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Changing physician perspectives on complementary and alternative medicine: the need for a top-down approach

Authors MacKinnon TS, Banhidy NF, Tuite DR

Received 5 August 2017

Accepted for publication 26 August 2017

Published 21 September 2017 Volume 2017:8 Pages 637—639


Checked for plagiarism Yes

Editor who approved publication: Dr Anwarul Azim Majumder

Thomas S MacKinnon,1 Norbert F Banhidy,1 Daniel R Tuite2

1School of Medicine, Imperial College London, London, 2Faculty of Medicine, Brighton and Sussex Medical School, Brighton, UK

We read with great interest the article by Patel et al1 discussing the changing perspectives towards complementary and alternative medicine (CAM), and an impetus for additional physician knowledge of the strengths and drawbacks of CAM. These findings are indeed relevant in the UK, with an estimated 41.1% one-year prevalence of CAM use, responsible for an annual out-of-pocket expenditure of £1.6 billion.2 We agree that improved training and education in medical school and residencies – which can be thought of as a “bottom-up” approach – are fundamental in preparing the health care system for improved integration of CAM. However, we also suggest that “top-down” changes are required to optimize patient care.

Authors' reply
Sejal J Patel,1 Kathi J Kemper,2 Joseph P Kitzmiller3

1College of Public Health, The Ohio State University, 2Center for Integrative Health and Wellness, The Ohio State Wexner University Medical Center, 3Department of Biological Chemistry and Pharmacology, College of Medicine, The Ohio State University, Columbus, OH, USA

We agree the letter is worthy of publication but have a little to add: a top-down approach (as suggested and described by the authors of the letter) certainly complements the bottom-up approach (described in our article).1

View the original paper by Patel et al.

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