Integrative Medicine in Residency

Integrative Medicine in Residency is a 200-hour competency-based, online curriculum in integrative medicine, designed for incorporation into primary care residency education.

Developed by leaders in integrative medicine (IM), the Integrative Medicine in Residency (IMR) program addresses a demand for residency training in IM, for both faculty and residents. IMR serves as the national model for addressing topics currently not included in conventional medical education.

  • Online, interactive curriculum accessible 24 hours per day.
  • Modular format can be incorporated longitudinally or as a rotation, elective, or area of concentration.
  • Responds to Accreditation Council for Graduate Medical Education (ACGME) competency-based education.
  • Resource for faculty development.


Year 1

  • Introduction to Integrative Medicine
  • Prevention and Wellness: US Preventive Services, Nutrition and Diet, Supplements for Prevention, Physical Activity, Sleep, Stress and Mind-Body Medicine, Spirituality
  • Tools in Integrative Medicine: Motivational Interviewing for Behavioral Change

Year 2

  • Pediatric Topics: ADD/ADHD, Chronic Pain Syndrome, Asthma and Allergies
  • Women's Health Topics: Menopause, Fibromyalgia, Osteoporosis, Depression, Eating Disorders, PMS, prenatal care and lactation
  • Acute Care Topics: Back Pain, Urinary Tract Infection, Gastroenteritis, Otitis media, Vaginitis, Chest Pain/GERD, Upper Respiratory Infection
  • Tools in Integrative Medicine: Integrative Medicine Intake Process, Botanicals, Mind-Body Medicine

Year 3

  • Chronic Illness: Cardiovascular Disease (hypertension, hyperlipidemia, coronary artery disease), Diabetes Mellitus II, Osteoarthritis, Rheumatoid Arthritis, Obesity, Irritable Bowel Syndrome, Chronic Back Pain
  • Special Topics: HIV, Cancer Survivorship
  • Tools in Integrative Medicine: Integrative Medicine Care Plan Process, Manual Medicine, Energy Medicine, Whole Systems, Practice Management


Number of residents first year 2nd year 3rd year 4th year
25 or more $25,000.00 $20,000.00 $17,000.00 $15,000.00
11 - 24 $20,000.00 $16,000.00 $14,000.00 $12,000.00
5 - 10 $10,000.00 $8,000.00 $7,000.00 $6,000.00
4 or fewer $5,000.00 $5,000.00 $5,000.00 $5,000.00

The IMR/PIMR pricing schedule is based on a range of residents per year with a price reduction for the number of years in the program. For example, a Family Medicine Residency Program with 24 residents, 8-8-8, enrolls their first year residents in the program each of the next 3 years. The following would be the cost per year for the next five years:

Program Size # of Residents in YR3 Yr 1 Yr 2 Yr 3 Yr 4 Yr 5 Total Avg./Year $/Resident
24 24 $10,000.00 $16,000.00 $14,000.00 $12,000.00 $12,000.00 $64,000.00 $12,800.00 $1,600.00

Faculty Learner

Residencies exploring adding IMR to thier curiculum may enroll faculty individually.

  • Enrolled in an IMR program with other IMR faculty.
  • Full Participant - record completions, complete exams, answer reflection questions, etc.
  • Receives IMR Certificate of Completion upon meeting requirements.
  • CME credit available for some courses.
  • Cost: $2,065.

Residency Sites

Family Medicine


IMR is the premiere program in the United States to teach medical residents about Integrative Medicine. The 200-hour online distance education program was created by leaders in the field and has grown substantially since its introduction in 2008.

Courses are modular and allow great flexibility, It can be a longitudinal program, a set of electives, an elective rotation, or courses can be included in a track.

All residents have access to the web-based curriculum at any time, and the courses are also available for faculty development.

Benefits of adopting the IMR curriculum include:

  • Innovative, web-based curriculum.
  • Common curriculum across residencies.
  • Modular format allows maximum flexibility.
  • Improves residency recruitment.
  • Tool for faculty development.
  • Residents and faculty increase medical knowledge/skills in treating patients. Built-in competency-based evaluation to help with RRC reports and site visits.
  • Residents and faculty learn to assess and change their personal lifestyle health behaviors.

Brochures & Resources

IMR: Site Leader Information Site Leader responsibilities, examples, and time commitment guidelines. Download
IMR: Family Medicine Article (2017) Patricia Lebensohn, MD, Victoria Mazies, MD, and others on feasibility and effectiveness of the online program. Download
IMR & PIMR Site List Site list for Integrative Medicine in Residency and Pediatric Integrative Medicine in Residency. Download
IMR: JGME Article (2012) Patricia Lebensohn, MD, and other AzCIM faculty on Developing Competency Through Online Curriculum Training. Download
IMR: FAMILY MEDICINE Article (2013) Patricia Lebensohn, MD, article on Resident Wellness Behaviors. Download
IMR: EXPLORE Article (2013) Patricia Lebensohn, MD, published in EXPLORE. Download
IMR - Curriculum & Content Curriculum and content of the Integrative Medicine in Residency program. Download
IMR Brochure Brochure describing Integrative Medicine in Residency. Download

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