Wetzel Miriam S, Kaptchuk Ted J, Haramati Aviad, Eisenberg David M
Harvard Medical School, 10 Shattuck Street, Suite 612, Boston, MA 02115.
Ann Intern Med. 2003 Feb 4;138(3):191-6. doi: 10.7326/0003-4819-138-3-200302040-00011.
Increased use of complementary and alternative medicine (CAM) has made it imperative that these topics be included in medical education from the preclinical years through residency and beyond. There has been progress in this direction in recent years, with a steady increase in the number of medical schools that include CAM therapies in their curricula. There remains, however, a lack of clear goals and concrete suggestions for implementing these changes. This article examines the questions that arise when medical educators consider how to incorporate CAM therapies as an integral part of the medical curriculum. It offers practical suggestions for finding time in an already packed curriculum, getting started, including faculty and students in the process, and sustaining the initiative with the necessary administrative and institutional support.
补充和替代医学（CAM）使用的增加使得从临床前阶段到住院医师阶段及以后的医学教育中纳入这些主题成为当务之急。近年来在这方面已经取得了进展，将CAM疗法纳入课程的医学院数量稳步增加。然而，在实施这些变革方面仍然缺乏明确的目标和具体建议。本文探讨了医学教育工作者在考虑如何将CAM疗法纳入医学课程的一个组成部分时出现的问题。它提供了一些实用建议，涉及在本已安排得满满当当的课程中挤出时间、如何开始、让教师和学生参与到这个过程中，以及在必要的行政和机构支持下维持这一举措。
