Homeopathy and acupuncture teaching at Faculdade de Medicina da Universidade de São Paulo
the undergraduates’ attitudes
Keywords:
Medical education, Complementary therapies, Homeopathy, Acupuncture, AttitudeAbstract
CONTEXT AND OBJECTIVE: Homeopathy and acupuncture, although recognized as medical specializations in Brazil, are not taught in most medical schools. The objective was to evaluate undergraduate attitudes towards them following their inclusion as optional disciplines at Faculdade de Medicina da Universidade de São Paulo (FMUSP) in 2002. DESIGN AND SETTING: Questionnaire, at FMUSP. METHODS: 484 students answered a self-adminis- tered questionnaire on these therapies, regarding their interest in learning, the teaching methods, their knowledge/experience (or that of someone close to them) and how it was acquired, the main indicators and general effectiveness of these therapies, and the possibilities for offering and integrating them within public healthcare units. RESULTS: Over 85% of the students considered that homeopathy and acupuncture should be included in curricula, as options (72%) or com- pulsorily (19%); 56% showed great interest in learning about them. Although 76% had little or no knowledge, 67% believed that these therapies had some effectiveness, and that chronic diseases (37%) or even chronic and acute diseases (29%) would be the main indicators for their use. Around 35% were receptive towards offering public primary care using both therapies, while 34% thought these treatments should also be available in hospitals and 60% believed they could be integrated with conventional medical practices. CONCLUSION: The medical students were interested in learning the principles of homeopathy and acupuncture, were able to observe and report on the effectiveness of these treatments and defended the use of these medical specializations within public healthcare.
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References
Eisenberg DM, Kessler RC, Foster C, Norlock FE, Calkins DR, Del- banco TL. Unconventional medicine in the United States. Prevalence, costs, and patterns of use. N Engl J Med. 1993;328(4):246-52.
Fisher P, Ward A. Complementary medicine in Europe. BMJ. 1994;309(6947):107-11.
Eisenberg DM, Davis RB, Ettner SL, et al. Trends in alterna- tive medicine uses in the United States, 1990-1997: results of a follow-up national survey. JAMA. 1998;280(18):1569-75.
Burg MA, Hatch RL, Neims AH. Lifetime use of alterna- tive therapy: a study of Florida residents. South Med J. 1998;91(12):1126-31.
Ernst E, Resch KL, White AR. Complementary medicine. What physicians think of it: a meta-analysis. Arch Intern Med. 1995;155(22):2405-8.
Sikand A, Laken M. Pediatricians’ experience with and attitudes toward complementary/alternative medicine. Arch Pediatr Adolesc Med. 1998;152(11):1059-64.
Pirotta MV, Cohen MM, Kotsirilos V, Farish SJ. Complemen- tary therapies: have they become accepted in general practice? Med J Aust. 2000;172(3):105-9.
Corbin Winslow L, Shapiro H. Physicians want education about complementary and alternative medicine to enhance communication with their patients. Arch Intern Med. 2002;162(10):1176-81.
Teixeira MZ, Lin CA, Martins MA. O ensino de práticas não- convencionais em Saúde nas Faculdades de Medicina: panorama mundial e perspectivas brasileiras. [The teaching of non-con- ventional practices regarding health care in Medical Education Schools: world scenario and Brazilian perspectives]. Rev Bras Educ Méd. 2004;28(1):51-60.
Morgan D, Glanville H, Mars S, Nathanson V. Education and training in complementary and alternative medicine: a postal survey of UK universities, medical schools and faculties of nurse education. Complement Ther Med. 1998;6:64-70.
Barberis L, de Toni E, Schiavone M, Zicca A, Ghio R. Uncon- ventional medicine teaching at the Universities of the European Union. J Altern Complement Med. 2001;7(4):337-43.
Wetzel MS, Eisenberg DM, Kaptchuck TJ. Courses involving complementary and alternative medicine at US medical schools. JAMA. 1998;280(9):784-7.
Brokaw JJ, Tunnicliff G, Raess BU, Saxon DW. The teach- ing of complementary and alternative medicine in U.S. medical schools: a survey of course directors. Acad Med. 2002;77(9):876-81.
Ruedy J, Kaufman DM, MacLeod H. Alternative and comple- mentary medicine in Canadian medical schools: a survey. CMAJ. 1999;160(6):816-7.
Tsuruoka K, Tsuruoka Y, Kajii E. Complementary medicine education in Japanese medical schools: a survey. Complement Ther Med. 2001;9(1):28-33.
White AR, Mitchell A, Ernst E. Familiarization with comple- mentary medicine: report of a new course for primary care physicians. J Altern Complement Med. 1996;2(2):307-14.
Straus SE. Complementary and alternative medicine: chal- lenges and opportunities for American medicine. Acad Med. 2000;75(6):572-3.
Konefal J. The challenge of educating physicians about complemen- tary and alternative medicine. Acad Med. 2002;77(9):847-50.
Halliday J, Taylor M, Jenkins THE, Reilly D. Medical stu- dents and complementary medicine. Complement Ther Med. 1993;1(4 Suppl):32-3.
Andritzky W. Medizinstudenten und unkonventionelle Hei- lweisen - eine Befragung. [Medical students and alternative medicine - a survey]. Gesundheitswesen. 1995;57(6):345-8.
Haltenhof H, SchummTHE, Bühler KE. Komplementärmedizin im Urteil von Studierenden der Medizin: Eine Befragung in Vorklinik und Klinik. Forsch Komplementärmed. 1997;5:284-91.
Duggan K, Verhoef MJ, Hilsden RJ. First-year medical students and complementary and alternative medicines: attitudes, knowledge and experiences. Ann R Coll Physician Surg Can. 1999;32:157-60.
Derr S, Shaikh U, Rosen A, Guadagnino P. Medical students’ attitudes toward, knowledge of, and experience with comple- mentary medicine therapies. Acad Med. 1998;73(9):1020.
Greiner KA, Murray JL, Kallail KJ. Medical student interest in alterna- tive medicine. J Altern Complement Med. 2000;6(3):231-4.
Silverstein DD, Spiegel AD. Are physicians aware of the risks of alternative medicine? J Community Health. 2001;26(3):159-74.
Cohen JJ. Reckoning with alternative medicine. Acad Med. 2000;75(6):571.
Rampes H, Sharples F, Maragh S, Fisher P. Introducing comple- mentary medicine into the medical curriculum. J R Soc Med. 1997;90(1):19-22.
Kemper KJ, Vincent EC, Scardapane JN. Teaching an integrated approach to complementary, alternative, and mainstream thera- pies for children: a curriculum evaluation. J Altern Complement Med. 1999;5(3):261-8.
Rosenbaum ME, Nisly NL, Ferguson KJ, Kligman EW. Aca- demic physicians and complementary and alternative medicine: an institutional survey. Am J Med Qual. 2002;17(1):3-9.
Cardini F, Weixin H. Moxibustion for correction of breech presentation: a randomized controlled trial. JAMA. 1998;280(18):1580-4.
Harris WS, Gowda M, Kolb JW, et al. A randomized, controlled trial of the effects of remote, intercessory prayer on outcomes in patients admitted to the coronary care unit. Arch Intern Med. 1999;159(19):2273-8.
Dubey NP. Integrated medicine - many approaches, one service. World Health Forum. 1997;18(1):56-8.
Marcus DM. How should alternative medicine be taught to medi- cal students and physicians? Acad Med. 2001;76(3):224-9.
Sampson W. The need for educational reform in teaching about alternative therapies. Acad Med. 2001;76(3):248-50.
Murdoch-Eaton D, Crombie H. Complementary and alterna- tive medicine in the undergraduate curriculum. Med Teach. 2002;24(1):100-2.
Maizes V, Schneider C, Bell I, Weil A. Integrative medical education: development and implementation of a compre- hensive curriculum at the University of Arizona. Acad Med. 2002;77(9):851-60.
