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Integrative Medicine Residency

Scholarly Activity in Integrative Medicine

Academic Work

In addition to the examples of recent academic work coming out of this program listed below, our Fellows teach in Maine Medical Center ’s highly regarded annual integrative medicine summer elective rotation, “Finding Health in Maine.” This program attracts medical students from across the country and focuses on integrative medicine, culture and medicine, evidence based medicine as well as leadership skills for advancing the field, self-care and wellness. 

Wissink, T. Schneider, C. Integrative Medicine in Musculoskeletal Injuries. Maine Medical Center Sports Medicine Program. Portland , ME. April 2008.

Schneider, C. Wissink, T. Complementary and Integrative Approaches to Irritable Bowel Syndrome. Maine Academy of Family Physicians. South Portland , ME .April 2008.

Schneider, C. Wissink, T. Navigating Useful On-line Resources in Integrative Medicine. Maine Academy of Family Physicians. South Portland , ME.April 2008.

Schneider, C. Wissink, T. Dietary Supplements in Pediatrics. Maine Medical Center Family Medicine Residency Program. Portland , ME. March 2008.

Schneider, C. Wissink, T. Cassia cinnamon in diabetes mellitus type 2. Alternative Medicine Alert-the clinician's evidence based guide to complementary therapies. 2008;11(2): 13-24

Wissink, T. Integrative Approach to Headaches, Maine Medical Center Family Medicine Residency Program , Portland , ME.   January 2008

Schneider, C. Segre, T. Green Tea. American Family Physician. Submitted for publication, accepted pending revisions.

Wissink, T, Schneider, C. Integrative approaches to Major Depressive Disorder. Family Medicine Grand Rounds, Maine Medical Center , Portland , ME. November 2007.

Wissink, T. Integrative Approach to Irritable Bowel Syndrome, Barron Center , Portland , ME. Septemper 2007.

Schneider, C. Caring for you as you care for patients. MaineHealth Learning Community:  Improving Care Across Conditions.  Practice Improvement Series Meeting (PRISM).  Freeport , Maine September 2007.

Kligler,B. Maizes, V. Koithan M. Hay, M. Schneider, C. Lebensohn, P. Hadley, S.  Competency-BasedRresidency Evaluation Tools For Integrative Medicine Training in Family Medicine residency: A pilot study. BMC Medical Education 2007, 7:7

Segre, T. Schneider, C. American Ginseng (Panax quinquefolius) for Upper Respiratory Tract Infections. Alternative Medicine Alert-the clinician’s evidence-based guide to complementary therapies. 2007;10(3): 25-28.

Segre, T. Integrative Approach to the Common Cold.  Grand Rounds, Maine Medical Center Department of Family Medicine, Portland , ME. January 2007.

Segre T.  Schneider . Lovett, E. Wissink T. Integrative Family Medicine : The Maine Medical Center Experience. Northeast Society of Teachers of Family Medicine, Danvers , MA . Fall 2006.

Lovett, E. Segre T. Osteopathic Manual Medicine. Hands on Training for Family Medicine Residents.  Maine Medical Center PGY-2 class. Portland , ME. September 2006.

Dr. Segre attended Maine Medical Center research training conference focused on young investigators. September 2006

Lovett, E. Integrative Family Medicine. University of New England, MS1 Class. Biddeford , ME. September 2006.

Segre, T. Integrative Approaches to the Treatment of Mood Disorders. Grand Rounds, Maine Medical Center Department of Family Medicine, Portland , ME. July 2006.

Lovett, E. Integrative Approach to Hyperlipidemia. Central Maine Medical Center , Department of Family Medicine. Lewiston , ME. June 2006.

Lovett, E. Integrative Approach to Rheumatology. Maine Medical Center Department of Family Medicine.  Portland , ME. April 2006.

Schneider, C. Lovett, E,  St. John’s Wort for the Treatment of Depression: An Update.  Alternative Medicine Alert-the clinician’s evidence-based guide to complementary therapies.  2005; 8(9): 97-103.

Schneider CD. Lovett E: Integrative Approaches to Depression.  In Rakel DP: Complementary Therapeutics in Medical Practice, Philadelphia , WB Saunders, 2nd Edition, 2007.

Maizes, V. Silverman, H. Lebensohn, P. Koithan, M. Kligler, B. Rakel, D. Schneider, C. Kohatsu, W, Hayes, M. Weil, A. The Integrative Family medicine Program: An Innovation in Residency Education. Academic Medicine. 2006;81(6): 583-589.

Schneider, C. Cartwright, C. Integrative Medicine in Family Medicine Residency. Evidence Based Integrative Medicine 2005(6); 2(3): 177-183. 

Integrative Medicine Attitude Questionnaire (IMAQ) Research Plan

The purpose of this study is to utilize a validated and reliable questionnaire to assess attitudes of Family Practice residents and faculty toward integrative, complementary and alternative medicine (IM/CAM). Interest in this approach to medicine is increasing around the country, and has been accompanied by the development of related course work in most medical schools, and some residency programs. 1 2 3 It will be instructive to determine baseline differences in attitudes between residents and faculty at the various residency programs throughout our state and to monitor for changes in those attitudes as curricular interventions are introduced. The Maine Medical Center Family Practice Residency Program (MMCFPRP) has received an NIH/NCCAM - National Centers for Complementary and Alternative Medicine grant to explore the introduction of CAM into a family practice residency program. Our curricular innovations were introduced beginning in 2002. Measuring the impact of these interventions on resident and faculty attitudes over time may guide institutions in modifying curricula to meet their needs.

This is a descriptive study whose aim is to compare responses on the study questionnaire of Family Practice residents and faculty across the state. We will collect baseline data at all sites prior to the implementation of curricular changes at MMCFPRC. Our hypothesis is that an experiential and evidence-based curriculum will generate more positive attitudes toward IM/CAM. If our hypothesis is confirmed, further studies might investigate the impact of similar curricular change at other residency programs.

The study questionnaire has been previously administered in other medical settings. Factor analysis demonstrated that a 2 factor solution best explained the variance in responses (38.2%). Factor 1 ("openness to new ideas and paradigms") explained 26.2% of variance with loadings ranging from 0.79 to 0.3, with factor 2 ("value of both introspection and relationship to patient") contributing an additional 12% of the explained variance with loadings ranging from 0.69 to 0.42.

Our analysis of the initial data will be descriptive. The questionnaire will be scored according to instructions from the developers.4 We will use t test to assess for any differences in baseline attitudes and either t- tests orand chi-square tests to measurefor differences in demographics characteristics between the intervention and control sites and t-tests to assess differences in mean baseline attitude scores. We will use paired t-tests analysisto look atassess change in score from baseline to follow-up administration of the questionnaire at the intervention site. Our choice of which paired test to use will be based on the distribution of changes we find. Differences in changes in attitudes from baseline to follow-up in intervention and control groups will be compared using t-tests.

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1 Eisenberg DM, Davis RB, Ettner SL, Appel S, Wiley S, Van Rompay M, Kessler, RC. Trends in alternative medicine use in the United States, 1990-97. JAMA. 1998;280(18):1569-75.

2 Battacharya B. programs in the United States with complementary and alternative medical education opportunities: an ongoing listing. J. Altern Compl Med. 2000;6:77-90.

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. Family Medicine. 32(1):30-3,2000 Jan.

4 Schneider CD. Meek PM. Bell IR. Development and validation of IMAQ:Integrative Medicine Attitude Questionnaire. Presented at Harvard/UCSF International Conference on CAM/IM research, San Francisco, CA May 2001.

 

 

 

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