Tobacco dependence treatment teaching by medical school clerkship preceptors: survey responses from more than 1,000 US medical students.
Tobacco dependence treatment teaching by medical school clerkship preceptors: survey responses from more than 1,000 US medical students.
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医学院实习导师进行的烟草依赖治疗教学：来自 1,000 多名美国医学院学生的调查回复。
DOI：
10.1016/j.ypmed.2013.04.006
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发表时间：
2013
影响因子：
5.1
通讯作者：
Ockene,JudithK
中科院分区：
文献类型：
--
作者：
Geller,AlanC;Hayes,RashelleB;Leone,Frank;Churchill,LindaC;Leung,Katherine;Reed,George;Jolicoeur,Denise;Okuliar,Catherine;Adams,Michael;Murray,DavidM;Liu,Qin;Waugh,Jonathan;David,Sean;Ockene,JudithK
Objectives determining factors associated with tobacco cancellation counseling in medical school clerkships. MethodsThird year medical students at 10 medical schools across the United States completed a 100-item survey，measuring the frequency with which they experienced their preceptor providing clinical teaching components：明确的指导，反馈，行为模式，设定明确的目标，并回答有关烟草依赖咨询以及烟草提示和办公系统使用频率的问题。我们的主要依赖措施是学生自我报告的技能水平的项目烟草依赖治疗（如“5As”）。ResultsSurveys完成1213名学生。对于家庭医学和内科见习，建模和提供明确的指导，以提供烟草咨询的方法是最常见的。相比之下，为烟草依赖治疗提供反馈和明确目标的工作落后了。总的来说，在家庭医学和内科实习中，报告导师提供最佳临床教学成分和办公室系统提示的学生自我报告的技能较高（P < 0.001）。结论未来的教育干预旨在帮助学生采用有效的烟草依赖治疗技术，应设计以促进这些关键的戒律元素
ObjectiveTo determine factors associated with tobacco cessation counseling in medical school clerkships.MethodsThird-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”).ResultsSurveys 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.ConclusionsFuture educational interventions intended to help students adopt effective tobacco dependence treatment techniques should be engineered to facilitate these critical precepting components.
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DOI：
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