Department of Epidemiology and Community Medicine, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
BMC Complement Altern Med. 2013 Dec 28;13:374. doi: 10.1186/1472-6882-13-374.
While some effort has been made to integrate complementary and alternative medicine (CAM) information in conventional biomedical training, it is unclear whether regulated Canadian CAM schools' students are exposed to research activities and continuing education, or whether topics such as evidence-based health care and interprofessional collaboration (IPC) are covered during their training. Since these areas are valued by the biomedical training field, this may help to bridge the attitudinal and communication gaps between these different practices. The aim of this study was to describe the training offered in these areas and gather the perceptions of curriculum/program directors in regulated Canadian CAM schools.
A two-phase study consisting of an electronic survey and subsequent semi-structured telephone interviews was conducted with curriculum/program (C/P) directors in regulated Canadian CAM schools. Questions assessed the extent of the research, evidence-based health care, IPC training and continuing education, as well as the C/P directors' perceptions about the training. Descriptive statistics were used to describe the schools', curriculum's and the C/P directors' characteristics. Content analysis was conducted on the interview material.
Twenty-eight C/P directors replied to the electronic survey and 11 participated in the interviews, representing chiropractic, naturopathy, acupuncture and massage therapy schools. Canadian regulated CAM schools offered research and evidence-based health care training as well as opportunities for collaboration with biomedical peers and continuing education to a various extent (58% to 91%). Although directors were generally satisfied with the training offered at their school, they expressed a desire for improvements. They felt future CAM providers should understand research findings and be able to rely on high quality research and to communicate with conventional care providers as well as to engage in continuing education. Limited length of the curriculum was one of the barriers to such improvements.
These findings seem to reinforce the directors' interest and the importance of integrating these topics in order to ensure best CAM practices and improve communication between CAM and conventional providers.
尽管在传统的生物医学培训中已经做出了一些努力来整合补充和替代医学(CAM)信息,但尚不清楚受监管的加拿大 CAM 学校的学生是否接触过研究活动和继续教育,或者在培训过程中是否涵盖了循证保健和跨专业合作(IPC)等主题。由于这些领域受到生物医学培训领域的重视,因此这可能有助于弥合这些不同实践之间的态度和沟通差距。本研究的目的是描述这些领域的培训,并收集受监管的加拿大 CAM 学校课程/项目主任的看法。
对受监管的加拿大 CAM 学校的课程/项目(C/P)主任进行了两阶段研究,包括电子调查和随后的半结构化电话访谈。问题评估了研究、循证保健、IPC 培训和继续教育的程度,以及 C/P 主任对培训的看法。使用描述性统计数据来描述学校、课程和 C/P 主任的特征。对访谈材料进行了内容分析。
28 名 C/P 主任回复了电子调查,11 名主任参加了访谈,代表了整脊、顺势疗法、针灸和按摩治疗学校。加拿大受监管的 CAM 学校在不同程度上提供了研究和循证保健培训,以及与生物医学同行合作和继续教育的机会(58%至 91%)。尽管主任们对他们所在学校提供的培训总体上感到满意,但他们表示希望改进。他们认为未来的 CAM 提供者应该理解研究结果,能够依赖高质量的研究,并与传统护理提供者进行沟通,以及参与继续教育。课程长度有限是此类改进的障碍之一。
这些发现似乎加强了主任们的兴趣以及整合这些主题的重要性,以确保最佳的 CAM 实践并改善 CAM 和传统提供者之间的沟通。