Lifestyle medicine (LM) takes an evidence-based approach to the prevention and management of many conditions affecting women; however, no dedicated competency framework currently guides its application across the life span. We aimed to develop a comprehensive set of core competencies for women’s health-focused lifestyle medicine. Building on existing American and International Boards of Lifestyle Medicine (ABLM/IBLM) frameworks, we convened an international, interdisciplinary expert committee including physicians from obstetrics and gynecology and primary care, representing the United States, Asia, the Middle East, and South America. A modified Delphi process was used to evaluate consensus on proposed competencies, with agreement assessed on a Likert scale with defined terms for consensus. All 7 committee members completed the Delphi survey, and all 73 competency statements reached consensus. The final framework comprises 73 competencies organized into 11 categories: fundamental knowledge; the 6 lifestyle medicine pillars; clinical assessment and management processes; behavior change strategies; mental health; and contextual determinants, including social determinants of health and
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