Training family practice and internal medicine residents to counsel patients who smoke: improvement and retention of counseling skills
Department of Medicine, Division of Preventive and Behavioral Medicine; Department of Medicine, Division of Cardiovascular Medicine; Department of Family Medicine and Community Health
Counseling; Family Practice; Female; Humans; Internal Medicine; *Internship and Residency; Longitudinal Studies; Male; Massachusetts; Multivariate Analysis; Program Evaluation; Smoking; Videotape Recording
Cardiology | Community Health and Preventive Medicine | Preventative Medicine
This investigation builds on an earlier study by describing the final results of a training program that teaches internal medicine and family practice residents to counsel patients to stop smoking. In this study, 198 residents participated in a three-hour training program which included small group discussion and role-playing exercises. Videotaped observations of role-playing performances were used to assess behavioral outcomes related to counseling skills for 104 residents who completed pre-, immediate post-, and long-term follow-up testing. The present findings support previous results that show the training program has a significant positive effect on physician smoking cessation counseling skills. A subsample of residents continued to exhibit improved counseling skills one year after the initial educational interventions, suggesting that these skills can be retained over time.
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Citation: Fam Med. 1991 Feb;23(2):108-11.
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