1. Building Bridges Qualitative Assessment of a Clinical Faculty Exchange between a Naturopathic and an Allopathic Medical Training Program Bastyr University Naturopathic Physician Research Education Project (N-PREP) Rachelle McCarty ND MPH

2. Clinical Exchange Goals  To provide Bastyr faculty an opportunity to observe how evidence-based medicine (EBM) is performed at the University of Washington (UW), and UW faculty to model EBM to Bastyr students at Bastyr Center for Natural Health (BCNH)  Foster integrative medicine at both clinics

3. Program Overview  Administrative support for observation agreements (immunization/TB updates, background checks, approval signatures, name badges)  Bastyr faculty observe four hours weekly at UW for three months  UW faculty observe once monthly at BCNH  Faculty schedule shifts themselves

4. Program Evaluation - NDs  All Bastyr faculty completed written evaluation to determine if program goals were met:  EBM observed  change teaching/practice  impediments to EBM at BCNH  satisfaction with program  Based on informal feedback, added Qualitative Assessment: 2 one-hour focus groups, individual structured interviews

5. Four Questions  What did you take, if anything, from the clinical exchange experience beyond what was specified in the grant?  How are you using and implementing these ideas and experiences?  Were there any other unexpected benefits in the areas of teaching, administrative processes or clinical practice? If so, what were these specifically?  What additional comments, suggestions or recommendations do you have for future clinical exchanges?

6. Methods and Results  53% of core clinical faculty (22% of all clinical faculty) completed a clinical exchange between October 2007 and July 2010  Nine participated in either a focus group or a structured personal interview  Two independent manual content analyses of transcribed notes yielded eight major themes  Consensus by team results in six final categories

7. Six Themes  Integrating EBM into ND Clinical Teaching  Strengthening of Professional Relationships  Exposure to Clinical Experiences outside the Usual ND Scope  Reaffirmation of Naturopathic Training and Profession  Observation of Clinical and Administrative Resources  Recommendations for Future Clinical Exchanges

8. National Center for Complementary and Alternative Medicine National Institutes of Health U.S. Department of Health and Human Services www.nccam.nih.gov This work was supported by a grant from Team  Robin Fenn PhD  Barak Gaster MD  Wendy Weber ND PhD MPH  Jane Guiltinan ND  Manuscript accepted to EXPLORE: The Journal of Science and Healing