As a result of the popularity of complementary and alternative medicine, use of herbal products and dietary supplements has been on the rise in the United States. Although osteopathic physicians have long been champions of patient self-care, the potential for adverse drug reactions was found in approximately 20% of the elderly patients responding to the authors' survey. The authors encourage increased patient interest in health preservation efforts while also providing recommendations to osteopathic physicians for improved patient care and education.
Emergency medicine residents who completed nonrequired internships before beginning residency training in programs accredited by the Accreditation Council for Graduate Medical Education were surveyed to obtain their views on the potential benefits of this additional training to their current proficiency levels. Residency program directors were also surveyed on their opinions of the relative proficiency of these trainees. In general, survey respondents reported that the internship experience was helpful for the first year of residency training, but that it conferred little benefit in subsequent years.
To ensure a high-quality educational experience for students at Kirksville (Mo) College of Osteopathic Medicine of A.T. Still University of Health Sciences, a 2-year "doctoring" course was introduced to better integrate medical topics with the nongeneralist curriculum. It is hoped that this course will provide better opportunities for students to develop clinical decision-making skills. In addition, the "lifecycle" structure of curricular content emphasizes the biopsychosocial and biomedical components of caring for patients of all ages.
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