3.12 Key ethical issues for CAM practitioners: competence
Practitioners must have a sufficient level of competence to benefit users. The proliferation of training bodies, and the diversity of qualifications available, make it harder to know what represents an appropriate standard of pre-registration training or continuing professional development (CPD). Bringing a therapy under a single regulatory body makes it easier to set national educational standards in which diversity can be maintained, but a basic level of competence to practise is ensured. A subsidiary factor is the extent to which CAM practitioners need to be aware of orthodox medicine, and vice versa. Given the extent to which users are increasingly integrating different therapeutic modalities in seeking health care, all practitioners need to understand the possible interactions between different treatments.