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Other Health Professions / Naturopathy
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Naturopathic medicine, sometimes called "naturopathy," is as old as healing itself and as new as the latest discoveries in biochemical sciences. Modern naturopathic physicians (NDs) are primary health care providers who use therapies that are almost exclusively natural (hence the name naturopathic) and nontoxic. These include clinical nutrition, homeopathy, botanical medicine, hydrotherapy, physical medicine, and counseling. Many NDs have additional training and certification in acupuncture and home birthing. In the United States, the naturopathic medical profession's infrastructure includes accredited educational institutions, professional licensing by a growing number of states, national standards of practice and care, peer review, and an ongoing commitment to state-of-the-art scientific research.
The word "naturopathy" was first used in the United States just over 100 years ago. But the natural therapies and the philosophy on which naturopathy is based have been effectively used to treat diseases since ancient times. As Rene Dubos noted in The Mirage of Health (1959), the word "physician" is from the Greek root meaning "nature." Hippocrates, a physician who lived 2400 years ago, is often considered the earliest predecessor of naturopathic physicians, particularly in terms of his teaching that "nature is healer of all diseases" and his formulation of the concept vis medicatrix naturae -- "the healing power of nature." This concept has long been at the core of indigenous medicine in many cultures around the world and remains one of the central themes of naturopathic philosophy to this day.
The earliest doctors and healers worked with herbs, foods, water, fasting, and tissue manipulation -- gentle treatments that do not obscure the body's own healing powers. Today's naturopathic physicians continue to use these therapies as their main tools and to advocate a healthy dose of primary prevention. In addition, modern NDs conduct and make practical use of the latest biochemical research involving nutrition, botanicals, homeopathy, and other natural treatments.
For many diseases and conditions (a few examples are ulcerative colitis, asthma, menopause, flu, obesity, and chronic fatigue), treatments used by naturopathic physicians can be primary and even curative. Naturopathic physicians also function within an integrated framework, for example referring patients to an appropriate medical specialist such as an oncologist or a surgeon. Naturopathic therapies can be employed within that context to complement the treatments used by conventionally trained medical doctors. The result is a team-care approach that recognizes the needs of the patient to receive the best overall treatment most appropriate to his or her specific medical condition.
A LICENSED naturopathic physician (N.D.) attends a four-year graduate level naturopathic medical school and is educated in all of the same basic sciences as an M.D. but also studies holistic and nontoxic approaches to therapy with a strong emphasis on disease prevention and optimizing wellness. In addition to a standard medical curriculum, the naturopathic physician is required to complete four years of training in clinical nutrition, acupuncture, homeopathic medicine, botanical medicine, psychology, and counseling (to encourage people to make lifestyle changes in support of their personal health). A naturopathic physician takes rigorous professional board exams so that he or she may be licensed by a state or jurisdiction as a primary care general practice physician.
Not all naturopathic doctors are created equal! Naturopathic medicine is not yet licensed in all 50 states, and in unlicensed states buyer beware is a good rule to go by, both for those seeking a health care provider and for those thinking about a career in natural medicine. If you are at all uncertain as to the qualifications of someone using the N.D. title in an unlicensed state, remember that membership in the A.A.N.P. provides some quality assurance that persons identifying themselves as N.D.s meet the educational criteria for licensure, or have met era-appropriate educational standards.
Naturopathic medicine was popular and widely available throughout the US well into the early part of the 20th century. Around 1920, from coast to coast, there were a number of naturopathic medical schools, thousands of naturopathic physicians, and scores of thousands of patients using naturopathic therapies. But the rise of "scientific medicine," the discovery and increasing use of "miracle drugs" like antibiotics, the institutionalization of a large medical system primarily based (both clinically and economically) on high-tech and pharmaceutical treatments -- all of these were associated by mid-century with the temporary decline of naturopathic medicine and most other methods of natural healing.
By the 1970s, however, the American public was becoming increasingly disenchanted with conventional medicine. The profound clinical limitations of conventional medicine and its out-of-control costs were becoming obvious, and millions of Americans were inspired to look for "new" options and alternatives. Naturopathy and all of complementary alternative medicine began to enter a new era of rejuvenation.
Today, licensed naturopathic physicians are experiencing noteworthy clinical successes, providing leadership in innovative natural medical research, enjoying increasing political influence, and looking forward to an unlimited future potential. Both the American public and policy makers are recognizing and contributing to the resurgence of the comprehensive system of health care practiced by NDs. In 1992, the NIH's Office of Alternative Medicine, created by an act of Congress, invited leading naturopathic physicians (educators, researchers, and clinical practitioners) to serve on key federal advisory panels and to help define priorities and design protocols for state-of-the-art alternative medical research. In 1994, the NIH selected Bastyr University as the national center for research on alternative treatments for HIV/AIDS. At a one-million-dollar level of funding, this action represented the
formal recognition by the federal government of the legitimacy and significance of naturopathic medicine.
Meanwhile, the number of new NDs is steadily increasing, and licensure of naturopathic physicians is expanding into new states. By March of 1999, eleven of fifty states had naturopathic licensing laws (Alaska, Arizona, Connecticut, Hawaii, Maine, Montana, New Hampshire, Oregon, Utah, Vermont, and Washington). The Commonwealth of Puerto Rico licensed NDs in January 1998 and a number of other states are likely to enact naturopathic licensing in the near future. Naturopathic medical education is growing by leaps and bounds. Two of the three US naturopathic medical schools, National College of Naturopathic Medicine in Portland, Oregon, and Bastyr University in Seattle, Washington, are fully accredited. The third, Southwest College of Natural Health Sciences in Scottsdale, Arizona, has been accepted as a candidate for accreditation. Recently, all three US naturopathic medical schools and the Canadian College of Naturopathic Medicine in Toronto moved to considerably larger campuses in order to meet the accelerating demand on the part of prospective naturopathic medical students. In 1998, Bastyr University alone had almost 1,000 students enrolled in its various degree-granting programs.
In October 1996, in a major development for both public health and naturopathic medicine, the Natural Medicine Clinic opened in Kent, Washington. Funded by the King County (Seattle) Department of Public Health, the clinic is the first medical facility in the nation to offer natural medical treatments to people in the community, paid for by tax dollars. Bastyr University, one of the three US naturopathic colleges, was selected over several leading Seattle-area hospitals to operate the clinic.
Approaching the new millennium, one century after it put down roots in North America, naturopathic medicine is finally enjoying a well-deserved renaissance.
Visit The AANP, the American Association of Naturopathic Physicians
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