PhD Candidate Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), Faculty of Health, University of Technology Ultimo, Sydney, NSW, Australia.
Director New Zealand Operations and Academic Lead, College of Natural Health and Homeopathy, Auckland, New Zealand.
BMC Complement Altern Med. 2019 Mar 20;19(1):73. doi: 10.1186/s12906-019-2466-z.
Complementary Medicine (CM) continues to thrive across many countries. Closely related to the continuing popularity of CM has been an increased number of enrolments at CM education institutions across the public and private tertiary sectors. Despite the popularity of CM across the globe and growth in CM education/education providers, to date, there has been no critical review of peer-reviewed research examining CM education undertaken. In direct response to this important gap, this paper reports the first critical review of contemporary literature examining CM education research.
A review was undertaken of research to identify empirical research papers reporting on CM education published between 2005 and 17. The search was conducted in May 2017 and included the search of PubMed and EBSCO (CINAHL, MEDLINE, AMED) for search terms embracing CM and education. Identified studies were evaluated using the STROBE, SRQP and MMAT appraisal tools.
From 9496 identified papers, 18 met the review inclusion criteria (English language, original empirical research data, reporting on the prevalence or nature of the education of CM practitioners), and highlighted four broad issues: CM education provision; the development of educational competencies to develop clinical skills and standards; the application of new educational theory, methods and technology in CM; and future challenges facing CM education. This critical integrative review highlights two key issues of interest and significance for CM educational institutions, CM regulators and researchers, and points to number of significant gaps in this area of research. There is very sporadic coverage of research in CM education. The clear absence of the robust and mature research regarding educational technology and e-learning taking place in medical and or allied health education research is notably absent within CM educational research.
Despite the high levels of CM use in the community, and the thriving nature of CM educational institutions globally, the current evidence evaluating the procedures, effectiveness and outcomes of CM education remains limited on a number of fronts. There is an urgent need to establish a strategic research agenda around this important aspect of health care education with the overarching goal to ensure a well-educated and effective health care workforce.
补充医学(CM)在许多国家继续盛行。与 CM 的持续流行密切相关的是,公立和私立高等教育领域的 CM 教育机构的注册人数不断增加。尽管 CM 在全球范围内广受欢迎,CM 教育/教育提供者也在增长,但迄今为止,还没有对 CM 教育进行的同行评审研究进行批判性审查。针对这一重要差距,本文首次对 CM 教育研究的当代文献进行了批判性回顾。
对研究进行了回顾,以确定 2005 年至 2017 年间发表的关于 CM 教育的实证研究论文。该搜索于 2017 年 5 月进行,包括在 PubMed 和 EBSCO(CINAHL、MEDLINE、AMED)中搜索涵盖 CM 和教育的术语。使用 STROBE、SRQP 和 MMAT 评估工具评估确定的研究。
从 9496 篇已识别的论文中,有 18 篇符合审查纳入标准(英语、原始实证研究数据、报告 CM 从业者教育的普遍性或性质),并强调了四个广泛的问题:CM 教育提供;发展教育能力以发展临床技能和标准;新的教育理论、方法和技术在 CM 中的应用;以及 CM 教育面临的未来挑战。这一批判性综合审查突出了 CM 教育机构、CM 监管机构和研究人员感兴趣和关注的两个关键问题,并指出了该研究领域存在的一些重大差距。CM 教育研究的报道非常零星。在医学和/或联合健康教育研究中正在进行的关于教育技术和电子学习的稳健和成熟研究在 CM 教育研究中明显缺失。
尽管社区中 CM 的使用水平很高,而且全球 CM 教育机构的发展势头强劲,但目前评估 CM 教育程序、效果和结果的证据在许多方面仍然有限。迫切需要围绕医疗保健教育的这一重要方面制定一项战略研究议程,目标是确保拥有一支受过良好教育和高效的医疗保健劳动力。