Manual An Ethical Framework for Complementary and Alternative Therapists

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Introduction
Contents:


  1. ‎An Ethical Framework for Complementary and Alternative Therapists on Apple Books
  2. What is Kobo Super Points?
  3. Publisher Description
  4. Complementary and Alternative Medicine (CAM)

If part of the attraction of CAM is its uniqueness, or its non-biomedical conceptions of health and disease, then integration might result in the loss of this alternative, or more likely it may result in the expansion of conventional medicine as it absorbs evidence-based CAM and the reshaping, shrinking and marginalisation of the CAM modalities that remain.

It remains to be seen whether an Australian court will find that a doctor has acted negligently in failing to disclose information and advice about CAM options. However, both the profession and individual doctors should reflect on the issues raised by CAM and should discuss use of CAM with their patients.

CAM is likely to remain popular with the Australian public, and, while it may become more or less integrated with conventional medicine, CAM will not disappear and medical practitioners will never have the same skills and knowledge of CAM as complementary therapists. While major questions remain about the evidence for CAM, the regulation of CAM practitioners and the legal obligations of conventional practitioners in relation to CAM, medical practitioners and students no longer have any choice but to gain some knowledge about CAM and the interface between conventional and complementary medicine.

Summary of the case McGroder v Maguire , 11 illustrating that, before referral, it is essential to perform adequate clinical assessment and fully inform patients of the risks and benefits of any proposed treatments. The patient Maguire injured his neck when he hit his head on the roof of a truck cabin while driving over a bump.

Despite treatment he continued to suffer from tingling in one arm. Two years after the original injury he attended the employer's consultant general practitioner McGroder , who referred him to a chiropractor Ayscough.

‎An Ethical Framework for Complementary and Alternative Therapists on Apple Books

The GP did not carry out a physical examination and probably did not refer to the medical records held by the employer. He underwent surgery, but, two years later, a neurosurgeon concluded he was permanently unfit for work. At trial, his neurosurgeon and orthopaedic surgeon both gave expert medical evidence that, in light of his condition, he should not have been referred for chiropractic treatment.

The trial judge found that the GP had negligently referred the plaintiff to the chiropractor and the chiropractor had negligently treated him. The GP lost the appeal. His [GP] negligence generated the risk of injury by referring him [the patient] for inappropriate treatment. When referring a patient to another healthcare provider for treatment, it is advisable to obtain a thorough history, perform a relevant physical examination and review any available medical records first.

Negligence by another healthcare provider may not relieve referring doctors of responsibility for their own conduct. Publication of your online response is subject to the Medical Journal of Australia 's editorial discretion. You will be notified by email within five working days should your response be accepted.

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Ethics and law. Medical education.

More Books by Julie Stone

Complementary and alternative medicine. Volume Issue 3.

What is Kobo Super Points?

Ethical and legal issues at the interface of complementary and conventional medicine. Med J Aust ; 3 : Topics Ethics and law.


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Abstract Doctors should:. Complementary medicine and consent Medical practitioners are ethically and legally obliged to provide patients with enough information to make adequately informed healthcare decisions and valid consent to treatment. Evidence, regulation and integration The issue of how much medical practitioners should know about CAM is made more complex because of real questions about the availability, quality and accessibility of evidence on its efficacy, risks and benefits.

Regulation of complementary practitioners The regulation of medicines including complementary medicines in Australia is the responsibility of the Commonwealth Therapeutic Goods Administration TGA. Irreducible differences between conventional and complementary medicine While the ingredients of listed and registered complementary medicines are assessed for safety and quality, most have not been rigorously assessed for efficacy, and there are very limited data on potential interactions between complementary medicines and conventional therapies.

Is integrating proven CAM into conventional medicine the answer? Conclusion It remains to be seen whether an Australian court will find that a doctor has acted negligently in failing to disclose information and advice about CAM options. Summary of the case McGroder v Maguire , 11 illustrating that, before referral, it is essential to perform adequate clinical assessment and fully inform patients of the risks and benefits of any proposed treatments The patient Maguire injured his neck when he hit his head on the roof of a truck cabin while driving over a bump.

Teaching points: When referring a patient to another healthcare provider for treatment, it is advisable to obtain a thorough history, perform a relevant physical examination and review any available medical records first. View this article on Wiley Online Library.

Publisher Description

Competing interests:. Review of randomised controlled trials of traditional Chinese medicine. BMJ ; The methodological quality of randomised controlled trials of homeopathy, herbal medicine and acupuncture. Int J Epidemiol ; Complementary medicines in the Australian health system. Available at: www.

Complementary and Alternative Medicine (CAM)

Williams N. Naturopaths warned over bad medicine. Brophy E. Does a doctor have a duty to provide information and advice about complementary and alternative medicine? J Law Med ; NSW Health. Regulation of complementary health practitioners. Discussion paper. Sydney: NSW Health, J Altern Complement Med ; 8: Potential physician malpractice liability associated with complementary and integrative medical therapies. Ann Intern Med ; Towards a safer choice.

Ann Intern Med. Results provided by:. Sign In Set Up Account. You will be directed to acponline. Open Athens Shibboleth Log In. Subscribe to Annals of Internal Medicine. Advanced Search. Academia and the Profession 15 October Adams, MD. Abstract Increasing use of complementary and alternative medical CAM therapies by patients, health care providers, and institutions has made it imperative that physicians consider their ethical obligations when recommending, tolerating, or proscribing these therapies.

Citations Citation. Published: Ann Intern Med. DOI: See Also. Ethics and Complementary and Alternative Medicine. View More View Less. Related Articles. Annals of Internal Medicine; 5 : Journal Club. Review: Revascularization and medical treatment may be similar in atherosclerotic renal artery stenosis Annals of Internal Medicine; 12 : JC Related Point of Care. Related Topics. PubMed Articles.