Complementary medicine and medical education

Education and debate p 154 Complementary and alternative medicine is no longer an obscure issue in medicine. Our patients are using alternative therapies in addition to conventional care 1 2 and sometimes do not share this information with us. But even if they did would we know how best to advise them about safety issues or about the effectiveness of a particular therapy for their problem? Surveys indicate that doctors and medical students are increasingly interested in complementary and alternative therapy,3–5 yet lack of knowledge is one of the greatest barriers to its appropriate use. Although many medical schools and training programmes now include teaching on complementary and alternative therapies, the approaches are variable and often superficial. In this issue Owen et al ask provocative questions about our attitudes and behaviour towards complementary and alternative therapy (p 154),6 and point out that few of us encountered such therapy as medical students or during later training. Nevertheless, there are signs of change, and Owen et al describe initiatives to include complementary and alternative therapy in medical education …