Medical school curriculum characteristics associated with intentions and frequency of tobacco dependence treatment among 3rd year U.S. medical students
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 character...
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| Veröffentlicht in: | Preventive medicine 2015-03, Vol.72, p.56-63 |
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| creator | Hayes, Rashelle B Geller, Alan C Crawford, Sybil L Jolicoeur, Denise G Churchill, Linda C Okuyemi, Kolawole S David, Sean P Adams, Michael Waugh, Jonathan Allen, Sharon S Leone, Frank T Fauver, Randy Leung, Katherine Liu, Qin Ockene, Judith K |
| description | 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. |
| doi_str_mv | 10.1016/j.ypmed.2014.12.035 |
| format | Article |
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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.</description><identifier>ISSN: 0091-7435</identifier><identifier>EISSN: 1096-0260</identifier><identifier>DOI: 10.1016/j.ypmed.2014.12.035</identifier><identifier>PMID: 25572623</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Clinical Clerkship ; Clinical Competence ; Cross-Sectional Studies ; Curriculum ; Education, Medical, Undergraduate ; Female ; Humans ; Internal Medicine ; Male ; Medical school curriculum and education ; Medical students ; Middle Aged ; Regression Analysis ; Self Efficacy ; Smoking Cessation - methods ; Smoking Cessation - statistics & numerical data ; Tobacco dependence treatment ; Tobacco Use Disorder - therapy ; United States ; Young Adult</subject><ispartof>Preventive medicine, 2015-03, Vol.72, p.56-63</ispartof><rights>Elsevier Inc.</rights><rights>2015 Elsevier Inc.</rights><rights>Copyright © 2015 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c514t-c2ac2312945a1bfdfdee94917af67bc4d18abbae1165cfdf12c1e704ac4b0fa23</citedby><cites>FETCH-LOGICAL-c514t-c2ac2312945a1bfdfdee94917af67bc4d18abbae1165cfdf12c1e704ac4b0fa23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0091743514005179$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25572623$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hayes, Rashelle B</creatorcontrib><creatorcontrib>Geller, Alan C</creatorcontrib><creatorcontrib>Crawford, Sybil L</creatorcontrib><creatorcontrib>Jolicoeur, Denise G</creatorcontrib><creatorcontrib>Churchill, Linda C</creatorcontrib><creatorcontrib>Okuyemi, Kolawole S</creatorcontrib><creatorcontrib>David, Sean P</creatorcontrib><creatorcontrib>Adams, Michael</creatorcontrib><creatorcontrib>Waugh, Jonathan</creatorcontrib><creatorcontrib>Allen, Sharon S</creatorcontrib><creatorcontrib>Leone, Frank T</creatorcontrib><creatorcontrib>Fauver, Randy</creatorcontrib><creatorcontrib>Leung, Katherine</creatorcontrib><creatorcontrib>Liu, Qin</creatorcontrib><creatorcontrib>Ockene, Judith K</creatorcontrib><title>Medical school curriculum characteristics associated with intentions and frequency of tobacco dependence treatment among 3rd year U.S. medical students</title><title>Preventive medicine</title><addtitle>Prev Med</addtitle><description>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.</description><subject>Adult</subject><subject>Clinical Clerkship</subject><subject>Clinical Competence</subject><subject>Cross-Sectional Studies</subject><subject>Curriculum</subject><subject>Education, Medical, Undergraduate</subject><subject>Female</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medical school curriculum and education</subject><subject>Medical students</subject><subject>Middle Aged</subject><subject>Regression Analysis</subject><subject>Self Efficacy</subject><subject>Smoking Cessation - methods</subject><subject>Smoking Cessation - statistics & numerical data</subject><subject>Tobacco dependence treatment</subject><subject>Tobacco Use Disorder - therapy</subject><subject>United States</subject><subject>Young Adult</subject><issn>0091-7435</issn><issn>1096-0260</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkk1v1DAQhiMEokvhFyAhH7kkeBwnIQcqoYovqYhD6dlyxpOul8RebKdofwl_F4dtK-DCyZLnfefrmaJ4DrwCDu2rXXXYz2QqwUFWICpeNw-KDfC-Lblo-cNiw3kPZSfr5qR4EuOOc4CWy8fFiWiaTrSi3hQ_P5OxqCcWcev9xHAJweIyLTPDrQ4aEwUbk8XIdIwerU5k2A-btsy6RC5Z73LIGTYG-r6QwwPzI0t-0IieGdqTM_mXWAqk05wdTM_eXbM6GHYgHdhVdVmx-a6NtGR5ik-LR6OeIj27fU-Lq_fvvp5_LC--fPh0_vaixAZkKlFoFDWIXjYahtGMhqiXPXR6bLsBpYHXehg05cEbzGEQCNRxqVEOfNSiPi3Ojnn3y5B7wFw76Entg511OCivrfo74uxWXfsbJZu8P8Fzgpe3CYLP88ekZhuRpkk78ktU0La8F03ddllaH6UYfIyBxvsywNWKVO3Ub6RqRapAqIw0u1782eG9545hFrw5Cijv6cZSUBHtunJjA2FSxtv_FDj7x4-TdSuNb3SguPNLcBmBAhWzQV2uV7UeFUjOG-j6-hcxm85m</recordid><startdate>20150301</startdate><enddate>20150301</enddate><creator>Hayes, Rashelle B</creator><creator>Geller, Alan C</creator><creator>Crawford, Sybil L</creator><creator>Jolicoeur, Denise G</creator><creator>Churchill, Linda C</creator><creator>Okuyemi, Kolawole S</creator><creator>David, Sean P</creator><creator>Adams, Michael</creator><creator>Waugh, Jonathan</creator><creator>Allen, Sharon S</creator><creator>Leone, Frank T</creator><creator>Fauver, Randy</creator><creator>Leung, Katherine</creator><creator>Liu, Qin</creator><creator>Ockene, Judith K</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20150301</creationdate><title>Medical school curriculum characteristics associated with intentions and frequency of tobacco dependence treatment among 3rd year U.S. medical students</title><author>Hayes, Rashelle B ; Geller, Alan C ; Crawford, Sybil L ; Jolicoeur, Denise G ; Churchill, Linda C ; Okuyemi, Kolawole S ; David, Sean P ; Adams, Michael ; Waugh, Jonathan ; Allen, Sharon S ; Leone, Frank T ; Fauver, Randy ; Leung, Katherine ; Liu, Qin ; Ockene, Judith K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c514t-c2ac2312945a1bfdfdee94917af67bc4d18abbae1165cfdf12c1e704ac4b0fa23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Clinical Clerkship</topic><topic>Clinical Competence</topic><topic>Cross-Sectional Studies</topic><topic>Curriculum</topic><topic>Education, Medical, Undergraduate</topic><topic>Female</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Medical school curriculum and education</topic><topic>Medical students</topic><topic>Middle Aged</topic><topic>Regression Analysis</topic><topic>Self Efficacy</topic><topic>Smoking Cessation - methods</topic><topic>Smoking Cessation - statistics & numerical data</topic><topic>Tobacco dependence treatment</topic><topic>Tobacco Use Disorder - therapy</topic><topic>United States</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hayes, Rashelle B</creatorcontrib><creatorcontrib>Geller, Alan C</creatorcontrib><creatorcontrib>Crawford, Sybil L</creatorcontrib><creatorcontrib>Jolicoeur, Denise G</creatorcontrib><creatorcontrib>Churchill, Linda C</creatorcontrib><creatorcontrib>Okuyemi, Kolawole S</creatorcontrib><creatorcontrib>David, Sean P</creatorcontrib><creatorcontrib>Adams, Michael</creatorcontrib><creatorcontrib>Waugh, Jonathan</creatorcontrib><creatorcontrib>Allen, Sharon S</creatorcontrib><creatorcontrib>Leone, Frank T</creatorcontrib><creatorcontrib>Fauver, Randy</creatorcontrib><creatorcontrib>Leung, Katherine</creatorcontrib><creatorcontrib>Liu, Qin</creatorcontrib><creatorcontrib>Ockene, Judith K</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Preventive medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hayes, Rashelle B</au><au>Geller, Alan C</au><au>Crawford, Sybil L</au><au>Jolicoeur, Denise G</au><au>Churchill, Linda C</au><au>Okuyemi, Kolawole S</au><au>David, Sean P</au><au>Adams, Michael</au><au>Waugh, Jonathan</au><au>Allen, Sharon S</au><au>Leone, Frank T</au><au>Fauver, Randy</au><au>Leung, Katherine</au><au>Liu, Qin</au><au>Ockene, Judith K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Medical school curriculum characteristics associated with intentions and frequency of tobacco dependence treatment among 3rd year U.S. medical students</atitle><jtitle>Preventive medicine</jtitle><addtitle>Prev Med</addtitle><date>2015-03-01</date><risdate>2015</risdate><volume>72</volume><spage>56</spage><epage>63</epage><pages>56-63</pages><issn>0091-7435</issn><eissn>1096-0260</eissn><abstract>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.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>25572623</pmid><doi>10.1016/j.ypmed.2014.12.035</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Clinical Clerkship Clinical Competence Cross-Sectional Studies Curriculum Education, Medical, Undergraduate Female Humans Internal Medicine Male Medical school curriculum and education Medical students Middle Aged Regression Analysis Self Efficacy Smoking Cessation - methods Smoking Cessation - statistics & numerical data Tobacco dependence treatment Tobacco Use Disorder - therapy United States Young Adult |
| title | Medical school curriculum characteristics associated with intentions and frequency of tobacco dependence treatment among 3rd year U.S. medical students |
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