maizes, MD; Professor of Medicine; Executive Director, Arizona Center for Integrative Medicine

Lise Alschuler, ND; Professor of Clinical Medicine, University of Arizona; Assistant Director of the Fellowship in Integrative Medicine, Andrew Weil Center for Integrative Medicine

Priscilla Abercrombie, RN, PhD, AHN-BC; Founder, Women's Health & Healing Integrative Health Coach

Molly K. Burke, MFA, CMT; Director of Online Education, Andrew Weil Center for Integrative Medicine

Why is Environmental health education important in clinical practice, and how can it help your patients? Many health issues occur due to negative environmental factors, but the causes often go unnoticed due to a lack of education in this area. Understanding how to assess and complete a patient's environmental health history and what actions to take in finding solutions to improve their health will be beneficial to your practice.

Designed for medical and nursing personnel, this Advanced Approaches course will build on the Integrative Environmental Health: An Introduction course by exploring a more in-depth clinical approach – what populations are most at risk, how to take an environmental health patient history, emerging research, and case-based learning – to reinforce clinical relevance. Enroll and complete the Introduction course first, then enroll and complete Advanced Approaches course.

Learning Objectives

At the end of this course, participants will be able to:

1. Identify vulnerable patient populations in terms of environmental toxicant exposures.
2. Apply a structured approach to taking an environmental medicine history that includes consideration of potential toxicants in air, land, and water.
3. Assess the impact of some emerging technologies and agricultural practices on environmental medicine and how they affect human health.
4. Identify advocacy resources in the field of environmental health and medicine gov.
5. Identify persistent organic pollutants, their ramifications to health, and associated global regulations.
6. Identify the role of epigenetics and the exposome in the intersection of toxicant exposure and related health effects.
7. Apply information about exposure safety for electromagnetic radiation regarding everyday use of devices.
8. Apply information and use resources about reproductive toxicant exposures, notably endocrine disruptors, and in-patient preconception counseling.

Curriculum

• Module 1: Taking an Environmental Medicine History
• Module 2: Patient Waiting Room
• Module 3: Emerging Research
• Course Evaluation and Exam

Completion Requirements

Complete all the coursework, course evaluation, and the final test with a score of 70% or better. Upon successful completion, you will be able to print your certificate of completion.

Target Audience

This enduring material educational program is intended for physicians, nurse practitioners, nurses, physician assistants, psychologists, and psychiatrists in any specialty. In addition, all healthcare professionals who have an interest in an integrative approach to healing are targeted.

Certificate

When all of the above requirements are met (during the agreed-upon timeline), a link for the completion certificate is available to download and print anytime from "My Account." If a specific credit type was selected at registration, your certificate will indicate earned credits.

Disclaimer

This course does not constitute medical advice. Healthcare providers should exercise their own independent medical judgment.

All case studies and patient scenarios in this course are used for illustrative purposes. All depictions of persons (other than faculty) are models and not actual patients.

Course Fees

Physicians - $148.68
Other Healthcare Professionals/General Public - $105.03.
Students - $89.24

The Center (AWCIM) is waiving the registration cost. Enrollment is free!

Credit

4.50 AMA PRA Category 1 Credit(s)™ available for Physicians
4.50 NCPD Credits available for Nurses.

Integrative Environmental Health: Advanced Approaches (2024-2026)
Disclosure & Education Credit Info

Nursing Continuing Professional Development Information

4.50 NCPD Contact Hours for RNs

Current Approval Period - NCPD

January 15, 2024 to January 13, 2026

Completion Requirements

Complete all the coursework, course evaluation, and the final test with a score of 70% or better. You are allowed unlimited re-attempts. Upon successful completion, you will be able to print your certificate of completion.

Relevant Financial Relationship Disclosure Information

Dr. Joanne Perron, MD MPH, content author for this course, is a consultant and has interest in NURX.

Dr. Lyn Patrick, ND, content author for this course, is a consultant for Biocidin LLC.

Dr. Lise Alschuler, ND, a planner and activity director for this course, is a speaker for Gaia Herbs, received research support from Pharmavite, and is a member of the Medical Advisory Panel for NFH (Vitazan).

All of the relevant financial relationships listed for these individuals have been mitigated.

This nursing continuing professional development activity was approved by the Colorado Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation.

ACCME/AMA PRA Accreditation and CME Designation Statement

The University of Arizona College of Medicine – Tucson is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The University of Arizona College of Medicine – Tucson designates this enduring material for a maximum of 4.50 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Current Approval Period - CME

January 15, 2024 to January 14, 2026

Most Recent Review by Author: November 16, 2023

Completion Requirements

Complete all the coursework, course evaluation, and the final test with a score of 70% or better. You are allowed unlimited re-attempts. Upon successful completion, you will be able to print your certificate of completion.

Relevant Financial Relationship Disclosure Information

All Faculty, CME Planning Committee Members, and the CME Office Reviewers have disclosed that they do not have any relevant financial relationships with ineligible companies that would constitute a conflict of interest concerning this CME activity.

Commercial Support

There is no commercial support for this activity.

Faculty / Authors

Lyn Patrick, ND

Joanne Perron, MD, MPH, FACOG; Public Health Consultant

Lise Alschuler, ND; Professor of Clinical Medicine, University of Arizona; Assistant Director of the Fellowship in Integrative Medicine, Andrew Weil Center for Integrative Medicine

Priscilla Abercrombie, RN, PhD, AHN-BC; Founder, Women's Health & Healing Integrative Health Coach

Planning Committee

Victoria Maizes, MD; Professor of Medicine; Executive Director, Arizona Center for Integrative Medicine

Lise Alschuler, ND; Professor of Clinical Medicine, University of Arizona; Assistant Director of the Fellowship in Integrative Medicine, Andrew Weil Center for Integrative Medicine

Priscilla Abercrombie, RN, PhD, AHN-BC; Founder, Women's Health & Healing Integrative Health Coach

Molly K. Burke, MFA, CMT; Director of Online Education, Andrew Weil Center for Integrative Medicine

For over 100 years more Americans have died from cardiovascular disease (CVD) than any other cause. The costs of CVD in the United States are estimated at $240 billion per year. These are staggering statistics, given the fact that the majority of cardiovascular diseases can be prevented.

For too long, medical training has focused on the mechanical and pharmaceutical management of CVD with less emphasis on its prevention. Defining cardiac disease and health by concentrating on several millimeter areas of the heart is not appropriate. The heart has a "mind of its own" through its extensive neural and humoral connections, and multiple modalities can be utilized to heal the heart and to keep it healthy. Integrative medicine offers clinicians a broad array of tools for both patient care and personal health in this regard.

This course reviews how apply evidence-based integrative approaches to the prevention and mitigation of CVD. Besides current studies on nutrition and specific diets, this course includes other lifestyle factors, mind-body medicine, botanicals, supplements and Eastern medicine that support CVD health. The best treatments for hypertension, dyslipidemia and metabolic syndrome are covered.

Learning Objectives

At the end of this course, participants will be able to:

1. Review the prevalence of cardiovascular disease (CVD), its risks and the social determinants of health that affect prevalence and risks.
2. Understand the common risk factors for CVD with special emphasis of prevention through integrative modalities.
3. Learn how to better risk stratify CVD risk through the use of available CVD calculators.
4. Develop a deep understanding of how nutrition affects heart health while learning the latest evidence behind specific diets.
5. Dive into how to provide the best treatment for hypertension including how to recommend physical activity, mind body medicine, botanicals, supplements, acupuncture and pharmacotherapy.
6. Expand your knowledge of dyslipidemia with information on advanced lipid testing besides reviewing latest evidence based lifestyle, exercise and mind body approaches long with latest guidelines on pharmacotherapy.
7. Review the components of the metabolic syndrome while exploring lifestyle measures, supplements, botanical and mind body medicine.

Curriculum

• Module 1: Introduction to Cardiovascular Health - Key concepts and components of intregrative approaches to cardiovascular health.
• Module 2: Nutrition and Cardiovascular Health: An Introduction - Key concepts and components of integrative approaches to cardiovascular health.
• Module 3: Nutrition for Cardiovascular Health: Macronutrients - A look at the macronutrients and beneficial foods associated with cardiovascular health.
• Module 4: Nutrition for Cardiovascular Health: Specific Diets - A look at dietary patterns associated with cardiovascular health.
• Module 5: Hypertension - Integrative medicine as it relates to hypertension.
• Module 6: Dyslipdemia - Integrative medicine as it relates to dyslipidemia.
• Module 7: Metabolic Syndrome - Integrative medicine as it relates to metabolic syndrome.
• Module 8: Clinical Applications - Interactive visit with patients experiencing cardiovascular issues.
• Course Evaluation - Complete the course evaluation then the exam to get your certificate for the course.
• Course Exam - Test to acquire continuing education credit with a passing score of 70% or better.

Completion Requirements

Complete all the course work, course evaluation, and the final test with a score of 70% or better. Upon successful completion, you will be able to print your certificate of completion.

Target Audience

This enduring material educational program is intended for physicians, nurse practitioners, physician assistants, nurses, and dietitians with interest in the role of integrative medicine in cardiovascular health, as well as other healthcare professionals who have an interest in integrative health and medicine.

Certificate

When all of the above requirements are met (during the agreed-upon timeline), a link for the completion certificate is available to download and print anytime from "My Account." If a specific credit type was selected at registration, your certificate will indicate earned credits.

Disclaimer

This course does not constitute medical advice. Healthcare providers should exercise their own independent medical judgment.

All case studies and patient scenarios in this course are used for illustrative purposes. All depictions of persons (other than faculty) are models and not actual patients.

Credit

18 AMA PRA Category 1 Credit(s)™ available for Physicians.

Please note, our Nutrition and CVH is a more focused version of this course. We suggest you decide if you want this full Integrative Cardiology course, or the nutrition focused course and enroll in just one.

Integrative Cardiology - The Basics, Nutrition and CVD Risks (2024-2026) Disclosure & Education Credit Info

ACCME/AMA PRA Accreditation and CME Designation Statement

The University of Arizona College of Medicine – Tucson is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The University of Arizona College of Medicine – Tucson designates this enduring material for a maximum of 18 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Current Approval Period - CME

October 3, 2024 - October 2, 2026

Most Recent Review by Author: July 31, 2024

Completion Requirements

Complete all the coursework, course evaluation, and the final test with a score of 70% or better. You are allowed unlimited re-attempts. Upon successful completion, you will be able to print your certificate of completion.

Relevant Financial Relationship Disclosure Information

University of Arizona College of Medicine – Tucson Continuing Medical Education adheres to the ACCME's Standards for Integrity and Independence in Accredited Continuing Education. Any individuals in a position to control the content of a CME activity, including faculty, planners, reviewers, or others, are required to disclose all financial relationships with ineligible entities (commercial interests). All relevant financial relationships have been mitigated prior to the commencement of the activity.

Dr. Kominos has disclosed the following: referral commission, Fullscript.

All other individuals in a position to control the content of this activity, including faculty, planners, reviewers, or others, have disclosed that they have no relevant financial relationships with ineligible companies that would constitute a conflict of interest concerning this activity.

Commercial Support

There is no commercial support for this activity.

Faculty / Authors

Vivian A. Kominos, MD, FACC, ABOIM; Integrative Cardiologist at Kominos Integrative Cardiology, LLC, Clinical Assistant Professor, Andrew Weil Center for Integrative Medicine

Shelly Latte-Naor, MD; Faculty, Memorial Sloan Kettering Cancer Center, Founder, Mindful Minute at Mount Sinai West

Tamara Steinitz, MS, RDN; Professor Emeritus Utah State University Department of Nutrition & Food Sciences, Former Director Didactic Program in Dietetics Utah State University

Priscilla Abercrombie, RN, PhD, AHN-BC, Founder, Women's Health & Healing Integrative Health Coach

Planning Committee

Vivian A. Kominos, MD, FACC, ABOIM; Integrative Cardiologist at Kominos Integrative Cardiology, LLC, Clinical Assistant Professor, Andrew Weil Center for Integrative Medicine

Molly K. Burke, MFA, CMT; Director of Online Education, Andrew Weil Center for Integrative Medicine

It is estimated that a great majority of cancer patients are using complementary therapies in addition to conventional care. As patients face a life-threatening diagnosis out of their control, they turn to therapies that offer hope and a regained sense of empowerment. Learn about controlling weight, the impact of nutrition, dietary supplements, stress reduction, Traditional Chinese Medicine, Chemo-CAM interactions and more.

Educational Purpose

This educational activity is designed to provide practitioners with an overview of integrative modalities and treatments that are beneficial for cancer care for patients in active treatment and survivorship, as well as prevention strategies.

Learning Objectives

1. Define integrative oncology and summarize the nature of complementary and integrative medicine use by cancer patients.
2. Describe integrative cancer care for patients receiving conventional cancer treatment and also for post-treatment cancer survivors.
3. Describe dietary guidelines for cancer patients.
4. Describe published evidence relating to the indications, limitations, and contraindications of botanicals and supplements in cancer care.
5. Evaluate the benefits of mind-body medicine approaches for cancer supportive care using an evidence-informed perspective.
6. Assess the potential applications for whole systems of medicine in oncology and examine the evidence for acupuncture in oncology.

Curriculum

• Introduction to Integrative Oncology - Gain an understanding of the role of integrative care in oncology.
• Weight, Nutrition, and Physical Activity - Explore the role of dietary risks on cancer prevention and treatment.
• Botanicals & Dietary Supplements - Evaluation of botanical & dietary supplement recommendations with a look at supplement-chemotherapy interactions.
• Mind-Body Approaches - Comprehensive review of mind-body approaches to utilize during treatment and survivorship.
• Whole Systems of Medicine - Understand the use of Ayurvedic and Traditional Chinese Medicine as complementary use in treatment and survivorship of cancer.
• Evaluation
• Course Exam

Completion Requirements

Complete all the course work, course evaluation, and the final test with a score of 70% or better. Upon successful completion, you will be able to print your certificate of completion.

Target Audience

This enduring material educational program is intended for physicians, nurse practitioners, nurses, physician assistants, psychologists, and psychiatrists in any specialty. In addition, all healthcare professionals who have an interest in an integrative approach to healing are targeted.

Certificate

When all of the above requirements are met (during the agreed-upon timeline), a link for the completion certificate is available to download and print anytime from "My Account." If a specific credit type was selected at registration, your certificate will indicate earned credits.

Disclaimer

This course does not constitute medical advice. Healthcare providers should exercise their own independent medical judgment.

All case studies and patient scenarios in this course are used for illustrative purposes. All depictions of persons (other than faculty) are models and not actual patients.

Credit

5.0 AMA PRA Category 1 Credit(s)™ available for Physicians

Introduction to Integrative Oncology (2025-2027) Disclosure & Education Credit Info

ACCME/AMA PRA Accreditation and CME Designation Statement

The University of Arizona College of Medicine – Tucson is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The University of Arizona College of Medicine – Tucson designates this enduring material for a maximum of 5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Current Approval Period - CME

January 7, 2025 - January 6, 2027

Most Recent Review by Author: November 7, 2024

Completion Requirements

Complete all the coursework, course evaluation, and the final test with a score of 70% or better. You are allowed unlimited re-attempts. Upon successful completion, you will be able to print your certificate of completion.

Relevant Financial Relationship Disclosure Information

University of Arizona College of Medicine – Tucson Continuing Medical Education adheres to the ACCME's Standards for Integrity and Independence in Accredited Continuing Education. Any individuals in a position to control the content of a CME activity, including faculty, planners, reviewers, or others, are required to disclose all financial relationships with ineligible entities (commercial interests). All relevant financial relationships have been mitigated prior to the commencement of the activity.

Dr. Alschuler has disclosed that she is an advisor for Vitazan; is a speaker for NFH Inc., Gaia Herbs, and OptimalRX (relationship has ended); referral commission through Fullscript; receives sponsorship from Kyowa Hakko, American Biosciences, Essential Formulas, and Integrative Therapeutics; and received grant/research support from Pharmavite (relationship has ended).

Dr. Abrams has disclosed: Advisor-Cannabotech.

All other individuals in a position to control the content of this activity, including faculty, planners, reviewers, or others, have disclosed that they have no relevant financial relationships with ineligible companies that would constitute a conflict of interest concerning this activity.

Commercial Support

There is no commercial support for this activity.

Faculty / Authors

Lise Alschuler, ND; Associate Director, Fellowship Andrew Weil Center for Integrative Medicine; Professor, Department of Medicine University of Arizona College of Medicine-Tucson

Karolyn Gazella; Founder, Natural Medicine Journal; Host, Natural Medicine Journal Podcast; Host, Five to Thrive Live! Podcast

Donald Abrams, MD; Immediate Past Chief, Hematology-Oncology, Zuckerberg San Francisco General; Integrative Oncology UCSF Osher Center for Integrative Health; Professor Emeritus of Medicine, University of California San Francisco

Anand Dhruva, MD; Associate Professor of Clinical Medicine, Department of Medicine, School of Medicine University of California San Francisco

Planning Committee

Lise Alschuler, ND; Associate Director, Fellowship Andrew Weil Center for Integrative Medicine; Professor, Department of Medicine University of Arizona College of Medicine-Tucson

Molly K. Burke, CMT, MFA; Director of Online Education, Andrew Weil Center for Integrative Medicine

Pain is a multifaceted issue involving nutritional, psychosocial, biochemical, neurological and physical components. The conventional medical model typically addresses pain in a unidimensional mode — with medications. With the growing awareness of the opioid epidemic, clinicians and patients are seeking to decrease pharmaceutical use and are turning to alternative therapies. The first section of the Foundations course offers a review of the physiology of pain, factors affecting the transition from acute to chronic, current pharmaceutical strategies, and opioid deprescribing.

The second section of the course offers and in-depth look at a wide variety of integrative modalities including nutritional approaches, mind-body therapies, manual therapy techniques, acupuncture, and many more. This course will discuss the evidence for safety and benefit of these modalities in the settings of acute and chronic pain. Finally, the strength of evidence for specific pain syndromes will be covered.

Learning Objectives

1. Discuss strategies for de-prescribing opiate medications.
2. Recognize the current state of affairs for the management for chronic pain in the United States.
3. Discuss the role of Integrative Medicine in the management of pain.
4. Review the pathophysiology of acute pain and chronic pain.
5. Identify the risk factors that contribute to acute pain converting into chronic pain and discuss strategies for modification of these risk factors.
6. Review the current risks and benefits of pharmaceuticals for the management of pain.
7. Assess the evidence for the safety and benefit of nutrition, dietary supplements, herbal therapies, Traditional Chinese Medicine, hypnosis, mindfulness, guided imagery, biofeedback, energy medicine and movement and therapies for the management of pain.
8. Recognize when modalities are indicated or contraindicated.
9. Recognize effective integrative treatments based on the strength of evidence for pain states.

Curriculum

• Introduction to Pain Management
• Current Pharmacological Management
• Post Surgical Pain
• Central Sensitization / Autonomic Pain Syndromes
• Topicals in Pain Management
• Deprescribing Opioids
• General Nutritional Approaches to Pain
• Advanced Dietary Approaches to Pain
• Dietary Supplements in Pain Management
• Mind-Body Therapies for Pain
• Clinical Hypnosis for Pain
• TCM and Acupuncture
• Manual Medicine
• Other IM Therapies
• Pulling It All Together
• Course Evaluation
• Exam

Completion Requirements

Complete all the coursework, course evaluation, and the final test with a score of 70% or better. Upon successful completion, you will be able to print your certificate of completion.

Target Audience

This enduring material educational program is intended for physicians, nurse practitioners, nurses, physician assistants, psychologists, and psychiatrists in any specialty. In addition, all healthcare professionals who have an interest in an integrative approach to healing are targeted.

Certificate

When all of the above requirements are met (during the agreed-upon timeline), a link for the completion certificate is available to download and print anytime from "My Account." If a specific credit type was selected at registration, your certificate will indicate earned credits.

Disclaimer

This course does not constitute medical advice. Healthcare providers should exercise their own independent medical judgment.

All case studies and patient scenarios in this course are used for illustrative purposes. All depictions of persons (other than faculty) are models and not actual patients.

Credit

12 AMA PRA Category 1 Credit(s)™ available for Physicians.

Integrative Pain Management
Disclosure & Education Credit Info

Accreditation / Credit Designation Statement

The University of Arizona College of Medicine — Tucson is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Arizona College of Medicine — Tucson designates this enduring material for a maximum of 12 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Current CME Approval Period: 2/28/2024 to 2/27/2026

Most Recent Review by Author: 2/20/2024

Commercial Support

None

Relevant Financial Relationship Disclosure Information

University of Arizona College of Medicine — Tucson Continuing Medical Education adheres to the ACCME's Standards for Integrity and Independence in Accredited Continuing Education. Any individuals in a position to control the content of a CME activity, including faculty, planners, reviewers or others are required to disclose all financial relationships with ineligible entities (commercial interests). All relevant financial relationships have been mitigated prior to the commencement of the activity.

Dr. Bonakdar has disclosed that he is a consultant for AppliedVR, Metagenics, Standard Process, and Wellkasa. Dr. Chiasson has disclosed grant/research support from Pharmavite (Relationship has ended).

All other individuals in a position to control the content of this CME activity, including faculty, planners, reviewers or others have disclosed that they have no relevant financial relationships with ineligible companies that would constitute a conflict of interest concerning this CME activity.

Faculty / Authors

Robert Bonakdar, MD, Director of Pain Management at the Scripps Center for Integrative Medicine. Assistant Clinical Professor at the University of California, San Diego, School of Medicine and is the immediate past president of the American Academy of Pain Management.

Diana Bottari, DO

Ann Marie Chiasson, MD, Co-Director of the Fellowship, Arizona Center for Integrative Medicine, Assistant Professor, Department of Medicine, University of Arizona College of Medicine-Tucson.

Steven Gurgevich, PhD, Clinical Asst Professor of Medicine and Director, The Mind-Body Clinic, Tucson, Arizona

Belleruth Naparstek, LISW, BCD. Psychotherapist, author and creator/owner of HealthJourneys.com

Deborah Nesbitt, ARNP

Mark Pirtle, PhD

Mari Ricker, MD

Planning Committee

Ann Marie Chiasson, MD, Co-Director of the Fellowship, Arizona Center for Integrative Medicine, Assistant Professor, Department of Medicine, University of Arizona College of Medicine-Tucson.

Molly K. Burke, MFA, CMT; Director of Online Education, Andrew Weil Center for Integrative Medicine

This course is comprised of four sections: Headache, Low Back Pain, Cannabis and Pain, and an Introduction to Pain in Pediatrics.

Headache

Providing care for headache patients can be one of the most challenging, yet rewarding, experiences in medicine. Up to 82% of headache patients turn to complementary medicine (Adams, 2013), although more than half do not discuss such use with their provider (Wells, 2011).

Low Back Pain

Low back pain is the fifth most common reason for physician visits in the United States (Hart, 1995; Deyo, 2006) and globally, chronic low back pain is estimated as affecting up to 25% over the age of 60 (Meucci, 2015). U.S. consumers spend a total of $8.7 billion in out of pocket expenses on complementary approaches to manage back pain. The 2017 American College of Physicians (ACP) recommendations for treatment of low back pain include integrative modalities as first line of care.

Cannabis and Pain

Cannabis is becoming an important adjuvant in the treatment of chronic pain. While the use of this plant as a standard therapy is still somewhat controversial, the evidence for cannabis in chronic pain is often misunderstood. Learning how to effectively and safely counsel patients on the pros and cons of cannabis is an important aspect of chronic pain management. This course will review the pharmacology of cannabis, the evidence for pain control and other symptoms, its safety profile, as well as the differences between oral and inhaled cannabis.

Introduction to Pain in Pediatrics

We now know that children feel pain as acutely and in some cases more acutely than adults. In neonates the pain pathways are well established, while the inhibitory pathways are still developing. Treatment of pediatric pain differs as well? the WHO guidelines for treatment of mild to severe pain differs with regards to the role of adjuvant and opiate therapies, Further, accurate pediatric pain assessment is complex as it requires using physiologic and behavioral indicators and caregiver assessments.

Addressing chronic pain in childhood is critical because it can continue throughout adulthood if not adequately addressed (APS Position Statement, Assessment and Management of Children with Chronic Pain). As chronic pain is managed optimally with an Integrative approach, this is now utilized in many pediatric pain clinics. Encouraging data from a recent U.S. survey found that 50% of pediatric pain clinics offer some form of Integrative Medicine (Bodner, 2018).

Learning Objectives

1. Recognize the prevalence of low back pain in the United States and the current impact on the health care system.
2. Identify and learn the 2017 ACP guidelines for the treatment of Low Back Pain.
3. Review the spectrum of primary headache disorders and secondary headaches.
4. Discuss the evidence, use and safety for nutritional approaches, dietary supplements, herbal medicine, traditional Chinese medicine, mind-body approaches, energy modalities, manual medicine and movement therapies in the management of low back pain and headache.
5. Review the interaction between cannabinoid receptors, endocannabinoids and phytocannabinoids in the use of medical marijuana.
6. Enumerate three different modes of delivery of cannabis and discuss the different pharmacokinetic and safety profiles.
7. List three symptoms that may be improved by cannabis medicines.
8. Understand the importance of pain scales in pediatric pain and which scales are validated.
9. Review the difference in treating pediatric pain and adult pain with opioid therapy.
10. Differentiate techniques to stimulate the vagus nerve for different age groups in pediatrics.
11. Review the data for aromatherapy in pediatric pain.
12. Learn the evidence for herbal therapies, dietary supplements, manual medicine and acupuncture for pediatric pain.
13. Review the role of sleep in pediatric pain.

Curriculum

• Headache
• Low Back Pain
• Cannabis and Pain
• Introduction to Pain in Pediatrics
• Course Evaluation
• Exam

Completion Requirements

Complete all the coursework, course evaluation, and the final test with a score of 70% or better. Upon successful completion, you will be able to print your certificate of completion.

Target Audience

This enduring material educational program is intended for physicians, nurse practitioners, nurses, physician assistants, psychologists, and psychiatrists in any specialty. In addition, all healthcare professionals who have an interest in an integrative approach to healing are targeted.

Certificate

When all of the above requirements are met (during the agreed-upon timeline), a link for the completion certificate is available to download and print anytime from "My Account." If a specific credit type was selected at registration, your certificate will indicate earned credits.

Disclaimer

This course does not constitute medical advice. Healthcare providers should exercise their own independent medical judgment.

All case studies and patient scenarios in this course are used for illustrative purposes. All depictions of persons (other than faculty) are models and not actual patients.

Credit

7 AMA PRA Category 1 Credit(s)™ available for Physicians.

Integrative Pain Management
Disclosure & Education Credit Info

Accreditation / Credit Designation Statement

The University of Arizona College of Medicine — Tucson is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Arizona College of Medicine — Tucson designates this enduring material for a maximum of 7 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Current CME Approval Period: 2/28/2024 to 2/27/2026

Most Recent Review by Author: 2/20/2024

Commercial Support

None

Relevant Financial Relationships Statement

University of Arizona College of Medicine — Tucson Continuing Medical Education adheres to the ACCME's Standards for Integrity and Independence in Accredited Continuing Education. Any individuals in a position to control the content of a CME activity, including faculty, planners, reviewers or others are required to disclose all financial relationships with ineligible entities (commercial interests). All relevant financial relationships have been mitigated prior to the commencement of the activity.

Dr. Abrams has disclosed that he is an advisor for Cannabotech, Cannformatics, Lumen (Relationship has ended), and Wellkasa (Relationship has ended). Dr. Bonakdar has disclosed that he is a consultant for AppliedVR, Metagenics, Standard Process, and Wellkasa. Dr. Chiasson has disclosed grant/research support from Pharmavite (Relationship has ended).

All other individuals in a position to control the content of this CME activity, including faculty, planners, reviewers or others have disclosed that they have no relevant financial relationships with ineligible companies that would constitute a conflict of interest concerning this CME activity.

Faculty / Authors

Donald I. Abrams, M.D. Professor of Clinical Medicine, Step VII, Department of Medicine, School of Medicine, University of California San Francisco, San Francisco, CA

Robert Bonakdar, MD, Director of Pain Management at the Scripps Center for Integrative Medicine. Assistant Clinical Professor at the University of California, San Diego, School of Medicine and is the immediate past president of the American Academy of Pain Management.

Melanie Brown, MD. Associate Professor of Pediatrics, Medical Director, Pediatric Comfort Team, Associate Program Director, Pediatric Residency Program The University of Chicago Medicine, Comer Children's Hospital

Ann Marie Chiasson, MD, Co-Director of the Fellowship, Arizona Center for Integrative Medicine, Assistant Professor, Department of Medicine, University of Arizona College of Medicine-Tucson.

Catherine Stallworth, MD

Contributors

Steven Gurgevich, PhD

Belleruth Naparstek

Mark Pritle, PhD

Planning Committee

Ann Marie Chiasson, MD, Co-Director of the Fellowship, Arizona Center for Integrative Medicine, Assistant Professor, Department of Medicine, University of Arizona College of Medicine-Tucson.

Molly K. Burke, MFA, CMT; Director of Online Education, Andrew Weil Center for Integrative Medicine

Over the past decade, interest in psychedelic medications and psychedelic plant and fungal medicines has steadily increased, as has their use in a growing number of clinical settings. While many of these substances are illegal in the United States, some are currently being researched for their potential benefit in mental healthcare and at end of life.

The Andrew Weil Center for Integrative Medicine has created this psychedelic course to give clinicians a broad overview of this topic and the current state-of-affairs. This is not a primer on how to prescribe or recommend psychedelic substances. This course will cover a variety of psychedelic substances that have been and/or are currently being investigated for their potential therapeutic value.

Course objectives:

• Describe the historical and cultural origins of psilocybin, MDMA, ibogaine, and ayahuasca.
• Define the potential mechanisms of action of psilocybin, MDMA, ketamine, ibogaine, and ayahuasca.
• Review the clinical evidence for effectiveness of MDMA, ketamine, psilocybin, ibogaine, and ayahuasca for mental health issues and end of life care.
• Describe the legality (including experimental use) of psychedelic medicines and substances, including MDMA, ketamine, psilocybin, ibogaine, and ayahuasca in the US.
• Review the role of set and setting, integration and the critical window theory within the context of therapeutic psychedelics.

Completion Requirements

Complete all the course work, course evaluation, and the final test with a score of 70% or better. Upon successful completion you will be able to print your certificate of completion.

Curriculum

SECTION I: An Overview & History

• Psychedelics - An Introduction
• First Wave Psychedelic Research to Reemergence
• Traditional Uses and Cultural Perspectives of Psychedelics

SECTION II: Modern Approaches: Psychedelic Research and Practice

• MDMA- and Ketamine-Assisted Therapies
• Psilocybin-assisted Therapies Research
• Ibogaine for Substance-misuse Treatment
• Ayahuasca
• Mechanisms of Therapeutic Psychedelics
• Emotional Regulation and Role of Spirituality in Psychedelic Research

SECTION III: Inclusive Therapeutic Approach

• Diversity, Equity, and Inclusion in Psychedelic Medicine

Target Audience

Primary Care Physicians, Internal Medicine Physicians, Pain Specialists, Psychiatrists, Nurse Practitioners, Physician Assistants

Enrollment

You can register and start immediately. If you register for the course and pay with a credit card you will have immediate access to the course. Once your registration is complete, logout and log back in and your course will be listed on the campus page. If you cannot remember your account information, click the Forgot Password link on the login page and it will be emailed to you.

Credit

10.25 AMA PRA Category 1 Credit(s)™ available for Physicians

Introduction to Therapeutic Uses of Psychedelics
Disclosure & Education Credit Info

Physicians

ACCME/AMA PRA Accreditation and CME Designation Statement

The University of Arizona College of Medicine — Tucson is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Arizona College of Medicine — Tucson designates this enduring material for a maximum of 10.25 AMA PRA Category 1 Credit(s) ™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This course includes an assessment of 10 questions that you must answer 70% correctly or above in order to receive credit for participation. You are allowed unlimited re-attempts.

Current CME Approval Period: April 3, 2025 to April 2, 2027
Most Recent Review: January 3, 2025

Completion Requirements

This course includes an assessment of 10 questions that you must answer 70% correctly or above in order to receive credit for participation. You are allowed unlimited re-attempts.

Relevant Financial Relationships Disclosure Information

University of Arizona College of Medicine – Tucson Continuing Medical Education adheres to the ACCME's Standards for Integrity and Independence in Accredited Continuing Education. Any individuals in a position to control the content of a CME activity, including faculty, planners, reviewers, or others, are required to disclose all financial relationships with ineligible entities (commercial interests). All relevant financial relationships have been mitigated prior to the commencement of the activity.

Dr. Chiasson has disclosed: Grant or research support from Pharmavite (Relationship has ended).

Dr. Nutt has disclosed: Honoraria-Janssen (Any division),Grant or research support-compass pathways (Relationship has ended), Honoraria-Takeda Pharmaceuticals (Any division).

Dr. Shannon has disclosed: Grant or research support-Mulitidiscplinary Association for Psychedelic Studies (Relationship has ended), Grant or research support-MindMed (Relationship has ended), Grant or research support-Beckley Psytech.

All other faculty, CME Planning Committee Members, and the CME Office Reviewers have disclosed that they have no relevant financial relationships with ineligible companies that would constitute a conflict of interest concerning this CME activity.

Commercial Support

There is no commercial support for this activity.

Faculty / Authors

Joe Tafur, MD; Family Physician at Ocotillo Center for Integrative Medicine in Phoenix, Arizona; Fellow at the University of Arizona's Center for Integrative Medicine; Co-founded the Church of the Eagle and the Condor (CEC); Co-founder of Modern Spirit

Ann Marie Chiasson, MD, MPH, CCFP; Director, Fellowship in Integrative Medicine, Andrew Weil Center for Integrative Medicine, University of Arizona

Josephine Begay-James, BS, MA; Diné (Navajo) Elder; Developed cultural school curriculums for K-12 school districts in Arizona and taught Diné language and Diné history and government for 34 years

Anthony Bossis, PhD; Clinical Psychologist and Clinical Assistant Professor of Psychiatry at NYU Grossman School of Medicine; Adjunct Professor of Classics and Religious studies at the University of Ottawa; Investigator at The Lundquist Institute for Biomedical Innovation

Rick Doblin, PhD; Founder and Executive Director of the Multidisciplinary Association for Psychedelic Studies (MAPS). His conflict of interest has been mitigated via peer review by the activity director (CME) to ensure a fair/balanced presentation.

Gul Dolen, MD, PhD; Associate Professor in the Department of Neuroscience at the Johns Hopkins University, School of Medicine. Her conflict of interest has been mitigated via peer review by the activity director (CME) to ensure a fair/balanced presentation.

Belinda Eriacho, MPH, MT; Wisdom Carrier; Healer; Founder of Kaalogii LLC, focused on cultural and traditional teaching, inner healing, and an international speaker on various topics impacting Native American communities in the United States

Veronika Gold, LMFT; Co-founder and a CEO at Polaris Insight Center; Ketamine Assisted Therapy (KAP) therapist, consultant, and lead trainer; Sub-investigator and Therapist at MAPS sponsored MDMA-Assisted Therapy (MDMA-AT) for PTSD treatment Clinical Trials; Supervisor and Assistant Trainer for MDMA-AT

Bruno Gomes, PhD; Member of the Interdisciplinary Cooperation for Ayahuasca Research and Outreach (ICARO)-UNICAMP; Member of Chac runa Institute's Ayahuasca Community Committee

Rachel Harris, PhD; Psychologist with both a research and a clinical background; Worked in private psychotherapy practice for thirty-five years specializing in people interested in psychospiritual development; Worked as a psychological consultant to Fortune 500 companies including the UN

Adele Lafrance, PhD; Clinical Psychologist, Research Scientist, Author, and Developer of Emotion-focused Treatment Modalities; Strategy Lead for the MAPS-sponsored study of MDMA-assisted psychotherapy for eating disorders; Clinical Trainer and Supervisor for Imperial College Center for Psychedelic Research

David Nutt, DM, FRCP, FRCPsych, FSB, FMedSci; Professor of Neuropsychopharmacology and Director of the Centre for Psychedelic Research at Imperial College London; Chief Research Officer of Awakn Life Sciences corp. His conflict of interest has been mitigated via peer review by the activity director (CME) to ensure a fair/balanced presentation.

Michael Pollan, MA; Writer, Teacher, and Activist; Professor in the English department at Harvard and at UC Berkeley’s Graduate School of Journalism

Scott Shannon, MD; Serves as a site Principal Investigator and therapist for the Phase III trial of MDMA assisted psychotherapy for PTSD sponsored by Multidisciplinary Association for Psychedelic Studies (MAPS); Past President of the American Holistic Medical Association; Past President of the American Board of Integrative Holistic Medicine. His conflict of interest has been mitigated via peer review by the activity director (CME) to ensure a fair/balanced presentation.

Nicholas Spiers, MA; Anthropologist; Research Coordinator at The Chac runa Institute

Rick Strassman, MD; Adjunct Associate Professor of Psychiatry at the UNM School of Medicine

Monnica Williams, PhD; Associate Professor in the School of Psychology at the University of Ottawa, Canada Research, Chair in Mental Health Disparities, and Director of the Laboratory for Culture and Mental Health Disparities; Clinical Director of the Behavioral Wellness Clinic, LLC in Tolland, Connecticut and Founded clinics in Kentucky, Virginia, and Pennsylvania.

Planning Committee

Ann Marie Chiasson, MD, MPH, CCFP; Director, Fellowship in Integrative Medicine, Andrew Weil Center for Integrative Medicine, University of Arizona

Joe Tafur, MD; Family Physician at Ocotillo Center for Integrative Medicine in Phoenix, Arizona; Fellow at the University of Arizona's Center for Integrative Medicine; Co-founded the Church of the Eagle and the Condor (CEC); Co-founder of Modern Spirit

Molly K. Burke, CMT, MFA; Director of Online Education, Andrew Weil Center for Integrative Medicine, University of Arizona

Copyright

All rights reserved - Arizona Board of Regents.

Overview

This course covers emerging research in the interplay between nutrition and cancer and offers insights into the role of nutrition in three common cancers: breast, colorectal, and prostate. The course stresses advancements in the understanding of carcinogenesis, individualization of nutrition, and cancer treatment and offers an updated take on the role of nutrition during cancer prevention, treatment, and survivorship.

Needs Assessment

The understanding of carcinogenesis and of personalized cancer treatment is changing. With more understanding of the hallmarks of carcinogenesis and the role of genetics in the prevention and development of cancers, it is necessary to introduce learners to the complex interactions between cancer, nutrition, cell metabolism, immunity, inflammation, genetics, epigenetics, and the gut microbiome. This course addresses controversies as well — popular diets used by individuals interested in cancer prevention and recovery — offering guidelines to help determine whether following these diets is in a patient's best interest. This course presents the best evidence-based nutritional recommendations for a variety of cancers and preventive nutritional strategies.

Learning Objectives

At the end of this course, participants will be able to:

1. Gain familiarity with the epidemiology of cancer.
2. Develop an understanding of the impact of socioeconomic, racial, mental health, and environmental disparities in cancer care.
3. Review hallmarks of carcinogenesis and nutritional factors that impact these hallmarks.
4. Review the interaction between genes, epigenetics, and nutrition.
5. Explore the rationale, evidence, clinical indications, and contraindications for various dietary patterns on cancer risk and in integrative cancer treatment - specifically carbohydrate and caloric restriction, a ketogenic diet, and fasting.
6. Gain an appreciation for the carcinogenic influence of insulin resistance and develop familiarity with ways to improve insulin sensitivity.
7. Evaluate the anti-cancer potential for various dietary phytonutrients and dietary supplements through an analysis of current scientific and clinical evidence.
8. Apply nutritional information that is specific to cancer types, namely breast, colorectal, and prostate cancers, through a review of summarized clinical evidence and with clinical scenarios, advising virtual patients about nutritional strategies.
9. Gain insight into evidenced nutritional and physical activity recommendations used for risk reduction and health optimization in cancer survivors.

Curriculum

• Module 1: Nutrition and Cancer Introduction
• Module 2: Non-Dietary Risk Factors
• Module 3: AICR/WCRF Guidelines (Video Commentary)
• Module 4: How Nutrition and Genes Interact
• Module 5: Cancer Metabolism
• Module 6: Insulin Resistance, Obesity, and the Microbiome
• Module 7: Phytonutrients
• Module 8: Dietary Patterns and Three Common Cancers
• Module 9: Nutrition, Physical Activity and Cancer Survivorship
• Course Evaluation and Exam

Completion Requirements

Complete all the coursework, course evaluation, and the final test with a score of 70% or better. Upon successful completion, you will be able to print your certificate of completion.

Target Audience

This enduring material educational program is intended for physicians, nurse practitioners, nurses, and physician assistants. In addition, all healthcare professionals who have an interest in an integrative approach to healing are targeted.

Certificate

When all of the above requirements are met (during the agreed-upon timeline), a link for the completion certificate is available to download and print anytime from "My Account." If a specific credit type was selected at registration, your certificate will indicate earned credits.

Disclaimer

This course does not constitute medical advice. Healthcare providers should exercise their own independent medical judgment.

All case studies and patient scenarios in this course are used for illustrative purposes. All depictions of persons (other than faculty) are models and not actual patients.

Credit

12.25 AMA PRA Category 1 Credit(s)™ available for Physicians.
12.25 CNE Credits available for Nurses.

Nutrition and Cancer (2024-2026) Disclosure & Education Credit Info

Nursing Continuing Professional Development Information

12.25 NCPD Contact Hours for RNs

Current Approval Period - NCPD

August 29, 2024 to August 28, 2026

Current NCPD Approval Number: 240741E

Completion Requirements

Complete all the coursework, course evaluation, and the final test with a score of 70% or better. You are allowed unlimited re-attempts. Upon successful completion, you will be able to print your certificate of completion.

Relevant Financial Relationship Disclosure Information

Any individuals in a position to control the content of an activity, including faculty, planners, reviewers, or others, are required to disclose all financial relationships with ineligible entities (commercial interests). All relevant financial relationships have been mitigated prior to the commencement of the activity.

Dr. Alschuler has disclosed that she is an advisor for Vitazan; is a speaker for NFH Inc., Gaia Herbs, and OptimalRX (relationship has ended); referral commission through Fullscript; receives sponsorship from Kyowa Hakko, American Biosciences, Essential Formulas, and Integrative Therapeutics; and received grant/research support from Pharmavite (relationship has ended).

Dr. Abrams has disclosed that he is an advisor for Wellkasa (Relationship has ended), Cannabotech, Cannformatics, and Lumen (Relationship has ended).

All other individuals in a position to control the content of this activity, including faculty, planners, reviewers, or others, have disclosed that they have no relevant financial relationships with ineligible companies that would constitute a conflict of interest concerning this activity.

This nursing continuing professional development activity was approved by the Colorado Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation.

ACCME/AMA PRA Accreditation and CME Designation Statement

The University of Arizona College of Medicine – Tucson is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The University of Arizona College of Medicine – Tucson designates this enduring material for a maximum of 12.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Current Approval Period - CME

August 29, 2024 to August 28, 2026

Most Recent Review by Author: May 28, 2024

Completion Requirements

Complete all the coursework, course evaluation, and the final test with a score of 70% or better. You are allowed unlimited re-attempts. Upon successful completion, you will be able to print your certificate of completion.

Relevant Financial Relationship Disclosure Information

University of Arizona College of Medicine – Tucson Continuing Medical Education adheres to the ACCME's Standards for Integrity and Independence in Accredited Continuing Education. Any individuals in a position to control the content of a CME activity, including faculty, planners, reviewers, or others, are required to disclose all financial relationships with ineligible entities (commercial interests). All relevant financial relationships have been mitigated prior to the commencement of the activity.

Dr. Alschuler has disclosed that she is an advisor for Vitazan; is a speaker for NFH Inc., Gaia Herbs, and OptimalRX (relationship has ended); referral commission through Fullscript; receives sponsorship from Kyowa Hakko, American Biosciences, Essential Formulas, and Integrative Therapeutics; and received grant/research support from Pharmavite (relationship has ended).

Dr. Abrams has disclosed that he is an advisor for Wellkasa (Relationship has ended), Cannabotech, Cannformatics, and Lumen (Relationship has ended).

All other individuals in a position to control the content of this activity, including faculty, planners, reviewers, or others, have disclosed that they have no relevant financial relationships with ineligible companies that would constitute a conflict of interest concerning this activity.

Commercial Support

There is no commercial support for this activity.

Faculty / Authors

Lise Alschuler, ND; Professor of Clinical Medicine, University of Arizona; Assistant Director of the Fellowship in Integrative Medicine, Andrew Weil Center for Integrative Medicine

Dawn Lemanne, MD, MPH; Founder of Oregon Integrative Oncology, Clinical Assistant Professor, University of Arizona Center for Integrative Medicine

Priscilla Abercrombie, RN, PhD, AHN-BC; Founder, Women's Health & Healing Integrative Health Coach

Donald Abrams, MD; Chief, Hematology-Oncology, Zuckerberg Francisco General Hospital; Professor of Clinical Medicine, University of California, San Francisco

Karolyn Gazella; Founder of the Natural Medicine Journal and the host of the Natural Medicine Journal Podcast for integrative healthcare professionals.

Tamara Steinitz, MS, RDN; Professor Emeritus Utah State University Department of Nutrition & Food Sciences, Former Director Didactic Program in Dietetics Utah State University; Andrew Weil Center for Integrative Medicine

Planning Committee

Lise Alschuler, ND; Professor of Clinical Medicine, University of Arizona; Assistant Director of the Fellowship in Integrative Medicine, Andrew Weil Center for Integrative Medicine

Priscilla Abercrombie, RN, PhD, AHN-BC; Founder, Women's Health & Healing Integrative Health Coach

Molly K. Burke, MFA, CMT; Director of Online Education, Andrew Weil Center for Integrative Medicine

More than 2100 Americans die of cardiovascular disease each day – one death every 40 seconds. This is a tragic but not surprising statistic given the national prevalence of metabolic syndrome, obesity, and diabetes. Eighty percent of premature heart disease could be prevented through diet and lifestyle. Clinicians must be able to effectively counsel patients about the many nutritional factors that can prevent heart disease, yet few physicians feel they have adequate training in nutrition. This course provides straightforward, clinically relevant information for understanding how carbohydrates and fats affect lipids, the evidence behind low glycemic load diets, the cardio-protective effects of key micronutrients and phytochemicals, and much more. The best strategy for health and resiliency is to design a nutritional plan for patients that addresses their specific health needs while encouraging a whole food diet that does not deny them the pleasures of eating. This course will give you the knowledge and understanding necessary to do just that.

Learning Objectives

At the end of this course, participants will be able to:

1. Assess the evidence for nutritional options for optimization of cardiometabolic health.
2. Describe key risk factors for heart disease in order to identify patients who could possibly benefit from dietary and lifestyle recommendations.
3. Learn the nutritional approaches for reducing the risk of cardiovascular disease.
4. Describe the fundamental components of heart-healthy diets, including the Mediterranean and DASH diets, along with updates on ketogenic, gluten-free, and time-restricted eating patterns, among others.
5. Review macronutrients and functional foods and learn about the glycemic index and glycemic load.
6. Discuss the potential risks and benefits of dietary supplements and botanicals commonly used in the prevention and/or treatment of heart disease to help patients make better healthcare choices.
7. Identify authoritative resources for information regarding integrative approaches for the prevention and/or treatment of cardiovascular disease.
8. Gain the ability to help patients make better dietary and lifestyle choices.

Curriculum

• Module 1: Introduction to Nutrition & Cardiovascular Health - Key concepts and components of nutritional approaches to cardiovascular health.
• Module 2: Integrative Approaches - Key concepts and components of Integrative approaches to cardiovascular health.
• Module 3: The Role of Nutrition in Cardiovascular Health - A look at the macro- and micronutrients, beneficial foods, associated with cardiovascular health.
• Module 4: Specific Diets - A look at dietary patterns associated with cardiovascular health.
• Module 5: Nutrition and Hypertension - Nutrition as it relates to hypertension.
• Module 6: Nutrition and Dyslipdemia - Nutrition as it relates to dyslipidemia.
• Module 7: Nutrition and Metabolic Syndrome - Nutrition as it relates to metabolic syndrome.
• Module 8: Nutrition and Heart Failure - Nutrition as it relates to heart failure.
• Module 9: Clinical Applications - Interactive visit with patients experiencing cardiovascular issues.
• Course Evaluation - Complete the course evaluation then the exam to get your certificate for the course.
• Course Exam - Test to acquire continuing education credit with a passing score of 70% or better.

Completion Requirements

Complete all the course work, course evaluation, and the final test with a score of 70% or better. Upon successful completion, you will be able to print your certificate of completion.

Target Audience

This enduring material educational program is intended for physicians, nurse practitioners, physician assistants, nurses, and dietitians with interest in the role of nutrition in cardiovascular health, as well as other healthcare professionals who have an interest in integrative health and medicine.

Certificate

When all of the above requirements are met (during the agreed-upon timeline), a link for the completion certificate is available to download and print anytime from "My Account." If a specific credit type was selected at registration, your certificate will indicate earned credits.

Disclaimer

This course does not constitute medical advice. Healthcare providers should exercise their own independent medical judgment.

All case studies and patient scenarios in this course are used for illustrative purposes. All depictions of persons (other than faculty) are models and not actual patients.

Credit

15.50 AMA PRA Category 1 Credit(s)™ available for Physicians
15.50 NCPD Credits are available for Nurses

Nutrition & Cardiovascular Health (2024-2026) Disclosure & Education Credit Info

Nursing Continuing Professional Development Information

15.5 NCPD Contact Hours for RNs

Current Approval Period - NCPD

June 3, 2024 - June 2, 2026

Completion Requirements

Complete all the coursework, course evaluation, and the final test with a score of 70% or better. You are allowed unlimited re-attempts. Upon successful completion, you will be able to print your certificate of completion.

Relevant Financial Relationship Disclosure Information

Any individuals in a position to control the content of an activity, including faculty, planners, reviewers, or others, are required to disclose all financial relationships with ineligible entities (commercial interests). All relevant financial relationships have been mitigated prior to the commencement of the activity.

Dr. Kominos has disclosed the following: referral commission, Fullscript.

All other individuals in a position to control the content of this activity, including faculty, planners, reviewers, or others, have disclosed that they have no relevant financial relationships with ineligible companies that would constitute a conflict of interest concerning this activity.

ACCME/AMA PRA Accreditation and CME Designation Statement

The University of Arizona College of Medicine – Tucson is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The University of Arizona College of Medicine – Tucson designates this enduring material for a maximum of 15.50 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Current Approval Period - CME

June 3, 2024 - June 2, 2026

Most Recent Review by Author: March 29, 2024

Completion Requirements

Complete all the coursework, course evaluation, and the final test with a score of 70% or better. You are allowed unlimited re-attempts. Upon successful completion, you will be able to print your certificate of completion.

Relevant Financial Relationship Disclosure Information

University of Arizona College of Medicine – Tucson Continuing Medical Education adheres to the ACCME's Standards for Integrity and Independence in Accredited Continuing Education. Any individuals in a position to control the content of a CME activity, including faculty, planners, reviewers, or others, are required to disclose all financial relationships with ineligible entities (commercial interests). All relevant financial relationships have been mitigated prior to the commencement of the activity.

Dr. Kominos has disclosed the following: referral commission, Fullscript.

All other individuals in a position to control the content of this activity, including faculty, planners, reviewers, or others, have disclosed that they have no relevant financial relationships with ineligible companies that would constitute a conflict of interest concerning this activity.

Commercial Support

There is no commercial support for this activity.

Faculty / Authors

Vivian A. Kominos, MD, FACC, ABOIM; Integrative Cardiologist at Kominos Integrative Cardiology, LLC, Clinical Assistant Professor, Andrew Weil Center for Integrative Medicine

Tamara Steinitz, MS, RDN; Professor Emeritus Utah State University Department of Nutrition & Food Sciences, Former Director Didactic Program in Dietetics Utah State University

Priscilla Abercrombie, RN, PhD, AHN-BC, Founder, Women's Health & Healing Integrative Health Coach

Planning Committee

Vivian A. Kominos, MD, FACC, ABOIM; Integrative Cardiologist at Kominos Integrative Cardiology, LLC, Clinical Assistant Professor, Andrew Weil Center for Integrative Medicine

Molly K. Burke, MFA, CMT; Director of Online Education, Andrew Weil Center for Integrative Medicine

Elizabeth Knight, PhD, DNP, FNP-C; Integrative Health Coach, Flower Power Health and Nurse Practitioner, Reed College

The prevalence of ADHD and autism have skyrocketed over the past couple decades. In 2016, an estimated 6.1 million children in the United States were diagnosed with ADHD, a prevalence of 9.46%. 3.8 million of these children were taking a stimulant medication such as Ritalin (CDC, 2018). This is up from 150,000 in 1970 and less than a million as recently as 1990. There is no biological explanation for such variation, indicating the very powerful effect of socioeconomic, political, educational, or other factors in the diagnosis and treatment of ADHD.

Families who are apprehensive about the side effects of medications for pediatric neurological disorders are turning to integrative medicine for options. Children with ADHD or autism can respond well to personalized care that emphasizes diet, nutrients, gut health, and environmental factors. This course emphasizes the need for health professionals who treat ADHD to become familiar with the various integrative treatments which are available and to be able to counsel parents effectively concerning these treatments. Pediatric providers will benefit from exploring evidence-based integrative options to complement pharmacologic and cognitive behavioral treatments.

Course objectives:

• Describe the risk and benefits of integrative approaches (including elimination diet, dietary supplement use, and lifestyle interventions) to address ADHD and differentiate ADHD from other psychosocial, psychological and neurocognitive conditions.
• Counsel families regarding best approaches to diagnose ADHD, and how to implement appropriate integrative approaches with children who have an ADHD diagnosis.
• Describe the risks and benefits of integrative approaches to Autism and counsel patients and their families on how to implement appropriate integrative approaches.

Completion Requirements

Complete all the course work, course evaluation, and the final test with a score of 70% or better. Upon successful completion you will be able to print your certificate of completion.

Curriculum

1. Introduction to ADHD - Discussion of ADHD diagnosis, neurobiology and increase in the diagnosis of ADHD.
2. Treatment Approaches to ADHD - Conventional and Integrative treatments for ADHD are reviewed.
3. The Integrative Approach to Autism - Discussion of increase in diagnosis, environmental exposures as possible causes and conventional and integrative treatments.
4. Exam
5. Evaluation

Target Audience

Physicians, nurse practitioners, physician assistants, and nurses.

Enrollment

You can register and start immediately. If you register for the course and pay with a credit card you will have immediate access to the course. Once your registration is complete, logout and log back in and your course will be listed on the campus page. If you cannot remember your account information, click the Forgot Password link on the login page and it will be emailed to you.

Credit

4.75 AMA PRA Category 1 Credit(s)™ available for Physicians

Integrative Pediatric Neurology: ADHD & Autism (2023 - 2025)
Disclosure & Credit Information

Physicians

ACCME/AMA PRA Accreditation and CME Designation Statement

The University of Arizona College of Medicine — Tucson is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The University of Arizona College of Medicine — Tucson designates this enduring material for a maximum of 4.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This course includes an assessment of 6 questions that you must answer 70% correctly or above in order to receive credit for participation. You are allowed unlimited re-attempts.

Current CME Approval Period: September 29, 2023 - September 28, 2025

Most Recent Review by Author: July 31, 2023

Conflict of Interest Disclosure Information

All Faculty, CME Planning Committee Members, and the CME Office Reviewers have disclosed that they do not have any relevant financial relationships with commercial interests that would constitute a conflict of interest concerning this CME activity.

Commercial Support

There is no commercial support for this activity.

Faculty / Authors

Sanford Newmark, MD; Director of Clinical Programs, UCSF Osher Center for Integrative Medicine Osher Foundation Endowed Chair in Clinical Programs in Integrative Medicine Integrative Pediatrician, UCSF Osher Center for Integrative Medicine Professor, Department of Pediatrics

Vivian Kominos, MD; Clinical Assistant Professor of Medicine, University of Arizona Andrew Weil Center for Integrative Medicine; Vice-Chair, the American Board of Integrative Medicine

Planning Committee

Vivian Kominos, MD; Clinical Assistant Professor of Medicine, University of Arizona Andrew Weil Center for Integrative Medicine; Vice-Chair, the American Board of Integrative Medicine

Copyright

All rights reserved - Arizona Board of Regents.

By 2030, nearly half of all U.S. adults are projected to be obese, and by 2050, one in three children worldwide will be affected. This growing crisis is not simply a matter of personal choice but a complex, multifactorial condition with profound health and economic consequences. Obesity is a major driver of cardiometabolic disease, cancer, respiratory conditions, neurocognitive decline, and fertility challenges, contributing to an estimated $173 billion in annual healthcare costs. Despite its prevalence, individuals with obesity often face stigma, delays in care, and inadequate treatment. Research indicates that physicians may spend less time with patients who are obese and often lack familiarity with evolving clinical guidelines.

As research and clinical practice advance, so does our understanding of obesity and its treatment. This course explores the latest developments in integrative obesity care, incorporating updated diagnostic classifications, emerging pharmacologic therapies, and holistic treatment approaches. The integrative medicine approach to obesity emphasizes evidence-based clinical strategies while also encouraging critical reflection on biases, challenging outdated perceptions of obesity as solely a behavioral issue.

After completing this course, you will gain a deeper understanding of obesity as a complex medical condition rather than a matter of personal choice. It will prompt you to examine your own perspectives and assumptions, equipping you with the evidence-based knowledge and integrative tools needed to provide more effective and compassionate care.

In this course you will learn:

Obesity Basics:

• Definitions and classifications of obesity including Lancet's 2025 new definition and categorization of obesity.
• The strengths and weaknesses of measurements (e.g., BMI, waist/hip ratio, DEXA) of obesity and the evaluation of the patient at risk for, or with obesity.
• Morbidity and mortality associated with obesity that goes beyond cardiometabolic derangements and includes respiratory disease, neurocognitive decline and rheumatologic disease, mental illness and fertility issues.
• The multifactorial causes of obesity.

Treatment of the Patient with Obesity:

• Nutritional patterns that result in healthy weight.
• Exercise for prevention of weight gain, treatment of obesity and reduction of mortality that occurs even in the absence of weight loss.
• Mind body approaches including cognitive behavioral therapy, meditation, hypnosis and meditative movement.
• East Asian Medicine modalities including Ayurveda and acupuncture.
• Anti-Obesity medications including eligibility for initiation of these medications and the latest data on the nutrient-stimulated hormone-based medications.
• Bariatric procedures including indications, pre-procedural work-up, benefits and risks.
• Maintenance of weight loss.

Pediatric obesity

• A devoted module on pediatric obesity that reviews contributing risk factors, comorbidities and evaluation of the child with obesity along with integrative treatment approaches.

Self-Assessment

• Assessment of what you have learned through a patient waiting room and examination.

This course is designed for physicians, nurse practitioners, physician assistants, and other healthcare professionals who seek to expand their expertise in integrative obesity management. With significant new content, including updated clinical guidelines and emerging therapies, it provides a fresh perspective on an increasingly urgent issue—making it valuable even for those who completed the previous edition.

Educational Purpose

Participants will gain an understanding of the complexities surrounding this health issue, review the latest research, and learn about current integrative treatments for obesity and weight gain issues. These include mind-body techniques, nutrition, physical activity and supplements in addition to conventional interventions.

Curriculum

I. Introduction & Basics
II. Clinical Management of the Patient with Obesity
III. Pediatric Obesity
IV. Meet The Patients
V. Evaluation

Topics in Obesity (2025 - 2027) Learning Objectives

• Incorporate into practice knowledge of the epidemic and rising prevalence of obesity in both adult and pediatric populations.
• Examine your own attitudes towards obesity, and develop an understanding that obesity is not a personal choice.
• Counsel patients on the multifactorial causes of obesity, including lifestyle, genetics, gut microbiome, drugs, and environment.
• Incorporate into practice knowledge of the different diagnoses of obesity along with its measurements, such as BMI, percent body fat, and body composition.
• Employ evidence-based integrative treatments that include not only nutrition and exercise but also East Asian Medicine, mind body therapies and supplements.
• Counsel patients that obesity is associated with changes in normal physiology that increases the risk for many chronic diseases, such as cardiovascular, metabolic, and rheumatological diseases.
• Advocate for the involvement of communities, schools, government and industry to help solve the obesity epidemic.
• Review the statistics, comorbidities and contributing risk factors of obesity in the pediatric population.
• Clinically evaluate obesity in children.
• Utilize integrative medicine modalities to treat pediatric obesity.

Completion Requirements

Complete all the course work, course evaluation, and the final test with a score of 70% or better. Upon successful completion you will be able to print your certificate of completion.

Target Audience

This online enduring material educational program is designed for physicians, advanced nurse practitioners, and physician assistants and other health care providers who have an interest in obesity treatment.

Enrollment

You can register and start immediately. If you register for the course and pay with a credit card you will have immediate access to the course. Once your registration is complete, logout and log back in and your course will be listed on the campus page. If you cannot remember your account information, click the Forgot Password link on the login page and it will be emailed to you.

Credit

15 AMA PRA Category 1 Credit(s)™ available for Physicians

Topics In Obesity (2025-2027) Disclosure & Education Credit Info

ACCME/AMA PRA Accreditation and CME Designation Statement

The University of Arizona College of Medicine – Tucson is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The University of Arizona College of Medicine – Tucson designates this enduring material for a maximum of 15 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Current Approval Period - CME

May 6, 2025 - May 5, 2027

Most Recent Review by Author: March 7, 2025

Completion Requirements

Complete all the coursework, course evaluation, and the final test with a score of 70% or better. You are allowed unlimited re-attempts. Upon successful completion, you will be able to print your certificate of completion.

Relevant Financial Relationship Disclosure Information

University of Arizona College of Medicine – Tucson Continuing Medical Education adheres to the ACCME's Standards for Integrity and Independence in Accredited Continuing Education. Any individuals in a position to control the content of a CME activity, including faculty, planners, reviewers, or others, are required to disclose all financial relationships with ineligible entities (commercial interests). All relevant financial relationships have been mitigated prior to the commencement of the activity.

Dr. Kominos has disclosed the following: referral commission, Fullscript.

All other individuals in a position to control the content of this activity, including faculty, planners, reviewers, or others, have disclosed that they have no relevant financial relationships with ineligible companies that would constitute a conflict of interest concerning this activity.

Commercial Support

There is no commercial support for this activity.

Faculty / Authors

Vivian A. Kominos, MD, FACC, ABOIM; Integrative Cardiologist at Kominos Integrative Cardiology, LLC, Clinical Assistant Professor, Andrew Weil Center for Integrative Medicine

Joy Weydert, MD, ABOIM, FAAP; Clinical Professor (Volunteer) of Integrative Medicine and General Pediatrics at the University of Kansas Health System; Associate Professor, Andrew Weil Center for Integrative Medicine

Planning Committee

Vivian A. Kominos, MD, FACC, ABOIM; Integrative Cardiologist at Kominos Integrative Cardiology, LLC, Clinical Assistant Professor, Andrew Weil Center for Integrative Medicine

Molly K. Burke, CMT, MFA; Director of Online Education, Andrew Weil Center for Integrative Medicine

Anti-Racism in Integrative Medicine

The Andrew Weil Center of Integrative Medicine (AWCIM) is committed to celebrating diversity, advocating inclusivity, and championing equity. At its core, integrative medicine must advocate for health equity for all members of society, including socioeconomic factors which impact both access to healthcare and the quality of care received, and ultimately, confront the structural racism that is embedded within healthcare systems.

The Center asserts that it is imperative that integrative medicine clinicians acquire the skills and cultural awareness necessary to address and mitigate health disparities. To make a significant impact on these issues, curricula must be restructured to include the influence of systemic racism and discrimination throughout the learner's education. With this in mind, we established a goal of establishing an anti-racist inclusive integrative medicine curriculum.

We determined 5 key areas of bias and discrimination that historically and continually influence health and healthcare access:

• Race and Ethnicity
• Socioeconomic status
• Gender Identity and Sexual Orientation
• Disability
• Age

The course provides you with the opportunity to learn about the history and impact of racism in medicine, to consider the implications of racism to integrative medicine, and to reflect on the significance of racism in medicine to you personally. The lead faculty for this course are Drs. Genesa Wagoner and Mia Sanders. Much of the course is video and self-reflection questions.

The course takes approximately 3 hours to fully complete. No CE is available.

Course Objectives:

• Understand the history of racism in medicine in the US.
• Understand factors in US history that contribute to current segregation, wealth disparities and health disparities between people of color and white people.
• Identify the current effects of racial disparities on diagnosis, treatment and wellbeing.
• Understand the available data regarding CAM (complementary and alternative medicine) disparities in usage and outcomes.
• Identify different types of Racism/Anti-Racism and their effects.
• Understand how explicit bias and implicit bias affect provider/patient and caregiver/patient relationships and how training can help.
• Identify steps that can be taken at the clinical, organization, community and systemic levels to decrease racial disparities.

Credit

No CME/CE credit available. Course length is estimated at 3 hours.

Aromatherapy & Health: An Introduction

The use of essential oils, widely known as Aromatherapy is gaining attention in integrative care practice, and for good reason. They offer another tool in integrative healthcare that is simple, effective, and inexpensive. Though there is still much to be discovered through research and experience, aromatherapy is making inroads into hospitals and health care practices. This branch of phytotherapy can be safely employed in most situations to complement and enhance treatments, often with notable results.

This course provides clinicians with an understanding of aromatherapy implementation and how to counsel patients on its use in their health strategy.

Learning Objectives

1. Describe modern day science behind aromatherapy and its roots in botanical medicine.
2. Review ten essential oils from the materia medica and first aid uses.
3. Review current research on essential oils for health care.
4. Apply essential oil use to a variety of case scenarios.
5. Review training and certification for aromatherapy.

Completion Requirements

Complete all the course work, course evaluation, and the final test with a score of 70% or better. Upon successful completion you will be able to print your certificate of completion (shows participation, not CE credits).

Curriculum

• Overview - Explore the history of aromatherapy, the sense of smell and how aromatherapy can be an effective tool in integrative healthcare.
• Essential Oils - Learn how to use ten of the most popular essential oils to address a host of health issues (Bergamot, Clary Sage, Eucalyptus, Frankincense, Ginger, Lavender, Peppermint, Rose Geranium, Rosemary, and Tea Tree).
• Practical Applications - Explore methods of essential oil applications, patient-case scenarios and how to extend your training.
• Exam
• Evaluation

Target Audience

Physicians, nurse practitioners, physician assistants, nurses, dietitians, and other interested health care professionals.

Credit

No CE credit available. Course length is estimated at 3 hours.

Aromatherapy II: The Art and Science of Blending

Explore the next layer in the versatile and accessible therapeutic approach of Aromatherapy - The Art of Blending.

You will get an in-depth explanation of blending principles, how to identify top, middle, and base notes, and additional Materia medica on five new essential oils. Experience step-by-step instructions on creating blends, creating herb-infused carrier oils, and explore the world of hydrosols. Brand new video-based faculty demonstrations are provided. The course also includes the application of aromatherapy blends in real-world, case-based scenarios.

The use of essential oils, widely known as aromatherapy is gaining attention in integrative care practice, and for good reason. They offer another tool in integrative healthcare that is simple, effective, and inexpensive. Though there is still much to be discovered through research and experience, aromatherapy is making inroads into hospitals and health care practices. This branch of phytotherapy can be safely employed in most situations to complement and enhance treatments, often with notable results.

This course provides clinicians with an understanding of blending essential oils in aromatherapy implementation and how to counsel patients on its use in their health strategy. This is a companion piece to Aromatherapy & Health: An Introduction.

Learning Objectives

1. Review the principles of blending.
2. Describe top, middle, and base note categories.
3. Describe the principles and variability of applications and dilutions, including carrier oils, other diluents, and hydrosols.
4. Review essential oils, their historic or traditional uses, as well as any existing researched uses for health and wellbeing.
5. Identify relevant safety issues and appropriate use of essential oils.
6. Categorize described essential oils into top, middle, and base note categories and possible health and wellbeing applications.
7. Apply essential oil blending use to a variety of case scenarios and read faculty comments.
8. *Apply principles of blending to create both a mood and health support aromatherapy blend.
9. Describe a personal case study and what blend you would create for this patient.

*Students are not required to complete any of the provided blending activities, but instruction is provided.

Curriculum

• Principles of Blending - Explore an in-depth explanation of blending principles, safety tips, dilution ratios, and how to identify top, middle, and base notes.
• Materia Medica for Blending - Materia medica is the Latin medical term for the body of collected knowledge about the therapeutic properties of any substance used for healing. This curriculum provides detailed information about 15 specific essential oils. Five new essential oils will be introduced: Cedarwood (Cedrus atlantica), Cypress (Cupressus sempervirens), Orange (Citrus sinensis), Roman Chamomile (Matricaria recutita), and Sweet Marjoram (Oreganum majorana). And the 10 essential oils from the Aromatherapy I course will be revisited.
• Preparing to Blend - Learn about blending supplies, carrier oils, and first aid uses. In addition, build your blending experience with video-based faculty demonstrations.
• Hydrosols - Learn about this process which involves distilled water that is recaptured after the essential oil has been removed and how to use them.
• Case Studies - Review practical applications of blends.
• Evaluation
• Exam

Completion Requirements

Complete all the course work, course evaluation, and the final test with a score of 70% or better. Upon successful completion, you will be able to print your certificate of completion (shows participation, not CE credits).

Target Audience

This enduring material educational program is intended for physicians, nurse practitioners, physician assistants, nurses, dietitians, and other interested health care professionals.

Certificate

When all of the above requirements are met (during the agreed-upon timeline), a link for the completion certificate is available to download and print anytime from "My Account."

Disclaimer

This course does not constitute medical advice. Healthcare providers should exercise their own independent medical judgment.

All case studies and patient scenarios in this course are used for illustrative purposes. All depictions of persons (other than faculty) are models and not actual patients.

Credit

No CE credit available. Course length is estimated at 5 hours.

Whole Systems of Medicine: Ayurveda

Credit

No CME/CE credit available. Course length is estimated at 9 hours.

Introduction to Contemplative Care

This introductory course is designed for those working in hospice care and with end-of-life patients. This course gives healthcare practitioners guidance in being fully present with patients, and offers guidance to help sustain themselves through demanding work. Meditation in the Zen Buddhist tradition is a key component of this course.

Contemplative care is an approach to caregiving that incorporates mindfulness practice, compassionate action, and moment-to-moment awareness while in relationship with the one being cared for. It is rooted in Buddhist practices of meditation and contemplation.

Using these practices, contemplative care seeks to transform palliative and end-of-life care, both at the individual level and system-wide, across communities and healthcare organizations. By shifting the emphasis towards the wellbeing of everyone involved in giving care to the dying, contemplative care calls on practitioners to engage their work as a process encompassing action, reflection, and contemplation.

Objectives

Contemplative Care: An Introduction

Participants will be able to:

• Understand the concept of Contemplative Care and its application in health care.
• Describe zen-based ethics and meditation practice as they apply to the implementation of contemplative care.
• Explore mindfulness exercises and meditation practices.

Death and Dying: A Contemplative Approach

Participants will be able to:

• Examine ways of alleviating fear and stress surrounding end-of-life care.

Completion Requirements

Complete all the course work and course evaluation. Upon successful completion you will be able to print your general certificate of completion. CE credit is not available. The course length is estimated at 3 hours.

Curriculum

Contemplative Care: An Introduction
Overview of the Contemplative Care process, background, and relevance to healthcare, and introduction to the concepts of mindfulness from the Zen Buddhist perspective.

Death and Dying: A Contemplative Approach
Approaches to death and dying, addressing the unknown, and tools for parting.

Contemplative Care Evaluation
Complete the course evaluation to get your certificate for the course.

Faculty

In Partnership with the New York Zen Center for Contemplative Care, this course was developed with Koshin Paley Ellison, MFA, LMSW, DMIN and Robert Chodo Campbell as lead faculty.

Koshin Paley Ellison

Robert Chodo Campbell

Target Audience

All Health Care Professionals

Credit

No CE credit available. Course length is estimated at 3 hours.

Whole Systems of Medicine: East Asian Medicine

The medicine that developed in Asia over the course of 4,000 years blossomed under a very different mindset than the Western system of medicine, which is perhaps less than 700 years old (post-Middle Ages). EAM is often referred to as a "whole medical system" in that it involves a complete system of theory and practice that has evolved independently from or parallel to allopathic (conventional) medicine (White, 2004).

Although TCM is taught and practiced most widely throughout the United States, East Asian Medicine (EAM) is a broad term that serves as an umbrella for three major styles of Asian medicine that share similar roots, including:

• Traditional Chinese Medicine "TCM" (occasionally referred to as Classical Chinese Medicine or "CCM")
• Korean (Sasang) Constitutional Medicine (sometimes known as Traditional Korean Medicine (TKM))
• Traditional Japanese Medicine (sometimes referred to as "Kampo" medicine)

The EAM worldview is expressed through its unique language and the understanding of the importance of "vital energy" or Qi (pronounced 'chee') in the state of health of the individual. The individual's situation is always considered in relationship to the environment with the understanding that health, or well-being, is achieved through maintaining a balance between elements of heaven (or sky), earth, and outer and inner experiences. The human being is a link between heaven and earth and, in this way, creates a pathway of communication between the two. This makes the study and practice of TCM an interesting experience for most people who have not considered how another culture, let alone a different medical tradition, would approach health, well-being, and disease. It can be an exciting exploration and a gateway to explore other ways of understanding relationships between the physical body and our internal and external environments.

No CME/CE credit available. Course length is estimated at 10.75 hours.

Within the TCM modules, subjects covered will include the following:

• Brief History of TCM: Origins and development of its therapeutic systems
• Yin/Yang theory: Yin and Yang as representative of the world and universe, health, the body, the mind / spirit, and therapeutics
• 5 Element Theory: Wood, Fire, Earth, Metal, Water and how they interact creating balance or imbalance
• Eight Principles: Descriptions and clinical manifestations (normal and pathological)
• Vital Substances: The concepts of Qi, Blood, Body Fluids, Essence and Spirit
• ZangFu: "Organ systems" of TCM and their physiological and energetic functions, relationships and pathologies
• Causes of Disease: Internal and external causes, lifestyle and related factors
• Meridians: Theory, acupuncture points and energetics
• Constructing a Different Diagnosis use lens of East Asian Medicine
• Brief Survey of TCM Therapeutic Techniques: Acupuncture, moxibustion, cupping, dietary advice, and herbal medicine
• Credentialing & Licensure: An overview of state and national requirements for practicing TCM—you will do research on your state's requirements

Course Objectives:

• Describe the historical, philosophical, and theoretical basis of Traditional Chinese Medicine and its current status in China and the US
• Describe the different treatment modalities in East Asian Medicine
• Identify efficacy, effectiveness, and safety for East Asian Medicine
• Appropriately refer for East Asian Medicine treatment
• Identify East Asian Medicine providers who are appropriately credentialed

Faculty

Lead contributor: Celia Hildebrand DAOM, LAc
Contributors: Alex Holland MAc, LAc; Leslie McGee RN, LAc
Medical Reviewer: Lise Alschuler ND, FABNO

Enrollment

If you register for the course and pay with a credit card you will have immediate access to the course. Once your registration is complete, logout and log back in and your course will be listed on the campus page. If you cannot remember your account information, click the Forgot Password link on the login page and it will be emailed to you.

You will have 30 days from your initial registration to complete the course.

We estimate the course should take 11 hours to complete.

Credit

Credit is not available for this course.

Credit

No CME/CE credit available. Course length is estimated at 11 hours.

Integrative Mental Health: An Introduction

Mental health is a vital element of one's overall wellbeing — a critical aspect of what it means to be whole and fully human.

Mental health is a key determinant of wellness, and has been shown to be strongly influenced by lifestyle factors such as chronic stress, sedentary lifestyle, poor nutrition, obesity, substance abuse, and social isolation. Use of complementary medicine in mental health conditions has been driven by the high cost of many psychiatric medications, and by the growing list of safety concerns reported by the FDA, but due caution must be used with all therapies, conventional or complementary.

No continuing education credit is available for this course. Course length approx. 5 hours.

Learning Objectives:

1. Discuss the prevalence and impact of mental illness on individuals and public health.
2. Compare and contrast mental health and mental illness.
3. Discuss the role of resilience in overall health and wellness, as well as ways to build resilience.
4. Describe therapeutic frameworks that focus on mental health promotion rather than treatment of disease.
5. Define the social determinants of health and potential impact on mental health.
6. Identify lifestyle factors that can positively affect mental health.
7. Recognize appropriate referral patterns for at-risk patients to mental health experts.
8. Evaluate the evidence for integrative approaches to promote mental health.
9. Apply lifestyle and integrative approaches through patient cases.

Curriculum

• What is Mental Health?
• Whole Person Mental Health
• Sleep and Mental Health
• Nutrition and Mental Health
• Movement and Mental Health
• Environment and Mental Health
• Resilience and Mental Health
• Relationships and Mental Health
• Spirituality and Mental Health
• Course Evaluation
• Course Exam

More on Mental Health

Interested in a clinical deep dive into integrative treatments? Consider our CME/CNE courses in Anxiety: An Integrative Approach or Coming Soon Depression: An Integrative Approach.

Completion Requirements

Complete all the coursework, course evaluation, and the final test with a score of 70% or better. Upon successful completion, you will be able to print your certificate of completion.

Target Audience

This activity is intended for physicians, nurse practitioners, nurses, physician assistants, psychologists, and behavioral health professionals in any specialty. In addition, all healthcare professionals who have an interest in an integrative approach to healing are targeted.

Certificate

When all of the above requirements are met (during the agreed-upon timeline), a link for the completion certificate is available to download and print anytime from "My Account." If a specific credit type was selected at registration, your certificate will indicate earned credits.

Disclaimer

This course does not constitute medical advice. Healthcare providers should exercise their own independent medical judgment.

Credit

No CME/CE credit available. Course length is estimated at 5 hours.