Expanding access to lifestyle medicine education opportunities—such as continuing medical education (CME) courses, professional certification, webinars, mentoring and peer-to-peer connections, and conference participation—can facilitate the adoption of the medical specialty across health systems, according to a new study published in Translational Behavioral Medicine.
This qualitative study conducted by the American College of Lifestyle Medicine (ACLM) found that intentional educational strategies are critical to the adoption and growth of lifestyle medicine programming and facilitate deepening of clinicians' knowledge, skills, and confidence in delivering lifestyle medicine interventions to treat, reverse and prevent chronic disease.
"These findings give health system leaders a roadmap of educational strategies to advance lifestyle medicine implementation," said ACLM Senior Director of Research Micaela Karlsen, PhD. "By investing in CME courses and conferences or creating space for informal activities like wellness programs and peer support, leaders have powerful levers that drive adoption and sustain long-term growth."
About the study
To understand how health systems prepare clinicians to practice lifestyle medicine, researchers conducted more than 60 interviews with clinicians, administrators and educators at eight health systems. Seven of these health systems are part of ACLM's Health System Council —a collaborative network dedicated to accelerating clinical integration of the specialty.
Strategies for success
Interviewees identified several educational strategies that supported lifestyle medicine practice, including:
- Lifestyle medicine and food as medicine CME courses and webinars
- Lifestyle medicine certification
- Grand rounds and in-house trainings
- Attendance at ACLM's annual conference
- Peer-learning and mentoring
Interviewees described how educational initiatives translated into cultural and practice shifts within their organizations, also leading to mentoring and further peer support. The role of cultural support had been further explored in a previous ACLM study . One physician in the new study responded that after they earned lifestyle medicine certification, they "helped 15 other people, a few physicians and nurse practitioners" get board certified." At least two health systems established resources to support employees to achieve certification.
Six health systems described leveraging lifestyle medicine and food as medicine conference attendance to support clinician education. Interviewees noted that the experience not only instilled a passion for lifestyle medicine but also inspired them to disseminate knowledge and insights within their organizations.
The study highlighted the benefit of embedding lifestyle medicine into employee wellness initiatives. These initiatives gave clinicians firsthand experience with the same lifestyle interventions recommended for patients, reinforcing both their confidence and credibility when delivering lifestyle medicine care. While pilot programs have long been recognized as an approach to test the feasibility of an intervention, the study's first author Meghan Ames, DrPH, MSPH, RDN, said "This work highlights that delivering lifestyle medicine to health system employees can serve as a rich opportunity for healthcare professionals to learn firsthand what lifestyle medicine is and how powerful it can be to impact health."
Key educational content areas
The study also pinpointed key educational content areas considered most critical: a clear definition and evidence base for lifestyle medicine, behavior change counseling, familiarity with lifestyle medicine referral opportunities and business operation skills.
Many of the strategies interviewees described focused on raising awareness of the lifestyle medicine resources available both inside and outside their health systems. This awareness was seen as critical for making patient referrals and ensuring consistent use of lifestyle medicine services. As one physician explained, "It's also important that the people you work with know about what existing resources are," adding that education must be continuous because "you'll always have new staff or new physicians joining."
About ACLM®
The American College of Lifestyle Medicine (ACLM) is the nation's medical professional society advancing the field of lifestyle medicine as the foundation of a redesigned, value-based and equitable healthcare delivery system, essential to achieving the Quintuple Aim and whole-person health. ACLM represents, advocates for, trains, certifies, and equips its members to identify and eradicate the root cause of chronic disease by optimizing modifiable risk factors. ACLM is filling the gaping void of lifestyle medicine in medical education, providing more than 1.2 million hours of lifestyle medicine education to physicians and other health professionals since 2004, while also advancing research, clinical practice and reimbursement strategies.
