“In at the deep end”: an intensive foundation training in homeopathy for medical students

UK medical students spend 25% of their curricular time on elective “Student Selected Components” (SSCs). We report one in homeopathic medicine run jointly by the University of Bristol and the Bristol Homeopathic Hospital. The SSC was an intensive four week course using a variety of learning methods, grounded in the Faculty of Homeopathy's Primary Health Care Examination (PHCE) Certificate syllabus. Students were exposed to specialist clinics and the prescribing methods used in them. They received tuition from a veterinarian, a psychiatrist, a medical historian, a professional homeopath and an expert in the evidence base of complementary medicine. Educational methods included interactive lectures, out-patient clinics, recorded video cases, live cases via video link, a “dream proving” and a reflective diary. At the end of the course students sat and passed the Faculty's PHC examination. Assessment also included an in-depth case report in which most students revealed understanding of the course. Though students were uncertain about the nature of the healing stimulus, many were affected by the healing responses they witnessed and the intellectual challenge of remedy selection. Some professed interest in further training and all wished to see the Bristol Homeopathic Hospital (BHH) develop as a centre for holistic care. For some the experience was “transformative learning”. We conclude that this approach to a foundation training in homeopathy is feasible and effective.

Keywords

homeopathy - education - undergraduate - student selected components

• References

• 1 Macnaughton R.J. Special study modules: an opportunity not to be missed. Med Educ 1997; 31 (01) 49-51.
• 2 Owen D. Learning experiences—what works for postgraduates. Homeopathy 2002; 91 (02) 95-98.
• 3 Witt C.M., Brinkhaus B., Willich S.N. Teaching complementary and alternative medicine in a reform curriculum. Forsch Komplementmed 2006; 13 (06) 342-348.
• 4 Delbecq A., Van De Ven A., Gustafson D. Group techniques for program planning: a guide to nominal group and Delphi processes. New York: Green Briar Press; 1986.
• 5 Hahnemann S. Organon of the medical art. 6th edn. Redmond: Birdcage Books; 1997.
• 6 Swayne J. Homeopathic method. Implications for clinical practice and medical science. London: Churchill Livingstone; 1998.
• 7 Owen D. Principles and practice of homeopathy: the therapeutic and healing process. London: Churchill Livingstone; 2007.
• 8 Kurz C. Imagine homeopathy: a book of experiments, images, and metaphors, 2007.
• 9 Sankaran R. A new approach to case taking. An insight into plants. Mumbai: Homeopathic Medical Publishers; 2002. 37–51
• 10 Scholten J. Homoeopathy and the elements. Utrecht: Stichting Alonissos; 1996.
• 11 Bell I.R., Lewis D.A., Brooks A.J. et al. Improved clinical status in fibromyalgia patients treated with individualized homeopathic remedies versus placebo. Rheumatology (Oxford) 2004; 43 (05) 577-582.
• 12 White A., Slade P., Hunt C., Hart A., Ernst E. Individualised homeopathy as an adjunct in the treatment of childhood asthma: a randomised placebo controlled trial. Thorax 2003; 58 (04) 317-321.
• 13 Harrison H., Fixsen A., Vickers A. A randomized comparison of homoeopathic and standard care for the treatment of glue ear in children. Complement Ther Med 1999; 7 (03) 132-135.
• 14 Linde K., Clausius N., Ramirez G. et al. Are the clinical effects of homoeopathy placebo effect? A meta-analysis of placebo-controlled trials. Lancet 1998; 350: 834-843.
• 15 Shang A., Huwiler-Muntener K., Nartey L. et al. Are the clinical effects of homoeopathy placebo effects? Comparative study of placebo-controlled trials of homoeopathy and allopathy. Lancet 2005; 366 (9487): 726-732.
• 16 Thompson T.D.B., Weiss M.C. Homeopathy – what are the active ingredients? Findings from a study using the MRC framework for the evaluation of complex interventions. BMC Complementary Medicine 2006
• 17 Steinsbekk A., Ludtke R. Patients' assessments of the effectiveness of homeopathic care in Norway: a prospective observational multicentre outcome study. Homeopathy 2005; 94 (01) 10-16.
• 18 Belon P., Cumps J., Ennis M. et al. Inhibition of human basophil degranulation by successive histamine dilutions: results of a European multi-centre trial. Inflamm Res 1999; 48 (Suppl. 01) S17-S18.
• 19 Bell I.R. Evidence-based homeopathy. empirical questions and methodological considerations for homeopathic clinical research. Am J Homeopathy 2003; 96 (01) 17-31.
• 20 Thompson E.A., Geraghty J. The vital sensation of the minerals: reducing uncertainty in homeopathic prescribing. Homeopathy 2007; 96 (02) 102-107.
• 21 Cranton P. Understanding and promoting transformative learning: a guide for educators of adults. San Francisco: Jossey-Bass; 1994.