Integrative Medicine in Residency: Feasibility and Effectiveness of an Online Program

Fam Med. 2017 Jul;49(7):514-521.

Abstract

Background and objectives: Online curricular interventions in residency have been proposed to address challenges of time, cost, and curriculum consistency. This study is designed to determine the feasibility and effectiveness of a longitudinal, multisite online curriculum in integrative medicine (IMR) for residents.

Methods: Residents from eight family medicine programs undertook the 200-hour online IMR curriculum. Their medical knowledge (MK) scores at completion were compared to a control group from four similar residency programs. Study and control groups were comparable in baseline demographics, and MK scores. Course completion, MK scores, and course evaluations were assessed.

Results: Of 186 IMR residents, 76.9% met completion requirements. The IMR group showed statistically significant higher MK scores at residency completion, the control group did not (IMR: 79.2% vs.

Control: 53.2% mean correct). Over three-fourths of IMR participants (range 79-92%) chose the top two rating categories for each course evaluation item. In an exit survey, ability to access the curriculum for 1 additional year and intention to utilize IM approaches after residency were the highest ranked items.

Conclusions: The demonstrated feasibility, effectiveness, and positive evaluations of the IMR curriculum indicate that a multisite, online curricular intervention is a potentially viable approach to offering new curriculum with limited on-site faculty expertise for other family medicine residencies.

MeSH terms

  • Adult
  • Curriculum
  • Education, Distance / methods*
  • Education, Medical, Graduate
  • Faculty, Medical
  • Family Practice / education*
  • Feasibility Studies
  • Female
  • Humans
  • Integrative Medicine / education*
  • Internship and Residency*
  • Japan
  • Longitudinal Studies
  • Male
  • Surveys and Questionnaires