REIKI 

PRE-SURVEY: Qualtrics Pre-Survey: MUST COMPLETE PRIOR TO READING FURTHER! 

Reiki is an energy healing technique that promotes relaxation, reduces stress and anxiety through gentle touch. Reiki practitioners use their hands to deliver energy to your body, improving the flow and balance of your energy to support healing.

Mikao Usui (from Japan) developed reiki in the early 1900s, deriving the term from the Japanese words rei, meaning “universal,” and ki, which refers to the vital life force energy that flows through all living things.

Experiential activity site information: YoYo Reiki 

• Elke is a multilingual (Eng, Spanish, German) Reiki practitioner and teacher who will come to Farrell for a Reiki session 

Assigned Readings and Video

• Does Reiki Benefit Mental Health Symptoms Above Placebo?

  • • Reiki may be more effective in treating some areas of mental health, than placebo, particularly if symptoms are clinically relevant. 

    • To date, there are a small number of studies in each area, therefore findings are inconclusive and, more RCTs controlling for placebo in Reiki research are needed. 

    • Most included studies were also assessed as having a risk of bias of some concern. Incorporating Reiki as a complementary treatment to mainstream psychotherapy for depression, stress, and anxiety may be appropriate.

    • Reiki has been shown to improve outcomes in non-human subjects: rats, dogs. 

• A Large-Scale Effectiveness Trial of Reiki for Physical and Psychological Health  

  • • The results from this large-scale multisite effectiveness trial suggest that a single session of Reiki improves multiple variables related to physical and psychological health.

• • Body of Wonder Podcast: Energy Medicine with Drs. Andrew Weil, Victoria Maizes, and Ann Marie Chiasson 

Patient Resources: 

• OnPoint NYC: free drop in Reiki sessions for patients with substance use disorders

• YoYo Reiki: Bilingual Reiki practitioner close to Farrell 

• Insight Timer: Guided self-healing Reiki courses, recordings 

• YouTube Video: Guided Self-Reiki 

• YouTube Video: Self-Guided Reiki  

• of note, NYP WC Integrative Health and Wellbeing Center ONLY accepts insurance and out of pocket payments making it not available for most of our patients. 

POST-SURVEY: Qualtrics POST-SURVEY: MUST COMPLETE AFTER REIKI SESSION and READINGS (ok to use articles to answer questions, open book)!!   Please also review patient resources list which you will be tested on. 

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YOGA

YOGA PRE-SURVEY: Qualtrics Pre-Survey: MUST COMPLETE PRIOR TO READING FURTHER! 

Yoga, an ancient practice that originated in the India  over 5,000 years ago. The word "yoga" itself is derived from the Sanskrit word "yuj," meaning to yoke or unite, reflecting the core principle of harmonizing physical postures (asanas), breath control (pranayama), meditation (dhyana), and ethical principles (yamas and niyamas).

There are many forms of yoga practices including Vinyasa, Kundalini, Iyengar, Ashtanga, Kaonah, Yin Yoga, and Restorative.

Experiential activity sites information: 

• Heights Meditation and Yoga is a nonprofit yoga studio in Washington Heights 

• Use this link to register for class: https://momence.com/Heights-Meditation-%26-Yoga%2C-Inc./membership/Donation-based-unlimited-for-doctors-in-Integrative-Med-Program/170573 

Assigned Readings: 

• The effects of yoga compared to active and inactive controls on physical function and health related quality of life in older adults- systematic review and meta-analysis of randomised controlled trials 

  • •  yoga interventions improve multiple physical function and HRQoL outcomes in this population compared to both control conditions. This study provides robust evidence for promoting yoga in physical activity guidelines for older adults as a multimodal activity that improves aspects of fitness like strength, balance and flexibility, as well as mental wellbeing.

• Yoga-based interventions may reduce anxiety symptoms in anxiety disorders and depression symptoms in depressive disorders: a systematic review with meta-analysis and meta-regression 

  • • After evaluating 23 randomised clinical trials (comprising 22 different samples) with a total of 1420 participants, we observed that yoga-based interventions may reduce anxiety symptoms in anxiety disorders. Further-

more, we also found that yoga-based interventions may decrease depression symptoms in depressive disorders. However, we cannot make definitive clinical recommendations due to the very low certainty of the evidence, several methodological concerns and the heterogeneity of qigong, tai chi and yoga styles among

studies. Therefore, a specific yoga style cannot be recommended with the current evidence. A call for action for improving the quality of research in this field is needed.

• Efficacy of yoga training in chronic obstructive pulmonary disease patients: A systematic review and meta-analysis 

  • • yoga training can be an acceptable and appropriated adjunctive rehabilitation program for COPD patients

• Yoga for Substance Use: A Systematic Review 

  • • Yoga has been studied in SUDs and has been found to reduce stress and addictive behaviors while improving self-esteem and increasing self-control. 

    • While the exact mechanisms of action are unclear, the use of yoga as a treatment for substance use disorder has been found to decrease addictive behaviors, enhance well-being, and improve cognitive flexibility.

• Yoga and heart rate variability: A comprehensive review of the literature 

  • • yoga INCREASES heart rate variability which is a proxy for overall health and fitness and indicator of autonomic regulation

• The Efficacy and Safety of Yoga in Managing Hypertension 

  • • Although yoga has been associated with serious adverse events in single case reports, population-based surveys as well as clinical trials indicate that yoga is a relatively safe intervention that is not associated with more adverse events than other forms of physical activity.

Patient Resources: Yoga

• of note, NYP WC Integrative Health and Wellbeing Center ONLY accepts insurance and out of pocket payments making it not available for most of our patients. 

• Heights Meditation and Yoga is a nonprofit yoga studio in Washington Heights 

• YouTube: many free resources (see clinical resources page)

POST-SURVEY: Qualtrics POST-SURVEY: MUST COMPLETE AFTER REIKI SESSION and READINGS (ok to use articles to answer questions, open book)!!  Please also review patient resources list which you will be tested on. 

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CULINARY MEDICINE: SELF STUDY

Culinary Medicine Pre-Survey: Click for QUALTRICS SURVEY. Must complete prior to reviewing slides!

Slides: https://docs.google.com/presentation/d/1jNO4M_tGYZT9QkdBGI2VPCN9F2VbPC3mAnaLke7FgLE/edit?usp=sharing 

Activity: 

• Go to local Farmer's Market and learn how to use SNAP/EBT   and health bucks program.

• Cook a plant based meal (can find recipes on youtube, or on our site: Integrative Medicine: Patient Education Resources 

Culinary Medicine Post-Survey: Click for QUALTRICS SURVEY. Must complete after slides and activity. 

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BEFORE The session: Complete IMCC pre-session survey https://cumc.co1.qualtrics.com/jfe/form/SV_79Xs4Cf5eEgRq2q 

Expectations: 

• Complete pre and post IMCC session surveys!

• Review tally and pre-read about patients: reason for referral, any relevant labs/studies, and relevant information (change DEPT to FRL INTEGRATIVE MEDICINE to see tally)

• Present summary of cases at pre-clinic review meeting with Drs. Desai and Pilipenko (15 mins prior to first patient on zoom at 12:45PM):  Join Zoom Meeting: https://columbiacuimc.zoom.us/my/zoomwithkd 

• you are encouraged to refer patients to IMCC during time you will be rotating so we can provide consultation for your continuity patient (IMCC Is booked far out but we can try to accommodate your patient if we have some notice; call them if we have no shows etc)

• Scribe notes during visit unless you are leading a visit 

  • You may use .kdimcc for note template

  • include references at end of your note to support the interventions we use for each patient (to become familiar with evidence based available for integrative therapies and to support our team's medical decision making)

To JOIN VIDEO VISITS: 

• session is telemedicine, you can be at home. 

• go to "VIDEO VISIT" tab in patient's chart 

• click join visit

Assigned Readings: 

• Introduction to Integrative Medicine In the Primary Care Setting 

• Introduction to Phytomedicines 

• NIH Botanicals Overview 

• Optimizing Health and Wellbeing: The Interplay Between Lifestyle Medicine and Social Determinants of Health

Apps

• Herbs: 

  • • About Herbs: Memorial Sloan Kettering App 

    • Natural Medicines Comprehensive Database 

• Clinical Nutrition: 

  • • PCRM's Nutrition Guide for Clinicians 

• Mind-Body Apps: 

  • • App for Guided Mind-Body: Insight Timer 

    • Guided Mind-Body App: Calm 

    • Guided Mind-Body App: Headspace 

Community Resources 

Integrative Medicine: Patient Education Resources 

Please complete IMCC POST-SESSION SURVEY: https://cumc.co1.qualtrics.com/jfe/form/SV_0xmUffDbglQBUmG 

PRE-SURVEY:  Health Promoting Behaviors Survey_PRE

POST -SURVEY: Health Promoting Behaviors Survey_POST 

Our residency program offers two exciting programs in Integrative Medicine.

• IM AOC - Integrative Medicine Area of Concentration includes 3 months of elective, one month in your PGY2 year (usually a home elective), and two months in your PGY3 year (usually one away elective and one home elective). If you choose the IM AOC, this would be in addition to the IMT. Alternatively, you can do the IMT below and choose a different AOC.

• IMT - The Integrative Medicine Track is an elective 3-year longitudinal program. You can do this track and choose a different AOC if you prefer. The IMT is a great program for those who are interested in developing a foundational understanding of integrative care models, learning whole-health methods for chronic disease/pain management, and improving your preventive care strategies. It's also a great preparatory program if you're interested in doing an IM fellowship and/or incorporating integrative medicine into your post-residency practice.

Info about the Integrative Medicine Track:

• The educational foundation of the IMT is based on the University of Arizona's Integrative Medicine in Residency (IMR) online program (http://integrativemedicine.arizona.edu/education/imr.html). The entire online program takes roughly 180-200 hours to complete including module exams and a final exam.

• It offers experiential group activities throughout your time in residency.  Examples of past activities include a private group yoga class, meditation class at a dharma center, mind-body medicine talks, a sound bath, an online anti-inflammatory food cook-a-thon, and learning about herbs/botanicals/supplements at a local herb shop.

• You get the opportunity to work directly with Dr. Krishna Desai in the Integrative Medicine Consult Clinic (IMCC).

• The IMT includes personal mentoring and development of personal wellness plans and communing with like-minded individuals.

• Upon completion of the curriculum, you will receive a certificate from the University of Arizona at graduation.

• Please note, this is an elective program IN ADDITION to your regular residency training.

When you join the IMT, you are making a commitment to complete the IMR online curriculum and other requirements by the end of your PGY3 year. 

Integrative Medicine: Patient Education Resources