Reimagining integrative medicine fellowship core competencies with a health equity lens
Survey development and literature review
Competency review and feedback collection
Final revisions and implementation planning
Key Revisions and Innovations
Stakeholder feedback and thematic analysis
Broader implications for medical education
Potential challenges and next steps
Declaration of competing interest
II. Stakeholder Feedback Survey/Questionnaires
DIVERSITY, EQUITY, AND INCLUSION (DEI)
IM Fellowship Core Competency Revision Feedback: Fellowship Directors
IM Fellowship Core Competency Revision Feedback: IM Expertise (ABOIM, IM4US, Fellowship Recognition Chair)
IM Fellowship Core Competency Revision Feedback: Fellows
Fellowship Focus Group Question Guide
Three. Integrative Medicine Fellowship Core Competencies
One point two point two. Trauma-Informed Care
One point two point three. Environmental and Planetary Health
One point three. Nutrition and Integrative Health
One point three point two. Nutritional Deficiencies and Imbalances
One point three point three. Disease Prevention and Management
One point three point four. Functional and Therapeutic Nutrition
One point three point five. Cultural and Socioeconomic Considerations in Nutrition
One point four. Physical Activity and Rest
One point five point one. Impact of Social Connection on Health
One point five point two. Mechanisms of Social Connection
One point five point three. Social Connection in Clinical Practice
One point six. Mind-Body Medicine
Recognize the clinical applications for mind-body interventions in neurophysiological health and chronic disease.
One point seven point one Historical and Theoretical Foundations
One point seven point two. Evidence Base
One point seven point three. Cultural Humility and Inclusivity
One point eight. Dietary Supplements and Natural Products
One point eight point two. Supplement and Product Uses, Risks, and Interactions
One point eight point three. Critically Assess Information Sources
One point eight point four. Regulations Governing Dietary Supplements
One point eight point five. Cultural Respect for Natural Products
One point eight point six. Planetary Health and Sustainability
One point nine. Scope and Practice of Integrative Medicine
One point nine point two. Integrative Healthcare Settings
One point nine point three. Role of Traditional, Complementary, and Integrative Medicine
One point nine point four. Addressing Health Disparities
Two point zero. Patient Care
Two point one. Perform an in-depth integrative medicine assessment
Two point one point two. Diagnostic Evaluation
Two point two. Develop Integrative Care Plans
Two point three. Counsel Patients on Care Plans
Two point three point two. Practical and Social Factors
Two point four. Provide Health Care
Two point four point one. Behavior Change
Two point four point two. Patient Engagement
Two point four point three. Procedures and Therapies
Two point four point four. Emerging Technologies and Artificial Intelligence
Two point five. Foster Clinician Personal Awareness
Two point five point two. Implicit Bias Awareness
Three point zero. Practice Based Learning and Improvement
Three point one. Continuous Self-Assessment and Learning
Three point one point two. Critical Reflection on Biases and Privileges
Three point one point three. Personalized Learning Plan Development
Three point one point four. Seeking and Integrating Feedback
Three point two. Practice-Based Quality Improvement
Three point two point two. Implementation of Improvement Initiatives
Three point three. Evidence-Informed Clinical Practice
Three point three point two. Integration of Biomedical and Traditional Knowledge
Three point four. Competency Development as an Educator
Three point four point two. Contribution to Integrative Medicine Education
Three point four point three. Proficiency in Educating Diverse Audiences
Three point five. Research Competency in Integrative Medicine
Three point five point two. Importance of Data in Research Outcomes
Four point zero. INTERPERSONAL AND COMMUNICATION SKILLS
Four point one. Effective Communication in Integrative Medicine
Four point one point two. Culturally Responsive Interactions
Four point one point three. Trauma-Informed Communication
Four point one point four. Public Communication
Four point two. Empathic and Facilitative Communication Techniques
Four point two point two. Non-Verbal Techniques
Four point two point three. Culturally- and Trauma-Sensitive Interaction
Four point three. Elicit Patient Goals, Concerns, and Values
Four point four. Culturally Relevant Patient Education
Four point six point one. Recognize Personal Influences
Four point six point two. Practice Cultural and Identity Humility
Four point seven. Collaborative Communication
Four point seven point two. Communication of Care Plans
Four point seven point three. Consensus Building
Four point seven point four. Expertise Sharing
Four point eight. Effective Multidisciplinary Teamwork
Four point eight point two. Leadership in Integrative Care
Four point nine. Comprehensive and Effective Medical Documentation
Five point zero. PROFESSIONALISM
Five point one. Demonstrate commitment to professional responsibilities.
Appropriately and promptly respond to requests for information and support from patients, families, or colleagues.
Contribute effectively to the collective goals of the healthcare team.
Recognize role in disclosing and preventing medical errors, prioritizing patient safety, and ethical transparency.
Five point two point one. Ethical Patient Care
Five point two point two. Professional Integrity in Financial Relationships
Five point three. Commitment to Self-Care and Promoting Wellness
Five point three point two. Practice Self-Compassion
Five point three point three. Recognize Institutional and Systemic Influences
Five point three point four. Address Fatigue and Burnout
Five point three point five. Balance the Needs of Others and Self
Five point three point six. Contribute to Team Wellness
Six point zero. SYSTEMS BASED PRACTICE
Six point one. Understand and Navigate Regulatory and Ethical Frameworks
Six point one point two. Ethical and Legal Considerations
Six point one point three. Special Regulations
Six point one point four. Policy Impact
Six point two. Evaluate Access and Financial Implications of Integrative Practice Models
Six point three. Advocate for Access to Quality Integrative Care
Six point three point two. Leverage System Resources
Six point three point three. Facilitate Access for All Patients
Six point four. Develop Professional Relationships to Enhance Patient Safety, Outcomes, and System Performance
Six point four point two. Build a Professional Network
Six point four point three. Collaborate with Community Practitioners