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www.tabaye.ir
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م
3
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fA» Concerns
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2011-7
¢ Evidence
¢ Biological plausibility
¢ Advocacy
* Safety
¢ Product quality
* Placebo
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1:
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2011-7
* Communication
* Content
* Critical thinking
* Consider public safety issues
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lc: an Domains of Alternative
۱۱ : حا توت لالم
مه
WO rai
* Biological therapies: herbs, supplements,
special diets
¢ Mind-body therapies: meditation,
biofeedback, relaxation, yoga, tai chi
٠ Manual therapies: chiropractic, massage,
osteopathy
° Biofield therapies: magnets, healing touch,
therapeutic touch, Reiki
¢ Alternative systems: traditional Chinese
medicine, Ayurveda, naturopathy,
homeopathy
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public use o
1) Giver
lo health
Bint, 1
professionals learn to
216
efficacy?
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research training for CAM practitioners
3) That training standards and practice
guidelines be established by CAM practitioners
° 4) That competency guidelines be
defined for both CAM and conventiona
al patterns, and integra
ventional and CAM therap.
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fA» Resources
eee NS)
A)
bx LOUIS emma
¢ IOM Report: Complementary and Alternative
Medicine in the United States,
http://www.nap.edu/openbook/0309092701/ht
ml/1.html#pagetop
¢ White House Commission on Complementary
and Alternative Medicine Policy
http://www.whccamp.hhs.gov/finalreport.html
¢ National Education Dialogue (handout for
member list and mission)
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عصمذام0 ممصصهع 6 تا زمرت
۱۱۱۵۸ 1
۰ “The education and training of CAM
and conventional practitioners should
be designed to ensure public safety,
improve health, and increase the
availability of qualified and
knowledgeable CAM and conventional
practitioners and enhance the
collaboration among them."
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programs, and continuing education
programs should develop core curricula
of knowledge about CAM that
nventional health
professionals to discuss CAM with their
patients and clients and help them make
informed choices about the use of CAM.”
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fA» Resources
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0177
* National Center for
Complementary and Alternative
Medicine
¢ Progress Notes Series on
Curricular Initiatives
http://cam.utmb.edu/cam_educatio
n_series.asp
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School
'ufts Medical School sity y of Kentucky
Univ ty of Michigan f Cal i
University of
Washington
School
niversity of
Washington S
f Nursing
Medical
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۰ 27 US and Canadian Medical Schools
* “Our mission is to help transform
medicine and healt.
rigorous scientific studies, new mode els
of clinical care, and innovative
educational programs that integrate
biomedi , the complexity of human
beings, the intrinsic nature of healing
and the rich diversity of therapeutic
systems.”
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practice of medicine t
the importance of the relati
between practitioner and pat:
focuses on the whole person, is
informed by evidence, and makes use
of all appropriate therapeutic
approaches to achieve optimal health
and healing.” -CAHCIM definition
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Elements of Successful
(ore?
۱
۱۱۱۵۸ 1
٠ Leadership
* Cooperative Climate
* Politics
¢ Participation by Organizational Members
* Human Resource Development
٠
Curricular Change
Bland et al. Academic Medicine, 2000;75(6):575-594
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onsensus 0
Goals for Medical
] 1 (090
Education
۰ Encourage
communication skills in
advising patients about
CAM practices
¢ Promote outa
competency regarding
CAM. 0
۰ Provide knowledge
about the role of
interdisciplinary health
care teams including
referral processes to CAM
practitioners in the
present health care
system
Ys Provide basic
knowledge of the language
and domains of CAM
Ye Teach critical thinking
skills in assessing evidence
regarding CAM practices
Ye Make known essentials
about safety, efficacy, risks
of CAM, as well as potential
for interaction of CAM
practices with conventional
medical treatment
Sierpina, V. Alt Therapies
lealth & Med 2002; 8(6):
102-104
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Communicate effectively with patients
about CAM use.
2) Access and interpret the evidence for
safety, efficacy, and clinical
appropriateness of CAM therapies.
3) Develop a PRE vapE ue relationship that is
patient-centered and includes respect for a
pluralism of cultural and religious values
4) Develop positive personal perspectives
on the construct of wellness and of illness
۰
۰
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ongitudinal CAM Curriculum
سس 5 5
¢ Summary (hand out)
۰ Design Model (hand out)