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Functional Medicine Advanced Practice Modules®(APM) Environmental Health 2023


Addressing the Toxic Effects of the Exposome by Enhancing Biotransformation and Elimination

October 27 - 29, 2023
Up to 18.5 CME Credits Camera Live Stream Available
  • Only the CME option is eligible for commensurate CME credits. More Info
  • Full tuition for this program is $1,975. Automatic discounts, including membership pricing, have already been applied for logged in users More Info
  • This course is part of the IFM Certification Program. More Info
  • This course is eligible for Resident and Medical Student Tuition. More Info
  • IFM now offers a military discount. More Info
  • All times are displayed in Pacific Time (PT).
Today’s Landscape

In the 21st century, two things have become increasingly apparent: first, we are exposed to a more complex array of toxic compounds in our air, water, and food than ever before. Second, it has been recognized that an individual’s ability to detoxify (i.e. biotransform and excrete) toxic substances is of critical importance to overall health. While the concept that toxicants accumulate in the body and are the cause of various health problems has long been a fundamental tenet of traditional healthcare systems around the world, we have learned a great deal in recent years about how toxicants and toxins affect us, where they originate, and how to improve our ability to detoxify in a toxic world. Understanding toxicity and taking practical steps to improve biotransformation and elimination are essential and critical pieces in any integrative approach to your patients’ health and well-being.

IFM’s Environmental Health (Formerly Detox) Advanced Practice Module

There is persuasive evidence that even low-level toxic exposures contribute to the development of a variety of chronic health conditions, including fatigue, endocrine disruption, and chronic degenerative diseases such as Parkinson’s. Given the ubiquitous nature of chemicals in the environment, it is likely that the single exposure model of toxicology is more the exception than the rule. It is therefore critical for clinicians to learn how to assess both exposures and total toxic load to appropriately assess and address each individual’s toxicological situation.

Program Highlights

Our expert educator team reviews the foundational biochemistry and genetics associated with biotransformation pathways, connects organ system dysfunctions to potential toxic exposures, and details the useful laboratory evaluations for evaluating toxicant exposure levels and subsequent physiologic stresses in patients. Once these important clinical connections are made, the team will detail specific treatment approaches. This program also uses a case-based, integrated approach to effectively deliver the tools necessary for clinicians to diagnose and treat the toxic component of their patients’ total health pictures.

Additional Program Information

IFM Planning Calendar

Schedule and Educators

7:00 am - 7:05 am
Dan Lukaczer, ND Introduction
7:05 am - 7:20 am
Richard Mayfield, DC, CCN Introductions and Overview
7:20 am - 8:05 am
Robert Rountree, MD Total Toxic Load: Impact on Health
8:05 am - 8:15 am
Mini Break
8:15 am - 9:15 am
Robert Rountree, MD Biotransformation and Personalized Medicine: Individual Susceptibility to Toxicity
9:15 am - 10:00 am
Morning Break, Virtual Exhibit Hall, Resource Center open
10:00 am - 11:30 am
Richard Mayfield, DC, CCN Enhancing Detoxification: Evaluation and Treatment of Nutritional Insufficiencies
11:30 am - 1:00 pm
Lunch Break, Virtual Exhibit Hall, Resource Center open
1:00 pm - 2:30 pm
Deanna Minich, PhD, CNS Food First: Integrating Whole Foods and a Whole Color Approach to Support the Detoxification Process
2:30 pm - 3:15 pm
Afternoon Break, Virtual Exhibit Hall, Resource Center open
3:15 pm - 4:15 pm
Robert Rountree, MD Evaluation of Toxins: Laboratory Assessment - Part 1
4:15 pm - 5:15 pm
Richard Mayfield, DC, CCN Robert Rountree, MD Question and Answer Session
6:00 am - 6:45 am
Robert Luby, MD IFM Certification Program: The Path and Benefits
(Optional, Non-CME)
7:00 am - 8:00 am
Richard Mayfield, DC, CCN Evaluation of Toxins: Laboratory Assessment - Part 2
8:00 am - 8:30 am
Richard Mayfield, DC, CCN Dan Lukaczer, ND Managing Laboratory Assessments
8:30 am - 9:15 am
Morning Break, Virtual Exhibit Hall, Resource Center open
9:15 am - 10:00 am
Robert Rountree, MD Pattern Recognition: Clinical Patterns Seen with Elevated Total Toxic Load from Inadequate Biotransformation and/or Elimination – Part 1
10:00 am - 10:15 am
Mini Break
10:15 am - 11:00 am
Robert Rountree, MD Pattern Recognition: Clinical Patterns Seen with Elevated Total Toxic Load from Inadequate Biotransformation and/or Elimination – Part 2
- 11:30 am
11:30 am - 1:00 pm
Lunch Break, Virtual Exhibit Hall, Resource Center open
1:00 pm - 2:00 pm
Deanna Minich, PhD, CNS Phytonutrients to Improve Detoxification - Part 1
2:00 pm - 2:30 pm
Richard Mayfield, DC, CCN Deanna Minich, PhD, CNS Managing Cases Through the Matrix Lens
2:30 pm - 3:15 pm
Afternoon Break, Virtual Exhibit Hall, Resource Center open
3:15 pm - 4:15 pm
Richard Mayfield, DC, CCN Phytonutrients to Improve Detoxification - Part 2
4:15 pm - 4:45 pm
5:45 am - 6:30 am
Movement Class (Optional, Non-CME)
7:00 am - 8:00 am
Mary Ellen Chalmers, DMD dentifying Oral Health and Dentistry Concerns in the Toxic Patient
8:00 am - 8:30 am
8:30 am - 8:45 am
Mini Break
8:45 am - 9:30 am
Mary Ellen Chalmers, DMD Robert Rountree, MD PURE Managing Complicated Cases – Part 1
9:45 am - 10:15 am
Morning Break, Virtual Exhibit Hall, Resource Center open
10:15 am - 11:45 am
Robert Rountree, MD Mary Ellen Chalmers, DMD Strategies to Reduce Exposures and Transform Lifestyle in a Whole-Self Detox
11:45 am - 12:00 pm
Mini Break
12:00 pm - 12:45 pm
Richard Mayfield, DC, CCN Deanna Minich, PhD, CNS PURE Managing Complicated Cases – Part 2
12:45 pm - 1:15 pm
1:15 pm - 1:45 pm

Additional Information

Program Highlights

  • CME credit
  • A step toward becoming an IFM Certified Practitioner
  • Course materials: MP4 videos of all presentations as well as MP3audio and PDF downloads.
  • Pre- and post-course interactive videos and webinars
  • More than 18 hours of lectures, Q&A sessions, and discussion (see the “Schedule and Educators” section for a full schedule of topics)
  • Business and Clinical Strategies for Successful Practice Implementation
  • 30-day access to IFM’s Toolkit with more than 430 downloadable clinician resources that can be accessed and used in practice immediately after the course (intake forms, patient handouts, and assessment questionnaires)
  • Opportunities to ask additional questions on a post-conference private Facebook group moderated by IFM faculty
  • Dietary Supplement Quality Educational Materials: Supplement Training Guide; includes clinician tools “Brand Quality Checklist” and “Dietary Supplement Ingredients Quality Checklist”

Clinical competencies to be mastered through the module:

  • Recognize the relationship between systemic disease and toxic exposures through a clear understanding of the pathophysiology of total toxic load and synergistic effects of both toxicants and toxins.
  • Identify diseases and dysfunctions potentially associated with chronic toxicity and specifically recognize the relationships between chronic toxic insult and neurotoxicity, immunotoxicity, autoimmunity, mitochondrial dysfunction, endocrine disruption, and carcinogenesis.
  • Apply the PURE principles for managing patients with toxicity concerns (Pattern recognition, Undernourishment, Reduce toxins, Ensure a safe detox).
  • Integrate screening questionnaires and detox-specific physical exam findings within a functional medicine intake to discover and assess relevant toxic exposures, and to also track individual’s responses to their environments along with therapeutic interventions.
  • Recognize and address the most important antecedents, triggers, and mediators of toxic overload, including impaired biotransformation, dysbiosis, impaired excretion, and nutritional deficiencies.
  • Appropriately apply and interpret reliable laboratory evaluations of toxic load and biotransformative capacity.
  • Develop personalized dietary treatment using the IFM Elimination Diet and Detox Food Plan suites.
  • Apply various nutraceuticals, botanicals, pharmaceuticals, and lifestyle interventions to increase mobilization, biotransformation, and elimination of toxic compounds in the body.

CME Information

The CME option is intended for clinicians who need to fulfill continuing education requirements. If you do not need CME credits, you may purchase the non-CME option.

IFM is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.


MD/DO: The Institute for Functional Medicine designates this live activity for a maximum of 18.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

ABIM MOC points available: Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 18.5 Medical Knowledge MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

DC: Northwestern Health Sciences University (NWHSU) provides continuing education credit for chiropractic physicians. Continuing education approval applications were submitted by NWHSU to all state chiropractic boards except Arizona, Arkansas, Florida, Kentucky, Louisiana, Michigan, Mississippi, New York, Oklahoma, Texas, and Wisconsin.

ND: Generally, state naturopathic boards accept courses accredited through the ACCME.

Nursing Professional: The American Nurses Credentialing Center (ANCC) and American Association of Nurse Practitioners (AANP) accept contact hours approved through ACCME.

PA: The American Academy of Physician Assistants (AAPA) accepts contact hours approved through ACCME.

RD: The Commission on Dietetic Registration (CDR) accepts contact hours approved through ACCME.

Acupuncturist: This course has been approved by the California Acupuncture Board (CAB), Provider Number 0232, for 18.5 Category 1 hours of continuing education. Per the Recertification Handbook of the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM), courses approved by a state acupuncture regulatory board are eligible to submit with the re-certification application. Note: California acupuncturists must attend this course in full to receive CPEUs. Partial credit is not available.

Other: For information on applicability and acceptance of continuing education credit for this activity, please consult your professional licensing board or other credentialing organization regarding the acceptance of contact hours through ACCME-accredited organizations.

*Continuing education credits are subject to change.

Registration, Participation, and Cancellation Policies


Program materials and CME certificates are delivered to you through your personal IFM online account. For this reason, you may not register multiple people or someone other than yourself. No registrations will be taken after 4:00 pm PT, October 26, 2023.


Livestream participation from October 27 – 29, 2023, is required for this IFM program. You must participate in the broadcast by logging in to your unique IFM account to receive CME credit and to fulfill IFM Certification Program requirements. Livestream log-in information is unique and cannot be shared. Those who do not log in through their own IFM account during the live broadcast will be removed from the program and will not receive program materials, recordings, CME credit, or credit toward the IFM Certification Program.


Cancellations must be received in writing no later than 4:00pm PT, October 26, 2023 to be eligible for a refund. Tuition is non-transferable. Failure to log in to the livestream broadcast with no prior written cancellation will result in complete forfeiture of tuition and the course will not count toward certification (nonrefundable, nontransferable, no exceptions). Program materials are available only to participants. Just as is the case with in-person courses, participation is limited to the paid registrant. Log-in information is unique and cannot be shared.

Cancellation requests must be submitted via the Course Cancellation Form. IFM will reply with a written acknowledgement once processed.

My registration for the Advanced Practice Module (APM) signifies that I have read and agreed to IFM’s cancellation policy found above. My participation in the APM is not a substitute for any licensing requirements that may be applicable to me and does not independently authorize me to render care, prescribe regimens, or prescribe medications or supplements. My activities in the health and wellness field remain subject to my education, qualifications, and licensure.

Livestream Information

Before registering for Livestream, please click the button below to test your device’s ability to support livestreaming.

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Practitioners who register for the livestream of any APM receive CME credit, audio and video recordings, PowerPoint materials, and completion of one step toward becoming an IFM Certified Practitioner (Note: You must log in to view the live broadcast with your unique access link to receive credit toward IFM Certification).

Additional information related to how to access livestreams (including system requirements) can be found in our FAQ section.

DCs: Please note that DCs may or may not be eligible for CME through livestream. For a complete list of states and approval hours, please contact IFM or check with your state board.

Livestream Chat Policy

The chat feature allows for our livestream learners to interact with their colleagues throughout this program. While we know our community has high standards for interacting respectfully with their peers and would never abuse the chat feature, we want to remind you that recruiting, advertising, soliciting, or spamming is not permitted. IFM reserves the right to remove individuals or specific comments from the chat and chat logs.

This program is being streamed from the actual event location over the internet to provide you with the ability to access this educational program from the comfort of your home or office. Although we are confident that the quality of this program will be outstanding, there may be occasional interruptions due to the nature of online streaming. All recordings of the educational sessions will be provided after the course.

We ask that you understand the nature of the internet and refrain from unnecessary comments in the chat regarding your internet issues, or the issues of others, that may occur. IFM and Digitell are doing the best that they can to deliver this program, and we are confident that the event will be an overall success.

Thank you for your understanding.

Practice Implementation

In each of IFM’s Advanced Practice Modules we have added additional practical information to help you translate the laboratory and nutraceutical recommendations we discussed into action. You have access to two quick-reference guides which summarize condition-specific laboratory assessment and nutraceutical interventions, which will help you efficiently create personalized assessment and treatment plans.


For conference accommodations or modifications due to a disability please let us know here: