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Medical School Courses in Alternative Medicine

Michael Carlston, MD
[+] Author Affiliations

Margaret A. Winker, MDDeputy Editor: IndividualAuthor
Phil B. Fontanarosa, MDInterim Coeditor: IndividualAuthor

Copyright 1999 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

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JAMA. 1999;281(7):609-611. doi:10-1001/pubs.JAMA-ISSN-0098-7484-281-7-jbk0217
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To the Editor: Although the article by Dr Wetzel and colleagues1 is a welcome addition to the scant literature on medical education in alternative medicine, a sensitive issue missing from the authors' comments was consideration of the intention of these courses. Some believe that presentation of information about complementary and alternative medicine (CAM) is, by implication, advocacy of CAM. The fine line between conveying information about a therapy and its clinical application vs "how-to" instruction is a very important distinction. This differentiation is reflected in the American Academy of Family Physicians' recently issued policy on continuing medical accreditation for courses addressing alternative medicine, which accepts the former approach but disallows accreditation of courses including the latter information.

The Society of Teachers of Family Medicine's Group on Alternative (Integrative) Medicine was formed in 1993 to facilitate medical education about CAM therapies. In addition to conducting the first formal survey of CAM education,2 this group developed curricular guidelines for medical education in alternative medicine that share the 5 suggestions listed in the article by Wetzel et al. These suggestions appear to represent a consensus of opinion, as they were also the recommendations of a National Institutes of Health Office of Alternative Medicine "Blue Ribbon Panel" on medical and nursing education.3

REFERENCES

Wetzel  MS, Eisenberg  DM, Kaptchuk  TJ. Courses involving complementary and alternative medicine at US medical schools. JAMA. 1998;280:784-787.
Carlston  M, Stuart  M, Jonas  W. Alternative medicine instruction in medical schools and family practice residency programs. Fam Med. 1997;29:559-562.
Office of Alternative Medicine Clearinghouse,  Expert panel recommends integration of CAM into medical and nursing education. Complement Altern Med. 1996;3:1.

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Wetzel  MS, Eisenberg  DM, Kaptchuk  TJ. Courses involving complementary and alternative medicine at US medical schools. JAMA. 1998;280:784-787.
Carlston  M, Stuart  M, Jonas  W. Alternative medicine instruction in medical schools and family practice residency programs. Fam Med. 1997;29:559-562.
Office of Alternative Medicine Clearinghouse,  Expert panel recommends integration of CAM into medical and nursing education. Complement Altern Med. 1996;3:1.
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