Beth Israel Deaconess Medical Center (BIDMC)
BIDMC is a major teaching hospital of HMS in Boston, MA. BIDMC comprises two campuses with a total of 600 inpatient beds, 40,000 annual admissions and 100,000 visits to the hospital-based general medicine practice. The annual operating budget is $1 billion, with a research budget of approximately $150 million annually. BIDMC has consistently been one of the national leaders in NIH funding among hospitals. BIDMC faculty members named in this grant provide expertise in the areas of clinical epidemiology, biostatistics, decision sciences, outcomes research, use of administrative databases, and quality measurement and improvement. Several fellows have enrolled patients into pilot clinical trials at BIDMC, often utilizing the BIDMC NIH-funded General Clinical Research Center (GCRC).
This Cheng and Tsui Center for Integrative Care is based within Healthcare Associates, a large academic primary care practice at BIDMC that cares for more than 40,000 patients. The center will provide patient centered, holistic care with an emphasis on lifelong health and wellness. Our services will include Integrative medicine physician consultations, nutrition counseling, exercise counseling, health coaching, therapeutic yoga, massage therapy, acupuncture, and tai chi. Dr. Kim Ariyabuddhiphongs serves as the medical director of the center
Brigham and Women's Hospital (BWH)
BWH is a major teaching hospital of HMS in Boston, MA and a founding member of Partners HealthCare, an integrated health care system. The Hospital has approximately 44,000 inpatient admissions per year and more than 950,000 outpatient visits per year. Annual research expenditures are approximately $400 million annually; a large fraction of BWH's research budget is dedicated to clinical epidemiology, clinical trials, and health services research. Through its hospital-based practices, neighborhood health centers, and suburban satellite practices, BWH serves a socioeconomically heterogeneous population. In 2005, BWH made a major commitment to build the model of integrative care that the Division had developed (see BWH Osher Clinical Center below). Major ongoing research studies at BWH provide opportunities for fellows: these include the Nurses' Health Study, the Physicians' Health Study, the Women's Health Study, and the BWH component of the Women's Health Initiative.
BWH Osher Clinical Center for Complementary and Integrative Medical Therapies (OCC).
The OCC opened in July 2007 and occupies 4,500 square feet in a major BWH ambulatory facility, located approximately four miles from the main hospital and HMS campus. The OCC provides a state of the art facility completely integrated into BWH and using all BWH business, financial, and medical record systems. The staff includes acupuncturists, chiropractors, and massage therapists, credentialed and employed by BWH, who work closely with integrative practice-trained MDs as well as with conventionally-trained physicians and surgeons on the BWH faculty and other healthcare providers such as occupational and physical therapists. Although the OCC's original focus has been on treatment and management of musculoskeletal pain-related conditions, the patient population is currently expanding into other areas to include patients seeking to include integrative approaches for the management of such conditions as allergic rhinitis, arthritis, benign prostatic hypertrophy, chronic fatigue, dyspepsia, depression, hypertension, hyperlipidemia, insomnia, irritable bowel syndrome, migraine headache, and various forms of neuropathy. The team approach to care was developed through intensive team development that featured experiential learning and inter-disciplinary and trans-disciplinary training; our fellows participated in these team-building activities. The team training has continued through the development of regular case conferences as well as weekly educational seminars. For those fellows who practice within the OCC,e anticipate they will develop competence practicing in an integrative care facility and supervising patient triage and referral as appropriate in the context of integrative medicine. An curriculum for our fellows in integrative meidicne is led by the medical director of the OCC, Dr Donald Levy.
Boston Medical Center at Boston University School of Medicine (BMC)
BMC is a private, not for profit, 581- bed academic medical center located in Boston, MA. The hospital is the primary teaching affiliate for BU School of Medicine. Emphasizing community-based care, BMC, with its mission to provide consistently accessible health services to all, is the largest safety net hospital in New England. Last year, BMC provided more than $233 million in free care to uninsured patients. BMC is a recognized leader in groundbreaking medical research and received more than $88 million in sponsored research funding in 2000. Drs. Robert Saper and Paula Gardiner, graduates of our Training Program, are members of the BU/BMC faculty in the Department of Family Medicine, and, as members of the Training Program's faculty, offer opportunities for research and practice to our fellows who are board-eligible or -certified in family medicine.
Dana-Farber Cancer Institute (DFCI)
DFCI is a principal teaching affiliate of HMS. It is a federally-designated Center for AIDS Research and a founding member of the Dana-Farber/Harvard Cancer Center, a federally-designated comprehensive cancer center, which provides advanced training in cancer treatment and research for an international faculty. With more than 150,000 patient visits each year and some 400 clinical trials, DFCI is internationally renowned for its blending of research and clinical excellence. One of DFCI's programs is the Zakim Center.
The Leonard P. Zakim Center for Integrative Therapies (the Zakim Center)
The Zakim Center offers cancer patients a range of integrative medicine options, including acupuncture, mind-body techniques, exercise programs, therapeutic touch (including Japanese Reiki), nutritional consultation, music therapy, and massage therapy. In addition, it offers education on complementary therapies to patients, families, and staff, and advances knowledge of the effectiveness and outcomes of these therapies through peer-reviewed, evidence-based clinical research. The Center, led by Dr. David Rosenthal has undertaken several clinical trials, some in conjunction with the Division, including "Acupuncture for Chemotherapy-induced Neutropenia," a component of a joint NESA/HMS U19 developmental center grant funded by NCCAM (AT002022). Another ongoing trial compares the effects of qigong vs. low-impact aerobics on natural killer cell activity. Our fellows have the opportunity to be supervised by Dr. Rosenthal as they provide integrative medicine consultations to patients with cancer.
The Department of Population Medicine (DPM)
DPM was established in 1992 and is a research and academic partnership between HPHC, a leading US health plan, and HMS. DACP faculty members have extensive experience in training and mentoring fellows. Many DACP fellows have joined DACP as faculty and others have gone on to prestigious academic and health care positions around the country and the world. HPHC was the major site for patient enrollment into Dr. Eisenberg's two NIH-funded randomized controlled trials involving massage, chiropractic or acupuncture compared to usual care for acute (R01 AT00144) and chronic (R01 AT00622) low back pain as well as the testing of the OCC clinical model. HPHC continues to be a strong participant in other trials conducted by Division faculty as well, including Dr. Wayne's study, "Tai Chi for Osteopenic Women" (R21 AT003503).
Harvard School of Public Health (HSPH)
HSPH is a major resource for classroom instruction in research methods and for clinical research faculty, many of whom have primary appointments in clinical departments and secondary appointments at HSPH. Excellent basic courses on research methods (e.g., epidemiology, biostatistics, cost-effectiveness analysis, research ethics) are offered. HSPH has a master's level area of concentration in clinical effectiveness specifically for physicians, which begins with the intensive Summer Program in Clinical Effectiveness (the Summer Program). All of our graduated fellows completed the Summer Program and the full MPH degree program at HSPH.
The Marino Center for Progressive Health (the Marino Center)
The Marino Center in Cambridge, MA is an integrative care clinic affiliated with Mount Auburn Hospital (Mt. Auburn) in operation since 1993. Practitioners there collaborate to provide care based on the principles of patient-centered and evidence-based integrative medicine. Integrative medicine services offered include acupuncture, chiropractic, cranio-sacral therapy, herbal medicine, massage, mind-body medicine, stress reduction, traditional Chinese medicine (TCM) and yoga. The Marino Center employs 12 medical doctors, five integrative medicine practitioners, and nine other providers (mental health, nursing, physical therapy). Staff members are board-certified or licensed in their respective specialties. Dr. Anne McCaffrey, a graduate of our Training Program, is the director of research and education; she develops curricula and precepts our fellows in their clinical activities. The Marino Foundation for Integrative Medicine, a non-profit foundation supports the Marino Center.
Massachusetts General Hospital (MGH)
MGH is a 900-bed urban general hospital in Boston, MA with a long tradition of clinical and research excellence. It is repeatedly ranked among the top hospitals in the country for clinical care and sponsored research. In FY 2006, MGH was the leading domestic hospital recipient of NIH awards with $301 million in NIH funding. Academic general internal medicine is part of the tradition of excellence at the MGH. One of our fellows performed a pilot clinical trial on guided imagery for smoking cessation with mentorship from Dr. Nancy Rigotti, who leads a research program on smoking cessation at MGH.
The Benson-Henry Institute for Mind/Body Medicine at MGH (BHI-MGH)
BHI-MGH was established in 2006 by the affiliation of the Mind/Body Medical Institute (MBMI) with MGH. MBMI was established by Dr. Herbert Benson over 25 years ago. The BHI-MGH is a non-profit scientific and educational organization dedicated to research, teaching, and clinical application of mind/body medicine and its integration into all areas of health. Its clinical programs treat patients with a combination of relaxation response techniques, proper nutrition and exercise, and reframing of negative thinking patterns. Fellows may elect to have a rotation or a longitudinal clinical experience in mind/body medicine at BHI-MGH; participate in medical education programs; perform mind/body consultations; and, observe and lead longitudinal relaxation response groups. One of our 2008 graduating fellows, Dr. Darshan Mehta, will become a faculty member at BHI-MGH in July 2008.
The Athinoula A. Martinos Center for Biomedical Imaging (the Martinos Center)
The Martinos Center a joint HMS, MGH, and Massachusetts Institute of Technology (MIT) program, was established in 1999 at MGH. It has more than 60 faculty and is an important training site for fellows interested in neuroscience. It is the location of an NCCAM-funded center of excellence for research on CIMT that investigates mechanisms of acupuncture and placebo (P01 AT002048). Led by Dr. Bruce Rosen, the Martinos Center serves as a fellowship site for those fellows interested in deepening their understanding of neuroscience, acupuncture, or placebo. Prof. Ted Kaptchuk works very closely with Dr. Rosen and his team and is a co-investigator on the P01 award.
Spaulding Rehabilitation Hospital (SRH)
SRH is an affiliate of HMS is a 196-bed rehabilitation hospital with 4,000 annual admissions and eight outpatient centers with 140,000 annual visits. It offers a full array of rehabilitation services, including integrative medicine services (acupuncture, tai chi, yoga, biofeedback, hypnosis, myofascial release, craniosacral therapy, massage, and meditation). SRH has long had programs devoted to the study and management of chronic pain including clinical, research, and educational activities. SRH faculty members have worked with Division faculty and fellows on our tai chi and other mind-body trials. Dr. Suzanne Bertisch, a third year fellow, is working on a pilot study on the effect of meditation on autonomic tone with SRH faculty member, Dr. Andrew Taylor, an expert on the use of measures of autonomic function.