Department of General Practice and Health Services Research, University Hospital Heidelberg, Im Neuenheimer Feld 130.3, 69120, Heidelberg, Germany.
BMC Complement Med Ther. 2020 Nov 17;20(1):348. doi: 10.1186/s12906-020-03140-x.
Integrating complementary medicine into medical care promotes patient-oriented care. A well-informed and collaborative professional healthcare team is essential for effective and patient-safe implementation of these methods. At present, the skills for patient counseling, therapy and care regarding complementary medicine vary among the professional groups involved. Professionals generally feel that they are not sufficiently qualified in this area. Curricular concepts for Complementary and Integrative Medicine (CIM) are virtually non-existent in undergraduate interprofessional training. The aim of this study is to initiate a consensus-building process between various experts (professionals, students, patient and faculty representatives) in order to identify which topics should be the focus of such a curriculum.
A three-round Delphi study was carried out from March 2018 to March 2019 to compile the experience and knowledge of experts in the field of integrative patient care and interprofessional education. Sixty-five experts from Germany and German-speaking Switzerland with various professional backgrounds and experiences were asked to name general content, therapy methods and treatment reasons which should be addressed in interprofessional seminars. In the subsequent rounds these were rated on a seven-point Likert scale. The ratings were assigned to relevance groups and discussed in a final workshop in July 2019.
The response rates for the three rounds were 76% (n = 50), 80% (n = 40) 90% (n = 36); and 21% (n = 11) for the final workshop. The experts suggested that topics could be aligned along the most common treatment reasons such as insomnia, generalized pain, fatigue and back pain. However, it is important that students also receive an overview of the evidence base for different therapeutic concepts, especially in the field of classical natural medicine, acupuncture and mind-body medicine, and that they get an overview of the effects and interactions of frequently used procedures.
Consensus was reached among the various experts on the most important topics for an interprofessional CIM curriculum. The systematic evaluation of the topics in this study can help to create a curriculum that achieves a high level of acceptance among teachers, lecturers and students, and thus facilitates implementation at universities and medical faculties.
将补充医学融入医疗保健中可促进以患者为中心的护理。一个知识渊博且协作的专业医疗团队对于这些方法的有效和患者安全实施至关重要。目前，参与其中的专业群体在关于补充医学的患者咨询、治疗和护理方面的技能各不相同。专业人员普遍认为他们在这一领域没有足够的资格。本科跨专业培训中几乎没有补充和整合医学（CIM）的课程概念。本研究的目的是在各个专家（专业人员、学生、患者和教师代表）之间建立一个共识制定过程，以确定哪些主题应该成为课程的重点。
从 2018 年 3 月至 2019 年 3 月，进行了三轮德尔菲研究，以汇集综合患者护理和跨专业教育领域专家的经验和知识。从德国和德语国家邀请了 65 名具有不同专业背景和经验的专家，要求他们命名应在跨专业研讨会上讨论的一般内容、治疗方法和治疗原因。在随后的几轮中，他们对这些内容进行了七点李克特量表评分。这些评分被分配到相关组，并在 2019 年 7 月的最后一次研讨会上进行了讨论。
三轮的回复率分别为 76%（n=50）、80%（n=40）和 90%（n=36）；最后一次研讨会的回复率为 21%（n=11）。专家建议，可以根据最常见的治疗原因（如失眠、全身疼痛、疲劳和背痛）来调整主题。然而，学生也需要了解不同治疗概念的证据基础，特别是在经典自然医学、针灸和身心医学领域，并且需要了解常用程序的效果和相互作用，这一点很重要。
不同专家就跨专业 CIM 课程的最重要主题达成了共识。本研究对这些主题的系统评估可以帮助创建一个在教师、讲师和学生中具有较高接受度的课程，从而促进在大学和医学院的实施。
