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Education Materials & Publications

Evaluation Materials

Proceedings from the Evaluation Conference for CAM Curriculum

On June 16-18, 2002, Drs. Warber, Benn, Gruppen and Fantone held a national working conference on evaluating integrative, complementary, and alternative curricula. The purpose of the conference was to share and create usable tools and processes to evaluate all components and outcomes of integrative curricula, to identify and design multi-institutional studies to compare curricular impact, and to facilitate collaboration among institutions involved in integrating CAM into their curricula. The conference was held in Ann Arbor, MI, with a keynote presentation by Dr. John Creswell, a noted expert in qualitative and quantitative research evaluation methods. Participants from 19 national and international institutions attended, many of which had received grants from the National Institutes of Health to incorporate CAM into their medical or nursing school curricula.

Proceedings from the Evaluation Conference for CAM Curriculum can be purchased from UMIM for $16.00 including shipping and handling charges. Inquires to purchase the material should be directed to:

Alexis Zirpoli, Administrative Assistant
University of Michigan Integrative Medicine
715 E. Huron St., Suite 1W
Ann Arbor, MI 48105
(734) 998-0028

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Attitudes Towards Professional Practice of CAM Questionnaire (APP-CAM)

This 31-item survey tool, developed by Benn, Smith, Warber and Gruppen (2003), is designed to measure medical students practice attitudes towards incorporation of complementary, alternative, and allopathic medicine. The factor structure underlying this questionnaire explicitly addresses integrative, conventional, and relationship-focused dimensions, and can be used to track both individual changes in a student's attitudes over time, as well as programmatic changes resulting from more comprehensive inclusion of curriculum material related to integrative medicine.

This questionnaire and scoring template is available in the Proceedings from the Evaluation Conference for CAM Curriculum or can be requested from:

Alexis Zirpoli, Administrative Assistant
University of Michigan Integrative Medicine
715 E. Huron St., Suite 1W
Ann Arbor, MI 48105
(734) 998-0028

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Curriculum Guide

Curriculum in Integrative Medicine: A Guide for Medical Educators

The Integrative Medicine Curriculum Guide has been designed to assist medical educators to implement curriculum that supports the development of integrative medicine competencies. In 2001, a subgroup of the Consortium of Academic Health Centers in Integrative Medicine (CAHCIM) began to work on guidelines for assisting medical schools in their design of integrative medicine curriculum activities. As a first step, this Education Working Group developed a set of competencies that delineated the values, knowledge, attitudes and skills that the CAHCIM believes are fundamental to the field of Integrative Medicine. A second step involved the development of a curriculum guide to outline effective curriculum aligned with these competencies. The Guide has been distributed to all medical schools. It contains samples of materials that were contributed by medical educators from a number of U.S. medical schools belonging to the Consortium to illustrate approaches to introducing CAM and integrative medicine topics.   Materials presented in the Guide represent offerings from a variety of medical schools that can be employed at different levels within the four years of medical school. The curriculum examples represent a variety of topics and incorporate the many approaches to facilitating effective learning. Modules include:

  • CAM overview/CAM field experience
  • CAM overview/legal issues module
  • Interview skills/OSCE
  • Herbal medicine module
  • Case study: back pain/chiropractic
  • Spirituality module
  • Integrative approach to asthma
  • Mind/Body skill module
  • CAM and Evidence-based medicine
  • CAM and cross-cultural issues
  • Clinical elective
  • Healer's Art experiential unit

In addition to curriculum samples, included are the integrative medicine competencies, and a discussion of curriculum evaluation methods.

The co-editors of this Guide were Benjamin Kligler, Rita Benn, and Gwen Alexander. The guide is available in hard copy and CD-ROM formats. A PDF version is available on the CAHCIM website: http://www.imconsortium.org/.

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Published Articles

Kligler B. Maizes V. Schachter S. Park CM. Gaudet T. Benn R. Lee R. Remen RN. Education Working Group, Consortium of Academic Health Centers for Integrative Medicine. Core competencies in integrative medicine for medical school curricula: a proposal. Academic Medicine . 79(6):521-31, 2004 Jun.

Abstract:

The authors present a set of curriculum guidelines in integrative medicine for medical schools developed during 2002 and 2003 by the Education Working Group of the Consortium of Academic Health Centers for Integrative Medicine (CAHCIM) and endorsed by the CAHCIM Steering Committee in May 2003. CAHCIM is a consortium of 23 academic health centers working together to help transform health care through rigorous scientific studies, new models of clinical care, and innovative educational programs that integrate biomedicine, the complexity of human beings, the intrinsic nature of healing, and the rich diversity of therapeutic systems.

Integrative medicine can be defined as an approach to the practice of medicine that makes use of the best-available evidence taking into account the whole person (body, mind, and spirit), including all aspects of lifestyle. It emphasizes the therapeutic relationship and makes use of both conventional and complementary/alternative approaches.

The competencies described in this article delineate the values, knowledge, attitudes, and skills that CAHCIM believes are fundamental to the field of integrative medicine. Many of these competencies reaffirm humanistic values inherent to the practice of all medical specialties, while others are more specifically relevant to the delivery of the integrative approach to medical care, including the most commonly used complementary/alternative medicine modalities, and the legal, ethical, regulatory, and political influences on the practice of integrative medicine. The authors also discuss the specific challenges likely to face medical educators in implementing and evaluating these competencies, and provide specific examples of implementation and evaluation strategies that have been found to be successful at a variety of CAHCIM schools.

Zick SM. Benn R. Bridging CAM practice and research: teaching CAM practitioners about research methodology. Alternative Therapies in Health & Medicine. 10(3):50-6, 2004 May-Jun.

Abstract:

The National Institutes of Health (NIH) is continuing to provide funds directed to support research in complementary and alternative medicine (CAM). CAM providers typically have insufficient knowledge of scientific language or research methodology to develop rigorous proposals. Their ability to contribute meaningfully as advisors, teachers, or research partners in academic settings, is hence limited. To address this issue, we have developed and implemented a 7-week course designed to teach community-based CAM providers: (1) to understand scientific terminology, research design and grantsmanship; (2) to critically evaluate the research literature; and (3) to design pilot studies in areas of their interest. In this article, we describe the recruitment process for selecting course participants, the course design and instructional process and the evaluation results based on qualitative and quantitative methodology. We offer suggestions for developing training opportunities both at the local and national level that would increase the expertise of CAM providers in participating and seeking funded research.

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