Sawyer S M, Cooke R, Conn J, Marks M K, Roseby R, Cerritelli B
Royal Children's Hospital, Parkville, Australia.
Med Teach. 2006 Aug;28(5):e135-8. doi: 10.1080/01421590600726615.
The majority of medical schools have curricula that address the health effects of smoking. However, there are many gaps in smoking education, especially in relationship to vertical integration. The authors aimed to determine whether medical students would better address adolescent smoking within a vertically integrated curriculum in comparison with the previous traditional curriculum. They studied two groups of fifth-year students; one group received a specific smoking intervention. Each group consisted of the entire cohort of students within the Child and Adolescent Health rotation of a newly designed medical curriculum. Two groups of students from the previous traditional undergraduate curriculum were available for direct comparison, one of which had received the same teaching on adolescent smoking. An objective structured clinical examination station was used to measure adolescent smoking enquiry. Intervention students in the new curriculum were more likely to enquire about smoking in the objective structured clinical examination than students who did not receive the intervention (p < 0.005). New curriculum students performed better than students from the previous curriculum, whether or not they had received the smoking intervention (p < 0.001). This study suggests that integrated undergraduate teaching can improve student clinical behaviours with regard to opportunistic smoking enquiry in adolescents.
大多数医学院校都设有涉及吸烟对健康影响的课程。然而，吸烟教育存在许多空白，尤其是在垂直整合方面。作者旨在确定与以往的传统课程相比，医学生在垂直整合课程中是否能更好地应对青少年吸烟问题。他们研究了两组五年级学生；一组接受了特定的吸烟干预。每组由新设计的医学课程中儿童与青少年健康轮转课程的全体学生组成。有两组来自以往传统本科课程的学生可供直接比较，其中一组接受了关于青少年吸烟的相同教学。使用客观结构化临床考试站来衡量对青少年吸烟情况的询问。新课程中的干预组学生在客观结构化临床考试中比未接受干预的学生更有可能询问吸烟情况（p < 0.005）。新课程的学生表现优于以往课程的学生，无论他们是否接受了吸烟干预（p < 0.001）。这项研究表明，本科阶段的整合教学可以改善学生在青少年机会性吸烟询问方面的临床行为。
