Tobacco-related medical education and physician interventions with parents who smoke: Survey of Canadian family physicians and pediatricians

Institute for Clinical Evaluative Sciences, Toronto, ON M4N 3M5.
Canadian family physician Medecin de famille canadien (Impact Factor: 1.34). 02/2010; 56(2):157-63.
Source: PubMed


To examine the relationship between physicians' tobacco-related medical training and physicians' confidence in their tobacco-related skills and smoking-related interventions with parents of child patients.
Mailed survey.
The survey was mailed to 800 family physicians and 800 pediatricians across Canada, with a corrected response rate of 65% (N = 900).
Physicians' self-reported tobacco-related education, knowledge, and skills, as well as smoking-related interventions with parents of child patients. Cochran-Mantel-Haenszel chi(2) tests were used to examine relationships between variables, controlling for tobacco-control involvement and physician specialty. Data analysis was conducted in 2008.
Physicians reporting tobacco-related medical education were more likely to report being "very confident" in advising parents about the effects of smoking and the use of a variety of cessation strategies (P < .05). Furthermore, physicians with tobacco-related training were more likely to help parents of child patients quit smoking whether or not the children had respiratory problems (P < .05). Physicians with continuing medical education in this area were more likely to report confidence in their tobacco-related skills and to practise more smoking-related interventions than physicians with other forms of training.
There is a strong relationship between medical education and physicians' confidence and practices in protecting children from secondhand smoke. Physicians with continuing medical education training are more confident in their tobacco-related skills and are more likely to practise smoking-related interventions than physicians with other tobacco-related training.

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Available from: Roberta Ferrence, Oct 06, 2015
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    • "Formal training in tobacco dependence counseling leads to higher self-efficacy and more frequent counseling among physicians.(Leone et al., 2009; Ockene et al., 1988; Victor et al., 2010). Development of tobacco dependence counseling competencies is a recommended component of medical education in order to help trainees develop the knowledge and skills needed to help patients quit smoking(Geller et al., 2008). "
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    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.
    Preventive Medicine 02/2015; 73. DOI:10.1016/j.ypmed.2015.02.003 · 3.09 Impact Factor
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    International Journal of Clinical and Experimental Medicine 09/2014; 7(9):2763-70. · 1.28 Impact Factor
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    • "However, the response rate remains satisfactory for a mail-based survey with physicians [42-44]. In addition, socio-demographic characteristics of respondents are comparable to those reported in other surveys conducted among Canadian paediatricians [42,45]. Socio-professional characteristics of respondents also allow us to suppose a good representativeness. "
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    BMC Public Health 02/2011; 11(1):128. DOI:10.1186/1471-2458-11-128 · 2.26 Impact Factor
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