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Integration of complementary and alternative medicine in a major pediatric teaching hospital: an initial overview
Ellen Silver Highfield1, Mary C McLellan, Kathi J Kemper
1Center for Holistic Pediatric Education and Research, Division of General Pediatrics, Children's Hospital, Boston, MA 02115, USA. eshighfield@comcast.net
Insights
A multidisciplinary team offering complementary and alternative medicine (CAM) services and education was established in a pediatric hospital. This initiative successfully integrated CAM into clinical practice and medical training.
Area of Science:
- Pediatric integrative medicine
- Complementary and Alternative Medicine (CAM) education
- Healthcare systems integration
Background:
- Increasing use of pediatric complementary and alternative medicine (CAM).
- Limited development of CAM education programs for pediatric healthcare professionals.
- Need for structured CAM services within pediatric settings.
Purpose of the Study:
- To detail the establishment of a multidisciplinary CAM team at an urban pediatric hospital and medical school.
- To describe the integration of CAM clinical services and educational initiatives.
- To evaluate the impact of a dedicated CAM center in a pediatric academic environment.
Main Methods:
- Retrospective review of clinical consultation data.
- Analysis of educational program materials and delivery methods.
- Examination of team meeting minutes and scholarly publications.
Main Results:
- Over 5.5 years, more than 2100 consultations were provided across various CAM modalities (e.g., acupuncture, massage, biofeedback).
- Acupuncture and massage therapies were integrated into a Clinical Practice Guideline.
- Formal CAM education was delivered through diverse methods, including didactic sessions and clinical practice.
- CHPER faculty produced significant scholarly output, including 1 book and 64 articles.
Conclusions:
- An interdisciplinary team of CAM clinicians and educators can be successfully integrated into pediatric teaching hospitals.
- This integration facilitates the provision of CAM medical education and clinical services.
- The model demonstrates the feasibility of establishing comprehensive CAM programs within academic pediatric centers.
Objective:
To describe the establishment of a multidisciplinary team of complementary and alternative medicine (CAM) providers and educators in an urban pediatric hospital and affiliated medical school.
Background:
Pediatric CAM use is increasing. Physicians are interested in CAM-related education but few programs had been developed in pediatrics. In 1998, Children's Hospital Boston established the Center for Holistic Pediatric Education and Research (CHPER), a CAM multidisciplinary team providing clinical services, education, and research.
Method:
A retrospective review describing data from patient consultation notes, CAM lectures, clinical practice guidelines, curriculum materials, team meeting minutes, and team member manuscripts and publications.
Results:
Over 5.5 years, CHPER staff provided over 2100 consults: acupuncture, massage, holistic pediatrician, relaxation therapies, biofeedback, hypnosis, and bio-pharmaceutics. Acupuncture and massage therapies were incorporated into a Clinical Practice Guideline. Formal education was delivered through didactic sessions, workshops, self-learning modules, clinical observation, and clinical practice. CHPER faculty published 1 book and 64 articles on CAM-related topics.
Conclusion:
An interdisciplinary team of CAM clinicians and educators can be integrated into an urban pediatric teaching hospital to provide CAM medical education and clinical services.
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