Development of an Integrative Medicine Rotation for Family Medicine and Preventive Medicine Residency.

Marissa Khajavi, Delia Chiaramonte, Beth Hogans, Jacob Blumenthal, Leslie Katzel, Jeffrey Beans, Jamie Giffuni, Elizabeth A Dennis
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Abstract

Background: Integrative medicine or complementary and alternative medicine (IM/CAM) is widely utilized by patients despite the limited training available across health care education. There is a gap between patient interest and the need for guidance amid a lack of preparation among clinicians in IM/CAM. To address this, the Baltimore Geriatric Research Education and Clinical Center created a US Department of Veterans Affairs-based whole health rotation that incorporates core IM/CAM competencies for family medicine and preventive medicine residents.

Observations: A structured 2-week IM/CAM curriculum was developed by medical school faculty in cooperation with a range of health care professionals. Assessments, including surveys and a case analysis, measured overall program satisfaction, perception of IM/CAM modalities, IM/CAM knowledge, confidence in pain care, self-care perception, self-care practice, and burnout symptom frequency. Residents participating in the IM/CAM rotation reported positive experiences overall, gained knowledge for their own personal benefit, and acquired resources and skills they felt confident discussing with their patients. They also reported a slight decrease in feelings of burnout and perceived stress.

Conclusions: IM/CAM education, delivered as a standardized family medicine rotation, enhances resident capacity to make informed decisions and counsel patients on IM/CAM options, while also providing strategies for maintaining optimal health and well-being.

家庭医学和预防医学住院医师中西医结合轮转的发展。
背景:结合医学或补充和替代医学(IM/CAM)被患者广泛使用,尽管整个卫生保健教育的培训有限。在临床医生对IM/CAM缺乏准备的情况下,患者兴趣和指导需求之间存在差距。为了解决这个问题,巴尔的摩老年研究教育和临床中心创建了一个以美国退伍军人事务部为基础的全健康轮转,为家庭医学和预防医学住院医生提供核心的IM/CAM能力。观察结果:医学院教员与一系列卫生保健专业人员合作开发了一个结构化的2周IM/CAM课程。评估,包括调查和案例分析,测量了总体项目满意度、IM/CAM模式的感知、IM/CAM知识、疼痛护理的信心、自我护理感知、自我护理实践和倦怠症状频率。参与IM/CAM轮转的住院医生总体上报告了积极的经历,为自己的个人利益获得了知识,并获得了他们有信心与患者讨论的资源和技能。他们还报告说,倦怠感和压力感略有下降。结论:作为标准化家庭医学轮转提供的IM/CAM教育,提高了住院医生做出知情决定和就IM/CAM选择向患者提供咨询的能力,同时也提供了保持最佳健康和福祉的战略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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