Pulse Legacy Archive November 2011 | Page 43

Overcoming the Early Challenges Spa + Integrative Medicine = Health and Business Opportunities BY MAE MAÑACAP-JOHNSON The concept of Integrative Medicine is technically not new. Although it was over a decade ago when its popularity rose in the U.S., the integration of traditional and alternative healing practices has long been embraced in other cultures, particularly in Asia. “In the U.S., from a conventional medicine perspective, most of the focus for the past 20 years has been on Complementary and Alternative Medicine (CAM),” says Dr. Brent Bauer, director of the Department of Internal Medicine’s Complementary and Integrative Medicine Program at Mayo Clinic and ISPA’s Medical Advisor. Dr. Bauer recalls that early on, the rising popularity of approaches such as acupuncture, herbs and meditation were viewed with skepticism—or even outright hostility. “At this point, conventional medical providers are still getting their hands around many of the basic concepts of wellness promotion, as they are evolving slowly from a system that has always excelled at fixing things when they were broken,” Dr, Bauer says. He predicts a culture of openmindedness among medical professionals in the future, adding that, as the importance of wellness promotion grows, more physicians will be ready to hear the story of spa and what it can bring collaboratively to the care of patients. “Spas can foster this by being familiar with the research that supports services like massage or meditation and sharing that information when needed,” Dr. Bauer says. Spectrum of Belief A ccording to Dr. Bauer, there is a spectrum of knowledge/beliefs among medical doctors who have different perspectives and levels of openness to alternative treatments. Old Guard: Often takes a skeptical or even hostile view to these changes. Middle Guard: Physicians like Dr. Bauer who have been in practice for 10 to 20 years and have grown up around this movement. These doctors tend to be more open and curious. Even though they may not fully understand it, they tend to be more willing to discuss issues with patients and try novel approaches. New Guard: These are the “kids” who are currently in medical school and in residency. In the next few years, they will be the leaders of medicine and they come with a much different perspective. Most of them have grown up with someone in the family using acupuncture or practicing meditation. Yoga is a common practice for many of them, so as they encounter patients using these CAM therapies, they have a much more open (and knowledgeable) approach. According to Dr. Bauer, this stresses a point that “resistance is futile.” “The natural order of change means that we will see an increased blurring of the distinctions between medicine and wellness and a greater understanding of the roles different providers can play in that realm,” he says. November 2011 ■ PULSE 41