- 作者：Alan C. Geller ; Rashelle B. Hayes ; Frank Leone ; Linda C. Churchill ; Katherine Leung ; George Reed ; Denise Jolicoeur ; Catherine Okuliar ; Michael Adams ; David M. Murray ; Qin Liu ; Jonathan Waugh ; Sean David ; Judith K. Ockene
- 关键词：Medical schools ; Education ; Smoking
- 刊名：Preventive Medicine
- 出版年：2013
- 出版时间：August, 2013
- 年：2013
- 卷：57
- 期：2
- 页码：81-86
- 全文大小：211 K
class=""h4"">Objective
To determine factors associated with tobacco cessation counseling in medical school clerkships.class=""h4"">Methods
Third-year medical students at 10 medical schools across the United States completed a 100-item survey, measuring the frequency with which they experienced their preceptors providing clinical teaching components: clear instruction, feedback, modeling behavior, setting clear objectives, and responding to questions about tobacco dependence counseling as well as frequency of use of tobacco prompts and office systems. Our primary dependent measure was student self-reported skill level for items of tobacco dependence treatment (e.g. ¡°5As¡±).
class=""h4"">Results
Surveys were completed by 1213 students. For both family medicine and internal medicine clerkships, modeling and providing clear instruction on ways to provide tobacco counseling were reported most commonly. In contrast, providing feedback and clear objectives for tobacco dependence treatment lagged behind. Overall, students who reported preceptors' provision of optimal clinical teaching components and office system prompts in both family medicine and internal medicine clerkships had higher self-reported skill (P < 0.001) than students with no exposure or exposure during only one of the clerkships.
class=""h4"">Conclusions
Future educational interventions intended to help students adopt effective tobacco dependence treatment techniques should be engineered to facilitate these critical precepting components.