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

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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