medigraphic.com
SPANISH

MEDICC Review

ISSN 1527-3172 (Electronic)
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2008, Number 1

<< Back Next >>

MEDICC Review 2008; 10 (1)

Natural and Traditional Medicine in Cuba: Lessons for U.S. Medical Education

Appelbaum D, Kligler B, Barrett B, Frenkel M, Guerrera MP, Kondwani KA, Lee BB, Tattelman E
Full text How to cite this article

Language: English
References: 10
Page: 43-48
PDF size: 158.59 Kb.


Key words:

No keywords

ABSTRACT

The Institute of Medicine’s (IOM’s) Academy of Science has recommended that medical schools incorporate information on CAM (complementary and alternative medicine) into required medical school curricula so that graduates will be able to competently advise their patients in the use of CAM. The report states a need to study models of systems that integrate CAM and allopathic medicine. The authors present Cuba’s health care system as one such model and describe how CAM (or natural and traditional medicine) is integrated into all levels of clinical care and medical education in Cuba. The authors examine the Cuban medical school curriculum in which students, residents, and practicing physicians are oriented in the two paradigms of CAM and allopathic medicine. Only health professionals are permitted to practice CAM in Cuba; therefore, Cuba’s medical education curriculum incorporates not only teaching about CAM, but it also teaches basic CAM approaches and clinical skills. Both the theory and practice of CAM are integrated into courses throughout the six-year curriculum. Similarities and differences between the U.S. and Cuban approaches to CAM are examined, including issues of access and cost, and levels of acceptance by the medical profession and by the public at large in both countries. The authors conclude that there is potentially much to learn from the Cuban experience to inform U.S. medical educators and institutions in their endeavors to comply with the IOM recommendations and to incorporate CAM into medical school curricula. Acad Med. 2006; 81:1098–1103.


REFERENCES

  1. Institute of Medicine Committee on the Use of Complementary and Alternative Medicine. Complementary and Alternative Medicine in the United States. Washington, DC: National Academy of Sciences, January 2005.

  2. Wetzel MS, Eisenberg DM, Kaptchuk TJ. Courses involving complementary and alternative medicine at U.S. medical schools JAMA. 1998;280:784–787.

  3. Kligler B, Gordon A, Stuart M, Sierpina V. Suggested curriculum guidelines on complementary and alternative medicine: recommendations of the Society of Teachers of Family Medicine Group on Alternative Medicine. Fam Med. 2000;32:30–33.

  4. Kligler B, Maizes V, Schachter S, et al. Education Working Group, Consortium of Academic Health Centers for Integrative Medicine. Core competencies in integrative medicine for medical school curricula: a proposal. Acad Med. 2004;79:521–531.

  5. Vinas MP. History of NTM in Cuba. Presented at the National School of Public Health, Havana, Cuba, January 2005.

  6. Pan American Health Organization. Health Situation in the Americas: Basic Indicators. Washington DC: PAHO; 2004.

  7. Haddad J. Cuba. In: Fried BJ, Gaydos LM, eds. World Health Systems. Washington, DC; 2002.

  8. Eisenberg DM, Davis R, Ettner S, et al. Trends in alternative medicine use in the United States, 1990–1997. JAMA. 1998;280: 1569–1575.

  9. Kaptchuk TJ, Miller FG. What is the best and most ethical model for the relationship between mainstream and alternative medicine: opposition, integration, or pluralism? Acad Med. 2005;80:286–290.

  10. Berman BM, Lao L, Langenberg P, Lee WL, Gilpin AM, Hochberg MC. Effectiveness of acupuncture as adjunctive therapy in osteoarthritis of the knee: a randomized, controlled trial. Ann Intern Med. 2004;141: 901–91.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

MEDICC Review. 2008;10