building bridges qualitative assessment of a clinical faculty exchange between a naturopathic and an...
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Building BridgesQualitative Assessment of a Clinical Faculty Exchange between a Naturopathic and an Allopathic Medical Training Program
Bastyr UniversityNaturopathic Physician Research Education Project (N-PREP)
Rachelle McCarty ND MPH
Clinical Exchange Goals
To provide Bastyr faculty an opportunity to observe how evidence-based medicine (EBM) is performed at the University of Washington (UW), and UW faculty to model EBM to Bastyr students at Bastyr Center for Natural Health (BCNH)
Foster integrative medicine at both clinics
Program Overview Administrative support for observation
agreements (immunization/TB updates, background checks, approval signatures, name badges)
Bastyr faculty observe four hours weekly at UW for three months
UW faculty observe once monthly at BCNH
Faculty schedule shifts themselves
Program Evaluation - NDs All Bastyr faculty completed written evaluation
to determine if program goals were met: EBM observed change teaching/practice impediments to EBM at BCNH satisfaction with program
Based on informal feedback, added Qualitative Assessment: 2 one-hour focus groups, individual structured interviews
Four Questions What did you take, if anything, from the clinical
exchange experience beyond what was specified in the grant?
How are you using and implementing these ideas and experiences?
Were there any other unexpected benefits in the areas of teaching, administrative processes or clinical practice? If so, what were these specifically?
What additional comments, suggestions or recommendations do you have for future clinical exchanges?
Methods and Results 53% of core clinical faculty (22% of all
clinical faculty) completed a clinical exchange between October 2007 and July 2010
Nine participated in either a focus group or a structured personal interview
Two independent manual content analyses of transcribed notes yielded eight major themes
Consensus by team results in six final categories
Six Themes Integrating EBM into ND Clinical Teaching Strengthening of Professional
Relationships Exposure to Clinical Experiences outside
the Usual ND Scope Reaffirmation of Naturopathic Training and
Profession Observation of Clinical and Administrative
Resources Recommendations for Future Clinical
Exchanges
National Center for Complementary and Alternative MedicineNational Institutes of HealthU.S. Department of Health and Human Serviceswww.nccam.nih.gov
This work was supported by a grant from
Team Robin Fenn PhD Barak Gaster MD Wendy Weber ND PhD MPH Jane Guiltinan ND Manuscript accepted to EXPLORE: The
Journal of Science and Healing