Frenkel M, Ben Arye E
Department of Family Medicine, Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
Acad Med. 2001 Mar;76(3):251-4. doi: 10.1097/00001888-200103000-00012.
With the increased popularity of complementary and alternative medicine (CAM), there is a growing interest in the topic among physicians, residents, and medical students, who feel an increased need to have proper instruction about CAM therapies. Medical schools and residency programs are starting to respond to this demand, having realized that to provide better care and foster an improved patient-doctor relationship, physicians should become informed consultants, and be able to provide educated advice about CAM to their patients and help them integrate any CAM therapies shown to be safe and effective into their health care. The authors acknowledge that opinions differ about the adequacy of research findings to certify the safety and efficacy of specific therapies, and stress that physicians' decisions about CAM use should be subject to the same exacting criteria employed by researchers to evaluate any new therapies. The authors report on CAM curriculum developments in Germany, Canada, and the United States that illustrate various approaches to the question, "What should be taught in a CAM course?" In most cases, the approach is to teach about CAM therapies, although in others, therapies that the curriculum planners considered useful and safe are being integrated into the medical curriculum.
随着补充和替代医学（CAM）越来越受欢迎，医生、住院医师和医学生对这一话题的兴趣日益浓厚，他们越发觉得需要接受关于CAM疗法的适当指导。医学院校和住院医师培训项目开始回应这一需求，因为他们意识到，为了提供更好的医疗服务并促进医患关系的改善，医生应该成为知识渊博的咨询者，能够为患者提供关于CAM的专业建议，并帮助他们将任何已证明安全有效的CAM疗法纳入其医疗保健中。作者承认，对于研究结果能否证明特定疗法的安全性和有效性，存在不同意见，并强调医生对CAM使用的决策应遵循研究人员评估任何新疗法时所采用的同样严格的标准。作者报告了德国、加拿大和美国的CAM课程发展情况，这些情况说明了对“CAM课程应该教什么？”这一问题的各种处理方法。在大多数情况下，方法是教授CAM疗法，不过在其他情况下，课程规划者认为有用且安全的疗法正被纳入医学课程。
