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The Future, was Qi Again

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<<< I think a far

better way to influence schools and accreditation

committees and other organizations in the field

would be if signficant numbers of

the membership of the community turned up

demanding to be more well educated themselves

and to see the standards raised along the

lines that we've been discussing.Of course the schools would pay

attention. As they carefully monitor what the market

will bear. The whole field, the whole

phenomenon of the growth of Chinese medicine

is, as was recently pointed out, a grass

roots movement. I've been saying for months

now that I want to wage a grass roots

campaign to increase literacy of Chinese

medical language and literature on the

part of students and practitioners.>>>

 

 

 

A grass roots movement would be chaotic and unpredictable; after

all, that's what first brought us to the situation we are talking

about changing. And, considering the poor sales reported by COMP

publishers, the demand for increased literacy isn't that strong

either. Therefore, how much less interested in more work would those

new students be who think of it only as a trade, and are not

strongly motivated by emotional factors like the primary generation.

How long are you willing to wait for this interest to grow? I think

a top-down approach---position paper, political efforts to raise

standards, etc.---would be more effective.

 

 

<<I'm willing to and have every intention

to cooperate with any school that wants

to see such a program go forward. I don't

praticularly want to devote a great deal

of time or attention to political wrangling,

as I think it misses the point.>>

 

I grew up in Chicago, so I think these situations are mostly

political wrangling. If intellectual idealism was a real motivation,

your position's success would be a foregone conclusion. I suspect

our current system of national organizations and schools prefer to

preserve the status quo and adapt only very slowly. Again, it

becomes a condition of how long you are willing to wait?

 

This type of forum is uniquely suited to present intellectual

positions, debate issues, arrive at a consensus, and speak out

because it is not tied to a already determined political/business

agenda. And, it fits your criteria in that it is the very method

where " signficant numbers of the membership of the community turned

up demanding to be more well educated themselves and to see the

standards raised along the lines that we've been discussing. "

 

 

Jim Ramholz

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Jim,

 

I don't see the two approaches as being

mutually exclusive, rather mutually

reinforcing. As I said, I don't discredit

the idea of a consensus statement.

 

For me, the objective remains what's going

on in people's minds.

 

If you and other want to draft a position

paper, I'm happy to contribute and as editor

of an international journal, I can offer

an additional place where it can be

published.

 

There are five or six papers in the forthcoming

issue of CAOM that relate to such an initiative.

They are the first summaries from a meeting

organized by Steve Birch and co-sponsored by

CAOM that was held last July in the UK to

discuss the design of clinical trials for

acupuncture. I believe the target we've been

describing, i.e. increased access to the knowledge

base of traditional Chinese medicine, can

be addressed from many perspective. And I

think the development of sensible criteria

for the design of studies is one important

area that can move the whole field into

a more well grounded posture.

 

We're also pursuing this from a more

theoretical perspective with a number of

papers on the relationship between complexity

and Chinese medicine will appear in the

June issue.

 

A position paper from CHA on educational

guidelines would be a welcome addition

this series of publications. Perhaps it

can be placed on the agenda for the upcoming

CHA conference and published as a report

on the proceedings.

?

 

Ken

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, " dragon90405 " <yulong@m...> wrote:

 

>

> A position paper from CHA on educational

> guidelines would be a welcome addition

> this series of publications.

 

I think the fact that I am an educational insider precludes me from

actually writing an impartial piece on this subject or at least it

would be perceived as biased. However I would welcome others who wish

to do this to submit it to this forum for debate. On paper, I think

current academic standards are actually adequate. I see no way how

chinese language could be incorporated at the master's level other

than making it a prereq. There is certainly no more room for

additional training in classics or internal medicine in 3200 hours and

nothing in the program is extraneous filler, IMO. Right now at PCOM,

we are working on insuring that what is learned in class can actually

be put to use in clinic. My main concern is thus setting up standards

by which to rigorously assess clinical competency. Some of us are

already requiring students to prescribe herbs in clinic, a task which

has been largely voluntary in other intern clinics in which I have

worked. So far, I have been presently surprised. When push comes to

shove, my students are performing very well in this area, an area

where they have lacked confidence in the past. So far, I note:

 

1. you need to practice the skill or you will never learn it

 

2. you need to get postive support for clear thinking and any

semblance of correct prescribing

 

3. you need to be corrected for any errors and shown how to rectify

the formula

 

4. there needs to be some formal structure and minimum requirements

to accomplish these tasks.

 

 

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>

> 1

There is certainly no more room for

> additional training in classics or internal medicine in 3200 hours and

> nothing in the program is extraneous filler, IMO.

 

 

I think that is highly debatable...

 

-Jason

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Right now at PCOM,we are working on insuring that what is learned in class can actuallybe put to use in clinic.

>>>And that is were it should be

Alon

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