Fast Facts

Stacie A. Salsbury, PhD RN


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Topics in Integrative Health Care 2014, Vol. 5(3)   ID: 5.3006

Published on
September 30, 2014
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Readers are welcome to contribute to Fast Facts. Please include the original abstract (with citation) that is the source of your contribution. Contributors’ names will be included along with the item.

The CAMbrella project developed a strategic research agenda for the evaluation of complementary and alternative medicine (CAM) in Europe through expert workgroups, Delphi processes, and a consensus conference. Six core research areas were identified: 1) the prevalence of CAM use in Europe; 2) public’s needs and attitudes toward CAM; 3) CAM safety; 4) comparative effectiveness of CAM; 5) meaning and context factors related to CAM outcomes; and 6) models for integrating CAM into current healthcare settings. The need for systematic research coordination, funding, and communication also was identified. Free full text article available at:

Fischer F, Lewith G, Witt CM, Linde K, von Ammon K, Cardini F, Falkenberg T, Fønnebø V, Johannessen H, Reiter B, Uehleke B, Weidenhammer W, Brinkhaus, B. High prevalence but limited evidence in complementary and alternative medicine: guidelines for future research. BMC Complement Altern Med 2014; 14: 46.

This article presents core competencies for integrative medicine fellowships developed by the Consortium of Academic Health Centers for Integrative Medicine. Four areas identified as key competencies in integrative medicine were pain management; nutritional science; mind-body medicine; and lifestyle medicine. Other considerations included teaching strategies in integrative medicine; competency evaluation; faculty development; implementation barriers; and future directions. Free full text article available at:

Ring M, Brodsky M, Dog TL, Sierpina V, Bailey M, Locke A, Kogan M, Rindfleisch JA, Saper R. Developing and implementing core competencies for integrative medicine fellowships. Academic Medicine 2014; 89(3): 421-428.

This survey of 503 Canadian chiropractors investigated orthodox and unorthodox attitudes toward current scientific recommendations for healthcare practices, including radiographic imaging, vaccination, and evidence-based support for treatment of chiropractic-sensitive disorders. Nearly 1 in 5 of these chiropractors held unorthodox attitudes consistent with a subluxation-focus on human health, while 81% aligned with more orthodox views of chiropractic as the treatment of musculoskeletal joint dysfunction. Chiropractors who held subluxation-focused perspectives were more likely to report treatment of disorders not consistent with evidence-based guidelines, guideline-inconsistent use of radiographic imaging, and a negative attitude toward vaccination. While the majority of chiropractors held attitudes consistent with currently recommended healthcare standards, those who retain unorthodox views may hinder broader efforts at enhancing interprofessional collaboration between medical doctors, other healthcare providers, and doctors of chiropractic. Free full text article available at:

McGregor M, Puhl AA, Reinhart C, Injeyan HS, Soave D. Differentiating intraprofessional attitudes toward paradigms in health care delivery among chiropractic factions: results from a randomly sampled survey. BMC Complement Altern Med 2014; 14:51.

This qualitative study explored alternative views of disease causation and communication patterns among biomedical and complementary and alternative medicine practitioners who participated in the patient care conferences of a clinical fellowship program in integrative medicine. Biomedical diagnoses and medical histories were the central feature of these case presentations; however, extensive discussions were held about family relationships (both current and childhood), religion and spirituality, energy medicine, mind-body therapy, and nutrition. Interviews with the clinical fellows found information about nutrition and mind-body therapies most useful in developing recommendations for patients. Free full text article available at:

Salkeld EJ. Framework negotiations: diagnostic insights among alternative medical practitioners participating in integrative medicine case conferences. Med Anthropol Q 2014; 28(1): 44-65.

This article reflects upon the experience of a U.S. hospital system as it developed and sustained an integrative medicine (IM) program, first in its oncology center and then for all patients throughout the medical center and associated hospitals. IM modalities offered included oncology massage, guided imagery, meditation, yoga, Tai Chi, acupuncture, cranial sacral therapy, reflexology, and naturopathic medicine, as well as volunteers who provide Reiki. Key implementation issues included medical and administrative staff buy-in, therapist hiring and staffing, provider education, program start-up, program expansion, space concerns, electronic medical records, legal and financial considerations, marketing strategies. Within the first 5 years of the IM program, patient visits rose from 5,000+ to 18,000+ annually, with massage, acupuncture and naturopathy the most used services. The IM program is now financially self-sufficient and popular among its patients. Free full text article available at:

Lanni T, Patricolo GE. The business of integrative medicine in a large hospital system. J Hosp Adm 2014; 3(3): 52-60.

Contributed by

Stacie A. Salsbury, PhD, RN
Clinical Project Manager
Palmer Center for Chiropractic Research
Davenport, IA, USA

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