Doctor training and practice of acupuncture: results of a survey.
Doctor training and practice of acupuncture: results of a survey.
复制标题
医生培训和针灸实践：调查结果。
DOI：
10.1111/j.1365-2753.2007.00891.x
复制
发表时间：
2008
影响因子：
2.4
通讯作者：
Audette,JosephF
中科院分区：
文献类型：
--
作者：
Yeh,GloriaY;Ryan,MaryAnne;Phillips,RussellS;Audette,JosephF
基本原理，目的和目标虽然针灸课程越来越多地提供给医生，很少有人知道教育成果，或对医生的做法的影响。我们试图描述寻求针灸培训的医生，并描述培训后的针灸实践和转诊模式MethodsUsing医生完成300小时的针灸课程在哈佛医学院2000年和2005年之间的自我管理调查，我们获得了有关医生的特点，原因寻求培训，随后的实践和转诊模式，感知疗效，和障碍，使用针灸。ResultsOverall，80名医生（78%）回答了调查。他们的平均年龄（±SD）为45（±9）岁;大多数人在私人诊所（44%）或学术中心（26%）。最常见的医学专业是内科（25%），麻醉/疼痛管理（20%），家庭医生（14%）和物理医学/康复（11%）。大多数人参加课程是为了获得临床技能（97%）。培训后，医生认为能够将针灸融入临床实践（91%），但只有一半这样做（n= 40，50%）。 时间限制（58%）和报销问题（44%）是针灸实践的障碍。治疗的最常见疾病是肌肉骨骼疼痛（37%），感知疗效很高。转诊率非医生针灸师增加（54%至70%）后training.ConclusionsAmong医生报名参加针灸培训计划，一半遇到的障碍，防止在临床实践中使用。那些使用针灸的人发现它有助于治疗疼痛。鉴于美国接受针灸培训的医生人数不断扩大，需要进行结果研究以进一步评估医疗针灸实践。
Rationale, aims and objectivesAlthough courses in acupuncture are increasingly available to doctors, little is known about educational outcomes, or the impact on doctor practices. We sought to characterize doctors who seek acupuncture training, and describe acupuncture practice and referral patterns after training.MethodsUsing a self‐administered survey of doctors completing a 300‐hour acupuncture course at Harvard Medical School between 2000 and 2005, we obtained information regarding doctor characteristics, reasons for seeking training, subsequent practice and referral patterns, perceived efficacy, and barriers to using acupuncture.ResultsOverall, 80 doctors (78%) responded to the survey. Their mean age (±SD) was 45 (±9) years; most were in private practice (44%) or at an academic center (26%). The most common medical specialties were internal medicine (25%), anaesthesia/pain management (20%), family practice (14%) and physical medicine/rehabilitation (11%). Most took the course to gain a clinical skill (97%). After training, doctors felt able to integrate acupuncture into clinical practice (91%), but only half did so (n= 40, 50%). Time constraints (58%) and reimbursement issues (44%) were barriers to acupuncture practice. The most common condition treated was musculoskeletal pain (37%) and perceived efficacy was high. Referral rates to non‐doctor acupuncturists increased (54% to 70%) after training.ConclusionsAmong doctors enrolling in an acupuncture training programme, half encountered barriers that prevented use in clinical practice. Those who did use acupuncture found it to be helpful for treatment of pain. Given the expanding pool of doctors trained in acupuncture in the USA, outcomes research is needed to further evaluate medical acupuncture practice.