Changing Healthcare One Clinician at a Time

For Physicians, NDs, NPs, RNs, DDS, psychotherapists, nutritionists

We train healthcare providers to resolve underlying causes of illness so your patients can move beyond symptom reduction and regain health. Physicians, physician assistants and other healthcare professionals can earn up to 30 CME credits.




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Find Out More and Get Your Questions Answered: Schedule A Discovery Call with Dr. Fine

The EMEI Year – Long Certification Training Become a Certified Expert in Environmental Medicine

In the most comprehensive Environmental Medicine program ever offered, you will gain mastery and confidence to accurately diagnose and treat the underlying causes of your patients’ chronic diseases.

  • 30+ hours of didactic lecture comprises the core of the program and leads to 30 hrs. of AMA PRA Category 1 CME credit

  • Understand the toxicant - illness connection and why your patients aren’t getting better

  • Utilize effective detoxification strategies

  • Maximize the evidence - based knowledge related to toxicant - induced illness

  • Master the best tools for reduction of body burden

  • Identify toxic metal - related symptoms and the proper lab tests to use

  • Optimize patients’ health by eliminating the environmental exposures that are contributing to their illness

Michael Bauerschmidt MD

Globally 16-25% of all deaths are directly attributable to environmental conditions. Why Dr. Bauerschmidt strongly urges you to get this training as it is the missing piece in Functional Medicine today.

Frequently Asked Questions

  • How does this Training work time - wise?

    You will be asked to review 2 – 3 hours of lecture time per month and take a short quiz at the end of each lecture. First Saturday of the month we will meet for Ground Rounds, including presentations and guest lectures from innovative global thought leaders. We will ask you to present cases during your 12 month training period (we have a case presentation template and a video on how to prepare a case with EHQ and Timeline).

    You will also receive a subscription (free) to the EMEI Review Podcast. These monthly podcasts include reviews of articles on environmental toxicant exposure in the medical literature and are both topic specific (EMF exposure, mercury exposure: diagnosis and treatment) and timely. We will not expect you to know this material but it will add significantly to your ability to practice environmental medicine.

    At the end of the 12 month training we will ask you to take a Final Exam so you can be certified as an Environmental Medicine Trained Provider and listed on the EMEI website.

    We will also give you free admission to a live zoom meeting every Wednesday evening that we call “Consult Detox Docs” where we answer questions and review lab results related to environmental medicine.

  • Can I join the Training at any time?

    YES – Since the Grand Rounds will be taped and available and the 30+ hours of CME recorded lectures will be available as the Training progresses you will be able to easily catch up. So we do ask that you do some homework when you enter the course so you will be up-to-speed on the material for our monthly Grand Rounds.

  • How can I pay for the Training?

    You have options for financing the Training if you don’t want to pay up front. See Purchase Options.

  • What is the Curriculum? The recorded lectures include 40+ hours of content:

    1. Environmental Medicine, Toxicology & Body Burden Introduction to Principles, Resources, Databases, Lab Assessment – 1 hr.
    2. Assessment of Toxicant Body Burden–
      1. Taking an environmental medicine case history – 1 hr.
      2. Laboratory testing to assess body burden and markers of damage and inflammation- 3 hrs.
      3. Using databases to evaluate exposure and retention- 1 hr.
    3. Exposure Sources- Air, Water, Soil Contamination: Exposure, Avoidance, Treatment
      1. polycyclic aromatic hydrocarbons, metals, solvents, volatile organic compounds, pesticides, PCBs- 11.5 hrs
      2. PBDEs, PFAS, plastics (BPA, phthalates, bisphenols, nonylphenols), nanoparticles- 2.0 hrs
      3. Mold and Mycotoxins
        1. Signs symptoms and presentation of mold exposed patients- 1 hr.
        2. Toxicology of mycotoxins, evaluation and assessment of patient and their home/work environment- 1 hr.
        3. Treatment of Mold-Related Illness- 1 hr.
    4. Biotransformation of Toxicants in Human Body-
      1. phase I- nutrients necessary/methylation and single nucleotide polymorphism effect/toxicant activation and effect of toxicants on hormone and drug metabolism- 1 hr.
      2. phase II-nutrients needed/ single nucleotide polymorphism effect/ toxicant activation and effect of toxicants on hormone and drug metabolism – 1 hr.
      3. phase III- renal and hepatic anion transport and multidrug resistant protein transport- 1 hr.
    5. Climate Change/Earth Changes
      1. infectious disease- 1 hr.
      2. toxicant and toxin exposure after dramatic weather events and exposure to PM2.5 – 1 hr.
      3. radiation exposure- 1 hr.
    6. Systemic Effects: Basic mechanisms of toxicant-induced disease, specific toxicants and conditions linked to their exposure
      1. Neurotoxicity -1 hr.
      2. Immunotoxicity –1 hr. (includes cancer and autoimmune disease)
      3. Endocrine Disruption – 2 hrs.
      4. Women’s Health (infertility, endometriosis, PCOS, menopause)-2 hrs.
      5. Men’s Health (infertility, low testosterone, prostate conditions)- 1 hr.
      6. Environmental Cardiology- 1 hr.
    7. Electromagnetic Fields/Electromagnetic Radiation Exposure
      1. Presentation of EMF/EMR exposure and electrohypersensitivity- 1 hr.
      2. Appropriate diagnosis, interventions and recommendations for avoidance- 1 hr.
    8. Nutritional Support for Environmental Exposure- 2 hrs.
      1. Overview of nutrients utilized in toxicant metabolism
      2. Assessment of nutrient sufficiency using laboratory testing
      3. Nutrient replacement utilizing specific supplementation and dietary recommendations

    The Live Monthly Grand Rounds Meetings include 6 hours of Case Presentations and Updates- one day each month. Lecture Material that will focus on real patient presentation and lab results. You will be asked to bring patient cases to these meetings so that we can work together to evaluate the case and provide further questions, testing, treatment or management guidance.

  • What are the goals of this training?

    By the end of this training you will be able to:

    • Describe the classic signs and symptoms of toxic exposure and body burden as they present in the average patient.
    • Be able to categorize the most likely classes of toxicants of exposure based upon the patients’ signs, symptoms and diagnosis.
    • List the most common sources of environmental toxicant exposures for the U.S. population and be able to search through specific geographic databases to see whether patients have current pollutant exposure or have been exposed in the past.
    • As a result of lab testing for environmental toxicants, to assist the patient in understanding how and where these toxins came from and how they ended up as part of this individual’s body burden.
    • Determine which, if any, laboratory measurements would be appropriate in the workup of a toxin burdened patient.
    • Identify any genetic polymorphisms or gene deletions that may have contributed to the patient’s body burden.
    • Devise a list of action steps for the patient that is necessary for their treatment and to avoid further exposures that would exacerbate their health problems.
    • Devise a list of dietary changes and supplementation strategies that would be most beneficial for the patient.
    • Devise a complete detoxification program for the patient, including therapies like sauna, oral or IV chelation.
  • What materials are available for me to download?

    Each month you’ll receive the lectures, a PDF of the slides, and any handouts and resource lists we have for that specific material

  • Do I get continuing education credit for this?

    Yes, more detailed information on CEU and CME category 1 credit is provided on this page.

  • Who is this Training for?

    This training is for ANY healthcare provider that wants to get to the bottom of their patient’s/client’s condition.

    But be forewarned, it is put together by doctors and will assume that you have a basic medical education. Now this doesn’t mean that if you are a health coach or nutritionist that you will be lost in this material. You may need to work a little harder and learn some clinical medicine, but in the end your increased awareness and ability to address issues of environmental toxicant exposure, testing and treatment (we don’t like to use the word “detox”) will be far above everyone else in your profession.

Here’s an example of what you’ll get:

Monthly, Live, Online Grand Rounds and CME Category 1 Credit 30+ hours of continuing education credit

  • A monthly podcast with recent medical research updates and clinical guidance

  • Instruction from multiple global experts in the most pressing topics in Environmental Medicine today, including microplastics, PFAS, mold/mycotoxins and toxic metals

  • Private access to course directors through the EMEI Community page

  • Present your own patient case for group evaluation and review

  • 12 monthly Grand Rounds sessions will include case presentations by our learners, faculty and guest experts

Enroll NOW

A One-Year Post-Graduate Environmental Medicine Training Program for Clinicians

Testimonials

Dr. Tom Messinger, ND, RN


"The EMEI Clinical Training in Environmental Medicine is the best online course I have ever taken. I specialize in treating patients with Lyme disease and Mold Illness. In working with this patient population, I had learned to appreciate that a patient's illness and the severity of their illness depended largely on their total toxic burden, with their pathogen load only being one part of the picture. 

The EMEI course has taught me how to screen patients for toxin/toxicant exposure from all angles and how to depurate this immunotoxic burden to help patients recover their health. Because of the unfortunate amount of exposures that all of us experience, I feel that moving forward it will be essential for all integrative providers to know how to screen and treat patients for these exposures. I am quite certain this is the future of medicine. 
 
The course material is quite robust and comprehensive. The level of support from the 2 teachers, Dr Fine and Dr. Patrick is unparalleled in other courses. There is a weekly zoom meeting where students can ask questions and go over cases. Monthly, there is a Grand Rounds that includes additional  special course material presented, guest speakers that are leaders in the field of integrative and environmental medicine, and case presentations. The meetings are intimate and one is free to ask questions whenever they arise. One also has access to all the monthly Grand Rounds that have happened since the outset of the course. In addition, there is also a monthly podcast with Dr. Fine or Dr. Patrick which takes a deep dive into the research on a particular topic, with a power point included.
 
I highly recommend the course to anyone practicing integrative/functional medicine as this information is essential to help our patients get well."



Dr. Elizabeth H. Sims-Day, Naturopathic Physician

” As Spirit Med alumni, I am beyond thrilled to be presented with the extraordinary opportunity to engage, continue to learn and evolve along with the rest of our highly dedicated community of EM professionals who understand the fundamental importance of the work ahead in our mission critical commitment to carry the torch forward beyond the place where our dearly beloved Dr. Walter Crinnion so deeply and profoundly touched and impressed our individual and collective lives. His generous soul and brilliant mind live on through our steadfast dedication to his legacy of ongoing world class education and training of healthcare professionals in the field of Environmental Medicine.”

Felice L. Gersh, MD

“I have known both Dr Patrick and Dr Fine for many years and their knowledge of the impact of environmental pollution and of the health effects of the ubiquitous toxins and toxicants we are all exposed to … is vast. Although I have personally studied environmental medicine for several years, whenever I hear one of their lectures I am always amazed at the new knowledge I obtain. Anyone desirous of acquiring a broad knowledge of environmental medicine, including practical approaches to assist patients to optimize their health, is guaranteed to be pleased with their new educational program..”

The recorded lectures include 30+ hours of content:

Module 1:

Environmental Medicine, Toxicology & Body Burden: An Introduction- 1 hr.

Module 2:

Taking an Environmental Exposure History- 1 hr.

Module 3:

Laboratory Testing for Toxin and Toxicant Exposure: Toxic Metals- 2 hrs.

Module 4:

Laboratory Testing for Toxin and Toxicant Exposure- Testing for POPs, Plasticizers, Pesticides and Solvents- 2 hrs.

Module 5:

Using Databases to Evaluate Exposure and Retention- 1 hr.

Module 6:

Sources of Exposure, Assessment, Avoidance, and Treatment: Plastics, PFAS, and PDBE- 2 hrs

Module 7:

Sources of Exposure, Assessment, Avoidance, and Treatment: Metals (Mercury, Arsenic, Lead, Cadmium, Aluminum, Gadolinium, Thallium, Copper)- 7 hrs

Module 8:

Sources of Exposure, Assessment, Avoidance, and Treatment: Air Pollution, Pesticides, PCBs, Dioxins, and Solvents- 6 hrs

Module 9:

Biotransformation: Phase I, II, III and Nutrients for Biotransformation- 4 hrs.

Module 10:

Mold and Mycotoxins- 1 hr.

Module 11:

Climate Change and Health- 1 hr.

Module 12:

Endocrine Disruptors- 1 hr.

Module 13:

Cardiovascular Disease- 2 hrs.

Module 14:

Immunotoxicity- 1 hr.

Module 15:

Diabetes and Obesity- 2 hrs.

Module 16:

EMF/EMR Evaluation and Diagnosis of Electrosensitivity- 1 hr.

Module 17:

EMF/EMR Effects and Treatment- 4 hrs.

Exposure Sources-Air, Water, Soil contamination and Laboratory Assessment of Exposure, Avoidance, Treatment

  • Polycyclic aromatic hydrocarbons, metals, nanoparticles, solvents, volatile organic compounds, pesticides, PCBs
  • PBDEs, PFAS, plastics (BPA, phthalates, bisphenols, nonylphenols)

Biotransformation of Toxicants in Human Body

  • Phase I- nutrients necessary/methylation and single nucleotide polymorphism effect/toxicant activation and effect of toxicants on hormone and drug metabolism.
  • Phase II-nutrients needed/ single nucleotide polymorphism effect/ toxicant activation and effect of toxicants on hormone and drug metabolism
  • Phase III- renal and hepatic anion transport and multidrug resistant protein transport

Climate Change

  1. Infectious disease
  2. Toxicant and toxin exposure after dramatic weather events and exposure to PM2.5
  3. Wildfire and Building Smoke Exposure

Systemic Effects: Basic mechanisms of toxicant-induced disease, specific toxicants and conditions linked to their exposure

  • Neurotoxicity
  • Immunotoxicity (includes cancer and autoimmune disease)
  • Endocrine Disruption
  • Women’s Health (infertility, endometriosis, PCOS, menopause)
  • Men’s Health (infertility, low testosterone, prostate conditions)
  • Environmental Cardiology

Water-Damaged Building Exposure/Mold and Mycotoxins

  • Signs symptoms and presentation of mold exposed patients
  • Toxicology of mycotoxins, evaluation and assessment of patient and their home/work environment
  • Treatment of Mold-Related Illness

Electromagnetic Fields/Electromagnetic Radiation Exposure

  • Presentation of EMF/EMR exposure and electrohypersensitivity
  • Appropriate diagnosis, interventions and recommendations for avoidance

Nutritional Support for Environmental Exposure

  • Overview of nutrients utilized in toxicant metabolism
  • Assessment of nutrient sufficiency using laboratory testing
  • Nutrient replacement utilizing specific supplementation and dietary recommendations


Joint Accreditation Statement

In support of improving patient care, this activity has been planned and implemented by Amedco LLC and EMEI Global. Amedco LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. Amedco Joint Accreditation Provider Number: 4008163
Professions in scope for this activity are listed below.


Physicians

Amedco LLC designates this enduring activity for a maximum of 30.00 AMA PRA Category 1 CreditsTM for physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.