OBJECTIVE: We wished to determine third-year medical students' opinions and
knowledge related to complementary and alternative medicine (CAM) in a sch
ool with no formal or elective course on the subject.
STUDY DESIGN: A questionnaire was offered to third-year medical students du
ring their 8-week rotation on obstetrics and gynecology.
RESULTS: Most students had been exposed to CAM therapies, knew that the maj
ority of the American public was using CAM, believed that some CAM interven
tions were useful, and did not believe CAM therapies were a threat to publi
c health. Most students had insufficient knowledge or understanding of the
safety or lack of it for 10 of the more common CAM modalities. Most respond
ents thought these interventions were useful, but would not refer the patie
nt nor dissuade her from using them. There were no significant differences
in responses between men and women or related to the time in the year of th
e clerkship.
CONCLUSION: Medical students in this school self-identified an interest abo
ut the clinical usefulness of 10 CAM modalities, but did not have sufficien
t knowledge about the safety for 10 of the more common CAM modalities. Incl
uding CAM topics in the medical school curriculum would better prepare phys
icians to respond to patient inquiries about CAM and thereby to fulfill the
ir role as patient advocates.