Tuesday, September 8, 2009

Twenty Questions About Naturopathic Medicine

1. Is naturopathic medicine new?

No. Naturopathic medicine in the U.S has grown out of medical traditions from throughout the world, both
ancient and modern. The majority of states have licensed naturopathic medicine at different times since
its formation as a distinct American medical profession in 1902. Naturopathic medicine continues to grow
and evolve, incorporating advances in diverse medical disciplines throughout the world.

2.
How is naturopathic medicine different from conventional medicine?

The main difference is in philosophical approach. Naturopathic doctors treat patients by restoring overall
health rather than suppressing a few key symptoms. Naturopathic doctors are more concerned with
finding the underlying cause of a condition and applying treatments that work in alliance with the
natural healing mechanisms of the body rather than against them. Naturopathic treatments result less
frequently in adverse side effects, or in the chronic conditions that inevitably arise when the cause of
disease is left untreated.

3.
In what ways are naturopathic doctors and conventional physicians alike?

The academic training in medical sciences of naturopathic doctors and conventional physicians is
similar. Both study modern physical, clinical and laboratory diagnosis. Both can diagnose a disease and
predict its course. Naturopathic doctors also perform minor surgery, and prescribe some drugs (in states
where permitted). Both naturopathic doctors and conventional physicians refer patients to other health
care practitioners when appropriate.

4.
What treatments does a naturopathic doctor employ?

Naturopathic doctors use therapies such as clinical nutrition, dietary and lifestyle modification,
counseling, medical herbalism, homeopathy, hydrotherapy, physiotherapy, exercise therapy, oriental
medicine, natural childbirth, minor surgery, and limited drug therapy. They apply these according to the
naturopathic principles mentioned in question two.

5.
How are these treatments applied?

Naturopathic doctors consider the whole patient when treating illness. They work with the patient to
determine the true cause of the illness, and apply their therapies in a way to restore overall health. They
use therapies which themselves have little potential to cause harm. They may at times use palliative
treatments or suppress symptoms, but only in he overall context of overall health restoration.
Conventional doctors could conceivably adopt some naturopathic remedies, but MDs are not trained to
apply them in a naturopathic way.

6.
Are naturopathic doctors opposed to drugs and surgery?

No. Naturopathic doctors are not opposed to invasive or suppressive measures when these methods are
necessary. They make referrals for such treatment when appropriate. Naturopathic medicine has both
safer and less expensive alternatives to many kinds of non-emergency surgery.

7.
What is the education of a naturopathic physician?

Naturopathic doctors (ND) receive undergraduate training in standard premedical courses, followed by
four years of graduate level medical studies. The first two years – like those of an orthodox MD – are in
basic medical sciences. The second two years emphasize clinical training in naturopathic therapeutics,
described in question number four. Naturopathic physicians are clinically trained in a primary care
outpatient setting rather than in a hospital. Their training leads to an ND degree – Doctor of Naturopathic
Medicine.

8.
Are naturopathic medical programs accredited?

Yes. The Council on Naturopathic Medical Education (CNME) is the accrediting body recognized by the U.S.
Department of Education. Students attending programs accredited or recognized as candidates for
accreditation by the CNME are eligible for federal educational loans.

9.
Where are naturopathic physicians licensed?

Alaska, Arizona, California, Connecticut, District of Columbia, Hawaii, Idaho, Kansas, Maine, Montana,
New Hampshire, Oregon, Utah, Vermont, Washington, Puerto Rico and the Virgin Islands
all license
naturopathic physicians. However, doctors of Naturopathic Medicine practice in all states, sometimes
under other medical licenses and sometimes with a scope of practice substantially less than their
training. There are 24
state naturopathic medical associations in the U.S. The American Association of
Naturopathic Physicians (AANP) supports
legislation to license ND’s in all states in order to distinguish
properly trained physicians from lesser trained individuals who may present a danger to the public.

10.
Are there other kinds of "NDs" in the U.S.?

Yes. Unfortunately, some people obtain questionable ND degrees from brief correspondence courses,
short seminars, or from schools that give credit for life experience but which do not require clinical
training. Such degrees are usually not recognized by state degree-authorizing bodies. State naturopathic
licensing boards currently require graduation from a four-year naturopathic medical college for licensing.
AANP membership is limited to individuals who are eligible for licensing in states which issue licenses.

11.
Is naturopathic medicine covered by insurance?

More than 90 insurance carriers cover naturopathic medicine in the U.S. and Canada. State legislatures in
Connecticut and Alaska have mandated insurance reimbursement for medically necessary and
appropriate naturopathic medical services. Check with your insurance carrier to determine whether
naturopathic services are covered.

12.
Is naturopathic medicine cost-effective?

Yes. Because naturopathic doctors have alternatives to some expensive high-tech procedures, and
because their preventive approach reduces the incidence of high-cost chronic conditions, naturopathic
practice reduces both immediate and long-tem health care costs.

13.
Is naturopathic medicine safe?

Yes. The safety records in states with review boards is excellent. Naturopathic doctors can purchase
malpractice insurance at extremely low rates. As indicated by such rates, the chance of being injured
through malpractice is low

14.
Is naturopathic medicine scientific?

Yes. Naturopathic medicine has its own unique body of knowledge, evolved and refined for centuries. It
also incorporates scientific advances from medical disciplines throughout the world.
Many of the individual therapies of naturopathic medical practice have been scientifically validated,
especially in the areas of clinical nutrition, botanical medicine, homeopathy, immunology and
hydrotherapy. The trend is that those naturopathic methods which are tested are validated. More
detailed information is available from the AANP. The research departments of naturopathic medical
colleges also conduct ongoing research, exploring experimental models appropriate to the eclectic and
individualized approach of naturopathic practice. They have also produced state-of-the-art double-blind
and placebo-controlled studies, published in peer-reviewed scientific journals.

15.
Has conventional medicine adopted methods from the naturopathic body of knowledge?

Yes. Especially in the areas of nutrition, diet, exercise therapy, and mind-body correlations. The dangers
of fats, oils and refined sugars; the benefits of fiber, whole foods, and some medicinal plants; the value
of exercise; and the influence of mental and emotional attitudes on health are all part of the
naturopathic body of knowledge. Some of this knowledge has been incorporated into conventional
medicine in the last few years.

16.
What is the status of naturopathic medicine in other countries?

No exact counterpart to American naturopathic medicine exists in other countries. (Standards are higher
in the U.S.). Naturopathic methods and approaches are growing in popularity worldwide, especially in
Europe and Asia, among both conventional and alternative practitioners. These methods often have
government support and insurance reimbursement.

17.
What is the position of naturopathic medicine on immunization?

Immunization is part of the naturopathic medical curriculum, and vaccination is included in the scope of
practice in some naturopathic licensing laws in the U.S. In practice, most naturopathic doctors follow a
policy of informing the patient of the possible risks and benefits of each type of immunization, and
allowing the patient to decide. This practice is similar to that recommended by the U.S. Center for
Disease Control. The naturopathic doctor may also recommend for or against immunization on the basis
of an individual’s medical history and overall health status.

18.
How do ND’s interact with other health professionals?

ND’s refer to other health care providers such as MD’s, MD specialists, DO’s, psychotherapists,
acupuncturists, and chiropractors when appropriate. Most naturopathic practices have extensive cross-
referrals to and from other practitioners.

19.
Do naturopathic physicians practice natural childbirth?

All ND’s are trained in basic obstetrics. Some elect to get the further training necessary for licensing to
practice home birth. Licensing laws vary from state to state.

20.
Do naturopathic physicians practice acupuncture and oriental medicine?

Sometimes. Laws vary from state to state. All ND’s take courses in oriental medicine. Some get extra
training and may be licensed separately as acupuncturists.

Source: American Association of Naturopathic Physicians

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