July 2024, Issue 1
CrossFit Medical Society™ Newsletter
Why CrossFit
Dr. Shveta Raju, MD, MBA, DABOM, CF-L2
Dr. Dinesh Raju, MD, PhD, CF-L3
“Wherever the art of medicine is loved, there is also a love of humanity.” -Hippocrates
We have a son who just graduated from middle school and a daughter currently in middle school. When people ask us, “Do you still recommend medicine to your children?” we say without hesitation, “Yes.” Despite all of the challenges we face practicing within the current US medical system, we love our daily work. We have the opportunity to bring the full spectrum of our years of study, training and practice to the benefit of the single person in the exam room with us, day in and day out. We develop relationships with our patients and their families; supporting them through illness and wellness. We train and teach our staff, medical students, residents and newly board-certified physicians. It’s a privilege and a tremendous responsibility that we never take for granted.
As outpatient physicians, we see 20-30 patients in our clinics each day. Our patient population is very similar to the patient population across the country – over 70% are overweight or obese, living sedentary lifestyles, and over-consuming highly processed foods. More than ever, patients are working from home, isolated from the broader community, and frequently dependent on substances (prescribed and unprescribed) to manage their moods and mental health throughout the day.
Although the 10-15 minutes we get to spend with our patients can result in a positive impact on their health, we are more aware than ever that those few minutes are not enough time to help our patients change their lifestyles in a meaningful way. It takes time to have discussions on how to improve their metabolic health, reduce their risk of dementia, or even explain to them what we mean when we say, “we can prescribe this medicine or you can work on your diet and exercise, and we can see you back in 3 months.”
Fortunately, as physicians who have been actively training and studying CrossFit (Dr. Dinesh Raju since 2013 and Dr. Shveta Raju since 2018), we have the knowledge and tools to guide our patients and colleagues to the right “diet and exercise.” Our CrossFit education from the L1 and L2 courses were grounded in the CrossFit methodology as outlined in “What is Fitness?.” The L1 manual is the core foundation of the system that we know works. So how can we bring this to our patients? How can we reach more people who can benefit from this system?
We submit that the first step is acknowledging, CrossFit is different. CrossFit is CrossFit. It is not the 20-45 minute workouts that are sold in F45, Orange Theory, Barry’s Boot Camp or the hundreds of other “functional fitness,” “HIIT,” or “boot camp” gyms all around the country and even the world. It’s not CrossFit unless you are running and swimming in addition to rowing and biking. It’s not CrossFit unless you have days when the workout is 3 minutes (Fran) and days when the working is 50 minutes (Murph). It’s not CrossFit unless you are going fast, going hard, going heavy, getting upside down, and working towards improvement. And it’s not CrossFit if you don’t have connections to a strong local and worldwide community.
In addition to the variability in training movements and time domains, CrossFit emphasizes gymnastics and weightlifting – heavy weightlifting – in a way that no other program accessible to people of all backgrounds and skill levels can. When our patients tell us they are doing strength training, and we ask them how heavy they deadlift or back squat, they rarely mention a number higher than a 25-pound dumbbell.
While evaluating various credentialing options for fitness professionals, the CrossFit training path (L1, L2, L3, and L4) stands apart in terms of its high quality and standards. As physicians, we know that learning to diagnose and treat human disease requires learning from more senior physicians. Coaching human movement is no different – it’s best learned in person from another human. The CrossFit training courses provide valuable in-person education instilling the depth and breadth of the CrossFit methodology.
The CrossFit community is rooted in the individual affiliate. Coaches in the affiliate hold a standard. Whether it be the structure of class, engagement with athletes, instruction on range of motion and technique, or education on CrossFit’s infinite scalability; the affiliate and it’s coaches unite any level of athlete through a common and shared experience. “White board moments” for education and connection foster deep relationships that extend outside the walls of the individual box, and can be personal and transformative. This uniquely valuable characteristic has made our affiliate community so resilient despite the turbulence of outside factors. Perhaps most importantly, we are in great admiration of affiliate owners. Affiliates are independent, small businesses where the owners have invested their time and often their life savings into improving the fitness (health) of others, recognizing the benefit of the worldwide CrossFit community beyond the four walls of their own gym.
Physicians strive to be evidence-based, and as such we are always open to a new idea, a new system, or a new methodology. We have seen the results when dedicated CrossFit coaches execute the CrossFit methodology in a CrossFit affiliate. We truly believe there is nothing more important in this life than restoring and improving the health of the people around us. We will continue to do so in our gym and in our practice, embracing this model of fitness and wellness for ourselves, our families, and our patients. We look forward to sharing this knowledge with many more people in the coming months and years.
Meet the Raju’s
Dr. Shveta Raju, MD, MBA, DABOM, CF-L2
Dr. Dinesh Raju, MD, PhD, CF-L3
Provider Spotlight Written by Dr. Tom McCoy
“As physicians who want to leverage the CrossFit methodology to benefit our patients, we need to take the time to get to know our local affiliates, coaches and owners.” - Dr. Shveta Raju
It wasn’t an easy path, but Dr. Shveta Raju’s parents knew it was worth the effort. After completing their medical training in India in the 1970’s, they immigrated to the United States to provide a better life for their growing family. By the mid 1990’s the Shah family had grown their practice to include 20 primary care clinics as well as several specialty departments in the metro Atlanta area, serving their community on the front lines.
After Shveta and her husband Dinesh completed their medical training, they returned home to establish their own careers – Shveta joined her mother’s primary care practice and Dinesh started a new department in Neurology. Dinesh discovered CrossFit in 2013 and (although it took some time) Shveta eventually became a convert in 2018. She now holds an MDL2 and her husband Dinesh has his CF-L3. They are active members of their affiliate, Mad Mare CrossFit near Atlanta, and do amazing work bridging the gap between CrossFit and the Clinic.
Recently, the Raju’s began an initiative providing group educational seminars in their clinic discussing foundational principles of wellness through the lens of the CrossFit methodology. In the most recent seminar core components as outlined by Greg Glassman in his seminal article “What is Fitness”, patients were given a framework through which to understand and begin to take ownership of their healthcare journey. Education about the critical role the right exercise can play in maintaining wellness and developing fitness as a hedge against sickness is often absent in the traditional medical office.
Dinesh and Shveta are taking education about fitness in their Clinic one step further- with actual movement training. They are developing a space next to one of their offices that will serve as a small “box” with simple equipment. They will work with CrossFit coaches introducing foundational movements to patients – ideally as a stepping stone to joining a CrossFit affiliate, resulting in sustained changes leading to improved health outcomes.
In medicine today, lifestyle change is often the first line recommendation for many of our biggest health challenges. A recommendation without a plan of action however stands little chance of success. By creating this program in their clinic space, the Raju’s have decreased the barrier of entry for their patients to understand what components make up fitness and how to achieve it.
Drs. Shveta and Dinesh Raju are listed on the CFMS Directory. If you’d like to connect to learn more about their clinic set up or how they got started, reach out to them! They will also be leading Grand Rounds July 18. Questions can be submitted via email to: info@crossfitmedicalsociety.com
Upcoming Events
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Join us for the first CrossFit Medical Society webinar specifically for affiliate owners and coaches. This educational webinar will be an introduction to how the affiliate can act as a health home. We’ll lay foundational groundwork on how to connect with practitioners who do not have CrossFit credentials or who are not part of the CFMS yet. We’ll also touch on how you can leverage your membership in the CFMS to reach more people not apart of your CrossFit community yet. Registration can be found here.
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This month, Grand Rounds will be led by Drs. Dinesh and Shveta Raju. We look forward to a case presentation and discussion next month!
Webinar registration will go out 2 weeks prior to the date.
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How can the CrossFit Medical Society be a resource for individuals to take back control of their healthcare journey? Let's start the conversation. Join us for a chat, register here.
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The CrossFit Games are headed to Fort Worth, TX and so is the CFMS! Are you going? If so, let's connect.
Thursday, August 8
CFMS Happy Hour in the Affiliate HUB from 5:30-6:30 pm.
Friday, August 9
CFMS Workout at CrossFit Iron Horse from 4-5 pm
Meet-n-Greet at 5:30 pm, location is off-site and TBD.
Saturday, August 10
CFMS Panel Presentation in the Affiliate Hub, 10:30 am
Registration for events will be available 2 weeks prior to the Games.
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Access to on-demand journal articles begin in August. One article will be released each week. There will be a short questionnaire following the read. Articles are approved for .25 ACCME CME credits.
Podcasts and Information
Over the last month the CrossFit Medical Society team has been pushing to get the message out. Check out the podcasts below and forward to a fellow affiliate owner, coach, colleague or friend.