Distributed clinical intelligence.
The Field isn't a professional association. It's not an alumni directory. It's an operational mesh — credentialed practitioners running shared protocols, feeding outcome data into a common registry, and conferencing on complex cases across divisional boundaries. Every member practises within a system that gets smarter because they participate.
Tier A validated protocols. Continuing education program. Peer case conferencing.
The broadest layer. Affiliates integrate Institute protocols into existing practice, contribute outcome data to the registry, and participate in peer case conferencing.
Full protocol library including Tier B provisional protocols. Eligible to supervise Affiliates.
The clinical backbone. Associates practise within the Institute's framework at depth, supervise Affiliates, participate in quarterly case conferencing, and their clinical data carries more weight in the registry due to supervised training.
Protocol development privileges. Faculty appointment eligibility. Regional clinical governance leadership.
The governing layer. Fellows don't just use protocols — they develop them. They supervise Associates and Affiliates, lead regional governance, and are eligible for Institute faculty appointments.
What runs underneath
Clinical Registry
Every patient interaction using Institute protocols generates structured outcome data.
De-identified. Aggregated across the entire Field. Fed directly into the clinical translation pipeline. This is practice-based evidence generation at scale — real-world outcomes replacing the wait for grant-funded trials. The protocols you use tomorrow are refined by the clinical work you do today.
Case Conferencing
Cross-divisional clinical reasoning, not informal peer discussion.
Structured virtual case conferencing modelled on Medicare Team Care. A herbalist presents a complex case and gets input from a systems medicine practitioner and an environmental medicine specialist in the same session. Frequency is calibrated to your tier — peer conferencing for Affiliates, quarterly structured sessions for Associates, Fellows lead and facilitate.
Protocol Access
The Institute's clinical protocols are tiered by evidence maturity — protocols move from investigational to provisional to validated as evidence accumulates. Your membership tier determines what you can access.
Validated
Completed clinical pilot, peer-reviewed, distributed network-wide.
Validated protocols have completed at least one supervised clinical pilot with documented outcomes, undergone internal peer review, and demonstrated reproducible results across multiple practitioners. These are the protocols the network stands behind — they represent the Institute's best current understanding of effective clinical practice in their domain.
Provisional
Active clinical pilot, preliminary data. Promising but not yet sufficient for network-wide distribution.
Provisional protocols are in active clinical testing. Preliminary outcome data looks promising, but the evidence base isn't yet sufficient for network-wide distribution. Associates and Fellows can implement these under the supervision framework, and their clinical data feeds directly into the validation pipeline. This is where practitioners contribute most directly to the Institute's evidence base.
Investigational
Research design phase. Developed from literature synthesis, preclinical evidence, or clinical observation.
Investigational protocols are still in the research design phase — being developed from literature synthesis, preclinical evidence, or clinical observation. They haven't entered formal clinical piloting yet. Access is restricted to research settings, and they are not distributed through the practitioner network until they advance to Tier B.
Enter the Field
Your credential determines your entry point. The network gets stronger with every practitioner who joins.