How do adcoms feel about regarding alternative medicine in a negative light?

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Inducible

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A theme in a some of my secondary essays is that alternative medicine is largely ineffective and/or harmful to public health (mostly presupposed in the context of a separate experience but sometimes stated explicitly).

While writing my secondaries, I falsely assumed that physicians held ubiquitously negative opinions towards alternative treatments. Only after almost completing my essays did I look at the relevant surveys (e.g. of rheumatologists, OB/GYN physicians, and primary care physicians).

In the OB/GYN survey, which occurred in 2008, a quarter of the physicians held the opinion that homeopathy was at least moderately effective (Table 2). Although that was a relatively negatively viewed modality, that figure still seemed astonishingly high to me.

In my essays, I specifically use variations of the terms, "homeopathy," "naturopathy," and "alternative medicine" in negative light. I think my essays would come off as arrogant if you had a favorable or even neutral attitude towards these things.

Is this okay to write about considering how some physician adcoms could possibly view it? In other words, how representative of the entire physician population are those on admissions committees?

Also, what are the attitudes of the non-physician adcoms towards alternative medicine? (As I finish writing this, it looks like I assumed the vast majority of adcoms are physicians, which I now realize is probably not the case.)
 
There is no such thing as alternative medicine. Either it works and we call it medicine, or it doesn't work, and we call it bull****.
 
you really shouldn't write about anything in a negative light for med school applications, especially now that you have found evidence that you grossly overestimated your assumptions. you might get reviewed by a doc who agrees with you, but you might get reviewed by a doc who thinks some alternative medicine practices are effective and thinks you're arrogant, and that probably won't end well.

it doesn't matter if the adcom is a physician or a non-physician. belief in alternative medicine isn't necessarily a scientific person vs. layperson thing, it's usually cultural. i know doctors and children of doctors who take herbal remedies instead of OTC drugs for certain things. it has worked for them, often for many generations. you'll find that in your patients, too, so it's something that's important to learn about and not have a negative opinion about it before learning more.

also, semi-related to your questions, but how does this answer secondary essays? play it safe and pick another topic.
 
you really shouldn't write about anything in a negative light for med school applications, especially now that you have found evidence that you grossly overestimated your assumptions.

I agree with this. Use this opportunity to talk about what inspires you, or the treatments/systems/approaches that you believe hold the most potential. Don't use limited space to tear down a branch of medicine, no matter how controversial.
 
Antibiotics prescribed to treat sore throats are largely ineffective and detrimental to public health. Doctors still prescribe them en masse. Mammography screening of asymptomatic healthy women is another example of a mainstream practice that is ineffective and detrimental to public health via high cost, false positives, and lots of unnecessary biopsies.

It's incredibly arrogant to dismiss a vast range of treatments just because they fall outside Western notions of medicine that partition mind and body into two distinct categories. The Mayo Clinic has an alternative medicine book for sale on its website, so clearly there are elements in medicine that would disagree with your assertions.
 
A theme in a some of my secondary essays is that alternative medicine is largely ineffective and/or harmful to public health (mostly presupposed in the context of a separate experience but sometimes stated explicitly).

While writing my secondaries, I falsely assumed that physicians held ubiquitously negative opinions towards alternative treatments. Only after almost completing my essays did I look at the relevant surveys (e.g. of rheumatologists, OB/GYN physicians, and primary care physicians).

In the OB/GYN survey, which occurred in 2008, a quarter of the physicians held the opinion that homeopathy was at least moderately effective (Table 2). Although that was a relatively negatively viewed modality, that figure still seemed astonishingly high to me.

In my essays, I specifically use variations of the terms, "homeopathy," "naturopathy," and "alternative medicine" in negative light. I think my essays would come off as arrogant if you had a favorable or even neutral attitude towards these things.

Is this okay to write about considering how some physician adcoms could possibly view it? In other words, how representative of the entire physician population are those on admissions committees?

Also, what are the attitudes of the non-physician adcoms towards alternative medicine? (As I finish writing this, it looks like I assumed the vast majority of adcoms are physicians, which I now realize is probably not the case.)

1) Yes, there are a surprising number of physicians that not only agree with alternative medicine, they even sell it. In office acupuncture seems to be a favorite revenue stream.

2) Regardless of the correctness of your opinion, I don't see how talking down alternative medicine has a place in your secondary essays. What were you writing about that this came up?
 
I can't believe 25% view homeopathy as effective... then again it is a CAM journal.
 
You wrote about something after doing little/no research on it? That's where this will kill you. The fact that you may piss someone off (which you very well may do) is probably less substantial than the lack of your research before writing the essay.

And to be honest, until you're an attending, you probably shouldn't be forming opinions on any type of treatment or medicine. You just don't have the experience to properly evaluate medical issues.
 
I think it depends on how much research you did before you wrote the essays. Alternative medicine can mean about a billion different things, some treatments are legit, some are neither good or bad, and some have been proven to be unsafe. You can't just put it down universally...especially considering there are so many patients out there who - for many reasons - will be really interested in alternative medicine, and will think your arrogant and dismissive by not addressing their concerns. Read about Steve Jobs's story.

Homeopathy can sometimes be effective. Not because your giving someone a miracle drug, but because when you take something and believe its going to make you better, sometimes it actually does. I'm not talking about curing cancer obviously, but the mind can be pretty powerful.
 
You wrote about something after doing little/no research on it? That's where this will kill you. The fact that you may piss someone off (which you very well may do) is probably less substantial than the lack of your research before writing the essay.

And to be honest, until you're an attending, you probably shouldn't be forming opinions on any type of treatment or medicine. You just don't have the experience to properly evaluate medical issues.

It doesn't take that much research and it certainly doesn't take a medical degree to think this kind of thing through. If you have a college level education in physics and biology you should be perfectly capable of forming an opinion on at least acupuncture and homeopathy. When the theory behind a modality undermines our most basic understanding of physiology and physics (ie acupuncture uses metal needles to rearrange the 'life energy' running through your body) that should be more than enough information for a bright college student to call bull****. Homeopathy, in particular, is a favorite punching bag for physicians that like to rant about quacks. It just sounds so stupid, even after the most cursory examination, that its almost impossible not to look down on people that give their money to these idots. It's like giving your bank codes to a 'Nigerian Prince'.

Quackery that uses medical sounding terms and concepts, like chiropractors and Chinese traditional healers, might be a little harder to roll your eyes at. You wouldn't be wrong to roll your eyes at them, but I can at least understand how intelligent people get taken in by those modalities. I needed a medical school level education before I really understood WHY chiropractic therapy didn't make any sense.

BTW I'm not saying that I would recommend ranting about homeopaths in a secondary essay, but you don't need to pretend that only a physician is qualified to call them out on their nonsense.
 
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I agree with what many of you are saying about not forming opinions about it before we are physicians and such. However, how are we supposed to go about the essays that ask us what we would do if a friend is wanting to use alternative medicine for a curable form of cancer? I was going to say that you need to be gentle but firmly let them know that better options exist.
 
I agree with what many of you are saying about not forming opinions about it before we are physicians and such. However, how are we supposed to go about the essays that ask us what we would do if a friend is wanting to use alternative medicine for a curable form of cancer? I was going to say that you need to be gentle but firmly let them know that better options exist.

Is there a school that actually asks this?
 
You wrote about something after doing little/no research on it? That's where this will kill you. The fact that you may piss someone off (which you very well may do) is probably less substantial than the lack of your research before writing the essay.

And to be honest, until you're an attending, you probably shouldn't be forming opinions on any type of treatment or medicine. You just don't have the experience to properly evaluate medical issues.

I disagree. If you aren't doing this as a medical student and resident, you really have no business becoming an attending.
 
-Paul Offit

To be sure, Offit gave this website the latest reincarnation of that quote in his recent SDN feature, but that general mantra has been around for years. It's either medicine or bull****. "Marginally beneficial" and other related situations still belong to one of those two categories.
 
To be sure, Offit gave this website the latest reincarnation of that quote in his recent SDN feature, but that general mantra has been around for years. It's either medicine or bull****. "Marginally beneficial" and other related situations still belong to one of those two categories.

I didn't know that. Thought it was his. Sorry bout that.
 
You can't just put it down universally...especially considering there are so many patients out there who - for many reasons - will be really interested in alternative medicine, and will think your arrogant and dismissive by not addressing their concerns. Read about Steve Jobs's story..

Uhh didn't he die largely because he refused normal medication?
 
Yeah, exactly. He had essentially a curable cancer, and he died because he chose to drink fruit juices instead of having early surgery. All I'm saying is I don't think the medical community has done a very good job at explaining to patients what alternative medicine really is and how they should think about it.

Imagine if your a patient who is afraid of surgery or some treatment you know nothing about, and a doctor says something like this to you:

its almost impossible not to look down on people that give their money to these idots. It's like giving your bank codes to a 'Nigerian Prince'.

I know at least my response would be, wow, what an ass. We, as scientists know what is bull and what isn't, but we have to overcompensate for patients who have been pumped full of propaganda and false advertising from the "alternative medicine" industry.
 
I know at least my response would be, wow, what an ass. We, as scientists know what is bull and what isn't, but we have to overcompensate for patients who have been pumped full of propaganda and false advertising from the "alternative medicine" industry.

I agree with Anthony. In the same way that the public is fed misinformation about who did or didn't send that stray tweet, they are exposed to misinformation and propaganda about medicine at every turn (e.g. MMR vaccines cause autism). I imagine a lot of sensitivity is required in dealing with these folks and getting them the treatment they need.
 
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