Age «
--- Select from the following --- 20-29 30-39 40-49 50-59 60-69
Number of years since completing training «
--- Select from the following --- 0-5 6-10 11-15 16-20 21-30 31-40 41-50
Position «
--- Select from the following --- Faculty HouseStaff Fellow Student Other
For questions 1-7, please rate your knowledge of the following alternative therapies and indicate whether you would like to know more about a particular therapy.
1. Acupuncture «
--- Select from the following --- 1 Have never heard of it 2 Have heard of it 3 Know something about it 4 Know quite a bit about it 5 Have received training in it
2. Homeopathy «
--- Select from the following --- 1 Have never heard of it 2 Have heard of it 3 Know something about it 4 Know quite a bit about it 5 Have received training in it
3. Herbal Therapy «
--- Select from the following --- 1 Have never heard of it 2 Have heard of it 3 Know something about it 4 Know quite a bit about it 5 Have received training in it
4. Mind-Body Therapy (Meditation, Hypnosis, Imagery) «
--- Select from the following --- 1 Have never heard of it 2 Have heard of it 3 Know something about it 4 Know quite a bit about it 5 Have received training in it
5. Ayurvedic Medicine «
--- Select from the following --- 1 Have never heard of it 2 Have heard of it 3 Know something about it 4 Know quite a bit about it 5 Have received training in it
6. Massage Therapy or Other Manual Therapy «
--- Select from the following --- 1 Have never heard of it 2 Have heard of it 3 Know something about it 4 Know quite a bit about it 5 Have received training in it
7. Energy Therapy (QiGong, Reiki) «
--- Select from the following --- 1 Have never heard of it 2 Have heard of it 3 Know something about it 4 Know quite a bit about it 5 Have received training in it
8. Should alternative medical therapies be part of the medical school curriculum
9. How often do you inquire about your patients’ use of alternative therapies? «
--- Select from the following --- Never (skip to #11) Sometimes Frequently Always
For questions 11-17, please rate the usefulness of each of the following therapies and indicate whether you have ever recommended this therapy to patients and whether you use the therapy yourself.
11. Acupuncture «
--- Select from the following --- 1 Useless 2 3 4 5 Very useful
11b. Have used by yourself
12. Homeopathy «
--- Select from the following --- 1 Uesless 2 3 4 5 Very useful
12b. Have used by yourself
13. Herbal Therapy «
--- Select from the following --- 1 Useless 1 3 4 5 Very useful
13b. Have used by yourself
14. Mind-Body Therapy (Meditation, Hypnosis, Imagery) «
--- Select from the following --- 1 Useless 2 3 4 5 Very useful
14b. Have used by yourself
15. Ayurvedic Medicine «
--- Select from the following --- 1 Useless 2 3 4 5 Very useful
15b. Have used by yourself
16. Massage Therapy or other Manual therapy «
--- Select from the following --- 1 Useless 2 3 4 5 Very useful
16b. Have used by yourself
17. Energy Therapy (QiGong, Reiki) «
--- Select from the following --- 1 Useless 2 3 4 5 Very useful
17b. Have used by yourself
18. How do you feel about the establishment of a Complementary and Integrative Medicine (CIM) clinic at JHMI «
--- Select from the following --- Against it Skeptical Neutral Favorable Excited
For Question 19, will you refer your patients to the CIM clinic at JHMI for:
19a. Comprehensive patient evaluation by JHMI physicians
19b. Specific type(s) of alternative therapy
19d. Specific patient problems
20. Additional comments regarding alternative medicine
