Mayo Clinic Proceedings: Innovations, Quality & Outcomes (Oct 2024)

Lifestyle Medicine in Medical Education: Maximizing Impact

  • Beth Frates, MD, FACLM, DipABLM,
  • Hugo A. Ortega, MD, MSEd, DipABLM,
  • Kelly J. Freeman, MSN, AGPCNP-BC, DipACLM,
  • John Patrick T. Co, MD, MPH, MBA,
  • Melissa Bernstein, PhD, RDN, LD, FAND, DipACLM

Journal volume & issue
Vol. 8, no. 5
pp. 451 – 474

Abstract

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The relationship between lifestyle behaviors and common chronic conditions is well established. Lifestyle medicine (LM) interventions to modify health behaviors can dramatically improve the health of individuals and populations. There is an urgent need to meaningfully integrate LM into medical curricula horizontally across the medical domains and vertically in each year of school and training. Including LM content in medical and health professional curricula and training programs has been challenging. Barriers to LM integration include lack of awareness and prioritization of LM, limited time in the curricula, and too few LM-trained faculty to teach and role model the practice of LM. This limits the ability of health care professionals to provide effective LM and precludes the wide-reaching benefits of LM from being fully realized. Early innovators developed novel tools and resources aligned with current evidence for introducing LM into didactic and experiential learning. This review aimed to examine the educational efforts in each LM pillar for undergraduate and graduate medical education. A PubMed-based literature review was undertaken using the following search terms: lifestyle medicine, education, medical school, residency, and healthcare professionals. We map the LM competencies to the core competency domains of the Accreditation Council for Graduate Medical Education. We highlight opportunities to train faculty, residents, and students. Moreover, we identify available evidence-based resources. This article serves as a “call to action” to incorporate LM across the spectrum of medical education curricula and training.