Kligler Benjamin, Lebensohn Patricia, Koithan Mary, Schneider Craig, Rakel David, Cook Paula, Kohatsu Wendy, Maizes Victoria
Arizona Center for Integrative Medicine/Beth Israel Residency in Urban Family Practice.
Fam Med. 2009 May;41(5):342-9.
Six family medicine residency programs in the United States collaborated on the development and implementation of an integrative family medicine (IFM) program, which is a postgraduate training model that combines family medicine residency training with an integrative medicine fellowship. This paper reports on effects of IFM on residency programs and clinical systems in which it was implemented.
We used the Integrative Medicine Attitudes Questionnaire (IMAQ) to assess participants' attitudes toward integrative medicine before and after the program was implemented. We assessed residency program recruitment success before and after the program was implemented. We conducted interviews with key informants at each program to evaluate the effects of the IFM on the six participating residency programs.
IMAQ scores demonstrated a significant increase in the acceptance of integrative medicine after implementation of IFM. Recruiting data showed that participating programs filled at a rate consistently above the national average both before and after implementation. Analysis of interview data showed that programs became more open to an integrative medicine (IM) approach and offered a wider range of clinical services to patients.
Our mixed-methods strategy for evaluation of IFM showed that implementing the program increased acceptance of IM, did not affect residency fill rates, and increased use of IM in clinical practice. The combination of quantitative and qualitative methods was an effective strategy for documenting the "systems level" effects of a new educational program.
美国的六个家庭医学住院医师培训项目合作开展并实施了一项整合性家庭医学（IFM）项目，这是一种将家庭医学住院医师培训与整合医学进修相结合的研究生培训模式。本文报告了IFM对实施该项目的住院医师培训项目和临床系统的影响。
我们使用整合医学态度问卷（IMAQ）在项目实施前后评估参与者对整合医学的态度。我们评估了项目实施前后住院医师培训项目的招生成功率。我们对每个项目的关键信息提供者进行了访谈，以评估IFM对六个参与的住院医师培训项目的影响。
IMAQ评分显示，实施IFM后，对整合医学的接受度显著提高。招生数据显示，参与项目在实施前后的招生率一直高于全国平均水平。访谈数据分析表明，各项目对整合医学（IM）方法的接受度更高，并为患者提供了更广泛的临床服务。
我们评估IFM的混合方法策略表明，实施该项目提高了对IM的接受度，不影响住院医师招生率，并增加了IM在临床实践中的应用。定量和定性方法的结合是记录新教育项目“系统层面”效果的有效策略。
