Issue/Numéro 5 September/Septembre 2004 - IN-CAM
Transcription
Issue/Numéro 5 September/Septembre 2004 - IN-CAM
Issue/Numéro 5 September/Septembre 2004 EDITORIAL: USING CAM KEYWORDS FOR GRANT APPLICATIONS INSIDE THIS ISSUE/ DANS CE NUMÉRO: EDITORIAL/ ÉDITORIAL: 1 USINGM FOCUS ON/ LE POINT SUR: 2 Research Capacity: What is it and how do we go about it? PROFILE: 3 Barbara Findlay and Trish Dryden RESEARCH SHOWCASE: The CAM in UME Project 4 CAM RESEARCH UPDATE: 4 OF INTEREST: 5 Research Grants Recent Publications Upcoming Events Fall is grant season. One of IN-CAM’s objectives is to increase the volume of high quality CAM research that is done across Canada. There are a number of ways in which we can assess whether IN-CAM is successful in achieving this objective. One important way is by tracking the number of Canadian researchers who apply for and are awarded competitive CAM related grants. Tracking this number is facilitated if everyone uses the same keywords to identify their projects as CAM-related. Anyone applying to CIHR should use “alternative medicine” (ALT) as one of the research areas if possible, and at the very least include “alternative medicine” or “complementary and alternative medicine” or “natural health products” in the list of keywords provided on page 6 of the application forms. Those applying to other granting agencies such as SSHRC or NSERC should also use these keywords. Using common keywords on all our grant applications allows us to accurately track the number of grants submitted (and funded) by a variety of different granting agencies. Many researchers have complained about the difficulty getting CAM-related projects funded and of poor peerreview evaluations from reviewers that were not sufficiently familiar with CAM topics. Yet, it is impossible to document these problems (which is necessary to argue that we need to “fix” them) if we cannot track CAM-related grants through the grant application process. For example, in the Septem- ber 2003 CIHR competition, we could identify only 10 CAM-related grants submitted, of which 3 were funded – 30% was the success rate for the overall competition as well. However, it is very likely that these numbers only tell part of the story, especially if researchers fear putting “CAM” anywhere on a grant – hence this editorial to encourage you to indicate CAM as a keyword on your grant applications. So as you fill out all your grant applications this fall, please remember to include “alternative medicine” or “complementary and alternative medicine” or “natural health products” among your keywords. Keep in mind that CAM research is maturing and becoming increasingly sophisticated. Clearly this is recognized by granting agencies as well (as exemplified by IN-CAM funding and the many joint initiatives between CIHR and the Natural Health Products Directorate Research Program). In addition, our experience shows that CAM projects, in the social sciences at least, are increasingly being given high scores for relevance. Let’s see how many applications and funded projects our community is really producing. Armed with accurate numbers, we can lobby for committees and review processes that meet our needs. ÉDITORIAL: UTILIZATION DE MOTS CLÉS MAC LORS DES DEMANDES DE SUBVENTION L’automne c’est la saison des subventions. Un des objectifs de l’IN-CAM est d’augmenter le volume de recherches de haute qualité en MAC au travers le Canada. Il existe plusieurs méthodes par lesquelles nous pouvons évaluer si l’INCAM a du succès en accomplissant cette tâche. Une méthode importante est de répertorier le nombre de chercheurs canadiens qui ont fait des demandes et qui ont été subventionnés dans le domaine des MAC. La fiabilité de ce répertoire dépend de l’utilisation par tous des mêmes mots clés pour identifier leurs projets se rapportant aux MAC. Quiconque fait une demande aux IRSC devrait utiliser ”médecine alternative” comme sujet de recherche, si possible, ou au moins inclure “médecine alternative” ou “médecine alternative et complémentaire” ou “produits de santé naturels” parmi la liste des mots clés en page 6 du formulaire de demande. Les individus présentant une demande à d’autres organismes de financement, par exemple CRSH ou CRSNG, devraient aussi utiliser ces mêmes mots clés. Le même principe s’applique aux autres organismes subventionnaires nationaux ou provinciaux. L’utilisation de tels mots clés sur toutes nos demandes de subventions nous permet de suivre avec précision le nombre de subventions soumises (et financés) par divers organismes de financement. Plusieurs chercheurs se sont plaint de la difficulté d’obtenir du financement pour leurs projets se rapportant aux MAC. Ils se sont aussi plaint d’avoir reçu de faibles évaluations par le comité d’examen par les pairs, qui ne possédait pas l’expertise nécessaire pour bien évaluer les projets comprenant des thèmes de MAC. Cependant, il est impossible de Issue /Numéro 5 September/Septembre 2004 - Page 2 ÉDITORIAL: UTILIZATION DE MOTS CLÉS MAC LORS DES DEMANDES DE SUBVENTION documenter ces problèmes si nous ne pouvons pas répertorier les projets MAC à travers le processus de demandes de subventions; ceci étant nécessaire afin d’appuyer nos demandes de correctifs. Par exemple, dans la compétition 2003 des IRSC, seuls 10 projets soumis ont pu être liés aux MAC, dont 3 ont été financés – 30% étant aussi le taux de réussite en général pour la compétition. Cependant, il est très probable que ce pourcentage sous-estime la charge réelle en demandes de subvention liées aux MAC car certains chercheurs craignent d’indiquer quelque lien que ce soit avec les MAC; d’où la nécessité du présent éditorial. Alors, en remplissant vos demandes de subventions cet automne, s'il-vous-plait rappelez vous d’inclure “Médecine alternative” ou “Médecine complémentaire et alternative” ou “Produits de santé naturels” parmi vos mots clés. Garder en tête que les recherches en MAC mûrissent et deviennent de plus en plus sophistiquées. Il est clair que les agences de financement reconnaissent aussi ce fait. Citons en exemple le financement de l’IN-CAM et les nombreuses initiatives communes entre les IRSC et le programme de recherche de la Direction des produits de santé naturels de Santé Canada. En plus, notre expérience nous montre que les projets liés aux MAC, au moins dans le domaine des sciences sociales, reçoivent une cote de plus en plus élevée pour la pertinence. Aidez-nous à connaître le nombre exact de demandes et de projets financés qui sont réellement produits par notre communauté. Armé de chiffres précis, nous pouvons faire pression pour obtenir des comités et des processus d'évaluation qui répondent à nos besoins. FOCUS ON: RESEARCH CAPACITY— WHAT IS IT AND HOW DO WE GO ABOUT IT? Funded by an Interdisciplinary Capacity Enhancement Grant (CIHR and NHPD), one of IN-CAM’s primary objectives is “to build research capacity”. As this is a relatively new concept in the CAM community, we searched the literature to identify what exactly research capacity is, how we should go about building it, and how we would know if we have been successful. Drawing on research from international health, primary care and CAM, here is what we found: What is it? “The ability to identify knowledge gaps, develop research proposals, secure funding, conduct research and communicate/publish results”. Further and most importantly, even greater than the ability to do these things, IN-CAM would like to see more CAM research being done. This is no small task! Many of IN-CAM members have spent years developing their research careers – is it realistic given INCAM’s five year mandate to build such capacity? With targeted efforts, continued collaboration with IN-CAM members and committed leadership – we think yes, it is possible! How do we do it? A primary lesson we learned in our review of the literature was that research literacy – the means to understand, locate, evaluate and use research – precedes research capacity. You need to understand research and what it is before you can do it. We therefore have included activities related to research literacy in our plans to build research capacity over the coming years. While funding is a key component of building research capacity, there is also a need to train researchers, create and stimulate demand to use the capacity that is generated, create links and partnerships, create a supportive environment and develop strong leaders so that capacity building efforts may be sustainable (Ritchie, Nathan and Mehaffery, 2000). IN-CAM has incorporated these guidelines within its strategic planning discussions and is working to do such things as: • Develop relationships with research groups studying, promoting and developing research literacy amongst CAM providers (plan to attend the December IN-CAM symposium for a ses- sion on this topic!); • Conduct a survey to understand the level and type of CAM instruction in graduate programs across Canada (the survey will be distributed on September 21st – we hope we can count on your involvement!); • Provide competitive graduate studentship grants to students studying in the network’s priority research areas; • Provide competitive funding for students to present CAM research findings at scientific conferences (for example the INCAM symposium 2004); and • Develop relationships with research groups studying and developing CAM in undergraduate medical education curriculum. How do we measure it? Measuring and evaluating our research capacity building efforts will be of great importance, of course to prove to our funders that we have been successful, but also so that we and others may learn from our experiences. We are currently working to develop an evaluation plan, including indicators for the process, outcomes and impact of our efforts. We will continuously review the results of our evaluation so that we can modify our activities and process where appropriate. IN-CAM Research Capacity Subcommittee IN-CAM has developed a Research Capacity Subcommittee, which is charged with the mandate of developing a plan to build CAM research capacity. We are always looking for advice and input from our members. If you have any ideas or suggestions regarding how IN-CAM may better address its research capacity objectives, or would be willing to participate on the Research Capacity Subcommittee, please – contact us! Research Capacity Subcommittee members include: Silvano Mior (co-Chair), Marja Verhoef (Co-Chair), Sylvie Dodin, Trish Dryden, Kristine Hirschkorn, Anne Leis, Dennis O’Hara, Laura Vanderheyden and Sunita Vohra. Issue /Numéro 5 September/Septembre 2004 - Page 3 PROFILE BARBARA FINDLAY, RN, BSN TRISH DRYDEN, RMT, M.ED Until the spring of 2003, Barb Findlay was Executive Director of the Tzu Chi Institute for Complementary and Alternative Medicine in Vancouver, BC, an organization committed to expanding the concept of ‘integration’ in health care. Her professional background includes 20+ years of nursing and education for patients and health professionals in conventional settings. A frequent presenter on the issues surrounding integrative health care, she has been an active participant in Health Canada’s consultation process around complementary and alternative health care and integrative medicine in Canada. Trish Dryden, RMT, M.Ed., is Coordinator of Massage Therapy Research and Development at Centennial College in Toronto. She received her massage therapy training at Sutherland-Chan School and Teaching Clinic in Toronto in 1981 and her Masters Degree in Adult Education from the University of Toronto in 1993. Trish was chair of the regulatory body for massage therapy in Ontario from 1985- 1989, helping to negotiate the transition of the massage therapy profession from the Drugless Practitioners Act to the Regulated Health Professions Act. Currently, she teaches research literacy, both in the classroom and online, to complementary and alternative health care (CAHC) practitioners across the country. She coordinates the applied research program at Centennial for massage and other allied and complementary and alternative health care practices. Trish is a frequent lecturer and workshop facilitator for CAHC professions across North America and increasingly, much to her pleasure and surprise, at gatherings of allied and conventional health care practitioners. Her research is in CAHC practices, research literacy and education, and clinically in the massage therapy treatment of chronic pain, depression and anxiety disorders in adults and children. During her time with the Tzu Chi Institute, she provided leadership for its clinical program development and played an integral role in implementing the Integrated Care Program and designing a health outcomes research protocol. From a dual (clinician/ researcher) focus, Barb has been involved as co-investigator in designing a number of studies, and has first-hand experience with some of the methodological challenges. She is an advocate for combining qualitative and quantitative research approaches, and believes that studying process is at least as important as measuring outcomes in new and emerging fields. From a very experiential perspective, Barb understands the value of networking in building research capacity in this field. In 2001, she was instrumental in convening a small, funded meeting of Canada’s ‘leaders’ in integrative health care to explore interest in creating a ‘consortium of integrative health care’. Interest was high but resources were non-existent and there was little movement on the idea. Eighteen months later, however, she was thrilled to participate as co-investigator on an ICE grant proposal that would ultimately provide funding for IN-CAM! She remains active on the Steering and Advisory Committees for this organization. More recently, Barb’s research interests have expanded to include research literacy and capacity building within the CAM/integrative health care education community, and the concept of ‘optimal healing environments’ – how we define them, and how we measure them. Her exploration of ‘readiness’ as a theme in both of these areas is something she would like to pursue further. Since January 2004, Barb has been employed in a leadership position with the BC NurseLine (a BC Ministry of Health telenursing initiative), which she balances with her ongoing writing and research projects. As a committed catalyst for the transformation of health care, one of Barb’s favorite quotes remains: “Argue for your limitations, and sure enough – they are yours.” (Richard Bach) Passionate about the professionalization of CAHC and anticipating the evolution of evidence-based practice and the need for quality research, Trish (in 2001), along with her colleagues at the Canadian Massage Therapist Alliance (CMTA) began building a national infrastructure for massage therapy research. Working as a practitioner/ researcher, Trish has had the good fortune to be mentored and inspired by well-known CAHC researchers Merrijoy Kelner, Marja Verhoef, and Heather Boon and colleagues Rona Achilles, Pamela Hodgson, and Barbara Findlay. Trish is the principal investigator in the Natural Health Products Directorate (NHPD), Health Canada funded study on research literacy and NHP/CAHC schools in Canada and the co-principal investigator in the national online course in research literacy for CAHC practitioners funded by HRSD, Office of Learning Technologies in the workplace. She sits on several national CAHC committees including the Advisory Committee for IN-CAM and the Steering Committee for CAHC research at the Hospital for Sick Children. She is pleased to be a contributor to the CAM in Undergraduate Medical Education (UME) in Canada curriculum project and is the co-author of the AMTA Foundation Massage Therapy Research Curriculum Kit (2004) and numerous other publications. She is working on the creation of a national database for massage therapy research and the construction of outcomes-based, guidelines for practice, as well as a study on best practices for increasing access for internationally educated health professionals to the regulated health professions in Canada. Trish is working with two interdisciplinary teams to develop two clinical studies in massage therapy: one on the reduction of depression and anxiety in parents/care givers of children with cancer, and the other on the reduction of stress and pain in hospitalized, high-risk pregnant women on complete bed rest. Issue /Numéro 5 September/Septembre 2004 - Page 4 RESEARCH SHOWCASE: THE CAM IN UME PROJECT— AN EDUCATION INITIATIVE SUPPORTED BY RESEARCH Teaching about Complementary and Alternative Medicine in Undergraduate Medical Education (UME) is not a novel idea per se, but a national effort to develop a consensus-based curriculum is a novel undertaking. The CAM in UME Project, as we call it, is an education initiative that combines the interests and perspectives of diverse stakeholders (medical students, practising physician, patients, medical faculty and medical administrators) across Canada regarding the role of CAM in UME. Yet what does a project to develop CAM-related curriculum have to do with research? From our perspective, it was the data from a series of studies that, over a three-year period collectively established the information needed for our team to begin creating a viable CAM curriculum. Given the applied nature of our project, the research process has been multi-faceted. We have recruited participants from the aforementioned stakeholders, and have applied a number of methodologies including semi-structured telephone interviews, surveys, program scans, document reviews, and workshops. Our intent was to progressively focus each sub-project to inform in greater detail one or more of the following areas: • Existing successes and failures regarding CAM in medical education. • Potential content and learning objectives for CAM in UME. • The culture and environment in Canadian medical schools that will contribute to supporting or impeding CAM in UME. • Existing CAM content and teaching methods in Canadian UME programs. • Existing personnel involved in CAM teaching in Canadian UME. Overall, we found that the inclusion of CAM in UME is widely regarded as an important pursuit, the dominant driving force being the high prevalence of CAM use by the public. However, we also found that there is substantial diversity in the extent and priority of CAM education across Canadian medical schools. Scarcity of finances, faculty time and expertise, and curricular time were most frequently cited as obstacles to increasing CAM in the curricula. We have been able to present our research results at provincial, national, and international forums, which has provided feedback from outside our group, and has lent considerable credibility to the project objectives. The CAM in UME project currently comprises a National Working Group and an Advisory Group. Our National Working Group has recently drafted a two component CAM curriculum. One component of the curriculum will be a consensus-based CAM common framework consisting of three broad, interdependent, topic-based sections: 1. Foundations for CAM - topics that do not directly address CAM per se; however, they have proven to be extremely important in helping students place knowledge of CAM into context (e.g., module on Culture, Values, and Belief Systems); 2. CAM Basics - topics on CAM in General (e.g., utilization, evidence) and on specific CAM practices and product categories (e.g., Natural Health Products, Chiropractic). Sub-topics in the later topics would include definitions, classification, prevalence, current research, and regulation; 3. CAM in Clinical Practice - summary of the current state of evidence addressing specific CAM therapies for specific conditions or specific populations (e.g., CAM in Pediatrics or Oncology). The second component will be a repository of innovative and diverse CAM Learning Resource Units (LRU) that will include teaching materials such as annotated readings, case studies, assignments, etc. The intent will be to map the LRU onto the common framework with key terms. A substantial portion of this work is funded by Health Canada, with contributions from the Hospital for Sick Children Foundation, the Cancer and CAM (CCAM) research team (Sociobehavioural Cancer Research Network, funded by NCIC) and the John and Lotte Hecht Memorial Foundation. We recently received funding from the Natural Health Products Directorate Research Program to assist in developing our module on Natural Health Products. We hope to begin implementing the first units by the 2005-2006 academic year. At that point, it will be equally important to begin assessing the impact of the new curricula on CAM-related knowledge, skills, and attitudes of graduating medical students. Progress on this initiative is due to a dedicated and ever expanding group of students and faculty from medical schools across Canada. Additional information about the CAM in UME project can be found at http://www.fp.ucalgary.ca/CAMinUME,or by contacting Dr. Marja Verhoef at [email protected]. Rebecca Brundin-Mather, CAM in UME Project Coordinator Michael Epstein, Project Consultant Marja Verhoef, Principal Investigator CAM RESEARCH UPDATE CIHR / NHPD CAM Network ICE Research Project Grant The goal of the Research Project Grant program is to support and encourage researchers interested in the development of CAM research as expressed in IN-CAM’s research priorities. Some of the grant requirements are: • The principal applicant must be affiliated with a recognized research or educational institution that has demonstrated the ability to administer research funds. • The project must be related to complementary and alternative medicine (CAM) • The project must fit within one or more of IN-CAM’s priority research areas. • Preference will be given to projects with a health services and policy research component. Issue /Numéro 5 September/Septembre 2004 - Page 5 • There is a low likelihood of accessing funds for this project from other sources. Maximum funds awarded will be up to $5,000. Additional funds may be available in exceptional circumstances, which need to be demonstrated by the applicant. The application deadline is November 15th, 2004. The application form is available on the IN-CAM website under “Research Funding”: If you have additional funding questions, please contact Julie de Courval (Tel: 416-946-7163 E-mail: [email protected]) IN-CAM Graduate Studentship Award Winners One of IN-CAM’s objectives is to build CAM research capacity. In 2004, IN-CAM awarded $40,000 in graduate studentship grants. Denise Adams Supervisor: Sunita Vohra Investigating the effectiveness of treating infectious Mononucleosis in both the biomedical and TCM systems Heidi Amernic Supervisor: Heather Boon Integration of complementary and alternative medicine with conventional medical care in Ontario Brad Johnston Supervisor: Sunita Vohra A meta-analysis and randomized controlled trial protocol of probiotics for the prevention of antibioticassociated diarrhea in children Brenda Leung Supervisor: Marja Verhoef The utilization of naturopathic healthcare services – A patient survey Karen Moss Supervisor: Heather Boon CAM Leaders’ Position on the Natural Health Products Regulations Laura Vanderheyden Supervisor: Marja Verhoef Mass media representations of complementary and alternative therapies for cancer patients Annette Vroegindewey Supervisor: Marja Verhoef Women with Fibromyalgia and the decision making process used when using complementary and alternative medicine CIHR Health Professional Student Research Awards Due to the efforts of IN-CAM, CIHR has modified its eligibility criteria for this award. Currently, any health professional regulated within his/her province is eligible. For example, naturopathic doctors in Ontario would be eligible because they are regulated under the Drugless Practitioners Act; however, those in Nova Scotia would not be eligible because they are not currently regulated in that province. For more information about this award please visit: http://www.cihr-irsc.gc.ca/e/services/22626.shtml. Recent Articles • Andrews GJ, Wiles J, Miller KL. The geography of complementary medicine: perspectives and prospects. Complement Ther Nurs Midwifery. 2004 Aug;10(3):175-85 • Boon H, Verhoef M, O’Hara D, Findlay B From parallel practice to integrative health care: a conceptual framework. BMC Health Services Research 2004, 4:15, this article is available from www.biomedcentral.com/1472-6963/4/15. • Brien S. Attitudes about complementary and alternative medicine did not predict outcome in a homeopathic proving trial. J Altern Complement Med. 2004 Jul;10(3):503-5. • Caspi O, Bell IR. One Size Does Not Fit All: Aptitude x Treatment Interaction (ATI) as a Conceptual Framework for Complementary and Alternative Medicine Outcome Research. Part 1-What Is ATI Research? J Altern Complement Med. 2004 Jul;10 (3):580-6. • Chatwin J, Tovey P. Complementary and alternative medicine (CAM), cancer and group-based action: a critical review of the literature. Eur J Cancer Care (Engl). 2004 Jul;13(3):210-8. • Cohen MH. Legal and ethical issues in complementary medicine: a United States perspective. Am J Manag Care. 2004 Jul;10(7 Pt 2):487-92. • Ernst E. The need for scientific rigor in studies of complementary and alternative medicine. Am J Public Health. 2004 Jul;94 (7):1074; author reply 1074-5. • Ernst E. Musculoskeletal conditions and complementary/ alternative medicine. Best Pract Res Clin Rheumatol. 2004 Aug;18(4):539-56. • Gilbert L. Medical pluralism in action? A case study of community pharmacies in Johannesburg, South Africa. J Altern Complement Med. 2004 Jul;10(3):547-55 • Kerridge IH, McPhee JR. Ethical and legal issues at the interface of complementary and conventional medicine. Am J Manag Care. 2004 Jul;10(7 Pt 2):487-92. • Myers SP, Cheras PA. The other side of the coin: safety of complementary and alternative medicine. Med J Aust. 2004 Aug 16;181(4):222-5. • Paterson C. 'Take small steps to go a long way' consumer involvement in research into complementary and alternative therapies. Complement Ther Nurs Midwifery. 2004 Aug;10 (3):150-61. • Secor ER, Markow MJ, Mackenzie J, Thrall RS. Implementation of outcome measures in a complementary and alternative medicine clinic: evidence of decreased pain and improved quality of life. J Altern Complement Med. 2004 Jul;10(3):506-13 Issue /Numéro 5 September/Septembre 2004 - Page 6 Other Publications We’re pleased to announce the launch of the first Canadian led CAM journal - The Journal of Complementary and Integrative Medicine (JCIM). The JCIM is a peer-reviewed, all-electronic journal, publishing research focusing on evidence concerning the efficacy and safety of complementary and alternative medical whole systems, practices, interventions and natural health products, including herbal medicines. The JCIM offers very affordable subscription costs to institutions around the world, via the Internet; those not holding a subscription may access full text articles by completing a short guest access form. The journal operates a full Electronic Submissions Service allowing authors to send initial and revised submissions in electronic form, with no need to provide paper copies. The JCIM takes advantages of web publishing in several ways, including: • Publishing articles as soon as they are accepted (usual turnaround time is 4-5 weeks); • Allowing authors to present data that can not readily be shown in print journals, for example databases, spreadsheets or video/audio clips; and • Providing hypertext links to other resources and references available elsewhere on the Internet. OF INTEREST Fourth Congress of EuroTCM - Oct 1-3, 2004 - Prague, Czech Republic For more information about EuroTCM visit: www.eurotcm.com. For more information about the conference visit: www.eurotcm.cz. Complementary and Alternative Medicines: Toward Integrated Health Care - Oct 14-15, 2004 - Queensland, Australia For more information email [email protected]. 2nd Biennial Symposium of Integrative Medicine Professionals in the Land of Enchantment: A State of the Art Symposium on Integrative Medicine - Oct 14-17, 2004 - Albuquerque, New Mexico For more information, see the symposium brochure available at www.incamresearch.ca/events/pdf/SIMPLE.pdf. 11th Annual Symposium on Complementary Health Care - Nov 17 - 19, 2004 - Exeter, United Kingdom For more information visit www.exeter.ac.uk/FACT/sympo. First Forum in Complementary and Alternative Health Care and Paediatrics: Hospital for Sick Children Foundation - Dec 3, 2004 - University of Toronto, Toronto, Ontario Visit www.sickkids.ca/foundation to view the call for abstracts. For more information, please contact [email protected]. First Annual IN-CAM Symposium: Increasing CAM Research Capacity and Networking in Canada—Dec 4-5, 2004, Toronto, ON Please visit www.incamresearch.ca for more information. Second Annual Conference on Spirituality and Mental Health Dec 6-7, 2004 - University of Ottawa, Ottawa, Ontario For more information, contact Carmen Lefebvre at: [email protected] . For more events related to CAM research, please visit the events page of IN-CAM’s website www.incamresearch.ca. JCIM accepts: • Review articles (by invitation to the Editors); • Full-length research papers; • Standardized case reports; • Educational files, such as case studies or original educational materials; • Discussion papers; • Short notes or communications; • Conference presentations and proceedings; and • Non-commercial and commercial advertising (for products with regulatory approval) may also be allowed. To facilitate information transfer to the consumer, summaries of each article will also be published in easy-to understand and colloquial language. When feasible selected articles will be published in other languages to facilitate distribution of information to a larger international community. IN-CAM is pleased to let you know that all abstracts presented at INCAM’s 1st Annual CAM Research Symposium in December 2004 will be published in the JCIM. For more information, or to view the current issue, please visit www.bepress.com/icim. CONTACT US/ N'HÉSITEZ PAS À NOUS CONTACTER We invite your questions, comments and suggestions on the bulletin, the website and the network in general. Please contact one of our two Network Coordinators: Nous accueillerons avec plaisir vos questions, commentaires et suggestions à propos du Bulletin, du site Web ou du réseau en général. Veuillez contacter l'une de nos deux coordonnatrices: Laura Vanderheyden (English et Français) (403) 210-8696 [email protected] Julie de Courval (English et Français) (416) 946-7163 [email protected] EDITORIAL COMMITTEE/ LE COMITÉ DE RÉDACTION: Heather Boon PhD Marja Verhoef PhD John Crellin MD PhD Pierre Haddad PhD Laura Vanderheyden BSc Julie de Courval DISCLAIMER/ AVIS CONCERNANTLA PROPRIÉTÉ INTELLECTUELLE: Please feel free to share this publication with others. We only ask that you give source credit to IN-CAM. Nous vous encourageaons à partager cette publication et son contenu avec vos collègues. Nous demandons simplement que vous citiez IN-CAM comme en étant la source, de manière juste et appropriée.