Related Experiment Video
Updated: Jan 22, 2026
14:32
Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
24.4K
Fresh and Savory: Integrating Teaching Kitchens with Shared Medical Appointments
Renee Kakareka1, Theresa A Stone2, Paul Plsek1
11MedStar Health, MedStar Institute for Innovation, Washington, D.C.
Summary
Culinary and Lifestyle Medicine Teaching Kitchen (TK) Shared Medical Appointments (SMAs) are feasible for improving patient habits. While vital signs showed no acute change, patients gained knowledge and adopted healthier behaviors, suggesting long-term benefits.
Area of Science:
- Lifestyle Medicine
- Integrative Health
- Preventive Medicine
Background:
- Shared Medical Appointments (SMAs) offer a group-based approach to healthcare delivery.
- Teaching Kitchens (TKs) integrate culinary education with medical advice to promote healthy lifestyles.
- MedStar Health explored the feasibility of combining TK and SMA models.
Purpose of the Study:
- To assess the systematic feasibility of implementing Culinary and Lifestyle Medicine Teaching Kitchen (TK) programs as Shared Medical Appointments (SMAs).
- To evaluate patient demand, operational efficiency, and financial viability of TK SMAs.
- To determine the impact of TK SMAs on patient health habits and outcomes.
Main Methods:
- Three TK SMA programs were implemented: two 8-week cohorts for Internal Medicine/Cardiology patients and one 4-week program for elite athletes.
- Feasibility was assessed via patient surveys, staff operational reviews, and reimbursement data.
- Patient vitals and self-reported habit changes were monitored during the programs.
Main Results:
- Fifty-three unique patients attended the TK SMA programs, with 223 appointments billed.
- Reimbursement was achieved using the E&M code 99213.
- While vital signs showed no statistically significant acute changes, patients reported clinically significant improvements in healthy habits, including increased knowledge of plant-based meals, sleep hygiene, mindfulness, and exercise.
Conclusions:
- TK SMAs are a feasible model for addressing patients' nutritional and lifestyle needs.
- These programs demonstrate patient demand for opportunities to develop healthy behaviors.
- TK SMAs represent a potentially sustainable and effective approach to integrative medicine, though longitudinal outcome assessment is needed.
Related Concept Videos
01:23Inhaled Medications
761
Inhaled medications are crucial for managing chronic obstructive pulmonary disease (COPD) and asthma. They are essential for effective treatment and control, ensuring optimal respiratory health and well-being. Inhaled medication delivers drugs directly to the lungs, providing a rapid onset of action and reducing systemic side effects compared to oral or injectable medications. Three primary types of inhalation devices are used to administer these medications: nebulizers, metered-dose inhalers...
761
01:16Segregation in Fresh Concrete
556
Segregation in fresh concrete is a phenomenon where the components of the concrete mix separate, leading to uneven distribution and compromised structural integrity. This separation typically occurs when concrete is subjected to excessive horizontal movement within forms, or when it is dropped from considerable heights or forced through narrow, winding paths. As a result, heavier coarse aggregate particles settle at the bottom, while lighter, finer materials such as cement and water rise to the...
556
01:22Bleeding in Fresh Concrete
548
Bleeding in fresh concrete occurs when water from the mix rises to the surface. This happens because the mix's solid components fail to retain all the water as they settle, leading to separation where water collects at the top. The severity of bleeding can be measured by assessing the total settlement or by noting the decrease in height per unit height of concrete.
Bleeding can cause several issues in the concrete structure. Sometimes, the rising water gets trapped beneath large aggregate...
Bleeding can cause several issues in the concrete structure. Sometimes, the rising water gets trapped beneath large aggregate...
548
01:30Heart Failure V: Medical Management
227
Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
227
01:18Endocarditis III: Medical Management
217
Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
217
01:14Myocarditis III: Medical Management
182
Myocarditis: Comprehensive Medical ManagementMyocarditis, the heart muscle inflammation, requires a comprehensive medical management strategy that addresses the underlying cause, provides supportive care, manages symptoms, and reduces cardiac workload.Infections and Autoimmune CausesAdminister appropriate antimicrobial therapy when an infectious agent causes myocarditis. For instance, penicillin treats infections caused by Group A Streptococcus. In cases where autoimmune processes are...
182