{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T12:04:35Z","timestamp":1791893075318,"version":"4.3.4"},"reference-count":13,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:00:00Z","timestamp":1791849600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:00:00Z","timestamp":1791849600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&R"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Lifestyle medicine (LM) aligns closely with physical medicine and rehabilitation (PM&R), emphasizing holistic, patient\u2010centered approaches to optimize health and function. Despite this synergy, structured LM education within PM&R residencies remains limited.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n To describe the implementation, feasibility, and early outcomes of the American College of Lifestyle Medicine (ACLM) Lifestyle Medicine Residency Curriculum (LMRC) within a PM&R residency program consisting of 24 residents.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n An optional LMRC track was introduced in the 2024\u20132025 academic year, offering 1\u2010year (postgraduate year [PGY]\u20104) and 2\u2010year (PGY\u20103) completion options. The curriculum included 40 didactic hours, 60 application hours, and practicum requirements totaling 400 LM\u2010focused encounters. Participation rates, completion status, and resident feedback were recorded. Additionally, an adapted ACLM Lifestyle Medicine Knowledge and Implementation Survey was distributed to all PGY\u20102\u20134 residents during the 2025\u20132026 academic year to assess LM\u2010related knowledge, confidence, and practice behaviors. A descriptive approach was used to examine differences between individuals enrolled in LMRC and those not enrolled.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Seventy\u2010five percent of eligible PGY\u20103 and PGY4 residents enrolled (\n n<\/jats:italic>\n \u2009=\u200912). Among PGY\u20104 LMRC participants, 50% completed all requirements (\n n<\/jats:italic>\n \u2009=\u20093); all PGY\u20103 participants (\n n<\/jats:italic>\n \u2009=\u20096) remain on track for completion. Survey response rate was 88% among all PM&R residents (\n n<\/jats:italic>\n \u2009=\u200921). Most respondents reported \u201csome knowledge\u201d of LM (40%), with the highest confidence in physical activity and lowest in nutrition. Individuals enrolled in LMRC self\u2010reported 20.6% higher mean scores in LM overall knowledge and 30.5% higher mean scores in LM overall confidence, compared to those not enrolled.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Integrating LMRC into PM&R residency training is feasible and aligns naturally with the specialty's mission. A 2\u2010year structure enhances sustainability, and group learning and institutional support foster engagement. LM education may strengthen residents' holistic care competencies and advance PM&R's focus on lifestyle\u2010driven health restoration.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/pmrj.70253","type":"journal-article","created":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T11:30:51Z","timestamp":1791891051000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Introducing lifestyle medicine residency curriculum into\n PM&R<\/scp>\n residency training: Implementation experience and early benefits"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-5270-7786","authenticated-orcid":false,"given":"Matison","family":"Alderman","sequence":"first","affiliation":[{"name":"Department of Rehabilitation University of Miami Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-8120-3095","authenticated-orcid":false,"given":"Sandra","family":"de Mel","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation University of Miami Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8870-494X","authenticated-orcid":false,"given":"Diana","family":"Molinares","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation University of Miami Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eduard","family":"Tiozzo","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation University of Miami Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,13]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"American College of Lifestyle Medicine.Lifestyle Medicine Residency Curriculum. Accessed September 23 2025.https:\/\/lifestylemedicine.org\/residency-curriculum\/"},{"key":"e_1_2_7_3_1","unstructured":"American College of Lifestyle Medicine.LMRC Didactics and Practicum Requirements. Accessed September 23 2025.https:\/\/lifestylemedicine.org\/residency-curriculum\/enrollment\/"},{"key":"e_1_2_7_4_1","unstructured":"American College of Lifestyle Medicine.LMRC Frequently Asked Questions. Accessed September 23 2025.https:\/\/lifestylemedicine.org\/residency-curriculum\/faq\/"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/15598276231162803"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/pmrj.13212"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40670\u2010021\u201001460\u20102"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/pmrj.12728"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/15598276221121580"},{"key":"e_1_2_7_10_1","unstructured":"American College of Lifestyle Medicine.Lifestyle Medicine Knowledge and Implementation Survey. Accessed September 23 2025.https:\/\/lifestylemedicine.org\/education\/lm-survey\/"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12909\u2010020\u201002282\u20103"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00001888\u2010200201000\u201000009"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12909\u2010024\u201006276\u20103"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.4300\/jgme\u2010d\u201015\u201000615.1"}],"container-title":["PM&R"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmrj.70253","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/pmrj.70253","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmrj.70253","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T11:30:53Z","timestamp":1791891053000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pmrj.70253"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,13]]},"references-count":13,"alternative-id":["10.1002\/pmrj.70253"],"URL":"https:\/\/doi.org\/10.1002\/pmrj.70253","archive":["Portico"],"relation":{},"ISSN":["1934-1482","1934-1563"],"issn-type":[{"value":"1934-1482","type":"print"},{"value":"1934-1563","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,13]]},"assertion":[{"value":"2025-11-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-13","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"pmrj.70253"}}