Naturopathic Medical Education Comparative Curricula

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1 Naturopathic Medical Education Comparative Curricula Comparing Curricula Naturopathic Med Schools With Conventional Med Schools Key: NCNM = National College of Naturopathic Medicine BASTYR = Bastyr University (Naturopathic Medicine) SWC = Southwest College of Naturopathic Medicine JH = Johns Hopkins YL = Yale ST = Stanford Source: Curriculum Directory of the Association of American Medical Colleges NCNM BASTYR SWC JH YL ST Basic and Clinical Sciences: Anatomy, Cell biology, Physiology, Histology, Pathology, Biochemistry, Pharmacology, Lab diagnosis, Neurosciences, Clinical physical diagnosis, Genetics, Pharmacognosy, Bio- statistics, Epidemiology, Public Health, History and philosophy, Ethics, and other coursework Clerkships and Allopathic Therapeutics: including lecture and clinical instruction in Dermatology, Family Medicine, Psychiatry, Medicine, Radiology, Pediatrics, Obstetrics, Gynecology, Neurology, Surgery, Opthamology, and clinical electives (+thesis) 3897 Naturopathic Therapeutics: Including Botanical medicine, Homeopathy, Oriental medicine, Hydrotherapy, Naturopathic manipulative therapy, Ayurvedic medicine, Naturopathic Case Analysis/Management, Naturopathic Philosophy, Advanced Naturopathic Therapeutics Therapeutic Nutrition Counseling TOTALS (+thesis) 5280

2 What is Naturopathic Medicine? Founded upon a holistic philosophy, naturopathic medicine combines safe and effective traditional therapies with the most current advances in modern medicine. Naturopathic medicine is appropriate for the management of a broad range of health conditions affecting all people of all ages. Naturopathic physicians (N.D.s) are the highest trained practitioners in the broadest scope of naturopathic medical modalities. In addition to the basic medical sciences and conventional diagnostics, naturopathic education includes therapeutic nutrition, botanical medicine, homeopathy, natural childbirth, classical Chinese medicine, hydrotherapy, naturopathic manipulative therapy, pharmacology and minor surgery. History of Naturopathic Medicine Naturopathic medicine, sometimes called "naturopathy," is as old as healing itself and as new as the latest discoveries in biochemical sciences. In the United States, the naturopathic medical profession's infrastructure is based on accredited educational institutions, professional licensing by a growing number of states, national standards of practice and care, peer review, and an ongoing commitment to state-of-the-art scientific research. Modern American naturopathic physicians (NDs) receive extensive training in and use therapies that are primarily natural (hence the name naturopathic) and nontoxic, including clinical nutrition, homeopathy, botanical medicine, hydrotherapy, physical medicine, and counseling. Many NDs have additional training and certification in acupuncture and home birthing. These contemporary NDs, who have attended naturopathic medical colleges recognized by the US Department of Education, practice medicine as primary health care providers and are increasingly acknowledged as leaders in bringing about progressive changes in the nation's medical system. The word "naturopathy" was first used in the US exactly 100 years ago. But the natural therapies and the philosophy on which naturopathy is based have been effectively used to treat diseases since ancient times. As Rene Dubos noted Mirage of Health (1959)@, the word "physician" is from the Greek root meaning "nature." Hippocrates, a physician who lived 2400 years ago, is often considered the earliest predecessor of naturopathic physicians, particularly in terms of his teaching that "nature is healer of all diseases" and his formulation of the concept@ vis medicatrix naturae@-- "the healing power of nature." This concept has long been at the core of indigenous medicine in many cultures around the world and remains one of the central themes of naturopathic philosophy to this day. The earliest doctors and healers worked with herbs, foods, water, fasting, and tissue manipulation -- gentle treatments that do not obscure the body's own healing powers. Today's naturopathic physicians continue to use these therapies as their main tools and to advocate a healthy dose of primary prevention. In addition, modern NDs conduct and make practical use of the latest biochemical research involving nutrition, botanicals, homeopathy, and other natural treatments. For many diseases and conditions (a few examples are ulcerative colitis, asthma, menopause, flu, obesity, and chronic fatigue), treatments used by naturopathic physicians can be primary and even curative. Naturopathic physicians also function within an integrated framework, for example referring patients to an appropriate medical specialist such as an oncologist or a surgeon. Naturopathic therapies can be employed within that context to complement the treatments used by conventionally trained medical doctors. The result is a team-care approach that recognizes the needs of the patient to receive the best overall treatment most appropriate to his or her specific medical condition. Recent History Naturopathic medicine was popular and widely available throughout the US well into the early part of the 20th century. Around 1920, from coast to coast, there were a number of naturopathic medical schools, thousands of naturopathic physicians, and scores of thousands of patients using naturopathic therapies. But the rise of "scientific medicine," the discovery and increasing use of "miracle drugs" like antibiotics, the institutionalization of a large medical system primarily based (both clinically and economically) on high-tech and pharmaceutical treatments -- all of these were associated by mid-century with the temporary decline of naturopathic medicine and most other methods of natural healing.

3 By the 1970s, however, the American public was becoming increasingly disenchanted with conventional medicine. The profound clinical limitations of conventional medicine and its out-of-control costs were becoming obvious, and millions of Americans were inspired to look for "new" options and alternatives. Naturopathy and all of complementary alternative medicine began to enter a new era of rejuvenation. Looking to the Future Today, licensed naturopathic physicians are experiencing noteworthy clinical successes, providing leadership in innovative natural medical research, enjoying increasing political influence, and looking forward to an unlimited future potential. Both the American public and policy makers are recognizing and contributing to the resurgence of the comprehensive system of health care practiced by NDs. In 1992, the NIH's Office of Alternative Medicine, created by an act of Congress, invited leading naturopathic physicians (educators, researchers, and clinical practitioners) to serve on key federal advisory panels and to help define priorities and design protocols for state-of-the-art alternative medical research. In 1994, the NIH selected Bastyr University as the national center for research on alternative treatments for HIV/AIDS. At a one-million-dollar level of funding, this action represented the formal recognition by the federal government of the legitimacy and significance of naturopathic medicine. Meanwhile, the number of new NDs is steadily increasing, and licensure of naturopathic physicians is expanding into new states. By April of 1996, eleven of fifty states had naturopathic licensing laws (Alaska, Arizona, Connecticut, Hawaii, Maine, Montana, New Hampshire, Oregon, Utah, Vermont, and Washington). A number of other states are likely to enact naturopathic licensing in the near future. Naturopathic medical education is growing by leaps and bounds. Three of the four US naturopathic medical schools - National College of Naturopathic Medicine, Bastyr University, and Southwest College are accredited. The fourth, the University of Bridgeport College of Naturopathic Medicine, is an applicant for accreditation. Within the past year, all three US naturopathic medical schools and the Canadian College of Naturopathic Medicine in Toronto moved to considerably larger campuses in order to meet the accelerating demand on the part of prospective naturopathic medical students. In 1996, Bastyr University alone had almost 1,000 students enrolled in its various degree-granting programs. In October 1996, in a major development for both public health and naturopathic medicine, the Natural Medicine Clinic opened in Kent, Washington. Funded by the King County (Seattle) Department of Public Health, the clinic is the first medical facility in the nation to offer natural medical treatments to people in the community, paid for by tax dollars. Bastyr University, one of the three US naturopathic colleges, was selected over several leading Seattle-area hospitals to operate the clinic. In the last half of the 1990s, exactly one century after it put down roots in North America, naturopathic medicine is finally enjoying a well-deserved renaissance. The AANP (American Association of Naturopathic Physicians), founded in 1986, is the professional association that represents licensed NDs in the US. To locate a naturopathic physician on the web in your area, go to and utilize the FindND search engine at the top of the page or call the AANP Referral Line at (866) , Philosophy Naturopathic physicians are primary care and specialty doctors who address the lying cause of disease through effective, individualized natural therapies that integrate the healing powers of body, mind and spirit. Naturopathic physicians are unique in providing diagnosis and treatment that bridges both conventional and natural medicine perspectives; they integrate scientific research with the healing powers of nature. The goal of a naturopathic physician is to employ therapies that support and promote the body's natural healing process, leading to the highest state of wellness.

4 As professional leaders and pioneers in science-based natural medicine, naturopathic physicians advocate the development of professional standards, accountability, and regulation of all forms of medicine in all jurisdictions to maintain public safety and freedom of choice in health care. Further, we support broad inclusion, collaboration and equal access in the health care system at all levels. The American Association of Naturopathic Physicians, in Washington, DC, is the national organization of the profession. Physician's Oath I dedicate myself to the service of humanity as a practitioner of the art and science of Naturopathic medicine. I will honor my teachers and all who have preserved and developed this knowledge and dedicate myself to supporting the growth and evolution of Naturopathic medicine. I will endeavor to continually improve my abilities as a healer through study, reflection, and genuine concern for humanity. I will impart knowledge of the advanced healing arts to dedicated colleagues and students. Through precept, lecture, and example, I will assist and encourage others to strengthen their health, reduce risks for disease, and preserve the health of our planet for ourselves, our families, and future generations. According to my best ability and judgment, I will use methods of treatment which follow the principles of Naturopathic medicine: First of all, to do no harm. To act in cooperation with the Healing Power of Nature. To address the fundamental causes of disease. To heal the whole person through individualized treatment. To teach the principles of healthy living and preventive medicine. I will conduct my life and the practice of Naturopathic health care with vigilance, integrity, and freedom from prejudice. I will abstain from voluntary acts of injustice and corruption. I will keep confidential whatever I am privileged to witness, whether professionally or privately, that should not be divulged. With my whole heart, before this gathering of witnesses, as a Doctor of Naturopathic Medicine, I pledge to remain true to this oath. Adopted at the 1992 AANP Annual Convention. Practice Modalities Naturopathic physicians combine and tailor these treatments to the needs of the individual in away that acknowledges the patient as a participant. Naturopathic Medicine - Primary Care Naturopathic physicians (NDs or NMDs) are general practitioners trained as specialists in natural medicine. In practice, naturopathic physicians perform physical examinations, laboratory testing, gynecological exams, nutritional and dietary assessments, metabolic analysis, and allergy testing. They may order x-ray, ultrasounds, other imaging procedures, and other diagnostic tests. They are the only primary care physicians clinically trained in the use in the following wide variety of natural therapeutics Clinical Nutrition Naturopathic physicians stand that what you eat is the basis for your health. Adopting a healthy diet is often the first step towards correcting health problems. Many medical conditions can be treated more

5 effectively with foods and nutritional supplements than they can by other means, but with fewer complications and side effects. Naturopathic physicians may use specific individual diets, fasting, and nutritional supplements with their patients. Botanical Medicine Plants have powerful healing properties. Many pharmaceutical drugs have their origins in plant substances. Naturopathic physicians use plant substances for their healing effects and nutritional value. Homeopathic Medicine This gentle yet effective system of medicine is more than 200 years old and is based on the principle that Like cures Like. Homeopathic medicines are very small doses of natural substances that can stimulate the body's self-healing response without side effects. Some conditions for which conventional medicine has no effective treatments will respond well to homeopathy. Physical Medicine Naturopathic medicine includes methods of therapeutic manipulation for muscles and bones. Naturopathic physicians also employ therapeutic exercise, massage, hydrotherapy, gentle electrical therapies, ultrasound, and heat and cold. Oriental Medicine Naturopathic physicians are trained in the fundamentals of oriental medicine and diagnosis. They use acupuncture, acupressure, and Chinese herbal medicine to promote healing. Lifestyle Counseling and Stress Management Mental attitudes and emotional states can be important elements in healing and disease. Naturopathic physicians are trained in counseling, nutritional balancing, stress management, hypnotherapy, and biofeedback. They also attend to environmental and lifestyle factors that affect their patients= health. Natural Childbirth Naturopathic physicians, with additional specialty training, provide natural childbirth care in an out-of-hospital setting. They offer prenatal and postnatal care using appropriate diagnostic techniques. Minor Surgery As primary care physicians, naturopathic physicians perform in-office minor surgery including repair of superficial wounds and removal of foreign bodies, warts and cysts with local anesthesia.

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