Integrative Medicine Grand Rounds

The Osher Center for Integrative Medicine now hosts monthly integrative medicine Grand Rounds, usually on the third Wednesday of the month from 8:00 – 9:00 am, which are open to the medical community at large. They are held at 1545 Divisadero, 5th Floor. CME credit is available.*


2017-2018 Academic Year


December 2017
Wednesday, December 20, 8:00 – 9:00 am
Mind-Body Medicine for Children and Adolescents: An Integrative medicine approach to successfully incorporating these tools into clinical care
David Becker, MD

Learning objectives:

  • Describe three mind-body tools appropriate for children and adolescents;
  • Compare the evidence for different MBM tools for children and understand the limitations in the data; and
  • Describe an integrative medicine approach to incorporating MBM tools into the encounter and/or referral to outside providers.

Evaluation: Coming soon

Disclosure: Coming soon


November 2017
Wednesday, November 15, 8:00 – 9:00 am
Modern and Traditional Dietary Approaches for Diabetes Mellitus
Rick Hecht, MD, Carla Kuon, MD, Anand Dhruva, MD, and Evelyn Ho, PhD

Learning objectives:

  • To compare the evidence for different diets for diabetes;
  • To contrast biomedical, traditional Chinese medicine, and Ayurvedic nutrition approaches for diabetes; and
  • To describe an integrative medicine approach for diabetes that emphasizes dietary practices.

Evaluation: You must complete this to receive CME credit.

Disclosure: Dr. Hecht is on the Scientific Advisory Board of Virta. None of the planning committee members or speakers have any conflicts of interest to disclose.


October 2017
Wednesday, October 18, 8:00 – 9:00 am
Movement, Breath and Psyche: Yoga and Other Mind-Body Therapies for Treating Major Depression
Sudha Prathikanti, MD

Learning objectives:

  • To summarize some key limitations of conventional treatments for major depression, including remission rates;
  • To identify methodological challenges in designing clinical trials of mind-body therapies for major depression;
  • To describe at least two mind-body therapies with findings of moderate efficacy in major depression; and
  • To compare the study population, control group and results of the Osher RCT of yoga for major depression with previous yoga studies in the literature.

Evaluation: You must complete this to receive CME credit.

Disclosure: Dr. Prathikanti has stated that she has no relationships to disclose.


September 2017
Wednesday, September 13, 8:00 – 9:00 am
Managing Stress, Building Resilience: The Imperative for Mind-Body Medicine in Health Professions Education
Aviad Haramati, PhD

Learning objectives (Note: CME application in process):

  • To describe the prevalence of burnout among medical students, faculty and physicians in practice;
  • To understand the physiology and pathophysiology of stress and the scientific basis for mind-body therapies used to reduce stress and improve well-being;
  • To learn about interventional models currently being explored for medical students, residents, physicians and academic faculty to prevent, limit or reverse burnout and foster resiliency; and
  • To discuss the opportunities for the integrative medicine community to take a lead in providing training and guidance regarding curricular interventions mind-body medicine at health professions schools.

Evaluation: You must complete this to receive CME credit.

Disclosure: Dr. Hecht, chair of the Integrative Medicine Grand Rounds planning committee, is on the Scientific Advisory Board of Virta. All other members of the planning committee and Dr. Haramati have stated that they have no relationships to disclose.


2016-2017 Academic Year


May 2017
Wednesday, May 24, 8:00 – 9:00 am
Marijuana: Is It Medicine Yet?
Donald Abrams, MD

Learning objectives:

  • Describe the system of cannabinoid receptors and endocannabinoids;
  • Review the evidence regarding use of cannabis in pain, nausea and vomiting, appetite stimulation and other indications; and
  • Discuss the difference between routes of administration, Cannabis sativa vs Cannabis indica, cannabidiol (CBD) vs tetrahydrocannabinol (THC)

Evaluation: You must complete this to receive CME credit.

Disclosure: Dr. Hecht, chair of the Integrative Medicine Grand Rounds planning committee, is on the Scientific Advisory Board of Virta. All other members of the planning committee have stated that they have no relationships to disclose. Dr. Abrams is a consultant for ABcann, Tikun Olam, and Maui Wellness Group.


April 2017
Wednesday, April 26, 8:00 – 9:00 am
Acupuncture and the Placebo Effect
Lisa Conboy, MA, MS, ScD

Learning objectives:

  • Describe brief history of use of placebo controls in clinical trials;
  • Criticize types of placebo controls used in acupuncture clinical trials; and
  • Describe biological and statistical evidence that placebo controls used in acupuncture clinical trials are active treatments.

Evaluation: You must complete this to receive CME credit.

Disclosure: Dr. Rick Hecht, chair of the Integrative Medicine Grand Rounds planning committee, is on the Scientific Advisory Board of Virta. All other members of the planning committee and Dr. Conboy have stated that they have no relationships to disclose.


Special Grand Rounds
Wednesday, April 26, 12:00 – 1:00 pm
Comparative Effectiveness Research on Acupuncture
Claudia Witt, MD, MBA

Learning objectives:

  • Knowing difference between efficacy and effectiveness;
  • Being aware of the contributions from acupuncture research to comparative effectiveness research; and
  • Knowing the advantages and limitations of Pragmatic Trials.

Evaluation: You must complete this to receive CME credit.

Disclosure: Dr. Rick Hecht, chair of the Integrative Medicine Grand Rounds planning committee, is on the Scientific Advisory Board of Virta. All other members of the planning committee and Dr. Witt have stated that they have no relationships to disclose.


March 2017
Wednesday, March 15, 8:00 – 9:00 am
Endometriosis-Associated Chronic Pelvic Pain: An Integrative Approach
Judith Cuneo, MD

Learning objectives:

  • Describe the pathophysiology, clinical presentation, and diagnosis of endometriosis in reproductive-aged women;
  • Explain the mechanism by which endometriosis causes pain;
  • Discuss the current conventional medical treatment approach to endometriosis-related chronic pelvic pain and its limitations; and
  • Identify and implement evidence-based complementary modalities to prevent and treat endometriosis and endometriosis-related pain.

Evaluation: You must complete this to receive CME credit.

Disclosure: Dr. Rick Hecht, chair of the Integrative Medicine Grand Rounds planning committee, is on the Scientific Advisory Board of Virta. All other members of the planning committee and Dr. Cuneo have stated that they have no relationships to disclose.


February 2017
Wednesday, February 22, 12:00 – 1:00 pm
“Minding” our Bodies:  Research on the Impact of Tai Chi on Cognitive-neuromuscular Interactions in Older Adults
Peter Wayne, PhD

Learning objectives:

  • Be able to list three of the elements in tai chi that contribute to its benefits in postural control;
  • List 3 medical applications other than fall prevention that Tai Chi has been shown to be beneficial; and
  • Describe two examples of how cognitive processes associated with mind-body training impact neuromuscular health.

Evaluation: You must complete this to receive CME credit.

Disclosure: Dr. Rick Hecht, chair of the Integrative Medicine Grand Rounds planning committee, is on the Scientific Advisory Board of Virta. All other members of the planning committee have stated that they have no relationships to disclose. Dr. Wayne is a presenter and employee of the Tree of Life Tai Chi Center.


November 2016
Wednesday, November 16, 8:00 – 9:00 am
Complementary Therapies in the Treatment and Prevention of Cardiovascular Disease
Maria Hunink, MD, PhD

Learning objectives:

  • To understand the need for patient self-care in the treatment and prevention of cardiovascular disease;
  • To learn which complementary therapies are effective for the management of cardiovascular disease; and
  • To become aware of the evidence and its shortcomings underlying complementary therapies for cardiovascular disease.

Evaluation: You must complete this to receive CME credit.

Disclosure: Dr. Rick Hecht, chair of the Integrative Medicine Grand Rounds planning committee, is on the Scientific Advisory Board of Virta. All other members of the planning committee and Dr. Hunink have stated that they have no relationships to disclose.


October 2016
Wednesday, October 19, 8:00 – 9:00 am
New Developments in the Treatment of Posttraumatic Stress Disorder
Tom Neylan, MD

Learning objectives:

  • Describe the rationale for exposure therapy in PTSD;
  • Describe the rationale for developing novel alternatives to exposure therapy; and
  • Describe the rationale for Integrative Exercise for the treatment of PTSD.

Evaluation: You must complete this to receive CME credit.

Disclosure: Dr. Rick Hecht, chair of the Integrative Medicine Grand Rounds planning committee, is on the Scientific Advisory Board of Virta. All other members of the Integrative Medicine Grand Rounds planning committee and Dr. Neylan have stated that they have no relationships to disclose.


September 2016
Wednesday, September 21, 8:00 – 9:00 am
Do 4.2 Million Children Need Ritalin? The Integrative Treatment of ADHD
Sanford Newmark, MD

Learning objectives:

  • Review the reasons for the current “epidemic” of ADHD, including overdiagnosis, and what is necessary for a careful and thorough evaluation;
  • Discuss the evidence for a number of non-pharmaceutical interventions that can be effective; and
  • Assess how an integrative approach to ADHD, which would include nutritional modifications, certain supplements, parenting & school interventions, and attention to lifestyle, would help address such issues as sleep, exercise and stress.

Evaluation: You must complete this to receive CME credit.

Dr. Newmark has stated that he has no relationships to disclose.


ARCHIVE


June 2016
Wednesday, June 15, 8:00 – 9:00 am
Integrative Urologic Oncology
Jonathan Brajtbord, MD

Learning objectives:

  • The integrative oncology approach;
  • Review evidence behind nutritional and supplement recommendations; and
  • Current research project: Randomized controlled trial using guided imagery in urologic oncology.

Evaluation: You must complete this to receive CME credit.

Disclosure: Dr. Rick Hecht is on the Scientific Advisory Board of Virta.  All other members of the Integrative Medicine Grand Rounds planning committee and Dr. Brajtbord have stated that they have no relationships to disclose.


May 2016
There will be no Grand Rounds in May, due to the ICIMH conference ~ please join us there!


April 2016: Special Event
Wednesday, April 6, 12:00 noon -1:00 pm
Kanbar Lecture on Innovations in Integrative Medicine
Stretching, Connective Tissue, Chronic Pain, and Cancer
Helene Langevin, MD, Director, Osher Center for Integrative Medicine at Harvard Medical School and Brigham and Women’s Hospital

Learning objectives:

  • Explain the importance of connective tissue in the body and its link to the immune system;
  • Present recent findings on the effects of stretching on inflammation and fibrosis; and
  • Explain the relevance of these findings to chronic pain and cancer.

Evaluation: You must complete this to receive CME credit.

Dr. Langevin has stated that she has no relationships to disclose.


March 2016
Wednesday, March 16, 8:00 – 9:00 am
Are We all Addicted? Why We Get Hooked on Habits and How Mindfulness Can Help Change our Behaviors (and Brains)
Judson Brewer, MD, PhD

Learning objectives:

  • Understand how habits are formed and perpetuated;
  • Describe which clinical conditions mindfulness has shown to be effective for;
  • Explain how mindfulness affects brain processes; and
  • Discuss how mindfulness approaches can help change addictive habit patterns.

Evaluation: You must complete this to receive CME credit.

Disclosures: Dr. Rick Hecht is on the Scientific Advisory Board of Virta. All other members of the Integrative Medicine Grand Rounds planning committee have stated that they have no relationships to disclose. Dr. Brewer is a stock shareholder of Claritas MindSciences.


February 2016
Wednesday, February 17, 8:00 – 9:00 am
Communitas: Transforming the Experience of Pediatric Chronic Illness
Brittany Blockman, MD

Learning objectives:

  • Explore the impact of pediatric chronic illness on patients and their families;
  • Increase understanding of the potential positive effects of mind-body medicine principles in healthcare; and
  • Describe “Communitas,” a novel intervention to address the psychosocial aspects of pediatric chronic illness.

Evaluation: You must complete this to receive CME credit.

Dr. Blockman has stated that she has no relationships to disclose.


January 2016
Wednesday, January 20, 8:00 – 9:00 am
Neural mechanisms supporting the modulation of pain and health by mindfulness meditation
Fadel Zeidan, PhD

Learning objectives:

  • To gain a state of the science overview of the neural mechanisms supporting mindfulness-based pain relief;
  • To demonstrate the psychological, neural and pharmacologic differences between mindfulness meditation and placebo-based analgesia; and
  • To discuss the clinical implications of utilizing mindfulness meditation to treat chronic pain.

Evaluation: You must complete this to receive CME credit.

Dr. Zeidan has stated that he has no relationships to disclose.


December 2015
Wednesday, December 16, 8:00 – 9:00 am
Integrative Approaches to Chronic Pain
Diana Coffa, MD

Learning objectives:

  • Participants will learn treatment options from integrative medicine for chronic pain management;
  • Participants will learn about mind body therapies and pain management; and
  • Participants will learn about integrating medicine in patient-centered care for chronic disease management.

Evaluation: You must complete this to receive CME credit.

Disclosure: Dr. Rick Hecht is on the Scientific Advisory Board of Virta. All other members of the Integrative Medicine Grand Rounds planning committee and Dr. Coffa have stated that they have no relationships to disclose.


November 2015
Wednesday, November 18, 8:00 – 9:00 am
Approach to Irritable Bowel Syndrome: a case presentation and discussion
Panel Discussion with:

  • Rick Hecht, MD, Professor of Medicine and Director of Research at the UCSF Osher Center for Integrative Medicine;
  • Kevin Barrows, MD, Professor of Family and Community Medicine and an integrative physician at the UCSF Osher Center; and
  • Najwa Elnachef, MD, Assistant Professor of Medicine in the Division of Gastroenterology at UCSF.

Learning objectives:

  • To be familiar with current clinical definitions of irritable bowel syndrome (IBS) and its possible causes;
  • To understand current conventional approaches to treating IBS; and
  • To understand current integrative medicine approaches to treating IBS.

Evaluation: You must complete this to receive CME credit.

Dr. Hecht, Dr. Barrows, and Dr. Elnachef have stated that they have no relationships to disclose.


October 2015
Wednesday, October 21, 8:00 – 9:00 am
Time to Reconsider the Concept and Treatment of Teenage Depression?
Eva Henje Blom, MD, PhD

Learning objectives:

  • To understand the prevalence, diagnostics and current treatment modalities of adolescent depression, including efficacy and side-effects;
  • To obtain a basic understanding of the most common neuroimaging findings of adolescent depression and their possible clinical implications;
  • To know which important contextual factors drive the depressive pathophysiology and how these are mediated through epigenetic, endocrinal and immunological mechanisms; and
  • To be introduced to new prevention and treatment initiatives aligned with both developmental neuroscience and a contextualized understanding of adolescent depression.

Evaluation: You must complete this to receive CME credit.

Dr. Henje Blom has stated that she has no relationships to disclose.


September 2015
Wednesday, September 16, 8:00 – 9:00 am
Low Back Pain and Integrative Medicine
Wolf Mehling, MD
CMEs not yet available.


*CME Information
Accreditation: The University of California, San Francisco School of Medicine (UCSF) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing education for physicians.

Designation: UCSF designates this live activity for a maximum of 1 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

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