The Teaching of Complementary and Alternative Medicine in U.S. Medical Schools

Brokaw, James J.; Tunnicliff, G.; Raess, Beat U.; Saxon, Dale W.

doi:10.1097/00001888-200209000-00013

Cited by 117 publications

(95 citation statements)

References 7 publications

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“…Este objetivo será alcançado com a prática e observação médica, bem como por meio do ensino médico ampliado com as Práticas Integrativas e Complementares, que resgatam a chave da arte médica, na qual se instala o processo de ensino-aprendizagem continuado 6 . Este padrão de valores e práticas do campo da saúde trará, ainda, uma hibridização, com profissionais competentes para integrar práticas convencionais com as tradicionais, alternativas e complementares de cuidado e cura 15,38,39,40 .…”

Section: Conclusãounclassified

“…Embora a acupuntura seja reconhecida como especialidade médica pelo Conselho Federal de Medicina desde 1995 1 , seja indicada pela Organização Mundial da Saúde para uma grande gama de patologias 2 e tenha sido observado um aumento no número de adeptos, por parte tanto dos profissionais como dos pacientes [3][4][5][6][7] , no Brasil o seu ensino nas escolas médicas ainda é reduzido, mesmo após a publicação da Portaria 971, que criou a Política Nacional de Práticas Integrativas e Complementares no Sistema Único de Saúde 8 . As Práticas Integrativas e Complementares (PIC), previamente conhecidas como Medicina Alternativa, em geral adotam uma abordagem do processo saúde-doença-cuidado mais holística que a medicina ocidental contemporânea 8 .…”

Section: Introductionunclassified

“…Na Inglaterra, observa-se grande procura pela acupuntura e ampla utilização desta prática em concomitância com o tratamento convencional 5 . Essa tendência, entretanto, não se limita aos pacientes, sendo observada fortemente na comunidade médica, pois universidades em diferentes países têm incluído PIC em seus currículos 6 . Países como Áustria, Alemanha e Suíça oferecem PIC em aproximadamente 34% de suas faculdades de Medicina, sendo que a mais aceita é a acupuntura 7 .…”

Section: Introductionunclassified

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O Ensino da Acupuntura na Escola Médica: Interesse e Desconhecimento

Carnevale

Brandao

Ferraz

et al. 2017

Rev. bras. educ. med.

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Section: Conclusãounclassified

Section: Introductionunclassified

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O Ensino da Acupuntura na Escola Médica: Interesse e Desconhecimento

Carnevale

Brandao

Ferraz

et al. 2017

Rev. bras. educ. med.

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show abstract

“…There have been multiple studies performed on attitudes and use of CAM treatments among students, residents, and practicing physicians [1][2][3][4][5][6]. Attitude towards CAM treatment and education, however, is not the same as utility Therefore, this article reviews the result of a survey that not only looked at the attitudes and use of CAM by practicing physicians, but looked at whether they thought CAM education would have been useful retrospectively in their medical school and residency training.…”

Section: Introductionmentioning

confidence: 99%

“…There have been multiple studies performed on attitudes and use of CAM treatments among students, residents, and practicing physicians [1][2][3][4][5][6]. For example, a survey was performed at Mayo Clinic that looked at physicians attitudes (positive/negative) toward CAM in general and their knowledge regarding specific CAM therapies [2].…”

Section: Introductionmentioning

confidence: 99%

Do Practicing Primary Care Physicians Believe More Complementary and Alternative Medicine (CAM) Training in Medical School and Residency Would Have Been Useful in Their Current Practice?

Malone¹,

Tsai²

2017

Health Edu Care

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There have been multiple studies performed on attitudes and use of CAM treatments among students, residents, and practicing physicians [1][2][3][4][5][6]. Attitude towards CAM treatment and education, however, is not the same as utility Therefore, this article reviews the result of a survey that not only looked at the attitudes and use of CAM by practicing physicians, but looked at whether they thought CAM education would have been useful retrospectively in their medical school and residency training.The results of the survey showed that CAM education during medical school and residency was uncommon among academic primary care attending physicians and most also lacked comfort counseling about CAM treatment and referring patients for CAM therapy. Despite the minimal CAM education in medical school and residency training, the majority of physicians (62%) felt that CAM education during both medical school and residency would have been helpful in his or her current practice. Therefore, exposing doctors or doctors-in-training to evidence-based information regarding CAM might improve overall clinical care and integration. Future studies are needed to determine if CAM education in medical school or residency training improves physician comfort with CAM therapy counseling and referrals or if it leads to better patient satisfaction or clinical care.

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Physicians' Understanding of the Regulation of Dietary Supplements

Ashar

Rice

Sisson³

2007

Arch Intern Med

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Background: After passage of the Dietary Supplement Health and Education Act, herbs and other supplements were allowed to be sold to the public without Food and Drug Administration (FDA) approval or premarket evaluation. Data suggest that many people are unaware of this lack of governmental oversight and may rely on their physicians for education in this arena. This study was designed to evaluate physicians' level of understanding of dietary supplement regulation and the adverse event reporting process and to determine whether an interactive online curriculum could aid in improving knowledge.Methods: A multicenter online educational intervention was developed and administered to physicians at 15 internal medicine residency programs throughout the United States between March 1, 2006, and June 30, 2006. Pretest performance was used to measure baseline knowledge, while posttest performance compared with pretest performance measured the effectiveness of the educational intervention.Results: A total of 335 physicians completed the module. Ninety percent of those completing the module were residents, while 10% were attending physicians. Baseline knowledge of dietary supplement regulatory issues was poor. The total average pretest score was only 59% (986/1675). The average score rose to 91% (1526/1675) after completion of the curriculum (PϽ.001). With regard to specific content areas, about one third of physicians were unaware that dietary supplements did not require FDA approval or submission of safety and efficacy data before being marketed. Similar percentages believed that there are regulations in place toensuresupplementquality.Mostphysicianswereunaware that serious adverse events due to the use of supplements should be reported through the FDA MedWatch system.Conclusions: Physician knowledge of dietary supplement regulation and adverse event reporting is poor. An online didactic module may improve knowledge and potentially enhance patient-physician communication regarding the use of such products.

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The Teaching of Complementary and Alternative Medicine in U.S. Medical Schools

Cited by 117 publications

References 7 publications

O Ensino da Acupuntura na Escola Médica: Interesse e Desconhecimento

O Ensino da Acupuntura na Escola Médica: Interesse e Desconhecimento

Do Practicing Primary Care Physicians Believe More Complementary and Alternative Medicine (CAM) Training in Medical School and Residency Would Have Been Useful in Their Current Practice?

Physicians' Understanding of the Regulation of Dietary Supplements

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