Electives in complementary medicine: are we preaching to the choir?
Identifieur interne : 000255 ( Main/Exploration ); précédent : 000254; suivant : 000256Electives in complementary medicine: are we preaching to the choir?
Auteurs : Kathi J. Kemper [États-Unis] ; Deborah Larrimore ; Jean Dozier ; Charles WoodsSource :
- Explore (New York, N.Y.) [ 1550-8307 ] ; 2005.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Attitude du personnel soignant (MeSH), Compétence clinique (MeSH), Connaissances, attitudes et pratiques en santé (MeSH), Enquêtes et questionnaires (MeSH), Enseignement médical premier cycle (organisation et administration), Femelle (MeSH), Humains (MeSH), Mâle (MeSH), Programme d'études (normes), Thérapies complémentaires (enseignement et éducation), Toucher thérapeutique (MeSH), Études transversales (MeSH), Étudiant médecine (statistiques et données numériques).
- MESH :
- enseignement et éducation : Thérapies complémentaires.
- normes : Programme d'études.
- organisation et administration : Enseignement médical premier cycle.
- statistiques et données numériques : Étudiant médecine.
- Adulte, Attitude du personnel soignant, Compétence clinique, Connaissances, attitudes et pratiques en santé, Enquêtes et questionnaires, Femelle, Humains, Mâle, Toucher thérapeutique, Études transversales.
English descriptors
- KwdEn :
- Adult (MeSH), Attitude of Health Personnel (MeSH), Clinical Competence (MeSH), Complementary Therapies (education), Cross-Sectional Studies (MeSH), Curriculum (standards), Education, Medical, Undergraduate (organization & administration), Female (MeSH), Health Knowledge, Attitudes, Practice (MeSH), Humans (MeSH), Male (MeSH), Students, Medical (statistics & numerical data), Surveys and Questionnaires (MeSH), Therapeutic Touch (MeSH).
- MESH :
- education : Complementary Therapies.
- organization & administration : Education, Medical, Undergraduate.
- standards : Curriculum.
- statistics & numerical data : Students, Medical.
- Adult, Attitude of Health Personnel, Clinical Competence, Cross-Sectional Studies, Female, Health Knowledge, Attitudes, Practice, Humans, Male, Surveys and Questionnaires, Therapeutic Touch.
Abstract
CONTEXT
Many medical schools offer electives on complementary medicine, but little is known about the characteristics of students who sign up for such electives compared with those who do not.
OBJECTIVE
Compare enrollees to nonenrollees in an elective course on therapeutic touch and healing touch (TTHT).
DESIGN
Cross-sectional survey.
SETTING
Wake Forest University School of Medicine, second-year course on medicine as a profession.
SUBJECTS
Second-year medical students who returned surveys: 22 who signed up for an elective on TTHT and 58 who did not.
INSTRUMENT
Anonymous surveys included questions about demographics, attitudes, practices, and the Maslach Burnout Inventory (MBI).
RESULTS
Those who signed up for the elective were more likely to be women (73% for TTHT vs 33% for others, P < .01). Nearly all students thought that being centered and compassionate were very important. Students who signed up for TTHT were less likely to report feeling confident in being able to be centered when it was quiet (41% vs 64%, respectively, very confident, P < .04) and less confident in their ability to demonstrate nonverbal comforting behaviors (9% vs 43%, respectively, very confident, P = .02). Only 18% of elective vs 66% of others reported being centered during patient encounters (P < .001). The TTHT students and their classmates reported comparable levels of burnout.
CONCLUSIONS
Elective students were no more likely than classmates to believe that it is very important to be centered and to extend compassion toward patients; they reported being less confident and practicing these skills less often than their classmates. Burnout was not less common among those in the elective. Electives may not be "preaching to the choir." Future studies need to determine whether training enhances confidence and skills and whether it protects against developing burnout.
DOI: 10.1016/j.explore.2005.08.011
PubMed: 16781590
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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<author><name sortKey="Kemper, Kathi J" sort="Kemper, Kathi J" uniqKey="Kemper K" first="Kathi J" last="Kemper">Kathi J. Kemper</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Pediatrics, Family and Community Medicine, and Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC, USA. kkemper@wfubmc.edu</nlm:affiliation>
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<author><name sortKey="Larrimore, Deborah" sort="Larrimore, Deborah" uniqKey="Larrimore D" first="Deborah" last="Larrimore">Deborah Larrimore</name>
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<author><name sortKey="Dozier, Jean" sort="Dozier, Jean" uniqKey="Dozier J" first="Jean" last="Dozier">Jean Dozier</name>
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<author><name sortKey="Woods, Charles" sort="Woods, Charles" uniqKey="Woods C" first="Charles" last="Woods">Charles Woods</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term>
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<term>Complementary Therapies (education)</term>
<term>Cross-Sectional Studies (MeSH)</term>
<term>Curriculum (standards)</term>
<term>Education, Medical, Undergraduate (organization & administration)</term>
<term>Female (MeSH)</term>
<term>Health Knowledge, Attitudes, Practice (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Students, Medical (statistics & numerical data)</term>
<term>Surveys and Questionnaires (MeSH)</term>
<term>Therapeutic Touch (MeSH)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term>
<term>Attitude du personnel soignant (MeSH)</term>
<term>Compétence clinique (MeSH)</term>
<term>Connaissances, attitudes et pratiques en santé (MeSH)</term>
<term>Enquêtes et questionnaires (MeSH)</term>
<term>Enseignement médical premier cycle (organisation et administration)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Programme d'études (normes)</term>
<term>Thérapies complémentaires (enseignement et éducation)</term>
<term>Toucher thérapeutique (MeSH)</term>
<term>Études transversales (MeSH)</term>
<term>Étudiant médecine (statistiques et données numériques)</term>
</keywords>
<keywords scheme="MESH" qualifier="education" xml:lang="en"><term>Complementary Therapies</term>
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<keywords scheme="MESH" qualifier="enseignement et éducation" xml:lang="fr"><term>Thérapies complémentaires</term>
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<keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Programme d'études</term>
</keywords>
<keywords scheme="MESH" qualifier="organisation et administration" xml:lang="fr"><term>Enseignement médical premier cycle</term>
</keywords>
<keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Education, Medical, Undergraduate</term>
</keywords>
<keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Curriculum</term>
</keywords>
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<term>Attitude du personnel soignant</term>
<term>Compétence clinique</term>
<term>Connaissances, attitudes et pratiques en santé</term>
<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
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<front><div type="abstract" xml:lang="en"><p><b>CONTEXT</b>
</p>
<p>Many medical schools offer electives on complementary medicine, but little is known about the characteristics of students who sign up for such electives compared with those who do not.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<p>Compare enrollees to nonenrollees in an elective course on therapeutic touch and healing touch (TTHT).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>DESIGN</b>
</p>
<p>Cross-sectional survey.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>SETTING</b>
</p>
<p>Wake Forest University School of Medicine, second-year course on medicine as a profession.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>SUBJECTS</b>
</p>
<p>Second-year medical students who returned surveys: 22 who signed up for an elective on TTHT and 58 who did not.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>INSTRUMENT</b>
</p>
<p>Anonymous surveys included questions about demographics, attitudes, practices, and the Maslach Burnout Inventory (MBI).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Those who signed up for the elective were more likely to be women (73% for TTHT vs 33% for others, P < .01). Nearly all students thought that being centered and compassionate were very important. Students who signed up for TTHT were less likely to report feeling confident in being able to be centered when it was quiet (41% vs 64%, respectively, very confident, P < .04) and less confident in their ability to demonstrate nonverbal comforting behaviors (9% vs 43%, respectively, very confident, P = .02). Only 18% of elective vs 66% of others reported being centered during patient encounters (P < .001). The TTHT students and their classmates reported comparable levels of burnout.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>Elective students were no more likely than classmates to believe that it is very important to be centered and to extend compassion toward patients; they reported being less confident and practicing these skills less often than their classmates. Burnout was not less common among those in the elective. Electives may not be "preaching to the choir." Future studies need to determine whether training enhances confidence and skills and whether it protects against developing burnout.</p>
</div>
</front>
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<Abstract><AbstractText Label="CONTEXT" NlmCategory="BACKGROUND">Many medical schools offer electives on complementary medicine, but little is known about the characteristics of students who sign up for such electives compared with those who do not.</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Compare enrollees to nonenrollees in an elective course on therapeutic touch and healing touch (TTHT).</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">Cross-sectional survey.</AbstractText>
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<AbstractText Label="SUBJECTS" NlmCategory="METHODS">Second-year medical students who returned surveys: 22 who signed up for an elective on TTHT and 58 who did not.</AbstractText>
<AbstractText Label="INSTRUMENT" NlmCategory="METHODS">Anonymous surveys included questions about demographics, attitudes, practices, and the Maslach Burnout Inventory (MBI).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Those who signed up for the elective were more likely to be women (73% for TTHT vs 33% for others, P < .01). Nearly all students thought that being centered and compassionate were very important. Students who signed up for TTHT were less likely to report feeling confident in being able to be centered when it was quiet (41% vs 64%, respectively, very confident, P < .04) and less confident in their ability to demonstrate nonverbal comforting behaviors (9% vs 43%, respectively, very confident, P = .02). Only 18% of elective vs 66% of others reported being centered during patient encounters (P < .001). The TTHT students and their classmates reported comparable levels of burnout.</AbstractText>
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