
When water is spilling out of the tub, the first thing to do is turn off the water at the tap. While integrative practitioners embrace this idea, conventional medicine was originally built on mop-up operations or, more recently, surveillance for drips. Factors such as increased patient awareness of other modalities, increasing cost of healthcare and epidemic burnout among physicians show the need for another approach. Lifestyle and emotional factors contribute to most health issues, but these are often not addressed. Irritable bowel syndrome (IBS) is an example of patient concern that can lead to a feeling of frustration and helplessness in providers and this leaves the patient feeling similarly helpless. Using the example of IBS, we will examine patient empowerment tools to help practitioners and patients probe more deeply rather than settling for superficial remedies. This approach leads to greater satisfaction for each and can lessen burnout among practitioners.
Using the HOPE (Healing Oriented Practices and Environments) note, which asks about mind and spirit, social, emotional, behavior, lifestyle, and environmental factors, we are more likely to get to the root of the patient’s concern. As part of this session, we will introduce and practice using the HOPE note to elicit many of the factors which affect well-being. We may not always directly address the physical symptom, but it is often possible to use this as an entry point into the patient’s overall health and resilience. As patients feel heard and partner with practitioners to learn new ways to care for themselves, they become empowered to create and sustain their own wellness. The more we can partner with our patients in the quest for wellness, whatever that means to them, the more satisfying and rewarding medicine can become for all involved.
Dr. ____ developed the HOPE note and has presented on this topic at many national conferences. Dr. ____ and Dr. ____ are both experienced educators who have taught medical students, residents and colleagues and have also presented on the HOPE note.. They both run Integrative Medicine Clinics and serve patients who would not otherwise have access to these services. ______ currently training in family med and IM
This session is appropriate for all audiences and skill levels
HOPE note
Irritable Bowel Syndrome
Resilience
Skill-based training or Experiential workshop: provide an opportunity to acquire and practice a new skill and to observe and refine teaching techniques for this skill
Large group discussion, Partner practice
MD
MD
MD
MD