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HolisticKids.org -A Collaborative Project on Integrative Medicine Web
Education
Julia Whelan, M.S.Lana Dvorkin, Pharm.D.
May 20, 2002
Objectives
• To describe development of collaborative pediatric education project
• To describe the project’s purpose in educating medical residents, and as a resource for students, fellows, and faculty
• To describe ways in which knowledge of integrative medicine can help pediatricians to care for diverse families
Setting the Stage
The Players:Our Team
• Interdisciplinary group– physicians– pharmacists– nurses– dietitians– librarians– medical anthropologist
Background: Institutional Team
• Collaborative process involving – Center for Holistic Pediatric Education
and Research– Leonard P. Zakim Center for Integrated
Therapies– Center for Integrative Therapies in
Pharmaceutical Care and Library
Sheppard Library/MCPHS
• NNLM Outreach grant to build CAM resources– Electronic– Print– Complement other
area collections
Introduction to Homeopathy
Introduction to Herbs
Kathi Kemper, M.D.
• The Playwright• Children's Hospital• CHPER• Author
Longwood Herbal Taskforce
• Volunteer group:– developed
materials on herbs and supplements• monographs • clinician fact
sheets• patient handouts
Email Herbal Education Project
• NCCAM (NIH) grant• Clinical trial assessing the impact of
email-based education on health care practice
• Case studies delivered via email • Pre and post-intervention surveys
measured impact
Hear all about it...
• Three presentations at the meeting of Pediatric Academic Societies in Baltimore, May 4 - 6, 2002.
Read all about it!• Baseline comparisons accepted
Alternative Therapies in Health and Medicine, 2002
• RCT accepted by ACADEMIC MEDICINE, TBA
• Pediatric Faculty Development in Integrative Medicine -- a brief report, in press with Alternative Therapies in Health and Medicine
The Current Project
HolisticKids
Pediatric Integrative Medicine Education Project
• NCCAM (NIH) grant• Four areas of intervention:
– Faculty development– Resident training
• HolisticKids.org
– Fellows’ program– Medical student education
HolisticKids Cast
• Fearless leader - Jack Maypole• Our web diva - Emily Cook• Our content development group
Lana Dvorkin and Julie Whelan• Other contributors
Our Leader: Jack• Pediatrician at Boston
Medical Center• Co-Director of the
Boston Combined Residency in Pediatrics Continuity Clinic Program
• Coordinator Primary Care Track Program
Web Diva: Emily• Web developer at
Massachusetts College of Pharmacy and Health Sciences (MCPHS)
• Worked on a number of projects associated with complementary and alternative medicine
Content Development: Lana
• Drug Information Coordinator at Center for Integrative Therapies in Pharmaceutical Care (CITPC)
• Faculty member at MCPHS
…and Julie
• Former Head of Reference at MCPHS
• Volunteer with LHTF• Currently Senior
Outreach Librarian Massachusetts General Hospital
Content Areas
The Four Acts:• Overview of therapies• Information resources• Local practitioners• Disease related topics
Content Areas
Overview of Therapies• Therapeutic Mountain
– Bioenergetic• Acupuncture, Traditional Chinese Medicine,Therapeutic Touch, Healing Touch,
Laying on of Hands, Reiki, and Qi Gong, Prayer and Ritual, Homeopathy
– Biochemical• Medications, Herbs, Nutritional Supplements
– Biomechanical• Massage and Physical Therapy, Chiropractic and Osteopathic Surgery
– Lifestyle Mind/Body• Ayurvedic, Nutrition, Exercise, Environment, Mind-Body
Overview of Therapies
Overview:Herbs and Supplements
Resource Guide
Resource Guide Example
Information Resources
Information Resources• Information
• Comprehensive list of information resources available on the Internet (Web sites, Databases, Electronic Journals).
• Consultation with Clinical Pharmacist Specializing in CAM
• Local Drug Information Center that answers questions on herbs, homeopathic remedies and nutraceuticals used by patients and CAM practitioners.
Drug Information Consultation
• CITPC - established in January of 1999
• Questions on herbal and dietary supplements
• Primarily from physicians, nurses and patients
• www.mcp.edu/altmed
Information Resources (cont.)• Libraries
• List of Boston area local medical libraries with access policies and information on the holdings in Complementary and Alternative Medicine.
• Education• Educational opportunities related to
Complementary and Alternative Medicine including local and national conferences, continuing education, online courses and workshops
Education Opportunities: Examples
• Programs at:– Center for Holistic Pediatric Education
and Research-Children’s Hospital– Center for Alternative Medicine Research
- Beth Israel Deaconess Medical Center– Mind Body Medical Institute
• Online programs:– Massachusetts College of Pharmacy
Local Practitioners
• Interdisciplinary Networks• Searchable Directories of Individual
Practitioners by Modality• Local Clinics and Centers• Schools• Associations
Local Practitioners
Disease Related Topics
Disease Related Topics
• Case Study– A brief case followed by questions and
answers. A good educational tool.
• Treatment Summary– A brief version of the topic chapter from
Holistic Pediatrician
Disease Related Topics (cont.)
• Module– An extensive PowerPoint presentation
freely available for downloading. Cut and paste as you see fit.
• PubMed Search– Dynamically updated PubMed Search
Disease Related Topics (cont.)
• Chapter– Topic chapter from the 2nd edition of
The Holistic Pediatrician, available August 2002; the first edition is available from amazon.com. Chapter is available as a .pdf file.
Options for Each Topic
Case Study
Case Study: Q & A’s
The Module: for Teaching
Diversity in Teaching
Diversity in Teaching (cont..)
Holistic Pediatrician
Up-to-date PubMed Search
Summary
Summary (cont..)
Evaluation Techniques
• Feedback from team and faculty
• Web Log Analyzer
• Usability survey with groups of residents
HolisticKids Usage
Month Requests for pagesNov. 01 416Dec. 01 577Jan. 02 678Feb. 02 632Mar. 02 698Apr.02 700HolisticKids Visits
0200400600800
Month
Nu
mb
er
of
vis
its
Series1
HON Code
• Application process
• Time waiting for approval
• Keeping approval current
Concerns and Opportunities
• Publicity• Currency• Development of additional materials• Future possibilities
– Collaborations with groups working in multicultural/ethnic medicine
It’s Great Fun!
Curtain Call• Integrate education on CAM into medical
education, both didactic and experiential• Assess the effectiveness of web
education in teaching pediatric residents• Collaborate across disciplines and
institutions• Expand cross-fertilization between CAM
and multicultural initiatives