Department of Obstetrics and Gynecology, Justus-Liebig-University of Giessen, Klinikstrasse 32, D-35385 Giessen, Germany.
Evid Based Complement Alternat Med. 2011;2011:790951. doi: 10.1093/ecam/nen079. Epub 2011 Jun 18.
Although it has been agreed that complementary and alternative medicine (CAM) should be included in the German medical curriculum, there is no consensus on which methods and how it should be taught. This study aimed to assess needs for CAM education by evaluating current knowledge, attitudes and interests of medical students, general physicians and gynecologists. Two instruments based on established and validated questionnaires were developed. One was given to seventh semester medical students and the other to office-based doctors. Data were analyzed by bivariate correlation and cross-tabulation. Altogether 550 questionnaires were distributed-280 to doctors and 270 to medical students. Completed questionnaires were returned by 80.4% of students and 78.2% of doctors. Although 73.8% (160/219) of doctors and 40% (87/217) of students had already informed themselves about CAM, neither group felt that they knew much about CAM. Doctors believed that CAM was most useful in general medicine, supportive oncology, pediatrics, dermatology and gynecology, while students believed that dermatology, general medicine, psychiatry and rheumatology offered opportunities; both recommended that CAM should be taught in these areas. Both groups believed that CAM should be included in medical education; however, they believed that CAM needed more investigation and should be taught "critically". German doctors and students would like to be better informed about CAM. An approach which teaches fundamental competences to students, chooses specific content based on evidence, demographics and medical conditions and provides students with the skills they need for future learning should be adopted.
尽管人们已经同意将补充和替代医学（CAM）纳入德国医学课程，但对于应教授哪些方法以及如何教授，尚无共识。本研究旨在通过评估医学生、全科医生和妇科医生的现有知识、态度和兴趣，来评估 CAM 教育的需求。基于已建立和验证的问卷开发了两种工具。一种发给第七学期的医学生，另一种发给在诊医生。通过双变量相关和交叉表分析数据。共发放了 550 份问卷，其中 280 份给医生，270 份给医学生。医生和学生分别有 80.4%和 78.2%完成了问卷。尽管 73.8%（160/219）的医生和 40%（87/217）的学生已经了解 CAM，但他们都认为自己对 CAM 了解甚少。医生认为 CAM 在普通医学、支持肿瘤学、儿科、皮肤科和妇科最有用，而学生则认为皮肤科、普通医学、精神病学和风湿病学提供了机会；他们都建议在这些领域教授 CAM。两组都认为 CAM 应该纳入医学教育；然而，他们认为 CAM 需要更多的研究，并应“批判性”地教授。德国医生和学生希望更好地了解 CAM。一种向学生传授基本能力、根据证据、人口统计学和医疗条件选择特定内容并为学生提供未来学习所需技能的方法应该被采用。
