Legal, Professional, and Ethical Issues in Complementary and Alternative Medicine

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Legal, Professional, and Ethical Issues in Complementary and Alternative Medicine Linda Diane Feldt rep Nera Herbalist and Holistic Health Practitioner 

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Understanding Regulatory Terms and Levels = Licensure ۶ ureter tec 0 1 ™ Certification 05 200001 encarta ‏ی ی‎ ™ Certification by Reference (govt. accepts private standards) 0 conc aecatia ite. scare معت‌صو۸ ودنرگنانه) که سم امصهناهل 1 « ™ The National Commission for Health Cer ete aid 0 catrte ito . mrs ead Freee Nate Rone nome eT Ieee ent Peo cestan batt) ۱ Seat ret See te EY 0 tec EM eee cere Sac ‎ea‏ سانا لحت سوسس مسرا ا ا 00 

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Levels of Regulation and Authorization Serer اصمهه دم نها عاماه بو آمو۱ « 0 Sc Si ener eng et eee ge eee eee om eee 0 e tc tae} ™ commonly include eligibility, exam, CE, recertification 0 eset) ۶ ‏مهن رده‎ nee eee tee ‏ا ها‎ haat ® by individual school or modality (“small c’) « ‏«وناء ای اه عای گنای د ماه اومد‎ rsa ety rec 0 stieettCy ea ae cou Reg eee att eee Cave SER a ete teeito content هه ۵۶ علانا فده هت عون ما روز | ۱ 

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Current Examples of groups using a National Certification Program ™ American Herbalist Guild ™ Midwives Association of North America ™ American Organization for Bodywork ۱۱۰۱۱۵ ‏تال مور‎ ™ The National Certification Board for Therapeutic Massage and Bodywork ‎ea‏ سانا لحت سوسس مسرا ‎eee! 3‏ 

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Components of a Profession ™ Standards for Practice ™ Standards for Education (training) ™ Ethics ™ Scope of Practice ™ Continuing Education ™ Membership in a Professional Association ™ Complaint process ‎ea‏ سانا لحت سوسس مسرا ‎eee! 3‏ 

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Professional Associations While the exact activities of each association will vary, they may: Sets standards for education Set standards for practitioners Create and enforce ethics guidelines Determine scope of practice May own and defend trademark Provide initial and/or continuing education ‎elo)‏ ریت۱ ‎ea‏ سانا لحت سوسس مسرا ا ا 00 

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Professional Associations (cont.) Be proactive in safeguarding the right to practice for members ‏ا اه ل نكا‎ Encourage research Provide a professional journal or newsletter Provide a practitioner locator service Provide PR and practice development support Network with other professional associations ‎ea‏ سانا لحت سوسس مسرا ا ا 00 

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Professional Associations ۲3 ‏رات رت سا بیقر هرت‎ clsloy Many members have entered the professions part time, or as an adjunct to another type of practice Members may not be willing or able to pay high membership fees, especially if membership is not required to practice in their locale Significant resources are being used to protect the right to practice Many of these associations are 501 (c ) (3) IRS designated educational organizations and are restricted in the resources they can use to affect legislation, and therefore regulation. ‎ea‏ سانا لحت سوسس مسرا ا ا 00 

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Regulation Options and Realities Initiated to address public safety concerns? Enacted at the local, state, or national level? Driven by economic opportunity or goals? Self defined by members of the profession? Defined by other professions? ™ Exclusion = Umbrella provisions ™ Response to scope of practice/right to practice concerns ‎ea‏ سانا لحت سوسس مسرا ا ا 00 

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Innovative Routes to Regulation Bie ec eam ee aur om Aree ROR teeter ce ‏ده اصع ستعمل دنجم عممع ه لمعن لمم‎ ard eta eee downloaded from www.federationmbs.or; Consumers and Practitioners are promoting legislation to ensure access to alternative therapies ۱ LM urea Co omen Saad escort ‎Ce Wenr‏ ا ‏عمل لفحم لمصمامع حصمء هه اهصهنانه‌هتا مصناهعععاها صل ۵ع0۷م ها وز ممتاعنصهو:0 طاامع۲۱ 11۳6۱۷۵۶۱۵ ‎www.polity.org.za/html/govdocs/ reports/who/wtms_ch3.pdf‏ ‎ea‏ سانا لحت سوسس مسرا ا ا 00 

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Larger Challenges Bice earn ge eat can cone ‏ل‎ eo ™ There is no one profession, but hundreds 0 ‏عونت ل‎ ™ Unlike most other health care professions, many of the modalities are trademarked ™ Consumer right to access to CAM therapies must be safeguarded CAM practices often attract renegades There are exploding opportunities for commercial exploitation EIB at eee eared Soe et rad stro nea EUR age rt 1 ‏ل‎ ‎ea‏ سانا لحت سوسس مسرا ا ا 00 

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Additional Challenges Some CAM therapies have a religious or spiritual component, which is not appropriate for regulation Traditional therapies may have cultural or religious aspects not easily understood or appropriate for legislation or even the formality of a professional association There is still significant lack of information and misunderstanding about many CAM therapies Asa “fringe” profession that has become more mainstream, we still have within our ranks those practitioners who may lead the next paradigm shift ‎ea‏ سانا لحت سوسس مسرا ا ا 00 

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8متصصلوءط عط ره ‎Ethics‏ | ‏ا ا ا‎ et SCO anTS ‏راز معمه قصه 4 مهد عط مجاه اجب مهن هم‎ ۵30۰ !۱ re tregs ‏صماة‎ trae eRe ESN er NT eed reece Rete s a aes The widespread use of multi level marketing for alternative therapies is an 00 The growing use of trademarked movements, therapies, terms, and teachings has Ere te tees oath Cenente atone Rivne noe tence a Much of the consumer information on CAMis obtained from ads, popular press articles, the internet, and other non-professional sources. Ethical considerations will usually not be included in and promoted by those sources. اهدهناصهنصی موصلاهط اههد قلوب فی‌تاعیم وز ۸۱۳ هط ‎Rented SM CN‏ ‎ethical boundaries.‏ ‎ea‏ سانا لحت سوسس مسرا ا ا 00 

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Resources ۱ ene enon te Tea PU eRe tte ron Reet nce ot _ ۱ ما01 er eAlerts Reg ee tL nce ec National Certification Board for Therapeutic Massage and Levon Mer ‏ل ل م‎ Tench Ce Bites antares ۷۱۹ Tue Reese cate) Net Rely Roke certs ir acetate} Accreditation Information ٩ Cross oo ot rete) http://narm.org/ North American Registry of Midwives http://www. holisticwisdom. org/aaordinance Information opposing Ann Arbor's proposed Eee renee our Me acre ee eee eel eee ‏ا ا‎ 

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Resources «متعع6( ۱۱66۸۵ ‘The NCCA helps to ensure the health, welfare, and safety of the public ‏دمتافع قدي 6ه بواعتمهه ه 6ه دمناقاتلعمعة عدا طوسممطا‎ programs/organizations that assess professional competency. The NCCA uses a peer review process to: 0 00 eum eee Leena Ee etek eee Peart ee Ree eget NCCA's Vision « 1۳6 ۱66۸ ‏اصمقدهجمقه راتناهاعتصنصقه هه عط ال‎ sets recognized as the authority on accreditation standards for renee tea ere ta eee principles, NCCA standards will be optimal and comprehensive 1 eee ae a a eee ee eee ee 0: Pere ope ieee eer ena atts ‎ea‏ سانا لحت سوسس مسرا ا ا 00 

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Resources Pages 40-41 of Essentials of Complementary and Alternative Medicine for chart of licensing status of CAM professions by states Coursepack: Advising Patients Who Seek Alternative Medical Therapies, Eisenberg -- list of associations, journals, and more at the end of this article. ‎ea‏ سانا لحت سوسس مسرا ا ا 00 

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وم 16901۲6۵9 PCOS tarts er tro ‏هی‎ tenia Sette tA Reta UT Ten erento tern) All practitioners certified by the National Certification Commission for Acupuncture and Oriental Medicine must be ‘committed to responsible and ethical practice, to the growth of the profession's role in the broad spectrum of American health care, and to their own professional growth. Candidates seeking certifcation agree ta be bound by the NCCAOM 0 Cs 0 Le ل 0 ‎i‏ ا 0 د eet ee eee eee em Poneto ete i eats Cea eee ee ee ee 5. _ Keep accurate records of history and treatment and respect the confidentiality of those records or any other personal Eee aerate poet 110 1 4 ‏و‎ 6. Keep the patient informed by explaining treatments and outcomes and avoid making promises with regard to ‏و‎ 7. “Follow the U-S. Department of Health and Human Services regulations regarding the protection of human subjects in research studies and clinical trials (45 CFR Part 46). 8, Follow U.S, Public Health Service Policy on Humane Care and Use of Laboratory Animals (Office for Protection from ‎ea cores ee eae tear eet‏ دده دما ‎ee eee eel eee ‏ا ا‎ 

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وم 16901۲6۵9 Coenen Cece tn للم 1 1 Continue to work to raise the standards of the profession, a ee cence reek et eet erate ‏معتاعهعم‎ ‎52000 3 Maintain the highest standard of ethical and professional practice to the benefit of my patients and the profession. عتاطاظ مط ما كمع صاتصسصرو6. 1 القدمتعهكممم رععمع توت رومتمتمما بدمتلةعسله ترد ومتعدومم موتك ةوكم متمسبادعة علتجموط 1 ‎affiliations, and certification status.‏ 2 eater sore ee eee ae Cee veces etd eee ane nears stot a entre 3 Respect the integrity of other forms of health care and other medical traditions and seek Panne eine eee nee rgd ee cence nec ratss 5 Refrain from any representation that NCCAOM certification implies licensure or a right to practice unless so designated by the laws in the jurisdiction in which I practice. 5 eee eee esc cee cee et eee cee ee eee eel eee ‏ا ا‎ 

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وم 16901۲6۵9 | me arate e CeCe nner ene URC toed Co eet eet) eer ‘Maing false, misleading, o deceptive statements or providing false, misleading, or deceptive information in connection ] nace eee ea eee eon ace ee 19 Ce ‏ز ز ز ز‎ 10 oe ee es Cnr cn eee tm res Being the subject of final disciplinary action or being convicted of a felony fora violation of any federal, state, o local ۱ cette eter reenter ‏ا‎ es Having a license ta practice acupuncture or Oriental medicine or another health care profession limited, suspended, or ee reenter erate eens ating a sexual relationship with or engaging in sexual misconduct witha current patent or with a former patent within six pee cr terns ee en tenet ۱ Ce ee ‏,ماه ماه مط ها ومتهاوه‎ ee ed | ed Pee ene er 0 ‏------ددب0000001‎ ‎ee ee ecm 0 ‏سا بت‎ دعم مره ‎medicine safely, proficient or competently as a result of‏ ۱ إن عطقنا امد كل عد :ج08 نهل "دعن ‎recreate ees err ieee rer‏ ‎neem eee sree tered‏ 0 ‎pene eos‏ ‎Engaging in the practice of acupuncture or Ortental medicine whale one's ability to practice i impaired by a physical or‏ ‎er‏ ل ‎pees er eee‏ ee eee eel eee ‏ا ا‎