The journal of alternative and complementary medicine : research on paradigm, practice, and policy
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This paper describes the reflective practice approach adopted at the University of Westminster School of Integrated Health and shows how critical reflection can be incorporated into the complementary therapies undergraduate curriculum.
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J Altern Complement Med · Oct 2003
An exploration of clinical teaching using a reflective method with adult students.
This paper explores aspects of clinical teaching in an acupuncture clinic in a university. The intentions of the study were to unearth the personal knowledge that underpins my teaching practice by revealing and illuminating the dissonance between espoused theories of adult education and theories-in-use. In a teaching clinic the complex interactions between the patient, the student and the teacher demand a flexible mix of being simultaneously patient-centered and student-centered, as well as teacher-centered.
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J Altern Complement Med · Apr 2003
Randomized Controlled Trial Multicenter Study Clinical TrialSafety and efficacy of a traditional herbal medicine (Throat Coat) in symptomatic temporary relief of pain in patients with acute pharyngitis: a multicenter, prospective, randomized, double-blinded, placebo-controlled study.
To investigate the safety and efficacy of Throat Coat) (Traditional Medicinals,) Sebastopol, CA), a traditional demulcent herbal tea, in comparison with a placebo tea in the symptomatic treatment of acute pharyngitis. ⋯ Compared to placebo, intensity of throat pain when swallowing was significantly reduced by Throat Coat in intention to treat and valid for efficacy analysis (VEA). Significant differences in change from baseline pain were observed at 5 min (p = 0.007), 10 min (p = 0.005), 15 minutes (p = 0.01), 20 minutes (p = 0.05), and 30 minutes (p = 0.04) after completion of the first dose (VEA analysis). There was a statistically significant improvement of SPID in the Throat Coat-treated group: Least square means +/- standard error of the means (SEM) of SPID were -16.5 +/- 13.9 in the placebo group and -43.8 +/- 11.9 in the Throat Coat-treated group (p = 0.012). TOTPAR was also significantly higher in the Throat Coat-treated group: Least square means +/- SEM of TOTPAR were 32.4 +/- 12.8 in the placebo group and 53.6 +/- 10.9 in the Throat Coat-treated group (p = 0.031). This study shows that Throat Coat is significantly superior to placebo and provided a rapid, temporary relief of sore throat pain in patients with pharyngitis.
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J Altern Complement Med · Dec 2002
ReviewBlending the boundaries: steps toward an integration of complementary and alternative medicine into mainstream practice.
Complementary and alternative medicine (CAM) is growing in popularity among patients traditionally seen in an allopathic setting. A literature review and information search was conducted to determine the trend in demand for and the availability of CAM in the United States. The results of major surveys show that there is an increase in the use of CAM in the United States. ⋯ In order to integrate CAM into the mainstream, there must be a coordinated effort among all the entities involved. Physicians need to be familiar with proven CAM therapies in order to advise patients about these modalities and the potential benefits and limitations. CAM practitioners should be licensed and regulated in scope of practice to provide a high standard of care, and be sufficiently educated in conventional medical science(s) in order to recognize how, where, and why their respective complementary practice is most effective for integration.