Introducing lifestyle medicine residency curriculum into PM&R residency training: Implementation experience and early benefits

Background Lifestyle medicine (LM) aligns closely with physical medicine and rehabilitation (PM&R), emphasizing holistic, patient‐centered approaches to optimize health and function. Despite this synergy, structured LM education within PM&R residencies remains limited. Objective To describe the implementation, feasibility, and early outcomes of the American College of Lifestyle Medicine (ACLM) Lifestyle Medicine Residency Curriculum (LMRC) within a PM&R residency program consisting of 24 residents. Methods An optional LMRC track was introduced in the 2024–2025 academic year, offering 1‐year (postgraduate year [PGY]‐4) and 2‐year (PGY‐3) completion options. The curriculum included 40 didactic hours, 60 application hours, and practicum requirements totaling 400 LM‐focused encounters. Participation rates, completion status, and resident feedback were recorded. Additionally, an adapted ACLM Lifestyle Medicine Knowledge and Implementation Survey was distributed to all PGY‐2–4 residents during the 2025–2026 academic year to assess LM‐related knowledge, confidence, and practice behaviors. A descriptive approach was used to examine differences between individuals enrolled in LMRC and those not enrolled. Results Seventy‐five percent of eligible PGY‐3 and PGY4 residents enrolled ( n = 12). Among PGY‐4 LMRC participants, 50% completed all requirements ( n = 3); all PGY‐3 participants ( n = 6) remain on track for completion. Survey response rate was 88% among all PM&R residents ( n = 21). Most respondents reported “some knowledge” of LM (40%), with the highest confidence in physical activity and lowest in nutrition. Individuals enrolled in LMRC self‐reported 20.6% higher mean scores in LM overall knowledge and 30.5% higher mean scores in LM overall confidence, compared to those not enrolled. Conclusion Integrating LMRC into PM&R residency training is feasible and aligns naturally with the specialty's mission. A 2‐year structure enhances sustainability, and group learning and institutional support foster engagement. LM education may strengthen residents' holistic care competencies and advance PM&R's focus on lifestyle‐driven health restoration.