Evidence map›Paper›PMID 34414016›Full record

ArticleGlobal advances in health and medicine2021

Integrative Medicine in General Practice in Australia: A Mixed-Methods Study Exploring Education Pathways and Training Needs.

Carolyn Ee, Kate Templeman, Amy Forth, Vicki Kotsirilos, Gillian Singleton, Gary Deed, Shamieka Dubois, Marie Pirotta, Joanna Harnett, Stephen Myers and 1 more

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In one paragraph

Article in Global advances in health and medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Carolyn EeNICM Health Research Institute, Western Sydney University, Penrith, New South Wales, Australia.ORCID https://orcid.org/0000-0002-3363-9199
Kate TemplemanNICM Health Research Institute, Western Sydney University, Penrith, New South Wales, Australia.
Amy ForthNICM Health Research Institute, Western Sydney University, Penrith, New South Wales, Australia.
Vicki KotsirilosNICM Health Research Institute, Western Sydney University, Penrith, New South Wales, Australia.
Gillian SingletonFellowship Pathways, The Royal Australian College of General Practitioners, East Melbourne, Victoria, Australia.
Gary DeedMediwell Clinic, Brisbane, Queensland, Australia.
Shamieka DuboisNICM Health Research Institute, Western Sydney University, Penrith, New South Wales, Australia.
Marie PirottaDepartment of General Practice, The University of Melbourne, Melbourne, Victoria, Australia.
Joanna HarnettFaculty of Medicine and Health, The University of Sydney School of Pharmacy, Camperdown, New South Wales, Australia.ORCID https://orcid.org/0000-0001-9904-2144
Stephen MyersNICM Health Research Institute, Western Sydney University, Penrith, New South Wales, Australia.ORCID https://orcid.org/0000-0002-4510-9945
Jennifer HunterNICM Health Research Institute, Western Sydney University, Penrith, New South Wales, Australia.ORCID https://orcid.org/0000-0002-6109-9134

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlobally, a substantial proportion of general practitioners (GPs) incorporate integrative medicine (IM) into their clinical practice.

objectiveThis study aimed to map the IM education and training pathways and needs of a cohort of Australian GPs who are members of the Royal Australian College of General Practitioners' IM Specific Interest Network, which is a group of GPs with interest in IM.

methodsWe conducted a mixed-methods study comprising of an online, cross-sectional survey supplemented with in-depth semi-structured interviews. Data from the survey and interviews were initially analysed separately and then combined.

resultsEighty-three (83) of 505 eligible GPs/GPs in training (16.4%) participated in the survey, and 15 GPs were interviewed. Results from the two datasets either converged or were complementary. Almost half (47%) of survey respondents had undertaken formal undergraduate or postgraduate IM education, a short course (63%), informal education (71%) or self-education (54%), in at least one of 20 IM modalities listed. Interviewees affirmed there was no single education pathway in IM. Survey respondents who identified as practicing IM were significantly more likely to have IM education, positive attitudes towards IM, particularly natural products, and higher self-rated IM knowledge and competencies. However, knowledge gaps were identified in professional skills domains of population health and context, and organisational and legal dimensions of applied IM practice. Interviewees also highlighted a range of professional and systemic barriers to the practice of IM, education, and training. There was broad support for recognition of IM as a sub-specialty through formalised post-graduate training and accreditation. Most survey respondents (62%) expressed interest in post-fellowship recognition of GPs with advanced skills in IM.

conclusionOur findings demonstrate that it is important to define best practice in IM for GPs in Australia and provide a standardised pathway towards recognition of advanced skills in IM.

Indexed as

attitudescomplementary therapiesgeneral practicehealth knowledgeintegrative medicinemedical education

Identifiers

PMID34414016
PMCPMC8369962

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.