A 25-year-old female asked:
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why do most pcp mds not incorporate integrative medicine into their practice?

6 doctor answers
Dr. Michelle Gordon
20 years experience General Surgery
Not widely accepted: Traditional medical education does not include integrative or holistic medicine in its curriculum. There are some exceptions to this: for those who choose, there is an integrative family practice residency program associated with university of arizona. The most comprehensive post-graduate (post-residency) program is the fellowship in integrative medicine at ua. Look for a fellowship-trained doc.
Answered on May 2, 2016
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2 thanks
Dr. Alex Shvartsman
24 years experience Cosmetic Dentistry
Not trained right: Its not part of the "common dogma" very unfortunate.
Answered on Mar 2, 2013
1
1 comment
Dr. Wendy Askew
Dr. Wendy Askew commented
23 years experience Obstetrics and Gynecology
Dr. Shvartsman is correct, sadly. Integrative medicine is not taught at most conventional medical schools, and most doctors still do not recognize it as legitimate field of medicine. Even for those who DO recognize it's usefulness, it is VERY hard, time consuming for doctors to become trained in it, and many don't have the time required to learn about this field.
Mar 2, 2013
Dr. Su Fairchild
23 years experience Integrative Medicine
Time: Time and training. Insurance reimbursement almost requires doctors to see 4-6 patients an hour to make ends meet. One cannot practice good integrative medicine in 10 minutes. My typical appointment is 1 hour.
Answered on May 21, 2013
Dr. Richard Schneider
44 years experience Integrative Medicine
Integrative Medicine: It not only takes special education not normally given in medical school until recently (integrative medicine program at the University of Arizona under Dr. Andrew Weil's leadership is currently placing integrative medicine rotations in medical schools), it also takes more time listening to the patient.
Answered on May 4, 2015
Dr. Andris Kazmers
44 years experience Vascular Surgery
Integgrative: Often there is a knowledge gap of evidence-based integrative or complementary practices. These are not typically taught in med school or residency. Often practitioners do not believe in these practices regardless of evidence of safety and efficacy. State licensing boards may not be supportive. Legal issues such as "standard of care" problematic. Malpractice insurance can also be an issue.
Answered on Dec 24, 2015
Dr. Janice Seward
30 years experience Clinical Psychology
PCP's integrative: Most PCP's can't offer integrative medicine because it is not covered by insurance. There are many reasons for this, including that it is difficult to 'prove' the efficacy of integrative treatments with the kinds of research protocols that are used in conventional western medicine. Also, it takes a long time to master any medical technique and most PCP's have not had time for that kind of training
Answered on Jan 23, 2016

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