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Very few trials in the history of medical science have altered the treatment landscape as profoundly as the UK Prospective Diabetes Study (UKPDS). Even 44 years after its inception, the trial and post-study follow-up findings continue to fascinate and enlighten the medical community. The study was conceived at a time when there was uncertainty about […]

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Jeffrey Mechanick – highlights of 2019

Jeffrey Mechanick, Professor of Medicine and Medical Director
The Marie-Josée and Henry R. Kravis Center for Clinical Cardiovascular Health, Mount Sinai Heart and Cardiovascular Institute and Division of Cardiology, Mount Sinai, New York, NY, USA
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Published Online: Dec 16th 2019

Dr Mechanick is Professor of Medicine and Medical Director of The Marie-Josée and Henry R. Kravis Center for Clinical Cardiovascular Health at Mount Sinai Heart, and in the Cardiovascular Institute and Division of Cardiology, and Director of Metabolic Support in the Division of Endocrinology, Diabetes and Bone Disease, Icahn School of Medicine at Mount Sinai.  He received his MD degree from the Icahn School of Medicine at Mount Sinai, completed Internal Medicine residency at Baylor College of Medicine, and completed Endocrine Fellowship at The Mount Sinai Hospital. Dr Mechanick authored over 300 publications in Endocrinology, Metabolism, and Nutrition Support with 237 PubMed citations currently. He is the 2016-2017 Past President of the American College of Endocrinology, 2013-2014 Past President of the American Association of Clinical Endocrinologists, and 2005-2006 Past President of the American Board of Physician Nutrition Specialists. In 2019, Dr Mechanick was awarded Master of the American College of Endocrinology. Dr Mechanick co-edited Nutritional Strategies for the Diabetic and Prediabetic Patient; Power of Prevention: The Complete Guide to Lifelong Nutrition, Thyroid Cancer: From Emergent Biotechnology to Clinical Practice Guidelines, and Molecular Nutrition – The Practical Guide, and Lifestyle Medicine – A Manual for Clinical Practice; and co-authored Diabetes Mellitus Pocket and Nutritional Medicine Pocket

 

Dr Mechanick was appointed as a member of the President’s Council on Fitness, Sports and Nutrition (PCFSN) Science Board for 2010-2013 and was the 2013-2015 Editor-in-Chief and currently Editor-in-Chief Emeritus of the PCFSN quarterly publication Elevate Health. Dr Mechanick also chairs the International Transcultural Diabetes Nutrition Algorithm Working Group. Dr Mechanick currently serves as Chair of the Board of Visitors for the College of Computer, Mathematics, and Natural Sciences at the University of Maryland at College Park and was the 2011 recipient of the University of Maryland Industry Impact Award and 2011 University of Maryland Biology Alumnus Award. Dr Mechanick’s research interests are in the fields of nutrition and metabolic support, obesity and lifestyle medicine, and network analysis of complex systems.  Dr Mechanick is responsible for training cardiology fellows at Mount Sinai in lifestyle medicine, nutrition, and metabolic support.

 

In 2019, I continued to deliver lectures in the US and globally in obesity, molecular nutrition, and cardiometabolic disease. The important contributions were the recently updated bariatric surgery guidelines, which were a collaborative effort among AACE, ASMBS, TOS, OMA, and ASA. I have also completed a double paper accepted to JACC on cardiometabolic-based chronic disease, which incorporates other papers I participated on that formulated new terminology: adiposity- and dysglycemia-based chronic diseases. The bulk of my time continues to provide outpatient and inpatient endocrine/metabolic/nutritional care in the Mount Sinai Health System in New York, where I am the Medical Director of the Kravis Center for Cardiovascular Health and Director of Metabolic Support. I am also completing the second lifestyle medicine textbook that now focuses on implementation and how-to build a lifestyle medicine center. In AACE, I am the chair of the clinical practice guidelines oversight committee and we are very proud of the continued successes of AACE in producing a broad range of evidence-based white papers. I have continued my work with transculturalization of evidence-based recommendations, particularly in the cardiometabolic space, and specifically with colleagues in many countries. I am also active once more in ASPEN as a vice-chair for the Physicians Engagement Committee and co-chair for the pre-conference symposium on nutritional medicine tactics for 2020. Lastly, I continue my work with the University of Maryland at College Park, where I chair the Board of Visitors of the College of Computer, Mathematics, and Natural Sciences and, in addition, continue my work developing a quantum biology program for the college.

Healthcare in my view is becoming more fragmented and less humanistic, but this may very well be a natural evolution and not a chain of events amenable to disruption. Therefore, healthcare professionals, such as physicians, must adapt to and nurture this process. Since we are at an inflection point with technology assuming more roles at the expense of high-touch encounters, education and training will need to focus on keeping pace with advancements, while also preserving high quality clinical outcomes and a sufficient measure of humanism.  The advent and maturation of lifestyle medicine figures prominently in this context and much of my efforts are directed at communicating these ideals and formulating tactics for implementation.  In short, the rapid, accelerating pace of medical innovation should not be feared nor challenged, but rather embraced and better understood – but also in the context of ethnocultural diversity and the human experience.

Support: No funding was received in the publication of this Insight article.

Published: 16 December 2019

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