1
|
Hübner J, Ciarlo G, Dubois C, Münstedt K, Micke O, Büntzel J, Klein M, Josfeld L, Keinki C. [Complementary and Alternative Medicine Offers of Teaching Practices for General Medicine]. DAS GESUNDHEITSWESEN 2023; 85:158-164. [PMID: 35016252 PMCID: PMC11248428 DOI: 10.1055/a-1690-6631] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
OBJECTIVE Germany's new medical licensure act has increased the importance of general practice in academic medical education. This study gives an overview of complementary and alternative medicine in general teaching practices in Germany and their adherence to evidence-based criteria which is required in order to qualify as a teaching practice. METHODS After a systematic search for German teaching practices, we assessed their diagnostic and therapeutic offers via their websites. We calculated the various frequencies of treatments and differentiated between evidence-based complementary medicine and alternative medicine with little to no evidence. RESULTS Of 4102 practices, more than half offered complementary and/or alternative treatment. Most of those were treatments approved of by the German medical association. Alternative medicine was offered by 18.2% of the practices. CONCLUSION Collective terms and conflicting evidence complicate the classification of treatments. Teaching practices offering non-evidence-based treatment raise the question whether recruitment of additional teaching practices stands at odds with the quality of medical education. Explicit offers of alternative treatment should disqualify a teaching practice as such. Controversial treatment may be taught academically and during residency with a focus on evidence-based guidelines and communication skills in order to prepare young medical practitioners for talks with their patients about the subject.
Collapse
Affiliation(s)
- Jutta Hübner
- Klinik für Innere Medizin II, Jena University Hospital, Jena,
Deutschland
| | - Gianluca Ciarlo
- Klinik für Innere Medizin II, Jena University Hospital, Jena,
Deutschland
| | - Clara Dubois
- Klinik für Innere Medizin II, Jena University Hospital, Jena,
Deutschland
| | - Karsten Münstedt
- Klinik für Gynäkologie und Geburtshilfe, Ortenau
Klinikum, Offenburg, Deutschland
| | - Oliver Micke
- Klinik für Strahlentherapie, Franziskus Hospital Bielefeld,
Bielefeld, Deutschland
| | - Jens Büntzel
- Klinik für Hals-Nasen-Ohren Krankheiten, Südharz
Klinikum Nordhausen gGmbH, Nordhausen, Deutschland
| | - Michael Klein
- Klinik für Innere Medizin II, Jena University Hospital, Jena,
Deutschland
| | - Lena Josfeld
- Klinik für Innere Medizin II, Jena University Hospital, Jena,
Deutschland
| | - Christian Keinki
- Klinik für Innere Medizin II, Jena University Hospital, Jena,
Deutschland
| |
Collapse
|
2
|
Liem A. The possibilities and challenges of integrative medicine implementation in clinical psychology: a qualitative study in Indonesia. BMC Complement Med Ther 2020; 20:223. [PMID: 32664917 PMCID: PMC7362562 DOI: 10.1186/s12906-020-03019-x] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2019] [Accepted: 07/08/2020] [Indexed: 11/21/2022] Open
Abstract
BACKGROUND Integrative medicine (IM), which is the integration of complementary and alternative medicine (CAM) into conventional health services, has been applied in some nations. Despite its highly relevant holistic approach with the improvement of mental health care using person-centred approach, there are limited studies that discuss IM, specifically in clinical psychology. Therefore, this qualitative study aimed to explore the perspectives of Indonesian clinical psychologists (CPs) on the possibilities and challenges of IM implementation in clinical psychology. METHODS Semi-structured interviews with 43 CPs who worked in public health centres were conducted between November 2016 and January 2017. A maximum variation sampling was used. Thematic analysis of interview transcripts was applied considering its flexibility to report and examine explicit and latent contents. RESULTS Three themes were identified from the analysis. First, the possibility of IM implementation in clinical psychology, which revealed two possible options that were centred on creating co-located services. Second, the challenges that covered (a) credibility, (b) acceptance, (c) procedure and facility, and (d) understanding and skill. Lastly, participants proposed four strategies to overcome these challenges, including: (a) certification, (b) facilities, (c) dialogue, and (d) regulations. CONCLUSION Participants recognised the possibility of IM implementation in clinical psychology, particularly in clinical psychology services. This IM implementation may face challenges that could be overcome by dialogue between CPs and CAM practitioners as well as clear regulation from the government and professional psychology association.
Collapse
Affiliation(s)
- Andrian Liem
- Department of Psychology, University of Macau, Macao (SAR), China.
- School of Psychology, The University of Queensland, Brisbane, Queensland, Australia.
| |
Collapse
|
3
|
Barnes LA, Barclay L, McCaffery K, Aslani P. Complementary medicine products: Information sources, perceived benefits and maternal health literacy. Women Birth 2019; 32:493-520. [DOI: 10.1016/j.wombi.2018.11.015] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2018] [Revised: 11/15/2018] [Accepted: 11/26/2018] [Indexed: 10/27/2022]
|
4
|
Ayati MH, Pourabbasi A, Namazi N, Zargaran A, Kheiry Z, Kazemi AH, Larijani B. The necessity for integrating traditional, complementary, and alternative medicine into medical education curricula in Iran. JOURNAL OF INTEGRATIVE MEDICINE-JIM 2019; 17:296-301. [PMID: 31072792 DOI: 10.1016/j.joim.2019.04.005] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/10/2018] [Accepted: 03/14/2019] [Indexed: 01/13/2023]
Abstract
BACKGROUND The use of traditional and complementary medicine (T&CM) is increasing in both developed and developing countries. The school of Persian medicine (PM) in Iran is a comprehensive medical school that is rich in history and has its own special principles, elements, philosophy, and diagnostic and treatment options. Many complementary therapy modalities are also popular and in demand among patients and physicians. The aim of this paper is to provide logic for the policymakers in Iranian medical education to make changes in medical education curricula, particularly on integrating T&CM. METHODS We reviewed the global experience in teaching T&CM to medical students, and highlighting the strengths of PM, described why it is necessary to integrate T&CM into general medicine curricula in Iran. RESULTS PM is a traditional system of medicine that dates back about 7000 years. Although there are few studies about the safety and effectiveness of PM, research into it has recently been accelerated. There is a suitable opportunity for integrating T&CM with conventional medicine. Physicians should be familiar with T&CM to avoid any contraindications, interactions, and unwanted effects. CONCLUSION Traditional medicine is part of Iran's heritage and, thus, needs special attention. Familiarization of physicians with T&CM can help them choose the best treatment options for their patients. To integrate T&CM into the medical education curricula of Iran, a two-credit course has been proposed for implementation across the country.
Collapse
Affiliation(s)
- Mohammad Hossein Ayati
- Department of Traditional Medicine, School of Traditional Medicine, Tehran University of Medical Sciences, Tehran 1417653761, Iran; Department of History of Medicine, School of Traditional Medicine, Tehran University of Medical Sciences, Tehran 1417653761, Iran.
| | - Ata Pourabbasi
- Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran 1411413137, Iran
| | - Nazli Namazi
- Diabetes Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran 1411413137, Iran
| | - Arman Zargaran
- Department of History of Medicine, School of Traditional Medicine, Tehran University of Medical Sciences, Tehran 1417653761, Iran; Department of Traditional Pharmacy, School of Traditional Medicine, Tehran University of Medical Sciences, Tehran 1416753955, Iran
| | - Zahra Kheiry
- Idea Development and Innovation Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran 1411413137, Iran
| | - Amir Hooman Kazemi
- Department of Traditional Medicine, School of Traditional Medicine, Tehran University of Medical Sciences, Tehran 1417653761, Iran
| | - Bagher Larijani
- Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran 1411413137, Iran.
| |
Collapse
|
5
|
Canaway R, Leach M, Hunter J. Setting an agenda for strengthening the evidence-base for traditional and complementary medicines: Perspectives from an expert forum in Australia. ADVANCES IN INTEGRATIVE MEDICINE 2018. [DOI: 10.1016/j.aimed.2018.06.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
|
6
|
Differences among health care students' attitudes, knowledge and use of dietary supplements: a cross-sectional study. Complement Ther Med 2018; 41:35-40. [PMID: 30477862 DOI: 10.1016/j.ctim.2018.09.005] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2018] [Revised: 09/05/2018] [Accepted: 09/06/2018] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVES The objectives of this study were to evaluate the difference among pharmacy, dental and medical students' attitudes, knowledge and use of dietary supplements. Furthermore, factors likely to influence their personal use and willingness to recommend supplement to patient were investigated. DESIGN A cross-sectional survey study. SETTING The study was carried out at a single university. MAIN OUTCOME MEASURES Survey gathered socio-demographic data and questioned students' attitudes, knowledge and use of dietary supplements. RESULTS A total of 506 students were included in the study. Pharmacy students showed more positive attitudes about dietary supplements, and achieved higher knowledge scores when compared to dental or medical students (p < 0.001). Medical students were more likely to use evidence based sources of information about dietary supplements. There was no difference in supplements use across study programs (p = 0.177). As many as 59.7% of students that participated in the study reported using dietary supplements. Data analysis showed that the previous personal use supplements was a significant independent predictor whether students would recommend supplements to their patients (OR 27.03, 95% CI 14.08-50, p < 0.001). CONCLUSIONS Students' education did not influence their personal use of dietary supplements. However, their personal experience seems to influence their willingness to recommend supplements to patients. Pharmacy students showed greater knowledge about supplements than their dental or medical colleagues. In future practice, health care students could benefit from collaboration with pharmacists when they provide care to patients seeking advice about the use of dietary supplements.
Collapse
|
7
|
|
8
|
Wardle J, Steel A, Lauche R, Adams J. Collaborating with medicine? Perceptions of Australian naturopaths on integrating within the conventional medical system. J Interprof Care 2017; 31:734-743. [DOI: 10.1080/13561820.2017.1351424] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- J. Wardle
- Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), Faculty of Health, University of Technology Sydney, Ultimo, NSW, Australia
| | - A. Steel
- Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), Faculty of Health, University of Technology Sydney, Ultimo, NSW, Australia
- Office of Research, Endeavour College of Natural Health, Fortitude Valley, QLD, Australia
| | - R. Lauche
- Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), Faculty of Health, University of Technology Sydney, Ultimo, NSW, Australia
| | - J. Adams
- Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), Faculty of Health, University of Technology Sydney, Ultimo, NSW, Australia
| |
Collapse
|
9
|
Meyer SP. Naturopaths in Ontario, Canada: geographic patterns in intermediately-sized metropolitan areas and integration implications. JOURNAL OF COMPLEMENTARY & INTEGRATIVE MEDICINE 2017; 14:/j/jcim.ahead-of-print/jcim-2015-0092/jcim-2015-0092.xml. [PMID: 28195546 DOI: 10.1515/jcim-2015-0092] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/14/2015] [Accepted: 09/08/2016] [Indexed: 11/15/2022]
Abstract
Evaluating conventional medicine (CM) and complementary and alternative medicine (CAM) with respect to integration opportunities (such as patient referrals and professional knowledge sharing) and possible geographic implications is novel. This research utilizes nearest neighbour and local spatial autocorrelation statistical analyses and surveys directed towards Doctors of Naturopathic Medicine (NDs) and their patients to better understand the geographic patterns of NDs and potential integration qualities. While the statistical tests reveal that the offices of NDs and Doctors of Medicine (MDs) display clustered patterns in intermediately-sized census metropolitan areas in Ontario and that the majority of NDs are near MDs, proximity is not manifesting in discernible integration tendencies between NDs and MDs. The NDs polled were strongly in favour of greater integration with the CM sector (as were their patients) to: achieve better patient health outcomes and to gain efficiencies within the health care system. Yet, both surveys also indicate that the barriers to integration are substantial and, generally speaking, centre on the perception that many MDs lack respect for, and/or knowledge about, naturopathic approaches. It is speculated that as students in conventional medical schools are increasingly exposed to CAM approaches, perhaps more MDs in the future will be receptive to greater integration with CAM. Should this occur, then it is also possible that geographic proximity may be a catalyst for deeper CAM-CM integration; as it has been for CAM-CAM relationships.
Collapse
|
10
|
Pierantozzi AM, Plath AE. New antithrombotic therapies and complementary and alternative medicine (CAM): Chartering into unknown territory. ADVANCES IN INTEGRATIVE MEDICINE 2016. [DOI: 10.1016/j.aimed.2016.07.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
|
11
|
Templeman K, Robinson A, McKenna L. Resourcing the clinical complementary medicine information needs of Australian medical students: Results of a grounded theory study. Nurs Health Sci 2016; 18:321-7. [PMID: 26818009 DOI: 10.1111/nhs.12271] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2015] [Revised: 12/03/2015] [Accepted: 12/03/2015] [Indexed: 11/28/2022]
Abstract
The aim of this study was to identify Australian medical students' complementary medicine information needs. Thirty medical students from 10 medical education faculties across Australian universities were recruited. Data were generated using in-depth semi-structured interviews and constructivist grounded theory method was used to analyze and construct data. Students sought complementary medicine information from a range of inadequate sources, such as pharmacological texts, Internet searches, peer-reviewed medical journals, and drug databases. The students identified that many complementary medicine resources may not be regarded as objective, reliable, differentiated, or comprehensive, leaving much that medical education needs to address. Most students sought succinct, easily accessible, evidence-based information to inform safe and appropriate clinical decisions about complementary medicines. A number of preferred resources were identified that can be recommended and actively promoted to medical students. Therefore, specific, evidence-based complementary medicine databases and secondary resources should be subscribed and recommended to medical schools and students, to assist meeting professional responsibilities regarding complementary medicines. These findings may help inform the development of appropriate medical information resources regarding complementary medicines.
Collapse
Affiliation(s)
- Kate Templeman
- Faculty of Medicine, Nursing and Health Sciences, School of Rural Health, Monash University, Moe, Victoria, Australia
| | - Anske Robinson
- Faculty of Medicine, Nursing and Health Sciences, School of Rural Health, Monash University, Moe, Victoria, Australia
| | - Lisa McKenna
- Faculty of Medicine, Nursing and Health Sciences, School of Nursing and Midwifery, Monash University, Clayton, Victoria, Australia
| |
Collapse
|
12
|
Templeman K, Robinson A, McKenna L. Integrating complementary medicine literacy education into Australian medical curricula: Student-identified techniques and strategies for implementation. Complement Ther Clin Pract 2015; 21:238-46. [DOI: 10.1016/j.ctcp.2015.09.001] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2015] [Revised: 08/09/2015] [Accepted: 09/06/2015] [Indexed: 11/29/2022]
|
13
|
Templeman K, Robinson A, McKenna L. Student identification of the need for complementary medicine education in Australian medical curricula: A constructivist grounded theory approach. Complement Ther Med 2015; 23:257-64. [DOI: 10.1016/j.ctim.2015.02.002] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2014] [Revised: 02/06/2015] [Accepted: 02/08/2015] [Indexed: 12/29/2022] Open
|
14
|
Templeman K, Robinson A, McKenna L. Complementary medicines in medicine: Conceptualising terminology among Australian medical students using a constructivist grounded theory approach. Complement Ther Clin Pract 2015; 21:33-41. [DOI: 10.1016/j.ctcp.2015.01.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2014] [Revised: 01/05/2015] [Accepted: 01/21/2015] [Indexed: 10/24/2022]
|