Tobacco dependence treatment teaching by medical school clerkship preceptors: survey responses from more than 1,000 US medical students
Department of Medicine, Division of Preventive and Behavioral Medicine
Adult; Clinical Clerkship; Clinical Competence; Counseling; Education, Medical, Undergraduate; Educational Measurement; Female; Health Care Surveys; Health Knowledge, Attitudes, Practice; Humans; Male; Preceptorship; Self Report; *Smoking Cessation; Students, Medical; Tobacco Use Disorder; United States
Behavioral Disciplines and Activities | Behavior and Behavior Mechanisms | Community Health and Preventive Medicine | Medical Education | Preventive Medicine | Substance Abuse and Addiction
OBJECTIVE: To determine factors associated with tobacco cessation counseling in medical school clerkships.
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").
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.
CONCLUSIONS: Future educational interventions intended to help students adopt effective tobacco dependence treatment techniques should be engineered to facilitate these critical precepting components.
DOI of Published Version
Geller AC, Hayes RB, Leone F, Churchill LC, Leung K, Reed G, Jolicoeur D, Okuliar C, Adams M, Murray DM, Liu Q, Waugh J, David S, Ockene JK. Tobacco dependence treatment teaching by medical school clerkship preceptors: survey responses from more than 1,000 US medical students. Prev Med. 2013 Aug;57(2):81-6. doi: 10.1016/j.ypmed.2013.04.006. Link to article on publisher's site
Geller, Alan C.; Hayes, Rashelle B.; Leone, Frank; Churchill, Linda C.; Leung, Katherine; Reed, George W.; Jolicoeur, Denise G.; Okuliar, Catherine; Adams, Michael; Murray, David M.; Liu, Qin; Waugh, Jonathan; David, Sean; and Ockene, Judith K., "Tobacco dependence treatment teaching by medical school clerkship preceptors: survey responses from more than 1,000 US medical students" (2013). Preventive and Behavioral Medicine Publications. 272.