Rui S Xiao1, Rashelle B Hayes2, Molly E Waring3, Alan C Geller4, Linda C Churchill2, Kolawole S Okuyemi5, Michael Adams6, Kathryn N Huggett7, Judith K Ockene2. 1. Clinical and Population Health Research Program, University of Massachusetts Medical School, 368 Plantation Street, Worcester, MA 01605, USA; Division of Epidemiology of Chronic Diseases and Vulnerable Populations, Department of Quantitative Health Sciences, University of Massachusetts Medical School, 368 Plantation Street, Worcester, MA 01605, USA. Electronic address: rui.xiao@umassmed.edu. 2. Division of Preventive and Behavioral Medicine, Department of Medicine, University of Massachusetts Medical School, 55 Lake Avenue, Worcester, MA 01655, USA. 3. Division of Epidemiology of Chronic Diseases and Vulnerable Populations, Department of Quantitative Health Sciences, University of Massachusetts Medical School, 368 Plantation Street, Worcester, MA 01605, USA. 4. Department of Social and Behavioral Sciences, Harvard School of Public Health, Boston, MA, USA. 5. Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN, USA. 6. Division of General Internal Medicine, Department of Medicine, Georgetown University Hospital, USA. 7. Department of Medicine, Creighton University, Omaha, NE, USA.
Abstract
OBJECTIVE: To explore students' tobacco dependence counseling experiences prior to medical school and their associations with tobacco counseling self-efficacy, and familiarity with and perceived effectiveness of tobacco dependence treatment among first-year medical students in the United States. METHOD: In 2010, 1266 first-year medical students from 10 US medical schools completed a survey reporting their clinical experiences with specific tobacco counseling skills (e.g., 5As) prior to medical school. The survey also included questions on tobacco counseling self-efficacy, perceived physician impact on smokers, and familiarity and effectiveness of tobacco-related treatments. RESULTS: Half (50.4%) reported some tobacco counseling experiences prior to medical school (i.e. at least one 5A). Students with prior counseling experiences were more likely to have higher tobacco counseling self-efficacy, and greater familiarity with medication treatment, nicotine replacement treatment, and behavioral counseling for smoking cessation, compared to those with no prior experiences. Perceived physician impact on patient smoking outcomes did not differ by prior tobacco counseling experiences. CONCLUSIONS: Many first-year medical students may already be primed to learn tobacco dependence counseling skills. Enhancing early exposure to learning these skills in medical school is likely to be beneficial to the skillset of our future physicians.
OBJECTIVE: To explore students' tobacco dependence counseling experiences prior to medical school and their associations with tobacco counseling self-efficacy, and familiarity with and perceived effectiveness of tobacco dependence treatment among first-year medical students in the United States. METHOD: In 2010, 1266 first-year medical students from 10 US medical schools completed a survey reporting their clinical experiences with specific tobacco counseling skills (e.g., 5As) prior to medical school. The survey also included questions on tobacco counseling self-efficacy, perceived physician impact on smokers, and familiarity and effectiveness of tobacco-related treatments. RESULTS: Half (50.4%) reported some tobacco counseling experiences prior to medical school (i.e. at least one 5A). Students with prior counseling experiences were more likely to have higher tobacco counseling self-efficacy, and greater familiarity with medication treatment, nicotine replacement treatment, and behavioral counseling for smoking cessation, compared to those with no prior experiences. Perceived physician impact on patient smoking outcomes did not differ by prior tobacco counseling experiences. CONCLUSIONS: Many first-year medical students may already be primed to learn tobacco dependence counseling skills. Enhancing early exposure to learning these skills in medical school is likely to be beneficial to the skillset of our future physicians.
Authors: J K Ockene; M E Quirk; R J Goldberg; J L Kristeller; G Donnelly; K L Kalan; B Gould; H L Greene; R Harrison-Atlas; J Pease Journal: Arch Intern Med Date: 1988-05
Authors: Catherine A Powers; Jane G Zapka; Bryan Bognar; Catherine Dube; Linda Hyder Ferry; Kristi J Ferguson; Joseph F O'donnell; Nancy Rigotti; Carey Conley Thomson; Maryjo White; Luann Wilkerson; Alan C Geller; Scott McIntosh Journal: J Cancer Educ Date: 2004 Impact factor: 2.037
Authors: Elizabeth M Ozer; Sally H Adams; Linda Rieder Gardner; Denise E Mailloux; Charles J Wibbelsman; Charles E Irwin Journal: J Adolesc Health Date: 2004-08 Impact factor: 5.012
Authors: Michael C Fiore; Robert T Croyle; Susan J Curry; Charles M Cutler; Ronald M Davis; Catherine Gordon; Cheryl Healton; Howard K Koh; C Tracy Orleans; Dennis Richling; David Satcher; John Seffrin; Christine Williams; Larry N Williams; Paula A Keller; Timothy B Baker Journal: Am J Public Health Date: 2004-02 Impact factor: 9.308
Authors: R S Doshi; K A Gudzune; L N Dyrbye; J F Dovidio; S E Burke; R O White; S Perry; M Yeazel; M van Ryn; S M Phelan Journal: Clin Obes Date: 2018-10-24
Authors: Jyothi A Pendharkar; Christine F Frisard; Alan C Geller; Lori Pbert; Sybil Crawford; Thomas P Guck; Diane D Stadler; Judith Ockene Journal: Prev Med Rep Date: 2021-06-01