Complementary and Alternative Medicine in the United States (2005) / Chapter Skim
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Appendix E: Model Guidelines for the Use of Complementary and Alternative Therapies in Medical Practice
Appendix E: Model Guidelines for the Use of Complementary and Alternative Therapies in Medical Practice
Pages 298-306
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From page 298... ...
, state medical boards have a responsibility to assure that licensees utilize CAM in a manner consistent with safe and responsible medicine. On behalf of the Federation of State Medical Boards and its continued commitment to assist state medical boards in protecting the public and improving the quality of health care in the United States, the Special Committee for the Study of Unconventional Health Care Practices (Complementary and Alternative Medicine)
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From page 299... ...
There are varying degrees of potential patient harm that can result from either conventional medical practices or CAM: · Economic harm, which results in monetary loss but presents no health hazard; · Indirect harm, which results in a delay of appropriate treatment, or in unreasonable expectations that discourage patients and their fami lies from accepting and dealing effectively with their medical condi tions; · Direct harm, which results in adverse patient outcome. Regardless of whether physicians are using conventional treatments or CAM in their practices, they are responsible for practicing good medicine by
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From page 300... ...
is obligated under the laws of the state of (name of state) to protect the public's health, safety and welfare and recognizes that the standards used in evaluating health care practices should be consistent, whether such practices are regarded as conventional or CAM, the Board recognizes that a licensed physician shall not be found guilty of unprofessional conduct for failure to practice medicine in an acceptable manner solely on the basis of utilizing CAM.
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From page 301... ...
Evaluation of Patient Parity of evaluation standards should be established for patients whether the physician is using conventional medical practices or CAM. Prior to offering any recommendations for conventional and/or CAM treatments, the physician shall conduct an appropriate medical history and physical examination of the patient as well as an appropriate review of the patient's medical records.
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From page 302... ...
3. Consultation and/or Referral to Licensed or Otherwise State-Regulated Health Care Practitioners The physician may refer the patient as necessary for additional evaluation and treatment in order to achieve treatment objectives and may include referral to a licensed or otherwise state-regulated health care practitioner with the requisite training and skills to utilize the CAM therapy being recommended.
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From page 303... ...
Investigators shall be expected to conform to the following ethical standards: · Clinical investigations should be part of a systematic program com petently designed, under accepted standards of scientific research, to produce data which are scientifically valid and significant. · A clinical investigator should demonstrate the same concern and caution for the welfare, safety and comfort of the patient involved as is required of a physician who is furnishing medical care to a patient independent of any clinical investigation.5 Furthermore, investigators shall be expected to abide by all federal guidelines and safeguards, such as approval and monitoring of the clinical trial by an Institutional Review Board (IRB)
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From page 304... ...
engaged in cooperative therapeutic relationships for their patients with a non-physician licensed or otherwise state-regulated health care practitioner offering CAM. State medical boards should ensure a balance between the goal of medical practices being evidence-based while remaining compassionate and respectful of the dignity and autonomy of patients.
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From page 305... ...
Kimball, Jr., MD Board Member Pennsylvania State Board of Medicine Irvin A Rothrock, MD Board Member Alaska State Medical Board Ralph W
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From page 306... ...
:63-66. 2In 1995, the Federation established a special committee charged with developing strategies for recommendation to state medical boards for the regulation and discipline of physicians who engage in unsafe and/or deceptive health care practices.
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