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Development and validation of the ADVANCER framework for naturopathic education and practice: A delphi study
1National Centre for Naturopathic Medicine, Southern Cross University, Lismore, NSW, Australia.
A new framework, Advancing Naturopathic Education and Practice (ADVANCER), was developed to bridge the gap between naturopathic education and clinical practice. International experts validated its domains, definitions, and outcomes, showing strong consensus.
Area of Science:
- Naturopathic Medicine
- Medical Education
- Health Professions Education
Background:
- The education-practice gap in naturopathic medicine remains a significant challenge.
- A structured framework is needed to align naturopathic medicine education with clinical practice.
- This framework can guide curriculum development and clinical decision-making.
Purpose of the Study:
- To develop, refine, and validate the Advancing Naturopathic Education and Practice (ADVANCER) framework.
- To create a bridge between naturopathic education and clinical practice.
Main Methods:
- Literature review and website scoping identified key constructs for the ADVANCER framework.
- Constructs were organized into ten domains with defined teaching and clinical outcomes.
- A two-round e-Delphi method with international experts refined and validated the framework.
Main Results:
- Sixteen international experts participated in the e-Delphi study.
- Initial consensus was high, with nine of ten domains rated as very or extremely important.
- After revisions, 90% of participants rated all ten domains, definitions, and outcomes as very or extremely important, indicating consensus.
Conclusions:
- The ADVANCER framework is conceptually sound and adaptable across diverse settings.
- Further research is needed to assess the feasibility, effectiveness, and sustainability of implementing the ADVANCER framework.
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