EMEI Founding Directors & Instructors

Anne Marie Fine, NMD, FAAEM

Dr. Fine NMD is a licensed and board-certified naturopathic physician with a focus in Environmental Medicine. She obtained her doctorate in Naturopathic Medicine from the Southwest College of Naturopathic Medicine and has held licenses to practice medicine in California and Arizona for the last twenty years.

She is also the Founder of Fine Natural Products, LLC, a best-selling author, consultant to the personal care product industry, published author of numerous articles in international peer-reviewed journals, and internationally recognized speaker. Dr. Fine is the Vice-President of the National Association of Environmental Medicine, member of the American Academy of Environmental Medicine, and science advisor for the non-profit MadeSafe.org. Dr. Fine is a former CPA and financial executive who graduated from the Mendoza School of Business at the University of Notre Dame.

Lyn Patrick ND

Dr. Patrick ND graduated from Bastyr University in 1984 with a doctorate in naturopathic medicine and has been in private practice as a state licensed naturopathic physician in Arizona and Utah for 35 years.

She is a published author of numerous articles in peer-reviewed medical journals, a past Contributing Editor for Alternative Medicine Review, and recently authored a chapter in the newly released textbook Clinical Environmental Medicine (Elsevier 2019). She speaks internationally on environmental medicine, nonalcoholic fatty liver disease, endocrine disruption, metal toxicology and other topics. She is currently Faculty for the Metabolic Medicine Institute Fellowship in collaboration with George Washington School of Medicine and Health Sciences.

She is a planner and faculty member for ACAM and the MMI Fellowship continuing medical education modules, lecturing in the area of chelation and metal toxicology. She is also a founding partner and presenter at the Environmental Health Symposium, an annual international environmental medicine conference based in the United States.

Lyn Patrick ND

Dr. Patrick ND graduated from Bastyr University in 1984 with a doctorate in naturopathic medicine and has been in private practice as a state licensed naturopathic physician in Arizona and Utah for 35 years.

She is a published author of numerous articles in peer-reviewed medical journals, a past Contributing Editor for Alternative Medicine Review, and recently authored a chapter in the newly released textbook Clinical Environmental Medicine (Elsevier 2019). She speaks internationally on environmental medicine, nonalcoholic fatty liver disease, endocrine disruption, metal toxicology and other topics. She is currently Faculty for the Metabolic Medicine Institute Fellowship in collaboration with George Washington School of Medicine and Health Sciences.

She is a planner and faculty member for ACAM and the MMI Fellowship continuing medical education modules, lecturing in the area of chelation and metal toxicology. She is also a founding partner and presenter at the Environmental Health Symposium, an annual international environmental medicine conference based in the United States.

Tim Guilford, MD

Dr Guilford was board certified in ENT surgery in 1978 after attending Johns Hopkins University for his undergraduate degree, the University of Texas Medical Branch for medical school, 2 years of general surgery at Johns Hopkins Hospital and the Univ of Michigan for his ENT training. His clinical practice included an interest in complementary medicine and he also was the director of a clinical laboratory specializing in in-vitro allergy and viral immunology testing (1982 -1992). Dr. Guilford’s study of the role that glutathione plays in the basic mechanism of many diseases led to his formulating a liposome encapsulation of reduced glutathione, ReadiSorb® Glutathione. A list of his publications and research can be found at DrGuilford.com.

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. Every month we will be meeting on the weekend for a day – long live Case Presentation and Update. 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 continuation of Crinnion Opinion podcast: the EMEI Review. 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.

Can I join the Training at any time?

YES – Since the live weekends 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 live meetings.

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 30+ 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 pa tient’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?

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.

CME Credit

CE credit provided by AKH Inc., Advancing Knowledge in Healthcare. This activity is jointly-provided by AKH Inc., Advancing Knowledge in Healthcare and Environmental Medicine Education International.

In support of improving patient care, this activity has been planned and implemented by AKH Inc., Advancing Knowledge in Healthcare and Environmental Health Symposium. AKH Inc., Advancing Knowledge in Healthcare 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.

Physicians

AKH Inc., Advancing Knowledge in Healthcare designates this live activity for a maximum of 30.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Physician Assistants

AKH Inc., Advancing Knowledge in Healthcare has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 30.0 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.

Curriculum

The recorded lectures include 30+ hours of content:

Environmental Medicine, Toxicology & Body Burden Introduction to Principles, Resources, Databases, Lab Assessment – 1 hr.

Assessment of Toxicant Body Burden–

  • Taking an environmental medicine case history – 1 hr.
  • Laboratory testing to assess body burden and markers of damage and inflammation- 3 hrs.
  • Using databases to evaluate exposure and retention- 1 hr.

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

  • Polycyclic aromatic hydrocarbons, metals, nanoparticles, solvents, volatile organic compounds, pesticides, PCBs- 2.5 hrs
  • PBDEs, PFAS, plastics (BPA, phthalates, bisphenols, nonylphenols), 2.5 hrs

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- 1 hr.
  • Phase II-nutrients needed/ single nucleotide polymorphism effect/ toxicant activation and effect of toxicants on hormone and drug metabolism – 1 hr.
  • Phase III- renal and hepatic anion transport and multidrug resistant protein transport- 1 hr. 

Climate Change-

  • Infectious disease- 1 hr.
  • Toxicant and toxin exposure after dramatic weather events and exposure to PM2.5 – 1 hr.

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

  • Neurotoxicity -1 hr.
  • Immunotoxicity –1 hr.  (includes cancer and autoimmune disease)
  • Endocrine Disruption –  2 hrs.
  • Women’s Health (infertility, endometriosis, PCOS, menopause) – 2 hrs.
  • Men’s Health (infertility, low testosterone, prostate conditions)-  1 hr.
  • Environmental Cardiology- 1 hr

Water-Damaged Building Exposure/Mold and Mycotoxins

  • Signs symptoms and presentation of mold exposed patients- 1 hr.
  • Toxicology of mycotoxins, evaluation and assessment of patient and their home/work environment-  1 hr.
  • Treatment of Mold-Related Illness- 1 hr.

Electromagnetic Fields/Electromagnetic Radiation Exposure

  • Presentation of EMF/EMR exposure and electrohypersensitivity- 1 hr.
  • Appropriate diagnosis, interventions and recommendations for avoidance- 1 hr.

Nutritional Support for Environmental Exposure- 2 hrs.

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

The Live Grand Rounds will take place on the first Saturday of the month (or second Saturday if the first Saturday is a holiday) to include 6 hours of Case Presentations and Updates. Lecture Material will focus on actual patient cases and lab results. You will be asked to bring patient cases to these meetings so that we can work together to evaluate the cases and provide further testing, treatment or management guidance.

Contact Us:

info.emei.emcourses@gmail.com

Environmental Medicine Education International
PO Box 802
Mancos CO 81328-9271"