Wayfinding 03
June 11, 2026

What is Essential?
Kathleen Lumiere

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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 in to 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

In this episode, we discuss:

  • The Future of Acupuncture EducationAcupuncture schools are facing unprecedented economic pressure and shrinking enrollment that demand a fundamental rethink of how we train practitioners. The challenge is evolving the educational model so it remains viable without losing the integrity of the medicine.
  • Gainful Employment as a Professional ImperativeWe can no longer treat financial success as a secondary concern or a separate “business” issue.
  • The End of Grad Plus LoansThe disappearance of federal Grad Plus loans is a major disruption that will force schools to reduce costs and students to rely less on debt. This shift is not just affecting acupuncture, but is affecting a wide swath of other professions as well.
  • Business Education as Clinical EducationSIEAM has integrated business skills throughout all four years of training. This approach recognizes that business acumen is as essential to clinical success as the medicine itself.
  • Mentorship and Professional DevelopmentMentorship is baked into the learning process, as more senior students are responsible for mentoring newer students.
  • Curriculum Integration and StreamliningStrengthening a program doesn’t always mean adding more; it often means condensing and integrating perspectives. 
  • Protecting Professional InfrastructureWhile our regulatory bodies aren’t perfect, they are the “boat” we are currently on. We need to support and improve our accreditation and testing systems from within rather than dismantling them during a crisis.
  • Defining the Core Competencies of AcupunctureThe profession needs a clear, shared understanding of the irreducible core of what it means to practice acupuncture.
  • The Wisdom of Crowds ApproachUsing consensus-building tools can lead to decisions that the whole community actually supports.
  • Crisis as an Opportunity for CollaborationThe current instability is forcing schools and organizations that used to be siloed to find ways to work together.

The demand for the medicine is growing, but our workforce is shrinking; in order for people to want to do this, they have to be able to make a sustainable living doing it.

Kathleen Lumiere, DAOM, L.Ac

Kathleen Lumiere earned her Master’s in Acupuncture with a certificate in Chinese Herbal Medicine from the Northwest Institute for Acupuncture and Oriental Medicine (2000) and her Doctor of Acupuncture and Oriental Medicine degree from Bastyr University (2008) with a specialization in TCM Oncology. She served as Professor of Acupuncture and East Asian Medicine at Bastyr University for over 15 years, training future practitioners while maintaining active clinical practice.

Dr. Lumiere helped to establish integrative care at major medical centers including Harborview Medical Center’s Acute Pain Service. She is the founding editor of Convergent Points, a peer-reviewed case report journal, and has published extensively on acupuncture’s clinical effectiveness. At SIEAM she now serves as Co-President and faculty, providing clinical supervision and teaching on topics such as practice-based research and the science of how acupuncture works.

Links and Resources

One School’s Model—SIEAM’s Answer to Acupuncture Training

Open Letter to Acupuncture Community May 2026

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