What is Essential • Kathleen Lumiere

What if the very things that seem to be pulling our profession apart are actually the forces that will finally condense it into something more resilient? We’re in a moment of choppy waters—school closures, shrinking enrollment, and a shifting financial landscape—where the successes of what have brought us to this moment will not take us into the future. .In this conversation with Kathleen Lumiere, co-president of the Seattle Institute for East Asian Medicine (SIEAM), we discuss how we might make changes to our educational models that both streamlines and strengthens East Asian medicine. We discuss the integration of business education into clinical training, the disappearance of Grad Plus loans, and the effect that has had on a system that came to be dependent on them. Kathleen also introduces the idea of using the "wisdom of crowds" to define the irreducible core of our profession—a shared set of competencies that could protect our identity while opening new doors for collaboration.Listen into this conversation about what it means to be adventuresome and iconoclastic in a moment of crisis. It’s a look at how we can protect our infrastructure while remaining flexible enough to evolve, ensuring that the next generation of practitioners doesn't just survive, but finds a path to true gainful employment.