Startseite Traditional alternative and complementary medicine: a review of undergraduate courses and curricula in Peru
Artikel
Lizenziert
Nicht lizenziert Erfordert eine Authentifizierung

Traditional alternative and complementary medicine: a review of undergraduate courses and curricula in Peru

  • Juan Huaccho-Rojas ORCID logo EMAIL logo , Leonardo J. Uribe-Cavero ORCID logo , Angie Diaz-Mejía ORCID logo , Mabel R. Challapa-Mamani ORCID logo , Marisella Chumán-Sánchez ORCID logo , Oswaldo N. Vite-Gutierrez ORCID logo , Jeremy Yauri-Mamani ORCID logo , Omar C. Bellota-Segovia ORCID logo , Paula Regina Durand-Anahua ORCID logo , Yahaira M. Mamani-Ticona ORCID logo , Zulema Mamani-Condori ORCID logo , Kelly Alarcon-Ore ORCID logo , Kevin Anthony Martínez-Solís ORCID logo , Jair Noé Navarro-Cahuaza ORCID logo , Dante M. Quiñones-Laveriano ORCID logo und Martha Villar-López
Veröffentlicht/Copyright: 18. Juni 2025

Abstract

Background

Traditional, Alternative, and Complementary Medicine (T&CM) encompasses a variety of health practices that differ from the conventional medical system, including the use of medicinal herbs and complementary therapies. In Peru, these practices, particularly the use of therapeutic plants, are legally protected and commonly used for treating certain conditions. However, the lack of inclusion of T&CM in medical education puts these practices at risk of disappearing.

Aim

To analyze the inclusion of T&CM courses in the curricula of medical schools in Peru to identify gaps and opportunities for improving medical education and ensuring comprehensive training for future healthcare professionals.

Methods

A cross-sectional study was conducted by reviewing the curricula of 47 Peruvian medical schools. Data on the presence, structure, and content of T&CM courses were extracted and analyzed descriptively.

Results

In 2024, 15 out of 47 Peruvian universities offering Human Medicine programs (31.9 %) included T&CM courses. Among them, 73 % were public institutions, and 53 % were located in coastal regions. The most common topics were Traditional Chinese Medicine (93.3 %), Traditional Peruvian Medicine (87 %), phytotherapy (93 %), and acupuncture (80 %). Course structure varied: 60 % of courses were elective, while 40 % were mandatory. Most universities (93 %) allocated 2–3 academic credits, and 80 % incorporated practical training, though structured field visits were rare (6.7 %). Additionally, 53 % of universities included research activities. The lack of standardized curricular guidelines led to variability in course content and depth across institutions.

Conclusions

Few universities in Peru teach T&CM, highlighting a need to enhance medical education. Increasing T&CM topics in curricula and addressing information access disparities are crucial.


Corresponding author: Juan Huaccho-Rojas, MD, Carrera de Medicina Humana, Universidad Científica del Sur, Lima, Peru; and Centro de Investigación de Medicina Tradicional y Farmacología (CIMTFAR), Facultad de Medicina Humana, Universidad de San Martín de Porres, Lima, Peru, E-mail:

  1. Research ethics: Not applicable.

  2. Informed consent: Not applicable.

  3. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  4. Use of Large Language Models, AI and Machine Learning Tools: The authors did not use AI-assisted technologies, including large language models, for writing, editing, data analysis, or figure generation in the preparation of this manuscript.

  5. Conflict of interests: Authors state no conflict of interest.

  6. Research funding: None declared.

  7. Data availability: The data that support the findings of this study are available from the corresponding author upon reasonable request.

References

1. WHO. Traditional, complementary and integrative medicine; 2019. Available from: https://www.who.int/health-topics/traditional-complementary-and-integrative-medicine#tab=tab_1.Suche in Google Scholar

2. WHO. Estrategia de la OMS sobre medicina tradicional 2014–2023. Available from: https://iris.who.int/bitstream/handle/10665/95008/9789243506098_spa.pdf?sequence=1.Suche in Google Scholar

3. Park, YL, Huang, CW, Sasaki, Y, Ko, Y, Park, S, Ko, SG. Comparative study on the education system of traditional medicine in China, Japan, Korea, and Taiwan. Explore 2016;12:375–83. https://doi.org/10.1016/j.explore.2016.06.004.Suche in Google Scholar PubMed

4. Incaurgarat, MF, Incaurgarat, MF. Desarrollo y perspectivas de la medicina tradicional china: reflexiones a nivel local y global. Estud Asia Afr 2022;57:33–60.10.24201/eaa.v57i1.2662Suche in Google Scholar

5. Mirabal Gómez, R, Koh, O. Educación científica y medicina tradicional: una comparación entre México y Corea del Sur. Rev Col San Luis 2019;9:39–59.10.21696/rcsl9192019916Suche in Google Scholar

6. Arai, M, Katai, S, Muramatsu, S, Namiki, T, Hanawa, T, Izumi, S. Current status of Kampo medicine curricula in all Japanese medical schools. BMC Complement Altern Med 2012;12:1–7. https://doi.org/10.1186/1472-6882-12-207.Suche in Google Scholar PubMed PubMed Central

7. Patwardhan, K, Gehlot, S, Singh, G, Rathore, HCS. The Ayurveda education in India: how well are the graduates exposed to basic clinical skills? Evid Based Complement Alternat Med 2011;2011:1–6. https://doi.org/10.1093/ecam/nep113.Suche in Google Scholar PubMed PubMed Central

8. Mansilla, C, Basagoitia, A, Herrera, C. ¿Cuál es el impacto de incorporar Medicinas Complementarias y Alternativas (MCA) sobre la atención de salud y la calidad de vida de la población? EVIPNET Chile – Síntesis Rápida de Evidencia; 2016. Available from: https://etesa-sbe.minsal.cl/wp-content/uploads/2020/08/SRE_incorporar-Medicinas-complementarias-y-alternativas-sobre-la-atencio%CC%81n-de-salud-y-calidad-de-vida.pdf.Suche in Google Scholar

9. Salazar-Granara, A. Necesidad de inclusión de la enseñanza de medicina no convencional en la medicina convencional para la región de Sudamérica. Horizonte Med 2022:22–5.10.24265/horizmed.2022.v22n3.00Suche in Google Scholar

10. Salas Llerena, C, Espinoza, MG, Chucari Quispe, G. Situación de la enseñanza de la medicina tradicional y complementaria en las facultades de medicina. Rev Peru Med Integr 2022;7:102–7.10.26722/rpmi.2022.v7n2.19Suche in Google Scholar

11. Valarezo-García, C, Solis Cartas, U, Valarezo Espinosa, P. Integración de la medicina alternativa en la malla curricular de las carreras de medicina y enfermería de las universidades peruanas. Educ Méd 2019;20:118–24.10.1016/j.edumed.2017.12.010Suche in Google Scholar

12. Villacorta, BA. Sanadores inesperados: medicina china en la era de migración global (Lima y California, 1850–1930). Hist Cienc Saude Manguinhos 2018;25:19–38.10.1590/s0104-59702018000100002Suche in Google Scholar PubMed

13. Moyano, LM, Brunette, MJ, Díaz-Vélez, C. Facing the challenges of the fragmented Peruvian health system: the transformative role of academics. Rev Méd Hered 2024;35:5–7.10.20453/rmh.v35i1.5304Suche in Google Scholar

14. Ministry of Health (Peru). Administrative directive for the adaptation of health services with cultural relevance in the first level of care. Lima: MINSA; 2020. Available from: https://bvs.minsa.gob.pe/local/MINSA/5784.pdf.Suche in Google Scholar

15. Valenzuela-Oré, F, Romaní-Romaní, F, Monteza-Facho, BM, Fuentes-Delgado, D, Vilchez-Buitron, E, Salaverry-García, O. Cultural practices linked to health care and perception on the attention health facilities in residents of high-Andean settlements in Huancavelica, Peru. Rev Peru Med Exp Salud Publica 2018;35:84–92. https://doi.org/10.17843/rpmesp.2018.351.3603.Suche in Google Scholar PubMed

16. Raja, M, Cramer, H, Lee, MS, Wieland, LS, Ng, JY. Addressing the challenges of traditional, complementary, and integrative medicine research: an international perspective and proposed strategies moving forward. Perspect Integr Med 2024;3:86–97. https://doi.org/10.56986/pim.2024.06.004.Suche in Google Scholar

17. Hua, M, Fan, J, Dong, H, Sherer, R. Integrating traditional Chinese medicine into Chinese medical education reform: issues and challenges. Int J Med Educ 2017;8:126–7. https://doi.org/10.5116/ijme.58e3.c489.Suche in Google Scholar PubMed PubMed Central

18. Kim, DY, Park, WB, Kang, HC, Kim, MJ, Park, KH, Min, BI, et al.. Complementary and alternative medicine in the undergraduate medical curriculum: a survey of Korean medical schools. J Altern Complement Med 2012;18:870–4. https://doi.org/10.1089/acm.2011.0179.Suche in Google Scholar PubMed

19. Santiago, B, García-Navarrete, N, Mariños-Claudet, A, Pizarro-Gómez, R, Huaccho-Rojas, J, Valer-Villanueva, S. Medicina alternativa y complementaria: una necesidad en la educación médica de pregrado en el Perú. Rev Cuerpo Med HNAAA 2019;7:56–7.Suche in Google Scholar

20. Gerencia de Medicina Complementaria. Información sobre los Centros de Medicina Complementaria de EsSalud; 2024. Available from: https://www.gob.pe/51984.Suche in Google Scholar

21. Rivera Vela, E. La interculturalidad como contenido transversal en la educación universitaria peruana. Notas reflexivas. Educ Next 2020;29:211–3.10.18800/educacion.202001.010Suche in Google Scholar

22. Vallejos-Gamboa, J, Huaccho-Rojas, JJ, Villar-Lopez, M. EsSalud, WHO collaborating center for traditional and complementary medicine in Peru. Complement Med Res 2020;27:284–5. https://doi.org/10.1159/000505901.Suche in Google Scholar PubMed

23. Boletín UMBRAL. Observatorio de Educación Superior del Consorcio de Universidades. La formación médica en el Perú 2023;13.Suche in Google Scholar

24. Valarezo-Garcia, C, Valarezo Espinosa, P. La medicina alternativa y complementaria en la enseñanza universitaria de las ciencias de la salud en Ecuador. Rev Int Acupunt 2017;11:102–7. https://doi.org/10.1016/j.acu.2017.11.001.Suche in Google Scholar

25. UMBRAL: Boletin:Observatorio de Educación Superior del Consorcio de Universidades. La situación de la educación superior en el Perú; 2023, vol. 12. Available from: https://www.consorcio.edu.pe/umbral/wp-content/uploads/2023/05/BOLETIN-INFORMATIVO-N.%C2%B0-12-UMBRAL.pdf.Suche in Google Scholar

26. WHO global report on traditional and complementary medicine. 2019. Available from: https://iris.who.int/handle/10665/312342.Suche in Google Scholar

27. Bailey, ML, Chudgar, SM, Engle, DL, Moon, SD, Grochowski, CO, Clay, AS. The impact of a mandatory immersion curriculum in integrative medicine for graduating medical students. Explore 2015;11:394–400. https://doi.org/10.1016/j.explore.2015.07.003.Suche in Google Scholar PubMed

28. Universidad Nacional Federico Villarreal. Curriculum plan of the faculty of human medicine. Lima: UNFV; 2023. Available from: https://www.unfv.edu.pe/transparencia_universitaria/informacion_academica/plan_estudio/pregrado/fmhu_med_p.pdf.Suche in Google Scholar

29. Zwickey, H, Schiffke, H, Fleishman, S, Haas, M, Cruser, DA, LeFebvre, R, et al.. Teaching evidence-based medicine at complementary and alternative medicine institutions: strategies, competencies, and evaluation. J Altern Complement Med. 2014;20:925–31. https://doi.org/10.1089/acm.2014.0087.Suche in Google Scholar PubMed PubMed Central

30. Soliman, M, Bilszta, J. Teaching complementary and alternative medicine in undergraduate medical education: a scoping review. Int J Med Educ 2021;12:140–9. https://doi.org/10.5116/ijme.60e2.f3ed.Suche in Google Scholar PubMed PubMed Central

31. Pérez-Llantoy, EA, Salazar-Rojas, J, Pacheco-Mendoza, J. Need to include the teaching of unconventional medicine in medical training in Peru. Rev Peru Med Exp Salud Publica 2022;39:341–2.Suche in Google Scholar

32. Manchego, JV. Need for the provision of traditional, alternative, and complementary medicine services in Peru. EsSalud [Internet]. 2020. Available from: https://repositorio.essalud.gob.pe/handle/20.500.12959/3929.Suche in Google Scholar

Received: 2024-12-17
Accepted: 2025-04-11
Published Online: 2025-06-18

© 2025 Walter de Gruyter GmbH, Berlin/Boston

Heruntergeladen am 7.9.2025 von https://www.degruyterbrill.com/document/doi/10.1515/jcim-2024-0416/pdf
Button zum nach oben scrollen