Resident Survey Complementary and Alternative Medicine (CAM) Thank you for taking a few minutes to answer these questions. Please indicate your response to each question by circling or placing a check (x or √) over the option that you feel that best fits you. Physicians today should encourage and support patients in their efforts to take personal responsibility for their own health. Disagree 1 2 3 4 5 6 7 8 9 10 Agree As a caregiver, my own practice of a healthy lifestyle will enhance my ability to motivate patients to adopt a healthy lifestyle for themselves. Disagree 1 2 3 4 5 6 7 8 9 10 Agree The range of practice of physicians ought to include treatments that integrate natural therapies such as supplements, herbs, and other over-the-counter products. Disagree 1 2 3 4 5 6 7 8 9 10 Agree Patients do better when physicians are knowledgeable about a variety of medical systems including CAM. Disagree 1 2 3 4 5 6 7 8 9 10 Agree I would like to learn one CAM modality in order to integrate it as another tool in my practice. Disagree 1 2 3 4 5 6 7 8 9 10 Agree Physicians need to know about CAM in order to communicate better with their patients. Disagree 1 2 3 4 5 6 7 8 9 10 Agree I am thinking that in the future there is a good possibility that I will refer patients to practitioners of CAM. Disagree 1 2 3 4 5 6 7 8 9 10 Agree Good patient doctor communication are extremely important in the healing process with improved outcomes. Disagree 1 2 3 4 5 6 7 8 9 10 Agree I think that CAM should be looked at, in terms of efficacy, safety, and appropriate supporting research. Disagree 1 2 3 4 5 6 7 8 9 10 Agree Page 1 I feel that at present, after my consultations with patients, patients are better able to cope with life difficulties. Disagree 1 2 3 4 5 6 7 8 9 10 Agree I think that it is quite important to have effective and open communication with CAM providers Disagree 1 2 3 4 5 6 7 8 9 10 Agree I feel that at present, after my consultations with patients, patients are able to understand their illness. (understand) Disagree 1 2 3 4 5 6 7 8 9 10 Agree I feel that at present, after my consultations with patients, patients are able to cope with their illness. (cope) Disagree 1 2 3 4 5 6 7 8 9 10 Agree I feel that at present, after my consultations with patients, patients are able to keep themselves healthy. (prevention) Disagree 1 2 3 4 5 6 7 8 9 10 Agree Would you like to expand your knowledge on CAM modalities ? O No O Yes If yes, which of the following CAM modalities would be a good choice for you ? O Acupuncture O Aromatherapy O Biofeedback O Chiropractic O Herbal medicine O Homeopathy O Hypnosis/guided imagery O Magnets O Massage O Meditation O Music therapy O Nutritional supplements O Prayer/spiritual healing O Stress management O Therapeutic/healing touch O Other (Specify) _________________________________ Page 2 What are the most important barriers to the use of CAM therapies in family practice? Please check all that apply. O O O O O O O O O I don’t have access to credentialed CAM practitioners. I can’t get reimbursed for CAM therapies. I don’t have time. I am not interested in CAM I need to know more before I can counsel patients. There isn’t enough evidence for CAM therapies. I don’t think patients want to talk with me about this subject. I am concerned about interactions with conventional therapies. Other (Please specify)__________________________________________. Did you ever use CAM in the past, to treat yourself and/or your close relatives? O No O Yes If yes, which of the following CAM modalities did you use? O Acupuncture O Aromatherapy O Biofeedback O Chiropractic O Herbal medicine O Homeopathy O Hypnosis/guided imagery O Magnets O Massage O Meditation O Music therapy O Nutritional supplements O Prayer/spiritual healing O Stress management O Therapeutic/healing touch O Other (Specify) _________________________________ Page 3 What do you or your close family need in order to integrate CAM into your health care? O O O O O O O EBM, I need a good supporting research article The practitioner must be an M.D. Personal relationship with CAM therapist Therapist is licensed in this field or has certification from a national professional organization. Therapist or remedy are easily accessible When I know that conventional medicine doesn’t have anything else to offer Other (Specify)______________________________________ How useful do you think each of the following methods would be to prepare you to advise patients on the use of CAM? Using 0 to indicate “not at all useful” and 4 to indicate “very useful”, circle the one that applies: Textbook readings 0 1 2 3 4 Professional journals 0 1 2 3 4 Mass media (TV, radio, newspapers, magazines) 0 1 2 3 4 Internet (Web sites, listservs) 0 1 2 3 4 Formal courses or training sessions (including Hands on) 0 1 2 3 4 Exposure to CAM practitioners in their work 0 1 2 3 4 Grand rounds, CME, or conferences 0 1 2 3 4 Experiential workshops 0 1 2 3 4 Research articles related to CAM 0 1 2 3 4 Lectures 0 1 2 3 4 Observation of CAM Practitioners 0 1 2 3 4 Web-based Information Source 0 1 2 3 4 Case-based learning 0 1 2 3 4 Using CAM modalities to promote my own health 0 1 2 3 4 Others (Specify)_________________________ 0 1 2 3 4 Do patients ask you about CAM use? O No O Yes If yes, which of the following CAM modalities did they ask you about? O Acupuncture O Aromatherapy O Biofeedback O Chiropractic O Herbal medicine O Homeopathy O Hypnosis/guided imagery Page 4 O Magnets O Massage O Meditation O Music therapy O Nutritional supplements O Prayer/spiritual healing O Stress management O Therapeutic/healing touch O Other (Specify) _________________________________ Do you ask patients about CAM use? O No O Yes If yes, which of the following CAM modalities do you ask about? O Acupuncture O Aromatherapy O Biofeedback O Chiropractic O Herbal medicine O Homeopathy O Hypnosis/guided imagery O Magnets O Massage O Meditation O Music therapy O Nutritional supplements O Prayer/spiritual healing O Stress management O Therapeutic/healing touch O Other (Specify) _________________________________ Page 5 Do you use CAM as another modality to treat your patients or refer your patients to CAM? O No O Yes If yes, which of the following CAM modalities did you use or refer to? O Acupuncture O Aromatherapy O Biofeedback O Chiropractic O Herbal medicine O Homeopathy O Hypnosis/guided imagery O Magnets O Massage O Meditation O Music therapy O Nutritional supplements O Prayer/spiritual healing O Stress management O Therapeutic/healing touch O Other (Specify) _________________________________ Finally, a few questions about yourself: Previous Exposure to CAM: Yes__ No__ If Yes please specify ( AIM elective, Course related to CAM, etc.)_____________________________________________________ Male___________ Female___________________ UTMB Grad______ Age______________________ Family status____S M D W Children_______Y N Ages: Year in residency: 1 2 3 We really appriciate your response and hope that the results of this survey will be beneficial for you and your peers. Page 6