Developing a fully integrated tobacco curriculum in medical colleges in India.
Developing a fully integrated tobacco curriculum in medical colleges in India.
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DOI：
10.1186/s12909-015-0369-3
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发表时间：
2015-05-20
影响因子：
3.6
通讯作者：
Thankappan KR
中科院分区：
文献类型：
--
作者：
Yamini TR;Nichter M;Nichter M;Sairu P;Aswathy S;Leelamoni K;Unnikrishnan B;P PM;Thapar R;Basha SR;Jayasree AK;Mayamol TR;Muramoto M;Mini GK;Thankappan KR
本文介绍了一个开创性的努力，介绍戒烟到印度的本科医学院校课程。这是有史以来第一次尝试将烟草控制完全纳入任何低收入和中等收入国家的医学院的所有年份。创新的模块化烟草课程的开发，预测试和试点进行了讨论，以及面临的挑战，实施和采取措施，以解决这些问题，并倡导通过由印度医学理事会。深入采访了五所医学院的管理人员和教职员工，以确定他们对将戒烟完全融入大学课程的兴趣和意愿。目前的课程进行了审查，目前接触有关烟草和戒烟技能培训的信息。一个模块化的烟草课程开发，预测试，修改，试点，并由教师和学生进行评估。进行了定性研究，以确定未来课程实施的挑战。成功开发了15个单元，重点是烟草控制对公共卫生的重要性、烟草与特定器官系统之间的关系、与吸烟和咀嚼烟草有关的疾病以及烟草对药物有效性的影响。制作了具有文化敏感性的特定疾病戒烟培训视频。教师和学生积极评价课程，提高他们的能力，以支持在疾病期间停止作为一个可教的时刻。学生进行了以疾病为中心的停止与病人的采访，作为他们的课程的一部分。确定并解决了实施课程的系统性挑战。在5所医学院试行了完全综合的烟草课程，现已在网上免费提供。该课程已被喀拉拉邦采用，作为获得印度医学理事会审查和可能认可的第一步。
This paper describes a pioneering effort to introduce tobacco cessation into India’s undergraduate medical college curriculum. This is the first ever attempt to fully integrate tobacco control across all years of medical college in any low and middle income country. The development, pretesting, and piloting of an innovative modular tobacco curriculum are discussed as well as challenges that face implementation and steps taken to address them and to advocate for adoption by the Medical Council of India. In-depth interviews were conducted with administrators and faculty in five medical colleges to determine interest in and willingness to fully integrate smoking cessation into the college curriculum. Current curriculum was reviewed for present exposure to information about tobacco and cessation skill training. A modular tobacco curriculum was developed, pretested, modified, piloted, and evaluated by faculty and students. Qualitative research was conducted to identify challenges to future curriculum implementation. Fifteen modules were successfully developed focusing on the public health importance of tobacco control, the relationship between tobacco and specific organ systems, diseases related to smoking and chewing tobacco, and the impact of tobacco on medication effectiveness. Culturally sensitive illness specific cessation training videos were developed. Faculty and students positively evaluated the curriculum as increasing their competency to support cessation during illness as a teachable moment. Students conducted illness centered cessation interviews with patients as a mandated part of their coursework. Systemic challenges to implementing the curriculum were identified and addressed. A fully integrated tobacco curriculum for medical colleges was piloted in 5 colleges and is now freely available online. The curriculum has been adopted by the state of Kerala as a first step to gaining Medical Council of India review and possible recognition.
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