Literature DB >> 33409356

Implementing an Interactive Introduction to Complementary Medicine for Chronic Pain Management Into the Medical School Curriculum.

Uttara Gadde1, Pravin Matthew1, Raagni Kumar1, Rashi Aggarwal2, Michelle Dalla Piazza3, Sangeeta Lamba4.   

Abstract

Introduction: In the setting of the opioid crisis, chronic pain management requires new approaches and open dialogue between physicians and patients to explore evidence-based nonpharmacologic treatments. We developed an educational session on the role of complementary and alternative medicine (CAM) for chronic pain management as part of our larger curriculum on health equity and social justice.
Methods: Students and faculty developed a novel educational session for second-year medical students consisting of a lecture and an experiential small-group session immersing the students in CAM. We conducted pre- and postsurveys to assess the students' self-reported learning and impressions of the session.
Results: Over the academic years of 2018-2019 and 2019-2020, 345 second-year medical students participated in this mandatory session. In matched pre-and postsession surveys, students rated their knowledge of the evidence behind CAM practices, and reported statistically significant increases in their understanding. When asked about the importance of physician familiarity with common CAM practices, students noted both a high baseline agreement and a statistically significant increase after the session concluded. Familiarity with financial costs of each of the practices also saw statistically significant increases after the session. Discussion: Our results indicated that the session met the educational objectives. A critical part of improving our session between academic years involved gathering feedback and implementing changes based on these suggestions. Our model is easy to implement and replicate at medical schools across the country. Future studies should assess the effects of CAM-focused educational interventions on practices in the clinical setting.
© 2020 Gadde et al.

Entities:  

Keywords:  Alternative Medicine; Chronic Pain; Complementary Medicine; Integrative Medicine; Lecture; Opioid; Pain; Pain Management; Pain Medicine

Mesh:

Year:  2020        PMID: 33409356      PMCID: PMC7780745          DOI: 10.15766/mep_2374-8265.11056

Source DB:  PubMed          Journal:  MedEdPORTAL        ISSN: 2374-8265


  17 in total

Review 1.  Acceptance- and mindfulness-based interventions for the treatment of chronic pain: a meta-analytic review.

Authors:  M M Veehof; H R Trompetter; E T Bohlmeijer; K M G Schreurs
Journal:  Cogn Behav Ther       Date:  2016-01-28

Review 2.  Yoga for chronic low back pain: a meta-analysis of randomized controlled trials.

Authors:  Susan Holtzman; R Thomas Beggs
Journal:  Pain Res Manag       Date:  2013-07-26       Impact factor: 3.037

3.  Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians.

Authors:  Amir Qaseem; Timothy J Wilt; Robert M McLean; Mary Ann Forciea; Thomas D Denberg; Michael J Barry; Cynthia Boyd; R Dobbin Chow; Nick Fitterman; Russell P Harris; Linda L Humphrey; Sandeep Vijan
Journal:  Ann Intern Med       Date:  2017-02-14       Impact factor: 25.391

4.  Pain Management: Assembling a Tool Kit, Building a Life.

Authors:  Kevin F Boehnke
Journal:  JAMA       Date:  2018-12-04       Impact factor: 56.272

5.  Chronic pain management in medical education: a disastrous omission.

Authors:  John D Loeser; Michael E Schatman
Journal:  Postgrad Med       Date:  2017-03-06       Impact factor: 3.840

Review 6.  How Good Intentions Contributed to Bad Outcomes: The Opioid Crisis.

Authors:  Teresa A Rummans; M Caroline Burton; Nancy L Dawson
Journal:  Mayo Clin Proc       Date:  2018-03       Impact factor: 7.616

Review 7.  Evidence-Based Evaluation of Complementary Health Approaches for Pain Management in the United States.

Authors:  Richard L Nahin; Robin Boineau; Partap S Khalsa; Barbara J Stussman; Wendy J Weber
Journal:  Mayo Clin Proc       Date:  2016-09       Impact factor: 7.616

8.  Complementary and alternative medicine education for medical profession: systematic review.

Authors:  Nana K Quartey; Polly H X Ma; Vincent C H Chung; Sian M Griffiths
Journal:  Evid Based Complement Alternat Med       Date:  2012-04-30       Impact factor: 2.629

9.  Prevalence of Chronic Pain and High-Impact Chronic Pain Among Adults - United States, 2016.

Authors:  James Dahlhamer; Jacqueline Lucas; Carla Zelaya; Richard Nahin; Sean Mackey; Lynn DeBar; Robert Kerns; Michael Von Korff; Linda Porter; Charles Helmick
Journal:  MMWR Morb Mortal Wkly Rep       Date:  2018-09-14       Impact factor: 17.586

10.  Curricular Development and Implementation of a Longitudinal Integrative Medicine Education Experience for Trainees and Health-Care Professionals at an Academic Medical Center.

Authors:  Susanne M Cutshall; Tejinder K Khalsa; Tony Y Chon; Sairey M Vitek; Stephanie D Clark; Debra L Blomberg; Rafid Mustafa; Anjali Bhagra
Journal:  Glob Adv Health Med       Date:  2019-04-01
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