An evaluation of the evidence in "evidence-based" integrative medicine programs.
An evaluation of the evidence in "evidence-based" integrative medicine programs.
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对“循证”综合医学计划中证据的评估。
DOI：
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发表时间：
2009
期刊：
影响因子：
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通讯作者：
L. Mccullough
中科院分区：
文献类型：
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作者：
D. Marcus;L. Mccullough
替代疗法很受欢迎，有关它们的信息应该包括在卫生职业学校的课程中。2000年至2003年，国家卫生研究院国家补充和替代医学中心向美国14所卫生专业学校和美国医科学生协会基金会颁发了为期五年的教育补助金。赠款的目的是将关于补充和替代医学(CAM)的循证信息纳入课程。作者回顾了关于四种流行的CAM疗法--草药疗法、脊椎疗法、针灸疗法和顺势疗法--的教育材料，并将其与现有的最佳证据进行了比较。综合医学网站上的课程严重偏向于CAM，许多参考文献都是关于低质量的临床试验，而且它们已经过时了五到六年。这些在全国各地普遍使用的“循证医学”课程，未能达到公认的循证医学标准。通过容忍这种情况，卫生职业学校没有履行他们对学习者、患者或社会的教育和道德义务。由于综合医学项目未能维持教育标准，医学和护理学校需要为他们的监督承担责任。作者建议(1)指定教师委员会审查综合医学项目提供的教材和治疗；(2)将综合医学项目关于CAM的教育按照常规治疗所使用的相同证据标准进行；(3)对综合医学教育项目进行持续监督。
Alternative therapies are popular, and information about them should be included in the curricula of health profession schools. During 2000 to 2003, the National Institutes of Health National Center for Complementary and Alternative Medicine awarded five-year education grants to 14 health professions schools in the United States and to the American Medical Students Association Foundation. The purpose of the grants was to integrate evidence-based information about complementary and alternative medicine (CAM) into the curriculum. The authors reviewed the educational material concerning four popular CAM therapies-herbal remedies, chiropractic, acupuncture, and homeopathy-posted on the integrative medicine Web sites of the grant recipients and compared it with the best evidence available. The curricula on the integrative medicine sites were strongly biased in favor of CAM, many of the references were to poor-quality clinical trials, and they were five to six years out of date. These "evidence-based CAM" curricula, which are used all over the country, fail to meet the generally accepted standards of evidence-based medicine. By tolerating this situation, health professions schools are not meeting their educational and ethical obligations to learners, patients, or society. Because integrative medicine programs have failed to uphold educational standards, medical and nursing schools need to assume responsibility for their oversight. The authors suggest (1) appointing faculty committees to review the educational materials and therapies provided by integrative medicine programs, (2) holding integrative medicine programs' education about CAM to the same standard of evidence used for conventional treatments, and (3) providing ongoing oversight of integrative medicine education programs.
影响因子：
120.7
作者：
DeKosky, Steven T.;Williamson, Jeff D.;Fitzpatrick, Annette L.;Kronmal, Richard A.;Ives, Diane G.;Saxton, Judith A.;Lopez, Oscar L.;Burke, Gregory;Carlson, Michelle C.;Fried, Linda P.;Kuller, Lewis H.;Robbins, John A.;Tracy, Russell P.;Woolard, Nancy F.;Dunn, Leslie;Snitz, Beth E.;Nahin, Richard L.;Furberg, Curt D.
通讯作者：
Furberg, Curt D.
氨基葡萄糖治疗骨关节炎疼痛：为什么试验结果不同？
影响因子：
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作者：
Vlad,StevenC;LaValley,MichaelP;McAlindon,TimothyE;Felson,DavidT
通讯作者：
Felson,DavidT