Course SyllabusLifestyle Medicine

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This introductory course in Lifestyle Medicine is intended for primary-care physicians and other mid- to senior-level healthcare professionals, both in training and in practice. The course provides a foundation of theoretical and practical knowledge and skills, as well as an opportunity to plan strategies and practice techniques for assisting patients with positive health behavior changes (while partnering with locally and globally available peers and mentors). All components of this training—like all NextGenU.org trainings—are free, including registration, learning, testing, and a certificate of completion.

The course’s 10 modules provide an introduction to the principles of lifestyle medicine; an understanding of the effects of physical activity, nutrition, sleep, stress, and sexuality on health; overviews of smoking cessation and alcohol use disorders; and skills to develop and implement action plans for lifestyle medicine in both clinical and personal settings.

At the end of each lesson, there is a practice quiz. At the end of the course, you will take a final exam; a chance to assess the training will also be provided. In order to receive a certificate of completion, you will need to identify a patient to accompany and support in lifestyle health behavior change. Throughout the modules, you will meet with this patient and practice the use of key materials and behavioral methods. By the end of the course, you will submit an assignment to your mentor that summarizes your practical clinical project.

The results of your assessments will be provided to you, and we can report your testing information and share your work with anyone you request (school, employer, etc.). The assessment you provide at the course’s conclusion will help us improve the training for future students. We hope you find this Lifestyle Medicine course a wonderful learning experience!

Please start by taking the Pre-Test.

The Lifestyle Medicine course was developed in partnership with Bar-Ilan University, the Brookfield Centre for Lifestyle Medicine, the European Lifestyle Medicine Organization ELMO, the Institute of Lifestyle Medicine at Harvard, the Israeli Society of Family Medicine, Lifestyle Medicine section, the Lifestyle Medical Education Collaborative, and the USC School of Medicine Greenville.  Like all NextGenU courses, the course is competency-based; this course utilizes competencies from the  Lifestyle Medicine Program Curriculum Outline of the American College of Lifestyle Medicine and the Israeli Society of Lifestyle Medicine. In addition, the Lifestyle Medicine course uses resources from accredited world-class organizations that include the American College of Lifestyle Medicine, the  American College of Preventive Medicine, the American College of Sports Medicine, the U.S. Centers for Disease Control and Prevention, the U.S. National Institutes of Health, and the World Health Organization. The course developer is Lilach Malatskey, MD, MHA, Chairman of the Israeli Society of Lifestyle Medicine of the Family Physicians Association, who received substantial input from the Executive Members of the Israeli Society of Lifestyle Medicine. Significant feedback was also received from our Advisory Group members, Ioannis Arkadianos, MD; Erica Frank, MD, MPH; Ioan Hanes, MD; Jenny Lee, MD, PhD, MPH; Dr. Ifeoma Monye, MBBS, DCH, DFFP, DRCOG, FRCGP;  Edward M. Phillips, MD; Verena Rossa-Roccor, MD; Mary Rudolf, MB, BS, BSc, FRCPCH, FAAP; Jennifer Trilk, PhD; and Stefania Ubaldi, MD, PhD.

For a publication on this course’s efficacy, see “NextGenU.org’s Free, Globally Available Online Training in Lifestyle Medicine,” (2017), American Journal of Lifestyle Medicine, https://doi.org/10.1177/1559827616682444; see also “Building Public Health Capacity through Online Global Learning,” (2018), Open Praxis, https://openpraxis.org/index.php/OpenPraxis/article/view/746/427; to see more research related to NextGenU.org’s educational model, check out NextGenU.org’s publication page.

Approximate time for the required readings in this course is 47 hours at an average rate of 144 words/minute; in addition, there are required activities.

Begin the course with Module 1: Introduction to Lifestyle Medicine.

Before you begin the course, please take a moment to take the short knowledge Pre-test below. It allows us to assess various aspects of the course itself and is mandatory to receive your certificate upon completion of the course. 

Module 1: Introduction to Lifestyle Medicine

Before starting this first module, please take a moment to take the short knowledge Pre-test above. It allows us to assess various aspects of the course itself and is mandatory to receive your certificate upon completion of the course.

First, do no harm. — Hippocratic oath 

Competencies covered in this module:

  1. Introduction to lifestyle medicine
  2. The role of physician health
  3. Environmental lifestyle factors and their impact on non-communicable diseases

Required readings
    Optional readings
      Peer Activities
        Quizzes
          Assignments
            Discussions
              Questionnare

                Module 1 : Lesson 1: Definition, Role, and Evidence Base for Lifestyle Medicine

                Learning Objectives
                • Define lifestyle medicine (LM) and describe the unique role of LM
                • Describe the LM core competencies as identified by a national consensus panel
                • Cite the scientific evidence that demonstrates the association of risk conditions (from unhealthy behaviors) as key to health outcomes

                Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour

                Required readingsOptional readingsPeer Activities
                  QuizzesAssignments
                    Discussions
                      Questionnare

                        Module 1 : Lesson 2: The Importance of Lifestyle Medicine in Treating the World's Lifestyle Disease Burden

                        Learning Objectives:
                        • Understand the importance of LM in treating the world's lifestyle disease burden

                        Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour

                        Required readingsOptional readingsPeer Activities
                          QuizzesAssignments
                            Discussions
                              Questionnare

                                Module 1 : Lesson 3: The Role of Physician Health and Physician Advocacy

                                Learning Objectives:
                                • Cite scientific data supporting that physicians who practice healthy lifestyles are more likely to offer counseling and improve patient outcomes

                                Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour

                                Required readingsOptional readingsPeer Activities
                                  QuizzesAssignmentsDiscussions
                                    Questionnare

                                      Module 1 : Lesson 4: Environmental Lifestyle Factors and Their Impact on Non-communicable Diseases

                                      Learning Objectives:
                                      • Understand environmental lifestyle-related factors and their impact on non-communicable diseases

                                      Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour

                                      Required readingsOptional readings
                                        Peer Activities
                                          QuizzesAssignments
                                            Discussions
                                              Questionnare

                                                Module 2: Fundamentals of Health Behavior Change

                                                Knowing is not enoughwe must apply. Willing is not enoughwe must do.  Johann Wolfgang von Goethe

                                                Competency covered in this module:

                                                1. Fundamentals of health behavior change

                                                Module 2 : Lesson 1: Introduction to Behavior Change


                                                Learning Objectives:
                                                • Understand the role of behavioral determinants on positive and negative health outcomes

                                                Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour

                                                Required readingsOptional readings
                                                  Peer Activities
                                                    QuizzesAssignments
                                                      Discussions
                                                        Questionnare

                                                          Module 2 : Lesson 2: Tools for Health Behavior Change


                                                          Learning Objectives
                                                          • Demonstrate key elements of conducting patient readiness assessment and stage matched responses
                                                          • Understand the gap between clinical guidelines and patient behavior; know how to apply the transtheoretical model of health behavior change


                                                          Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour

                                                          Required readingsOptional readings
                                                            Peer Activities
                                                              QuizzesAssignmentsDiscussions
                                                                Questionnare

                                                                  Module 2 : Lesson 3: Techniques for Health Behavior Change


                                                                  Learning Objectives

                                                                  Upon completion of the first lesson of Module 2, students should be able to:

                                                                  • Apply motivational interviewing, cognitive behavioral, and positive psychology techniques


                                                                  Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour

                                                                  Required readingsOptional readingsPeer Activities
                                                                    QuizzesAssignments
                                                                      Discussions
                                                                        Questionnare

                                                                          Module 2 : Lesson 4: Building Effective Relationships with Patients


                                                                          Learning Objectives
                                                                          • Describe the process of building effective relationships with patients

                                                                          Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour

                                                                          Module 2 : Lesson 5: Maintain Healthy Behaviors


                                                                          Learning Objectives
                                                                          • Describe strategies for helping patients maintain healthy behaviors

                                                                          Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour

                                                                          Required readingsOptional readingsPeer Activities
                                                                            QuizzesAssignments
                                                                              Discussions
                                                                                Questionnare

                                                                                  Module 3: Physical Activity

                                                                                  Those who think they have no time for bodily exercise will sooner or later have to find time for illness. — Edward Stanley, Earl of Derby (1873)

                                                                                  Competency covered in this module:

                                                                                  1. Physical activity science and prescription

                                                                                  Required readings
                                                                                    Optional readings
                                                                                      Peer Activities
                                                                                        Quizzes
                                                                                          Assignments
                                                                                            Discussions
                                                                                              Questionnare

                                                                                                Module 3 : Lesson 1: Introduction to Physical Activity


                                                                                                Learning Objectives
                                                                                                • Describe the relationship between physical activity and health

                                                                                                Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour

                                                                                                Required readingsOptional readingsPeer Activities
                                                                                                  QuizzesAssignments
                                                                                                    Discussions
                                                                                                      Questionnare

                                                                                                        Module 3: Lesson 2: Recommendations on Physical Activity


                                                                                                        Learning Objectives
                                                                                                        • Describe the global physical activity guidelines recommended by the WH

                                                                                                        Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour

                                                                                                        Required readingsOptional readingsPeer Activities
                                                                                                          QuizzesAssignments
                                                                                                            Discussions
                                                                                                              Questionnare

                                                                                                                Module 3 : Lesson 3: Components of Physical Activity


                                                                                                                Learning Objectives
                                                                                                                • Describe the major evidence for the physical activity components (aerobic, strength, flexibility, and balance)

                                                                                                                Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour

                                                                                                                Required readingsOptional readingsPeer Activities
                                                                                                                  QuizzesAssignments
                                                                                                                    Discussions
                                                                                                                      Questionnare

                                                                                                                        Module 3 : Lesson 4: Exercise Prescription


                                                                                                                        Learning Objectives
                                                                                                                        • Develop an exercise prescription

                                                                                                                        Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour

                                                                                                                        Module 3 : Lesson 5: Patient Evaluation

                                                                                                                        Learning Objectives
                                                                                                                        • Evaluate a patient prior to the initiation of physical activity

                                                                                                                        Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour

                                                                                                                        Required readingsOptional readings
                                                                                                                          Peer Activities
                                                                                                                            QuizzesAssignmentsDiscussions
                                                                                                                              Questionnare

                                                                                                                                Module 3 : Lesson 6: Improving Exercise Adoption and Maintenance


                                                                                                                                Learning Objectives
                                                                                                                                • Motivate patients to increase their physical activity

                                                                                                                                Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour

                                                                                                                                Required readingsOptional readingsPeer Activities
                                                                                                                                  QuizzesAssignmentsDiscussions
                                                                                                                                    Questionnare

                                                                                                                                      Module 4: Nutrition

                                                                                                                                      Let food be thy medicine and medicine be thy food. — Hippocrates


                                                                                                                                      Competencies covered in this module
                                                                                                                                      1. Nutrition science, assessment, and prescription 

                                                                                                                                      Required readings
                                                                                                                                        Optional readings
                                                                                                                                          Peer Activities
                                                                                                                                            Quizzes
                                                                                                                                              Assignments
                                                                                                                                                Discussions
                                                                                                                                                  Questionnare

                                                                                                                                                    Module 4 : Lesson 1: Introduction to Nutrition


                                                                                                                                                    Learning Objectives
                                                                                                                                                    • Describe the basics of nutrition, as well as the metabolic effects of different foods
                                                                                                                                                    • Summarize the major nutrition studies and evidence base for nutrition prescriptions

                                                                                                                                                    Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour

                                                                                                                                                    Required readingsOptional readingsPeer Activities
                                                                                                                                                      QuizzesAssignments
                                                                                                                                                        Discussions
                                                                                                                                                          Questionnare

                                                                                                                                                            Module 4 : Lesson 2: The Role of Nutrition in Preventing and Treating Chronic Diseases


                                                                                                                                                            Learning Objectives
                                                                                                                                                            • Describe different types of diets and their effects on health
                                                                                                                                                            • Understand the role of nutrition in preventing and treating chronic diseases, such as cardiovascular disease
                                                                                                                                                            • Describe the role of nutrition in preventing, treating, and reversing diabetes
                                                                                                                                                            • Summarize nutrition prescriptions for the most common chronic diseases including hyperlipidemia, diabetes, hypertension, and cancer
                                                                                                                                                            • Know how to prescribe nutrition for basic disease processes including inflammation: food patterns / macronutrients, food types / micronutrients, food preparation / oxidation

                                                                                                                                                            Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour

                                                                                                                                                            Module 4 : Lesson 3: Dietary Guidelines and Nutrition Prescriptions


                                                                                                                                                            Learning Objectives
                                                                                                                                                            • Demonstrate ability to perform a basic nutrition assessment and to apply practical strategies to assist patients in achieving dietary changes
                                                                                                                                                            • Describe the basic principles of healthy cooking
                                                                                                                                                            • Summarize the major nutrition studies and evidence base for nutrition prescriptions
                                                                                                                                                            • Properly interpret nutrition labels



                                                                                                                                                            Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour

                                                                                                                                                            Required readingsOptional readingsPeer Activities
                                                                                                                                                              QuizzesAssignmentsDiscussions
                                                                                                                                                                Questionnare

                                                                                                                                                                  Module 4 : Lesson 4: Obesity


                                                                                                                                                                  Learning Objectives
                                                                                                                                                                  • Define obesity and understand its epidemiology as well as assist patients in the prevention and treatment of obesity

                                                                                                                                                                  Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour

                                                                                                                                                                  Required readingsOptional readingsPeer Activities
                                                                                                                                                                    QuizzesAssignments
                                                                                                                                                                      Discussions
                                                                                                                                                                        Questionnare

                                                                                                                                                                          Module 5: Sleep Health


                                                                                                                                                                          Competencies covered in this module
                                                                                                                                                                          1. Sleep health science and interventions

                                                                                                                                                                          Module 5: Lesson 1: The Role of Sleep in Health


                                                                                                                                                                          Learning Objectives
                                                                                                                                                                          • Understand sleep’s role in health and chronic disease
                                                                                                                                                                          • Understand the basic physiology and the structural organization of sleep

                                                                                                                                                                          Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour

                                                                                                                                                                          Required readingsOptional readingsPeer Activities
                                                                                                                                                                            QuizzesAssignments
                                                                                                                                                                              Discussions
                                                                                                                                                                                Questionnare

                                                                                                                                                                                  Module 5 : Lesson 2: Sleep Disorder Evaluation and Management


                                                                                                                                                                                  Learning Objectives
                                                                                                                                                                                  • Know the common types of sleep disorders and the tools to evaluate and manage sleep
                                                                                                                                                                                  • Identify lifestyle-based activity, dietary, environmental, and coping behaviors that can improve sleep health
                                                                                                                                                                                  • Identify at least two lifestyle adjustments related to light exposure and meal composition and timing that support improved sleep

                                                                                                                                                                                  Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour

                                                                                                                                                                                  Required readingsOptional readingsPeer Activities
                                                                                                                                                                                    QuizzesAssignments
                                                                                                                                                                                      Discussions
                                                                                                                                                                                        Questionnare

                                                                                                                                                                                          Module 6: Tobacco Use

                                                                                                                                                                                          Tobacco kills up to half of its users. - World Health Organization (2016)


                                                                                                                                                                                          Competencies covered in this module :
                                                                                                                                                                                          1. Fundamentals of Tobacco Cessation

                                                                                                                                                                                          Required readings
                                                                                                                                                                                            Optional readings
                                                                                                                                                                                              Peer Activities
                                                                                                                                                                                                Quizzes
                                                                                                                                                                                                  Assignments
                                                                                                                                                                                                    Discussions
                                                                                                                                                                                                      Questionnare

                                                                                                                                                                                                        Module 6 : Lesson 1: Epidemiology of Tobacco-Related Diseases

                                                                                                                                                                                                        Learning Objectives
                                                                                                                                                                                                        • Understand the role of tobacco cessation in preventing and treating chronic disease
                                                                                                                                                                                                        • Summarize the evidence-based literature on tobacco cessation interventions

                                                                                                                                                                                                        Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour

                                                                                                                                                                                                        Module 6 : Lesson 2: The Physiological, Psychological, and Behavioral Components of Tobacco Use

                                                                                                                                                                                                        Learning Objective
                                                                                                                                                                                                        • Be able to state the aspects of tobacco addiction (physiological, psychological, behavioral)

                                                                                                                                                                                                        Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour

                                                                                                                                                                                                        Required readingsOptional readings
                                                                                                                                                                                                          Peer Activities
                                                                                                                                                                                                            QuizzesAssignments
                                                                                                                                                                                                              Discussions
                                                                                                                                                                                                                Questionnare

                                                                                                                                                                                                                  Module 6 : Lesson 3: Treatment of Tobacco Use

                                                                                                                                                                                                                  Learning Objectives
                                                                                                                                                                                                                  • Demonstrate ability to assist patients to develop and implement plans for smoking cessation
                                                                                                                                                                                                                  • Be familiar with the medications and treatments commonly used for tobacco cessation
                                                                                                                                                                                                                  • Develop a written action plan based on the treatment prescription, adjusted for the appropriate stage of change

                                                                                                                                                                                                                  Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour

                                                                                                                                                                                                                  Required readingsOptional readingsPeer Activities
                                                                                                                                                                                                                    QuizzesAssignmentsDiscussions
                                                                                                                                                                                                                      Questionnare

                                                                                                                                                                                                                        Module 7: Alcohol Use

                                                                                                                                                                                                                        "What are you doing here?" he asked the drunkard... "Drinking," replied the drunkard, with a gloomy expression. "Why are you drinking?" the little prince asked. "To forget," replied the drunkard. "To forget what?" inquired the little prince, who was already feeling sorry for him. "To forget that I'm ashamed," confessed the drunkard, hanging his head. "What are you ashamed of?" inquired the little prince, who wanted to help. "Of drinking!" concluded the drunkard... - Antoine de Saint-Exupéry, "The Little Prince"


                                                                                                                                                                                                                        Competencies covered in this module :
                                                                                                                                                                                                                        1. Fundamentals of managing risky alcohol use

                                                                                                                                                                                                                        Required readings
                                                                                                                                                                                                                          Optional readings
                                                                                                                                                                                                                            Peer Activities
                                                                                                                                                                                                                              Quizzes
                                                                                                                                                                                                                                Assignments
                                                                                                                                                                                                                                  Discussions
                                                                                                                                                                                                                                    Questionnare

                                                                                                                                                                                                                                      Module 7 : Lesson 1: Epidemiology of Alcohol-Related Diseases

                                                                                                                                                                                                                                      Learning Objective
                                                                                                                                                                                                                                      • Understand the role of moderating alcohol use in preventing and treating chronic diseases

                                                                                                                                                                                                                                      Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour

                                                                                                                                                                                                                                      Module 7 : Lesson 2: Screening for Harmful Alcohol Use

                                                                                                                                                                                                                                      Learning Objective
                                                                                                                                                                                                                                      • Describe screening processes for harmful alcohol use

                                                                                                                                                                                                                                      Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour

                                                                                                                                                                                                                                      Required readingsOptional readings
                                                                                                                                                                                                                                        Peer Activities
                                                                                                                                                                                                                                          QuizzesAssignments
                                                                                                                                                                                                                                            Discussions
                                                                                                                                                                                                                                              Questionnare

                                                                                                                                                                                                                                                Module 7 : Lesson 3: Intervention and Prevention

                                                                                                                                                                                                                                                Learning Objectives
                                                                                                                                                                                                                                                • Demonstrate the ability to assist patients to develop and implement plans for avoiding risky alcohol use
                                                                                                                                                                                                                                                • Know the components of relapse prevention planning
                                                                                                                                                                                                                                                • Develop a written action plan based on the treatment prescription, adjusted for the appropriate stage of change

                                                                                                                                                                                                                                                Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour

                                                                                                                                                                                                                                                Required readingsOptional readings
                                                                                                                                                                                                                                                  Peer ActivitiesQuizzesAssignments
                                                                                                                                                                                                                                                    Discussions
                                                                                                                                                                                                                                                      Questionnare

                                                                                                                                                                                                                                                        Module 8: Emotional and Mental Well-being

                                                                                                                                                                                                                                                        "God, grant me the serenity to accept the things I cannot change, Courage to change the things I can, And wisdom to know the difference." - Reinhold Niebuhr, The Serenity Prayer

                                                                                                                                                                                                                                                        Competencies covered in this module:

                                                                                                                                                                                                                                                        1. Emotional and Mental Well-being Assessment and Interventions

                                                                                                                                                                                                                                                        People accept stress as an inevitable part of their lives, but exposure to chronic high levels leads to various forms of significant stress-induced morbidity.  

                                                                                                                                                                                                                                                        In this module, you will learn how to identify a stressed patient and how to help him/her manage emotional and mental well-being.

                                                                                                                                                                                                                                                        Upon completion of this module, students should be able to:

                                                                                                                                                                                                                                                        • Understand the basic elements of stress response and the relationship between emotional distress and poor health
                                                                                                                                                                                                                                                        • Describe the components of emotional wellness self-management
                                                                                                                                                                                                                                                        • Use screening tools for stress, depression, and anxiety
                                                                                                                                                                                                                                                        • Understand how skills of mindfulness-based stress reduction (MBSR) and other approaches can help patients intervene in stress reactions and better care for themselves
                                                                                                                                                                                                                                                        • Demonstrate the ability to manage depression and anxiety in patients with comorbidities
                                                                                                                                                                                                                                                        • Be familiar with the unique stressors associated with being a physician, along with the possible ways of coping with stress, and describe the role of the provider in facilitating the emotional well-being of patients
                                                                                                                                                                                                                                                        Required readings
                                                                                                                                                                                                                                                          Optional readings
                                                                                                                                                                                                                                                            Peer Activities
                                                                                                                                                                                                                                                              Quizzes
                                                                                                                                                                                                                                                                Assignments
                                                                                                                                                                                                                                                                  Discussions
                                                                                                                                                                                                                                                                    Questionnare

                                                                                                                                                                                                                                                                      Module 8 : Lesson 1: Relationship Between Stress and Health


                                                                                                                                                                                                                                                                      Learning Objectives
                                                                                                                                                                                                                                                                      • Understand the basic elements of stress response and the relationship between emotional distress and poor health
                                                                                                                                                                                                                                                                      • Describe the components of emotional wellness self-management

                                                                                                                                                                                                                                                                      Module 8 : Lesson 2: Screening and Screening Tools


                                                                                                                                                                                                                                                                      Learning Objectives
                                                                                                                                                                                                                                                                      • Use screening tools for stress, depression, and anxiety

                                                                                                                                                                                                                                                                      Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour

                                                                                                                                                                                                                                                                      Required readingsOptional readings
                                                                                                                                                                                                                                                                        Peer Activities
                                                                                                                                                                                                                                                                          QuizzesAssignmentsDiscussions
                                                                                                                                                                                                                                                                            Questionnare

                                                                                                                                                                                                                                                                              Module 8 : Lesson 3: Lifestyle-related Intervention Strategies


                                                                                                                                                                                                                                                                              Learning Objectives
                                                                                                                                                                                                                                                                              • Understand how skills of mindfulness-based stress reduction (MBSR) and other approaches can help patients intervene in stress reactions and better care for themselves

                                                                                                                                                                                                                                                                              Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour

                                                                                                                                                                                                                                                                              Required readingsOptional readings
                                                                                                                                                                                                                                                                                Peer Activities
                                                                                                                                                                                                                                                                                  QuizzesAssignments
                                                                                                                                                                                                                                                                                    Discussions
                                                                                                                                                                                                                                                                                      Questionnare

                                                                                                                                                                                                                                                                                        Module 8 : Lesson 4: Depression and Anxiety in Patients with Comorbidities


                                                                                                                                                                                                                                                                                        Learning Objectives
                                                                                                                                                                                                                                                                                        • Demonstrate the ability to manage depression and anxiety in patients with comorbidities

                                                                                                                                                                                                                                                                                        Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour

                                                                                                                                                                                                                                                                                        Module 8 : Lesson 5: Stress and Burnout Among Physicians


                                                                                                                                                                                                                                                                                        Learning Objectives
                                                                                                                                                                                                                                                                                        • Be familiar with the unique stressors associated with being a physician, along with the possible ways of coping with stress, and describe the role of the provider in facilitating the emotional well-being of patients

                                                                                                                                                                                                                                                                                        Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour

                                                                                                                                                                                                                                                                                        Required readingsOptional readings
                                                                                                                                                                                                                                                                                          Peer Activities
                                                                                                                                                                                                                                                                                            QuizzesAssignmentsDiscussions
                                                                                                                                                                                                                                                                                              Questionnare

                                                                                                                                                                                                                                                                                                Module 9: Sexuality and Health

                                                                                                                                                                                                                                                                                                Sexual health working definition: “... a state of physical, emotional, mental and social well-being in relation to sexuality; it is not merely the absence of disease, dysfunction or infirmity. Sexual health requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences, free of coercion, discrimination and violence. For sexual health to be attained and maintained, the sexual rights of all persons must be respected, protected and fulfilled.”  The World Health Organization (2006)

                                                                                                                                                                                                                                                                                                Required readings
                                                                                                                                                                                                                                                                                                  Optional readings
                                                                                                                                                                                                                                                                                                    Peer Activities
                                                                                                                                                                                                                                                                                                      Quizzes
                                                                                                                                                                                                                                                                                                        Assignments
                                                                                                                                                                                                                                                                                                          Discussions
                                                                                                                                                                                                                                                                                                            Questionnare

                                                                                                                                                                                                                                                                                                              Module 9 : Lesson 1: Relationship Between Sexuality and Health


                                                                                                                                                                                                                                                                                                              Learning Objectives
                                                                                                                                                                                                                                                                                                              • Understand what is meant by the term ‘healthy sexuality’, and the relationship between sexuality and health

                                                                                                                                                                                                                                                                                                              Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour

                                                                                                                                                                                                                                                                                                              Required readingsOptional readingsPeer Activities
                                                                                                                                                                                                                                                                                                                QuizzesAssignments
                                                                                                                                                                                                                                                                                                                  Discussions
                                                                                                                                                                                                                                                                                                                    Questionnare

                                                                                                                                                                                                                                                                                                                      Module 9: Lesson 2: Counseling Patients with Sexuality Issues


                                                                                                                                                                                                                                                                                                                      Learning Objectives
                                                                                                                                                                                                                                                                                                                      • Understand the role and the limitations of the physician in counseling and treating in the field of sexuality

                                                                                                                                                                                                                                                                                                                      Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour

                                                                                                                                                                                                                                                                                                                      Required readingsOptional readings
                                                                                                                                                                                                                                                                                                                        Peer Activities
                                                                                                                                                                                                                                                                                                                          QuizzesAssignmentsDiscussions
                                                                                                                                                                                                                                                                                                                            Questionnare

                                                                                                                                                                                                                                                                                                                              Module 10: Implementing Lifestyle Medicine

                                                                                                                                                                                                                                                                                                                              “People are generally better persuaded by the reasons which they have themselves discovered than by those which have come into the minds of others.” - Blaise Pascal

                                                                                                                                                                                                                                                                                                                              Competencies covered in this module:
                                                                                                                                                                                                                                                                                                                              1. Tools to promote health change
                                                                                                                                                                                                                                                                                                                              2. Key clinical processes in lifestyle medicine

                                                                                                                                                                                                                                                                                                                              Required readings
                                                                                                                                                                                                                                                                                                                                Optional readings
                                                                                                                                                                                                                                                                                                                                  Peer Activities
                                                                                                                                                                                                                                                                                                                                    Quizzes
                                                                                                                                                                                                                                                                                                                                      Assignments
                                                                                                                                                                                                                                                                                                                                        Discussions
                                                                                                                                                                                                                                                                                                                                          Questionnare

                                                                                                                                                                                                                                                                                                                                            Module 10 : Lesson 1: Health Promotion in Clinics and Practices

                                                                                                                                                                                                                                                                                                                                            Learning Objectives
                                                                                                                                                                                                                                                                                                                                            • Describe strategies for incorporating wellness into clinic, medical office, or other healthcare settings (wellness programs for health providers)
                                                                                                                                                                                                                                                                                                                                            • Describe the key strategies for leveraging the interdisciplinary team to enhance health behavior change interventions
                                                                                                                                                                                                                                                                                                                                            • Describe how planned and group visits can optimize office visits to support lifestyle modification

                                                                                                                                                                                                                                                                                                                                            Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour

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                                                                                                                                                                                                                                                                                                                                                    Module 10 : Lesson 2: Key Clinical Processes in Lifestyle Medicine


                                                                                                                                                                                                                                                                                                                                                    Learning Objectives
                                                                                                                                                                                                                                                                                                                                                    • Describe screening and diagnostic tests relevant to lifestyle-related diseases
                                                                                                                                                                                                                                                                                                                                                    • List components of the patient history and physical, with emphasis on lifestyle risk factors
                                                                                                                                                                                                                                                                                                                                                    • Describe how to interpret the tests using evidence-based national guidelines
                                                                                                                                                                                                                                                                                                                                                    • Demonstrate how to screen, diagnose, and monitor a lifestyle-related condition (case example)
                                                                                                                                                                                                                                                                                                                                                    • Describe appropriate situations for referring and collaborating with other health professionals, such as dieticians, health educators, fitness trainers, and psychologists

                                                                                                                                                                                                                                                                                                                                                    Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour

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                                                                                                                                                                                                                                                                                                                                                            Module 10 : Lesson 3: Strategies for Effective Office Systems to Plan Screenings, Follow Up on Test Results and Clinical Follow-Ups


                                                                                                                                                                                                                                                                                                                                                            Learning Objectives
                                                                                                                                                                                                                                                                                                                                                            • Cite strategies for effective office systems and office tools for tracking screening frequency and test results, and proactively prompting follow-up
                                                                                                                                                                                                                                                                                                                                                            • Develop an action plan for implementing lifestyle medicine in clinical and personal settings by using tools and strategies for effective office systems

                                                                                                                                                                                                                                                                                                                                                            Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour

                                                                                                                                                                                                                                                                                                                                                            Required readingsOptional readingsPeer ActivitiesQuizzesAssignmentsDiscussions
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                                                                                                                                                                                                                                                                                                                                                                Module 10: Lesson 4: Strategies to Obtain Information about Local Community Resources

                                                                                                                                                                                                                                                                                                                                                                Learning Objective
                                                                                                                                                                                                                                                                                                                                                                • Describe strategies for a clinical practice to obtain information about local community resources

                                                                                                                                                                                                                                                                                                                                                                Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour

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                                                                                                                                                                                                                                                                                                                                                                        Final Exam

                                                                                                                                                                                                                                                                                                                                                                        The final exam consists of 50 multiple choice questions. You will need to complete all other activities before you can take the final exam. Write to support@nextgenu.org to obtain the password after you have completed all the peer and required activities. 

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                                                                                                                                                                                                                                                                                                                                                                                    Course and Self Evaluation & Certificate

                                                                                                                                                                                                                                                                                                                                                                                    Your feedback will help us make NextGenU better.

                                                                                                                                                                                                                                                                                                                                                                                    Required readingsOptional readings
                                                                                                                                                                                                                                                                                                                                                                                      Peer Activities
                                                                                                                                                                                                                                                                                                                                                                                        Quizzes
                                                                                                                                                                                                                                                                                                                                                                                          Assignments
                                                                                                                                                                                                                                                                                                                                                                                            Discussions
                                                                                                                                                                                                                                                                                                                                                                                              Questionnare