title: Training in and use of diagnostic techniques among CAM practitioners: an Australian study.
abstract: OBJECTIVE
  This study aimed to determine the extent to which complementary and alternative medicine (CAM) practitioners in Australia are trained in and use CAM and Western medical diagnostic techniques, and the influence this may have on their role as primary contact practitioners.
  
  
  METHODS
  A 45-item questionnaire was mailed to members of the Australian Natural Therapists' Association and the Australian Traditional Medicine Society.
  
  
  RESULTS
  We received 617 responses (22%). Respondents reported high frequency of training in and use of Western case history taking, observation, taking blood pressure and pulses, palpation, postural assessment, orthopaedic testing, in addition to naturopathic case history taking, iris diagnosis, and face, tongue, and nail diagnosis. We found a significant relationship between the confidence practitioners had in identifying clients requiring referral and their training in these areas.
  
  
  CONCLUSIONS
  Despite the reported high frequency of training in and use of Western medical and CAM diagnostic techniques, 32% of respondents reported a lack of confidence in identifying patients requiring referral. This could compromise the safety of clients and the effectiveness of practice.
authors.affiliation: Department of Health and Chiropractic, Macquarie University, New South Wales, Australia.
authors.forename: Sandra
authors.initials: S
authors.lastname: Grace
authors.forename: Subramanyam
authors.initials: S
authors.lastname: Vemulpad
authors.forename: Robyn
authors.initials: R
authors.lastname: Beirman
mesh_terms: D001291:Attitude of Health Personnel; D001315:Australia; D002983:Clinical Competence / Q000706:statistics & numerical data; D000529:Complementary Therapies / Q000193:education* / Q000706:statistics & numerical data*; D019937:Diagnostic Techniques and Procedures / Q000706:statistics & numerical data*; D006801:Humans; D008487:Medical History Taking / Q000379:methods* / Q000706:statistics & numerical data; D009324:Naturopathy / Q000706:statistics & numerical data; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D011369:Professional-Patient Relations; D012017:Referral and Consultation / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires