Richard Niemtzow1,2, John Baxter3, Rollin M Gallagher4, Arnyce Pock2, Kathryn Calabria3, David Drake5,6, Kevin Galloway7, Joan Walter8, Richard Petri9, Thomas Piazza3, Stephen Burns3, Lew Hofmann3, John Biery10, Chester Buckenmaier2,7. 1. United States Air Force Acupuncture and Integrative Medical Center, Joint Base Andrews, 1060W Perimeter Road, Joint Base Andrews, MD. 2. Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD. 3. Malcolm Grow Medical Clinics and Surgery Center, Joint Base Andrews, 1060W Perimeter Road, Joint Base Andrews, MD. 4. Penn Pain Medicine Center, University of Pennsylvania, 1840 South Street, Tuttleman Center, Philadelphia, PA. 5. Hunger Holmes McGuire VA Medical Center, 1201 Broad Rock Boulevard, Richmond, VA. 6. Virginia Commonwealth University, 907 Floyd Avenue, Richmond, VA. 7. Defense and Veterans Center for Integrative Pain Management, 11300 Rockville Pike, Suite 709, Rockville, MD. 8. Samueli Institute, 1150 Kersey Road, Silver Spring, MD. 9. William Beaumont Army Medical Center, 5005 North Piedras Street, El Paso, TX. 10. Naval Branch Health Clinic, 450 Turner Street, Pensacola, FL.
Abstract
Introduction: Complementary and integrative medicine (CIM) use in the USA continues to expand, including within the Military Health System (MHS) and Veterans Health Administration (VHA). To mitigate the opioid crisis and provide additional non-pharmacological pain management options, a large cross-agency collaborative project sought to develop and implement a systems-wide curriculum, entitled Acupuncture Training Across Clinical Settings (ATACS). Materials and Methods: ATACS curriculum content and structure were created and refined over the course of the project in response to consultations with Subject Matter Experts and provider feedback. Course content was developed to be applicable to the MHS and VHA environments and training was open to many types of providers. Training included a 4-hr didactic and "hands on" clinical training program focused on a single auricular acupuncture protocol, Battlefield Acupuncture. Trainee learning and skills proficiency were evaluated by trainer-observation and written examination. Immediately following training, providers completed an evaluation survey on their ATACS experience. One month later, they were asked to complete another survey regarding their auricular acupuncture use and barriers to use. The present evaluation describes the ATACS curriculum, faculty and trainee characteristics, as well as trainee and program developer perspectives. Results: Over the course of a 19-mo period, 2,712 providers completed the in-person, 4-hr didactic and hands-on clinical training session. Due to the increasing requests for training, additional ATACS faculty were trained. Overall, 113 providers were approved to be training faculty. Responses from the trainee surveys indicated high satisfaction with the ATACS training program and illuminated several challenges to using auricular acupuncture with patients. The most common reported barrier to using auricular acupuncture was the lack of obtaining privileges to administer auricular acupuncture within clinical practice. Conclusion: The ATACS program provided a foundational template to increase CIM across the MHS and VHA. The lessons learned in the program's implementation will aid future CIM training programs and improve program evaluations. Future work is needed to determine the most efficient means of improving CIM credentialing and privileging procedures, standardizing and adopting uniform CIM EHR codes and documentation, and examining the effectiveness of CIM techniques in real-world settings.
Introduction: Complementary and integrative medicine (CIM) use in the USA continues to expand, including within the Military Health System (MHS) and Veterans Health Administration (VHA). To mitigate the opioid crisis and provide additional non-pharmacological pain management options, a large cross-agency collaborative project sought to develop and implement a systems-wide curriculum, entitled Acupuncture Training Across Clinical Settings (ATACS). Materials and Methods: ATACS curriculum content and structure were created and refined over the course of the project in response to consultations with Subject Matter Experts and provider feedback. Course content was developed to be applicable to the MHS and VHA environments and training was open to many types of providers. Training included a 4-hr didactic and "hands on" clinical training program focused on a single auricular acupuncture protocol, Battlefield Acupuncture. Trainee learning and skills proficiency were evaluated by trainer-observation and written examination. Immediately following training, providers completed an evaluation survey on their ATACS experience. One month later, they were asked to complete another survey regarding their auricular acupuncture use and barriers to use. The present evaluation describes the ATACS curriculum, faculty and trainee characteristics, as well as trainee and program developer perspectives. Results: Over the course of a 19-mo period, 2,712 providers completed the in-person, 4-hr didactic and hands-on clinical training session. Due to the increasing requests for training, additional ATACS faculty were trained. Overall, 113 providers were approved to be training faculty. Responses from the trainee surveys indicated high satisfaction with the ATACS training program and illuminated several challenges to using auricular acupuncture with patients. The most common reported barrier to using auricular acupuncture was the lack of obtaining privileges to administer auricular acupuncture within clinical practice. Conclusion: The ATACS program provided a foundational template to increase CIM across the MHS and VHA. The lessons learned in the program's implementation will aid future CIM training programs and improve program evaluations. Future work is needed to determine the most efficient means of improving CIM credentialing and privileging procedures, standardizing and adopting uniform CIM EHR codes and documentation, and examining the effectiveness of CIM techniques in real-world settings.
Authors: Stephanie L Taylor; Karleen Giannitrapani; Princess E Ackland; Jesse Holliday; Kavitha P Reddy; David F Drake; Daniel G Federman; Benjamin Kligler Journal: Med Acupunct Date: 2018-10-15
Authors: David W Miller; Eric J Roseen; Jennifer A M Stone; Paula Gardiner; Juli Olson; Shellie Rosen; Peter Wayne; Robert Davis; Remy Coeytaux Journal: Glob Adv Health Med Date: 2021-08-25
Authors: Steven B Zeliadt; Eva R Thomas; Juli Olson; Scott Coggeshall; Karleen Giannitrapani; Princess E Ackland; Kavitha P Reddy; Daniel G Federman; David F Drake; Benjamin Kligler; Stephanie L Taylor Journal: Med Care Date: 2020-09 Impact factor: 3.178
Authors: Karleen F Giannitrapani; Princess E Ackland; Jesse Holliday; Steve Zeliadt; Juli Olson; Benjamin Kligler; Stephanie L Taylor Journal: Med Care Date: 2020-09 Impact factor: 3.178
Authors: Kevin T Liou; Ray Baser; Sally A D Romero; Jamie Green; Q Susan Li; Irene Orlow; Katherine S Panageas; Jun J Mao Journal: Medicine (Baltimore) Date: 2020-05-22 Impact factor: 1.817