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Medical school curriculum characteristics associated with intentions and frequency of tobacco dependence treatment among 3rd year U.S. medical students
Preventive and Behavioral Medicine Publications and Presentations
  • Rashelle B. Hayes, University of Massachusetts Medical School
  • Alan C. Geller, Harvard School of Public Health
  • Sybil L. Crawford, University of Massachusetts Medical School
  • Denise G. Jolicoeur, University of Massachusetts Medical School
  • Linda C. Churchill, Unversity of Massachusetts Medical School
  • Kolawole S. Okuyemi, University of Minnesota Medical School
  • Sean P. David, Stanford University School of Medicine
  • Michael Adams, Georgetown University Hospital
  • Jonathan Waugh, University of Alabama - Birmingham
  • Sharon S. Allen, University of Minnesota Medical School
  • Frank T. Leone, University of Pennsylvania
  • Randy Fauver, Stanford University School of Medicine
  • Katherine Leung, University of Massachusetts Medical School
  • Qin Liu, University of Pennsylvania
  • Judith K. Ockene, University of Massachusetts Medical School
UMMS Affiliation
Department of Medicine, Division of Preventive and Behavioral Medicine; UMass Worcester Prevention Research Center
Date
1-5-2015
Document Type
Article
Abstract
OBJECTIVE: Physicians play a critical role in addressing tobacco dependence, yet report limited training. Tobacco dependence treatment curricula for medical students could improve performance in this area. This study identified student and medical school tobacco treatment curricula characteristics associated with intentions and use of the 5As for tobacco treatment among 3rd year U.S. medical students. METHODS: Third year medical students (N = 1065, 49.3% male) from 10 U.S. medical schools completed a survey in 2009-2010 assessing student characteristics, including demographics, tobacco treatment knowledge, and self-efficacy. Tobacco curricula characteristics assessed included amount and type of classroom instruction, frequency of tobacco treatment observation, instruction, and perception of preceptors as role models. RESULTS: Greater tobacco treatment knowledge, self-efficacy, and curriculum-specific variables were associated with 5A intentions, while younger age, tobacco treatment self-efficacy, intentions, and each curriculum-specific variable were associated with greater 5A behaviors. When controlling for important student variables, greater frequency of receiving 5A instruction (OR = 1.07; 95%CI 1.01-1.12) and perception of preceptors as excellent role models in tobacco treatment (OR = 1.35; 95%CI 1.04-1.75) were significant curriculum predictors of 5A intentions. Greater 5A instruction (B = .06 (.03); p< .05) and observation of tobacco treatment (B = .35 (.02); p< .001) were significant curriculum predictors of greater 5A behaviors. CONCLUSIONS: Greater exposure to tobacco treatment teaching during medical school is associated with both greater intentions to use and practice tobacco 5As. Clerkship preceptors, or those physicians who provide training to medical students, may be particularly influential when they personally model and instruct students in tobacco dependence treatment.
Rights and Permissions
Citation: Prev Med. 2015 Jan 5;72C:56-63. doi: 10.1016/j.ypmed.2014.12.035. [Epub ahead of print] Link to article on publisher's site.
Related Resources
Link to Article in PubMed
Keywords
  • Medical school curriculum and education,
  • Medical students,
  • Tobacco dependence treatment
PubMed ID
25572623
Citation Information
Rashelle B. Hayes, Alan C. Geller, Sybil L. Crawford, Denise G. Jolicoeur, et al.. "Medical school curriculum characteristics associated with intentions and frequency of tobacco dependence treatment among 3rd year U.S. medical students" Vol. 72C (2015) ISSN: 0091-7435 (Linking)
Available at: http://works.bepress.com/rashelle_hayes/27/