When a site adopts the LMRC, we hope that all residents complete the 40 virtual didactic units for the educational component requirements and the 400 lifestyle medicine unique patient encounters for the practicum component requirements. Then, residents who desire to qualify for the American Board of Lifestyle Medicine certification exam by completing ALL of the LMRC requirements can opt in to complete the following remaining requirements: 60 hours of application activities, 10 hours of (intensive) therapeutic lifestyle change (ITLC/TLC) program experience, and 10 hours of group facilitation experience. A site may choose to implement a unique lifestyle medicine track that residents can opt into as a special point of interest to complete the full LMRC. The goal is for each LMRC site to require all incoming residents to complete the full LMRC within 3-5 years of site adoption.