Department of Biomedical Sciences, University of South Carolina School of Medicine Greenville, Greenville, South Carolina.
Western University of Health Sciences College of Osteopathic Medicine of the Pacific-Northwest, Lebanon, Oregon.
Am J Prev Med. 2019 May;56(5):e169-e175. doi: 10.1016/j.amepre.2018.10.034.
Introduced by the American College of Preventive Medicine and released by the American Medical Association House of Delegates in 2017, Resolution 959 (I-17) supports policies and mechanisms that incentivize and/or provide funding for the inclusion of lifestyle medicine education and social determinants of health in undergraduate, graduate and continuing medical education. Resolution 959 was passed to help address the current healthcare costs of lifestyle-related, noncommunicable chronic diseases that exert a devastating economic burden on the U.S. healthcare system. Approximately 86% of $2.9 trillion is spent annually on obesity, cardiovascular disease, type 2 diabetes, and some cancers, with very poor return on investment for health outcomes. Lifestyle medicine provides an evidence-based solution to the noncommunicable chronic disease epidemic; however, medical education in lifestyle medicine is minimal to nonexistent. This paper provides the case for healthcare innovation to include lifestyle medicine in the prevention and treatment of noncommunicable chronic diseases. Our medical education system recommendation is to provide lifestyle medicine training for prevention and treatment of noncommunicable chronic diseases. Exemplar lifestyle medicine schools are showcased and guidance for reform is highlighted that can be used to aid lifestyle medicine integration across the medical school education continuum. With a transformation of curriculum and development of new policies to support a focus on lifestyle medicine education in medical education across the continuum, a new healthcare model could be successful against noncommunicable chronic diseases and U.S. citizen wellness could become a reality.
美国预防医学学院于 2017 年提出，美国医学协会代表大会发布的第 959 号决议（I-17）支持制定和实施相关政策和机制，激励和/或为将生活方式医学教育和健康的社会决定因素纳入本科、研究生和继续医学教育提供资金。通过该决议是为了帮助应对与生活方式相关的、非传染性慢性疾病给美国医疗保健系统带来的高昂医疗成本，这些疾病是当前医疗保健成本的主要原因。每年约有 2.9 万亿美元用于肥胖、心血管疾病、2 型糖尿病和某些癌症，而这些疾病的投资回报率非常低。生活方式医学为非传染性慢性疾病的流行提供了循证解决方案；然而，生活方式医学在医学教育中的应用却很少。本文旨在为医疗保健创新提供案例，即在预防和治疗非传染性慢性疾病中纳入生活方式医学。我们的医学教育系统建议是为预防和治疗非传染性慢性疾病提供生活方式医学培训。本文展示了一些范例性的生活方式医学学校，并强调了改革的指导方向，这些可以用于帮助生活方式医学在整个医学院教育连续体中实现融合。通过课程改革和制定新政策来支持在整个医学教育连续体中注重生活方式医学教育，可以成功地应对非传染性慢性疾病，使美国公民的健康成为现实。
