Table 5 Scores on Treatment Plan Evaluation Tool Across Program Sites (n = 9)
Competency and Behaviors | Mean Score (range 1–3) | Standard Deviation | Percent Rated as DNO* |
|---|---|---|---|
Direct Observation Evaluation Tool | Â | Â | Â |
   Facilitates lifestyle changes in patients (Competency #5) |  |  |  |
a. Assesses motivational stage of patient | 2.2** | 0.46 | 0% |
b. Uses appropriate language in recommending lifestyle changes to patients | 2.5** | 0.53 | 12.5% |
   Knows how to refer appropriately to CAM practitioners (Competency #6) |  |  |  |
a. Refers when condition is potentially amenable to therapy utilized by practitioner | 2.7 | 0.46 | 0% |
b. Refers for a therapy that is acceptable to patient based on history | 2.8 | 0.38 | 12.5% |
c. Refers to a practitioner who is licensed, where appropriate | 2.7 | 0.76 | 12.5% |
d. Provides explanation/preview of therapy | 2.3** | 0.74 | 0% |
e. Provides plan for follow up/communication | 2.8 | 0.55 | 28.5% |
   Assesses scientific and historical evidence for allopathic as well as CAM approaches to specific diseases and syndromes (Competency#8) |  |  |  |
a. Provides evidence from scientific studies where appropriate (i.e., citations demonstrating use of information technology) | 1.8** | 0.98 | 25.0% |
b. Provides explanation of traditional uses where appropriate | 2.3** | 0.76 | 12.5% |
c. Provides explanation of potential benefits and risks including adverse effects/interactions where appropriate | 2.1** | 0.75 | 25.0% |
   Integrates mind-body recommendations into practice appropriately (Competency #9) |  |  |  |
a. Determine applicability of mind-body medicine methods to individual patients | 2.7 | 0.46 | 0% |
b. Gives rationale for utilizing mind-body method(s) | 2.6 | 0.74 | 0% |
   Integrates botanical recommendations into practice appropriately (Competency #10) |  |  |  |
a. Determine applicability of botanical medicine methods to individual patients | 2.8 | 0.38 | 12.5% |
b. Gives rationale for utilizing botanical(s) | 2.8 | 0.38 | 12.5% |
   Integrates nutrition recommendations into practice appropriately (Competency #11) |  |  |  |
a. Determine applicability of nutritional intervention(s) to individual patients | 2.9 | 0.35 | 0% |
b. Gives rationale for utilizing nutritional intervention(s) | 2.7 | 0.46 | 0% |
   Integrates physical activity recommendations into practice appropriately (Competency # 12) |  |  |  |
a. Determine applicability of physical activity recommendation(s) to individual patients | 3.0 | 0.00 | 0% |
b. Gives rationale for utilizing physical activity recommendation(s) | 2.8 | 0.38 | 0% |
   Counsels and support patients regarding spirituality (Competency #13) |  |  |  |
a. Determine applicability of spiritual intervention(s) to individual patients | 2.0** | 0.82 | 42.9% |
b. Gives rationale for utilizing spiritual intervention(s) | 2.3** | 0.58 | 57.1% |
   Composes and administer individualized integrative medicine treatment plans (Competency # 14) |  |  |  |
a. Prepares written management plan for patients (and colleagues) | 2.9 | 0.35 | 0% |
b. Addresses specific health problem and emphasizes health maintenance and disease prevention | 2.8 | 0.41 | 14.2% |
c. Utilizes appropriate patient-oriented language | 3.0 | 0.00 | 0% |
d. Reviews plan with patient to enhance understanding and negotiate next steps | 3.0 | 0.00 | 25.0% |
e. Demonstrates caring and respectful behaviors | 3.0 | 0.00 | 25.0% |
f. Plans appropriate monitoring and follow-up | 3.0 | 0.00 | 25.0% |