Flaherty Gerard, Fitzgibbon Jenny, Cantillon Peter
School of Medicine, National University of Ireland, Galway, Ireland.
J Integr Med. 2015 Nov;13(6):412-5. doi: 10.1016/S2095-4964(15)60206-0.
The General Medical Council encourages the integration of complementary and alternative medicine (CAM) teaching into basic medical education. We wished to explore the attitudes of medical students to CAM and its inclusion in their undergraduate curriculum. Medical students were invited to complete the validated Integrative Medicine Attitude Questionnaire (IMAQ) and to state whether they considered it appropriate for them to learn about CAM in medical school. The questionnaire was completed by 308 students (65.8% response rate). CAM had been received by a majority of respondents and their families. Participants believed that doctors with knowledge of CAM provide better patient care and that it is desirable for physicians to exploit the placebo effect. Most students expressed the view that doctors should be able to answer patients' questions about herbal medicines. There was a belief that patients should be warned to avoid using supplements which have not undergone rigorous testing. Students who were current or previous users of CAM or whose family members used CAM had higher total IMAQ scores and openness subscale scores than those who did not report use of CAM. Two-hundred and nine (68%) students expressed a desire to study CAM as part of their medical curriculum. This study reveals a positive attitude towards a holistic approach to patient care which embraces CAM. Medical students believe that integrative medicine should be taught in medical school.
英国医学总会鼓励将补充和替代医学（CAM）教学融入基础医学教育。我们希望探究医学生对补充和替代医学及其纳入本科课程的态度。邀请医学生完成经过验证的综合医学态度问卷（IMAQ），并说明他们是否认为在医学院学习补充和替代医学对他们而言是合适的。308名学生完成了问卷（回复率为65.8%）。大多数受访者及其家人都接触过补充和替代医学。参与者认为，了解补充和替代医学的医生能提供更好的患者护理，并且医生利用安慰剂效应是可取的。大多数学生表示，医生应该能够回答患者关于草药的问题。有一种观点认为，应该告诫患者避免使用未经严格测试的补充剂。目前或曾经使用过补充和替代医学的学生，或其家庭成员使用过补充和替代医学的学生，其IMAQ总分及开放性子量表得分高于未报告使用补充和替代医学的学生。209名（68%）学生表示希望将补充和替代医学作为医学课程的一部分进行学习。这项研究揭示了对包含补充和替代医学的整体患者护理方法的积极态度。医学生认为医学院应该教授整合医学。
