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Dr. Godwin and Dr. Fan’s article “Evidence based medicine skills for acupuncturist part I: The Hinman Trial on Chronic Knee Pain and the Importance of Critical Appraisal Skills.” was published recently in Journal of American Acupuncture 2015;71 (Summer): 22-29.(For the PDF file, please click the link below)

Godwin J, Fan AY. Evidence based medicine skills for acupuncturist part I- The Hinman Trial on Chronic Knee Pain and the Importance of Critical Appraisal Skills. J Am Acupunct 2015;71 Summer 22-29.

Abstract
Evidence-based medicine (EBM) skills are critical to clinical effectiveness and to developing and maintaining an effective intellectual ecosystem of clinicians, researchers, policy-makers, and academics. One important competency within the evidence-based medicine paradigm is the ability to appraise research papers critically. The authors first discuss the value of research literacy among acupuncturists and then demonstrate the importance of this skill by critically appraising a randomized controlled trial (RCT) on chronic knee pain published by Hinman et al. in
The Journal of the American Medical Association
(JAMA) in 2014.
Keywords: evidence-based medicine, Hinman trial, acupuncture, research literacy, acupuncture competencies

“ Research literacy is one of the most important issues facing the acupuncture profession in the United States and is a critical competency for all healthcare providers operating under a scientific evidence-based paradigm.”

“ From 2000 to 2006, the National Center for Complementary and Alternative Medicine (now the National Center for Complementary and Integrative Health, or NCCIH), of the National Institutes of Health (NIH), provided R25 funding to nine Complementary and Alternative Medicine (CAM) colleges to develop EBM programs. That the NIH is funding programs to improve EBM skills demonstrates how important these skills are in modern healthcare.”

“ No trial can conclude ‘acupuncture is ineffective’ for any condition. A trial can only demonstrate the efficacy of a particular acupuncture procedure. A trial tests a tightly controlled procedure, not an entire therapeutic intervention.”

“ The contemporary acupuncturist must have the skills to retrieve, critically appraise, and apply to his or her patients’ conditions the very best evidence available. Developing the skills demonstrated in this paper and by the many experts active in acupuncture research should be a priority for any clinician practicing acupuncture.”

Conclusion
The ability to critically appraise acupuncture research is crucial to the concept of fidelity described earlier. Patients, payers, regulatory agencies, and the public assume that clinicians are delivering the best available care based on the latest and highest-quality evidence. The contemporary acupuncturist must have the skills to retrieve, critically appraise, and apply to his or her patients’ conditions the very best evidence available. Developing the skills demonstrated in this paper and by the many experts active in acupuncture research should be a priority for any clinician practicing acupuncture.

Godwin J, Fan AY. Evidence based medicine skills for acupuncturist part I- The Hinman Trial on Chronic Knee Pain and the Importance of Critical Appraisal Skills. J Am Acupunct 2015;70 Summer 22-29.

AcupunctureToday.com Interview Chinese-Doctors-Poke-Holes-in-Australian-Study 063015

http://www.acupuncturetoday.com/mpacms/at/article.php?id=33043

针刺麻醉老照片  from  
http://puh3.net.cn/mzk/kswh/24918.shtml
作者:王军 来自:麻醉科  时间:2010-1-14
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针刺麻醉,开胸手术,自《人民画报》。

针刺麻醉下脑外科手术。

叶剑英元帅与针麻术后患者。

越南医学人员参观。

Dr. Gene Bruno: The beginning of the acupuncture profession in the United States (1969–1979) — acupuncture, medical acupuncture and animal acupuncture | PDF |

GLOBAL VIEWS
Dr. Gene Bruno: The beginning of the acupuncture profession in the United States (1969–1979) — acupuncture, medical acupuncture and animal acupuncture  | PDF |

http://www.jcimjournal.com/jim/

June 23, 2015 | Arthur Yin Fan, Sarah Faggert (doi: 10.1016/S2095-4964(15)60186-8)
 | PDF |

Obama and Dr. Arthur Fan, letter_105723Obama and Dr. Arthur Fan, letter 032015

http://www.jcimjournal.com/articles/publishArticles/pdf/S2095-4964(14)60035-2.pdf

Fan AY. “Obamacare” covers fifty-four million Americans for acupuncture as Essential Healthcare Benefit. J Integr Med. 2014; 12(4): 390-393

“Obamacare” is the informal and most-used term for The Patient Protection and Affordable Care Act, also known as the Affordable Care Act (ACA), and is a United States federal statute signed into law by President Barack Obama on March 23, 2010. Together with the Health Care and Education Reconciliation Act, the ACA represents the most significant regulatory overhaul of the United States healthcare system since the passage of Medicare and Medicaid in 1965[1]. This healthcare reform has already begun, with the open enrollment for the first year of the ACA’s healthcare exchange marketplace ending on March 31, 2014. “Obamacare” was enacted with the goals of increasing the quality and affordability of health insurance, lowering the uninsured rate by expanding public and private insurance coverage, and reducing the costs of healthcare for individuals and the government[1]. The ACA introduced a number of mechanisms, such as mandates, subsidies, and insurance exchanges that are meant to increase the coverage and affordability of healthcare. The new healthcare law also requires that insurance companies guarantee coverage for all applicants that fit within new minimum standards and offer the same rates regardless of pre-existing conditions or gender to all applicants. Additional health care reforms are aimed at reducing the cost of healthcare through additional mechanisms such as increasing competition, regulations, and incentives to streamline the delivery of healthcare and move towards a quality-based rather than quantity-based system. The Congressional Budget Office predicts that improved efficiency within the healthcare system, from the new imposed regulations, will help to lower present and future deficits as well as Medicare spending[1,2].  read more at http://www.jcimjournal.com/articles/publishArticles/pdf/S2095-4964(14)60035-2.pdf

We thank Hinman and her colleagues for their considered reply to our letter. We accept that our approach was more informal than their response, but in our defence, we were writing originally for the audience of a general journal, rather than for methodologist and statisticians.

The main point we wished to make concerns the decision to power a study without any reference to previous literature or pilot data within the setting adopted. Of course it seems superficially justified to adopt a minimum change that you wish to measure (in this case a difference over sham of 1.8 on a 10 point scale), but if this difference has never been achieved in previous research it seems odd to invest so much unless the intention was to provide evidence of a lack of effect for acupuncture and laser acupuncture. More….http://acupmed.bmjjournals.com/content/33/1/86/reply

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