Medical Student, Rutgers New Jersey Medical School.
Associate Professor and Program Director of Residency Training, Department of Psychiatry, Rutgers New Jersey Medical School.
MedEdPORTAL. 2020 Dec 29;16:11056. doi: 10.15766/mep_2374-8265.11056.
In the setting of the opioid crisis, chronic pain management requires new approaches and open dialogue between physicians and patients to explore evidence-based nonpharmacologic treatments. We developed an educational session on the role of complementary and alternative medicine (CAM) for chronic pain management as part of our larger curriculum on health equity and social justice.
Students and faculty developed a novel educational session for second-year medical students consisting of a lecture and an experiential small-group session immersing the students in CAM. We conducted pre- and postsurveys to assess the students' self-reported learning and impressions of the session.
Over the academic years of 2018-2019 and 2019-2020, 345 second-year medical students participated in this mandatory session. In matched pre-and postsession surveys, students rated their knowledge of the evidence behind CAM practices, and reported statistically significant increases in their understanding. When asked about the importance of physician familiarity with common CAM practices, students noted both a high baseline agreement and a statistically significant increase after the session concluded. Familiarity with financial costs of each of the practices also saw statistically significant increases after the session.
Our results indicated that the session met the educational objectives. A critical part of improving our session between academic years involved gathering feedback and implementing changes based on these suggestions. Our model is easy to implement and replicate at medical schools across the country. Future studies should assess the effects of CAM-focused educational interventions on practices in the clinical setting.
在阿片类药物危机的背景下，慢性疼痛管理需要医生和患者之间采用新方法和进行公开对话，以探索基于证据的非药物治疗方法。我们开发了一个关于补充和替代医学（CAM）在慢性疼痛管理中的作用的教育课程，作为我们关于健康公平和社会正义的更大课程的一部分。
学生和教师为二年级医学生开发了一个新颖的教育课程，其中包括一个讲座和一个体验式小组课程，让学生沉浸在 CAM 中。我们进行了预调查和后调查，以评估学生的自我报告学习和对课程的印象。
在 2018-2019 学年和 2019-2020 学年，345 名二年级医学生参加了这个必修课程。在匹配的预和课后调查中，学生们对 CAM 实践背后的证据的了解程度进行了评分，并报告了理解方面的统计学显著提高。当被问及医生熟悉常见 CAM 实践的重要性时，学生们注意到在课程结束后，他们的基线共识和统计学显著增加。对每项实践的财务成本的熟悉程度也在课程结束后出现了统计学显著增加。
我们的结果表明该课程达到了教育目标。在两个学年之间改进我们的课程的一个关键部分是收集反馈并根据这些建议进行更改。我们的模型易于在全国的医学院实施和复制。未来的研究应评估以 CAM 为重点的教育干预对临床实践的影响。
