Advancing lifestyle medicine access in rural communities

Josie Bidwell, DNP, RN, FNP-C, DipACLM, FACLM, professor & clinical director, Department of Preventive Director, Office of Well-being, University of Mississippi Medical Center

“There is no one solution that is going to be applicable for every rural organization. You have to diversify what you offer in terms of being able to get patients the care that they need.”

— Dr. Josie Bidwell

How interprofessional lifestyle medicine teams are expanding rural diabetes care

Delivering effective care for type 2 diabetes in rural communities requires more than clinical expertise; it demands flexibility, innovation, and a deep understanding of local barriers. In this expert interview, Dr. Bidwell shares how lifestyle medicine is being implemented across Mississippi to expand access to care, even in regions where distance, transportation, and limited provider availability can stand in the way of treatment.

Dr. Bidwell explains how a diversified care model helps reduce barriers for people who may otherwise struggle to reach care. Rather than relying on a single solution, these approaches reflect the adaptability required to deliver evidence-based lifestyle medicine in rural settings, ensuring patients can engage in therapeutic lifestyle interventions regardless of geography.

Central to this work is an interprofessional, team-based approach to care. Dr. Bidwell highlights how bringing together clinicians with complementary expertise — such as registered dietitians, physical therapists or exercise physiologists, and behavioral health professionals — allows patients to receive individualized, whole-person care. She also reflects on Mississippi’s growing leadership in lifestyle medicine, demonstrating that when evidence-based care models succeed in high-barrier environments, they can be replicated across healthcare systems nationwide.

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Eduardo J. Sanchez, MD, MPH, FAHA, chief medical officer for prevention, American Heart Association

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Ed J. Stein, PharmD, MPH, DipACLM, consulting pharmacist, Modern Health Goals

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Mahima Gulati, MD, FACE, MSc, DipABLM, FACLM, board certified endocrinologist, UConn Health

The science of remission

Michelle McMacken, MD, FACP, DipABLM, executive director, Nutrition and Lifestyle Medicine, NYC Health + Hospitals

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Wayne Dysinger, MD, MPH, DipABLM, FACLM, chief medical officer, Blue Zones Health

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Ori Kochavi, associate chief administration officer, The Permanente Medical Group

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