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Integrative Medicine in Preventive Medicine Education: Implementation Analysis
Dee Burton1, Jennifer Trask2, Irene Sandvold3
1Center for Health, Media and Policy, Hunter College, City University of New York, New York, New York.
Preventive medicine residency programs successfully increased integrative medicine (IM) activities by 50% over two years. Rotations and online training were key to resident competency, though faculty participation and perceived evidence remain challenges.
Area of Science:
- Medical Education
- Preventive Medicine
- Integrative Medicine
Background:
- Integrative Medicine (IM) offers a holistic approach to health and wellness.
- Preventive medicine residency programs are crucial for training future public health leaders.
- Integrating novel medical approaches into established curricula presents unique challenges.
Purpose of the Study:
- To assess the implementation of integrative medicine (IM) competencies in preventive medicine residency programs.
- To identify facilitators and barriers to integrating IM into graduate medical education.
- To evaluate the impact of a 2-year project on IM training in preventive medicine.
Main Methods:
- Analysis of progress reports, curriculum mapping, and webinar participation.
- Semi-structured interviews with project leaders from 12 residency programs.
- Assessment of achievements and challenges in incorporating IM competencies and faculty development.
Main Results:
- A 50% increase in IM activities offered to residents was observed.
- Existing local IM resources and resident rotations were key facilitators.
- Online training proved more effective for knowledge acquisition than lectures; faculty development varied in effectiveness.
- Perceived lack of evidence for IM acted as a barrier at some sites.
Conclusions:
- Preventive medicine residency programs can successfully integrate IM, with rotations and online learning being highly valued.
- Facilitators include leveraging existing resources, while barriers involve faculty engagement and perceived evidence.
- Sustainability of IM programs post-funding is expected but may require reduced intensity due to time constraints.
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