Guest guest Posted November 2, 2003 Report Share Posted November 2, 2003 , " " <@h...> wrote: > I think this kind of stuff is very worth talking about... > > my minimal 2 cents... let's keep these types of inquires going... > What are the diagnostic standards of our field. I would argue that the standards are out there in the english language literature, but there is still an issue of less rigorous work being given equal footing to more rigorous work in the classroom. Thus the matter becomes confused when it should not be confusing at all. So let's be clear, the web cannot be used as an authoritative source. Neither can Giovanni's work, IMO. However with all that paradigm, BP, eastland and churchill-livingstone have pumped out, the data is there. If we are talking about education in what Flaws calls standard professional CM, then works or monographs that are direct translations from the chinese should form the core material. This would mean materia medica, basic theory, shang han lun, wen bing, formulas, diagnosis, internal medicine and specialties. I believe all this literature exists in the english language in wiseman translation. While there is a whole host of additional literature that is clearly not available in english, that material is not core. What is lacking are case studies and access to journals. It is for both this additional material, especially the access to modern research, that I choose to study chinese. However I do not think the inability to access this latter material impedes one's ability to be an effective and safe GP. Arguably, the modern internal medicine books are the consensus formed from many sources, including the classical case study literature and modern research. I know many chinese teachers who will say that you never need to go beyond your standard formulas and your knowledge of materia medica in order to prescribe effectively. This other material I find to be of interest more for academic design or research - important endeavors, but not the stuff of daily practice. BTW, the official position of PCOM and the CCAOM is that the master's program should remain basically as it is regarding curriculum and the second tier doctorate should be the place where one focuses on these " loftier " matters. Thus chinese is required at that level. The reasonis that ther eis no perceived public need to up the entry level requirements any further. As to how one can gauge whether acupuncture/CM as currently practiced is effective, we can look to what an actual representative survey done by the NCCAOM showed. While there are many measures of clinical success, certainly patient satisfaction must be high among them. Well, 82% of patients got some degree of satisfaction, with almost 1/2 being extremely or very satisfied. The study is reported at http://www.acupuncturetoday.com/archives2003/jan/01nccaomsurvey.html More disturbing was the makeup of our patient population, with only 1% being for GYN and 3% for RESP. We have a lot of education of the public to do. Oh, in case anyone thinks I didn't notice that that the high satisfaction rate may be tied to the type of complaints treated - neuromuscular - I did. However the study also said that 20 million americans have gotten treated with CM. If 1% of those for GYN complaints, that's still 200,000 cases. We don't know whether internal med cases were more or less satisfied than external med cases, but there are still sufficient numbers to draw some conclusions. The study was conducted for the NCCAOM and they have no reason to be biased in this matter anyway. If their diplomates tunred out to be unsatisfacotry, they could have just upped the ante with more or specific CEUs or some such thing. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 2, 2003 Report Share Posted November 2, 2003 The same percentages were reported in a study by the state of Washington on alternative medicine. Acupuncture/Chinese medicine got an 85% satisfaction rate. On Nov 2, 2003, at 5:18 PM, wrote: > As to how one can > gauge whether acupuncture/CM as currently practiced is effective, we > can look > to what an actual representative survey done by the NCCAOM showed. > While > there are many measures of clinical success, certainly patient > satisfaction must > be high among them. Well, 82% of patients got some degree of > satisfaction, > with almost 1/2 being extremely or very satisfied. The study is > reported at > http://www.acupuncturetoday.com/archives2003/jan/01nccaomsurvey.html Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 2, 2003 Report Share Posted November 2, 2003 If we are talking about education in what Flaws calls standard professional CM, then works or monographs that are direct translations from the chinese should form the core material. >>>Which versions? alon Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 2, 2003 Report Share Posted November 2, 2003 We don't know whether internal med cases were more or less satisfied than external med cases, >>>One thing we know from biomed research is patient satisfaction as nothing to do with outcome. alon Quote Link to comment Share on other sites More sharing options...
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