IJIMS.2020.114

Type of Article: Review

Volume 7; Issue 7: 2020

Page No.: 931-939

DOI: 10.16965/ijims.2020.114

NOVEL MODEL FOR INTEGRATIVE MEDICINE CURRICULUM

Carl Camelia 1, Sateesh Babu Arja *2, Kumar Ponnusamy 2, Nimra Deivassagayame 2.

1 Universidad Maharishi de Latino America y el Caribe (UMLAC), Willemstad, Curaçao;

Universidad Integral del Caribe y América Latina (UNICAL), Willemstad, Curaçao.

*2 Avalon University School of Medicine (AUSOM), Willemstad, Curaçao.

Corresponding Author: Dr. Sateesh B. Arja, M.B.B.S, MHPE, MSPH, FAMEE, SFHEA, FAcadMEd, FIAMSE, Director of Clinical Skills and Executive Dean, Avalon University School of Medicine(AUSOM), Willemstad, Curaçao. Phone number-005-999-6965682 E-Mail: sarja@avalonu.org

ABSTRACT:

While the use of Traditional, Complementary, and Integrative Medicine (TCIM) is substantial, it continues to exist at the periphery of allopathic medicine. This article provides a global scenario with the strengths and weaknesses of the present health care systems. Availability, affordability, and accessibility of healthcare coupled with uneven growth and the double burden of diseases have become major concerns around the globe. This article emphasizes the need for mindset change from illness-disease-drug centric curative to person-health-wellness centric preventive and promotive approaches. It highlights the innovation deficit faced by conventional allopathic medicine and delineates the significant benefits of the integration of conventional medicine with traditional, complementary and integrative therapies in the medical curriculum.

Medical heterogeneity is a rising trend, and people are trying to explore various options, including allopathic, complementary, and alternative medicine. In such a situation, knowledge from Yoga, Ayurveda, Traditional Chinese medicine/Acupuncture, and Homeopathy may play a vital role. We can progress with an appropriate model by integrating allopathic medicine with traditional medicine systems for affordable health care. Several medical scientists have contributed positive reflections and benefits of integrative approaches to health. These provide not only clear insight into the historical roots of the healing traditions of traditional and complementary medicine but also into the entire concept of integrative approaches to health.

KEYWORDS: Integrative Medicine, Complementary Medicine, Alternative Medicine, Conventional Medicine, Traditional Medicine, Maharishi Ayurveda, Medical Education.

REFERENCES

[1]. Klatt M, Moore K. Beyond the east/west dichotomy-the course Yoga: theory and practice convey the benefits of an ayurvedic lens for global health. Glob Adv Health Med 2019;8. 2164956119847931. https://doi.org/10.1177/2164956119847931 PMid:31106037 PMCid:PMC6501500
[2]. P.M. Barnes, B. Bloom, and R. L.Nahin. Complementary and Alternative medicine use among adults and children: United States, 2007. National health statistics reports 12, National Center for Health Statistics, Hyattsville, Md, USA, 2008. https://doi.org/10.1037/e623942009-001
[3]. National Institute of Health, U.S. National Library of Medicine, 2020. Available at https://medlineplus.gov/complementaryandintegrativemedicine.html#:~:text=Complementary%20medicine%20is%20used%20together,instead%20of%20mainstream%20medical%20care.
[4]. National Institute of Health, National center for complementary and Integrative Health, 2020. Available at https://www.nccih.nih.gov/health/complementary-alternative-or-integrative-health-whats-in-a-name
[5]. WHO global report on traditional and complementary medicine 2019.
[6]. I. R. Bell, O. Caspi, G. E. Schwartz et al. “Integrative medicine and systematic outcomes research: issues in the emergence of a new model for primary health care,” Archives of Internal Medicine, 2002;162:133-140. https://doi.org/10.1001/archinte.162.2.133 PMid:11802746
[7]. P. M. Barne, E. Powell-Griner, K. McFann, and R. L. Nahin. “Complementary and alternative medicine use among adults: United States, 2002,” Advance Data, 2004;343:1-19. https://doi.org/10.1016/j.sigm.2004.07.003
[8]. R. Snyderman and A. T. Weil. Integrative medicine: bringing medicine back to its roots. Archives of Internal Medicine, 2002;162(4):395-397. https://doi.org/10.1001/archinte.162.4.395 PMid:11863470
[9]. D. Lie and J. Boker, “Development and validation of the CAM Health Belief Questionnaire (CHBQ) and CAM use and attitudes amongst medical students,” BMC Medical Education, 2004;4(1):1-9. https://doi.org/10.1186/1472-6920-4-2 PMid:14718061 PMCid:PMC373452
[10]. Patwardhan B. Traditional medicine: modern approach for affordable global health. Commission on Intellectual Property, Innovation and Public Health, World Health Organization, Geneva 2005.
[11]. Shankar D. Health sector reforms for 21st century healthcare. J Ayurveda Integrative Medicine 2015;6:4 9. https://doi.org/10.4103/0975-9476.154214 PMid:25878456 PMCid:PMC4395927
[12]. National Healthcare Disparities Report, 2011. Agency for Healthcare Research and Quality, USA. Available at https://www.ahrq.gov/research/findings/nhqrdr/index.html
[13]. Patwardhan B, Mashelkar RA. Traditional medicine-inspired approaches to drug discovery: can Ayurveda show the way forward? Drug Discovery Today 2009;14:804-811.
https://doi.org/10.1016/j.drudis.2009.05.009 PMid:19477288
[14]. Patwardhan B, Mutalik G, Tillu G. Integrative approaches for health: biomedical research, Ayurveda, and Yoga. San Diego, USA: Academic Press, Elsevier Inc; 2015. https://doi.org/10.1016/B978-0-12-801282-6.00012-7
[15]. Editorial. Ayur Yoga, the confluence of healing sciences: A call for global action. Journal of Ayurveda and Integrative Medicine 2019;10:79-80. https://doi.org/10.1016/j.jaim.2019.06.001 PMid:31227145 PMCid:PMC6598802
[16]. Morris K. Meditating on yogic science. Lancet 1998; 351:1038. https://doi.org/10.1016/S0140-6736(05)79010-3
[17]. Garfinkel MS, Singhal A, Katz WA, Allan DA, Reshetar R, Schumacher HR Jr. Yoga-based intervention for carpal tunnel syndrome: a randomized trial. JAMA 1998; 280:1601-1603.
https://doi.org/10.1001/jama.280.18.1601 PMid:9820263
[18]. Bernardi L, Sleight P, Bandinelli G, Cencetti S, Fattorini L, Wdowczyc-Szulc J, et al. Effect of rosary prayer and yoga mantras on autonomic cardiovascular rhythms: comparative study. BMJ 2001; 323:1446-1449. https://doi.org/10.1136/bmj.323.7327.1446 PMid:11751348 PMCid:PMC61046
[19]. Cohen L, Warneke C, Fouladi RT, Rodriguez MA, Chaoul-Reich A. Psychological adjustment and sleep quality in a randomized trial of the effects of a Tibetan yoga intervention in patients with lymphoma. Cancer 2004;100:2253-2260. https://doi.org/10.1002/cncr.20236 PMid:15139072
[20]. Visweswaraiah NK, Telles S. Randomized trial of yoga as a complementary therapy for pulmonary tuberculosis. Respirology 2004; 9:96-101. https://doi.org/10.1111/j.1440-1843.2003.00528.x PMid:14982609
[21]. Blanke O, Ortique S, Landis T, Seeck M. Stimulating illusory own-body perceptions. Nature 2002; 419:269-270. https://doi.org/10.1038/419269a PMid:12239558
[22]. Tong F. Out-of-body experiences: from penfield to present. Trends Cogn Sci 2003;7:104-106. https://doi.org/10.1016/S1364-6613(03)00027-5
[23]. European committee for Homeopathy, 2020. Available at https://homeopathyeurope.org/homeopathy-in-practice/benefits-of-homeopathy/
[24]. Ernst E. A systematic review of systematic reviews of homeopathy, Blackwell Science Ltd Br J Clin Pharmacol, 2002;54:577-582. https://doi.org/10.1046/j.1365-2125.2002.01699.x PMid:12492603 PMCid:PMC1874503
[25]. Patwardhan, B. et al. Ayurveda and natural products drug discovery. Curr. Sci. 2004;86:789-799.
[26]. Patwardhan, B. (2005). Traditional Medicine: Modern Approach for Affordable Global Health. CIPIH Studies, WHO, Geneva. Available at http://www.who.int/intellectualproperty/studies/traditional_medicine/en/index.html
[27]. Nandakumar, D.N. et al. Curcumin-artemisinin combination therapy for malaria. Antimicrob. Agents Chemother. 2006;50:1859-1860. https://doi.org/10.1128/AAC.50.5.1859-1860.2006 PMid:16641461 PMCid:PMC1472230
[28]. Atal, C.K. et al. Biochemical basis of enhanced drug bioavailability by piperine: evidence that piperine is a potent inhibitor of drug metabolism. J. Pharmacol. Exp. Ther. 1985;232: 258-262.
[29]. Paul, A.T. et al. Modulating TNF-a signaling with natural products. Drug Discovery. Today 2006;11:725-732. https://doi.org/10.1016/j.drudis.2006.06.002 PMid:16846800
[30]. Deocaris, C.C. et al. Merger of Ayurveda and tissue culture-based functional genomics: inspirations from systems biology. J. Transl. Med. 2008;6:1-8. https://doi.org/10.1186/1479-5876-6-14 PMid:18348714 PMCid:PMC2311278
[31]. Relling, M.V. and Hoffman, J.M. Should pharmacogenomic studies be required for new drug approval? Clin. Pharmacol. Ther. 2007;81:425-428. https://doi.org/10.1038/sj.clpt.6100097 PMid:17339872
[32]. Bhushan, P. et al. Classification of human population based on HLA gene polymorphism and concept of Prakriti in Ayurveda. J. Altern. Complement. Med. 2005;11:349-353. https://doi.org/10.1089/acm.2005.11.349 PMid:15865503
[33]. Prasher, B. et al. Whole genome expression and biochemical correlates of extreme constitutional types defined in Ayurveda. J. Transl. Med. 2008;6:48.
https://doi.org/10.1186/1479-5876-6-48 PMid:18782426 PMCid:PMC2562368
[34]. Kumar, N.K, and Kumar Dua, P. Status of regulation on traditional medicine formulations and natural products: Whither is India? Current Science, 2016;111(2). https://doi.org/10.18520/cs/v111/i2/293-301
[35]. Patwardhan B. Planned progress for health. J Ayurveda Integr Med 2011; 2:161-162.
https://doi.org/10.4103/0975-9476.90762 PMid:22253502 PMCid:PMC3255443
[36]. Patwardhan B. Ayurveda and integrative medicine: riding a tiger. J Ayurveda Integr Med 2010;1:13-15. https://doi.org/10.4103/0975-9476.59820 PMid:21829294 PMCid:PMC3149384
[37]. Shankar D. Conceptual framework for new models of integrative medicine. Journal of Ayurveda and Integrative Medicine 2010;1:1-3. https://doi.org/10.4103/0975-9476.59817 PMid:21829291 PMCid:PMC3149389
[38]. Vader water DA. Best practice in Competence Assessment of Health Professionals. College of register Nurse of Nova Scotia;2004.
[39]. Rehman R, Iqbal A, Syed S, Kamran A. Evaluation of Integrated Learning Program of Undergraduate Medical Students, Pak J Physiol 2011;7(2):37-41.
[40]. Kalpana-Kumari MK, Vijaya V, Mysorekar, Raja S. Students’ Perception about Integrated Teaching in An Undergraduate Medical Curriculum, Journal of Clinical and Diagnostic Research. 2011 November (Suppl-1);5(6):1256-9.
[41]. Department of Indian Systems of Medicines and Homoeopathy. Government of India. Annual Report 1999-2000.
[42]. Schneider, R.H., et al. Stress Reduction in the Secondary Prevention of Cardiovascular Disease. Randomized, Controlled Trial of Transcendental Meditation and Health Education in Blacks. Circulation: Cardiovascular Quality and Outcomes. 2012;5(6):750-758. https://doi.org/10.1161/CIRCOUTCOMES.112.967406 PMid:23149426 PMCid:PMC7269100
[43]. Maharshi Vastu Architecture, 2020. Available at https://www.maharishivastu.org/scientific-research
[44]. Patwardhan B, Chopra A, Vaidya ADB. Herbal remedies and the bias against Ayurveda. Curr Sci 2003;84:1165-1166.
[45]. Fabricant DS, Farnsworth NR. The value of plants used in traditional medicine for drug discovery. Environ Health Perspect 2001;109:69-75. https://doi.org/10.2307/3434847 https://doi.org/10.1289/ehp.01109s169 PMid:11250806 PMCid:PMC1240543
[46]. Patwardhan B. Ayugenomics: integration for customized medicine. Indian J Nat Prod 2003;19:16-23.
[47]. Patwardhan B, Joshi K, Chopra A. Classification of human population based on HLA gene polymorphism and the concept of Prakriti in Ayurveda. J Altern Complement Med 2005; 11:349-53. https://doi.org/10.1089/acm.2005.11.349 PMid:15865503

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