将无烟烟草教育纳入医学生教育：填补差距。
Implementing smokeless tobacco instruction into medical student education: addressing the gap.
作者信息
Spangler John, Foley Kristie Long, Crandall Sonia, Lane Chan, Walker Kathy, MacRae Marla, Vaden Karen, Marion Gail
机构信息
Department of Family and Community Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157, USA.
出版信息
Teach Learn Med. 2009 Jan-Mar;21(1):33-7. doi: 10.1080/10401330802573944.
BACKGROUND
Despite the unique health and epidemiological aspects of smokeless tobacco use, medical education regarding this topic is virtually lacking.
DESCRIPTION
The purpose of this study is to develop a comprehensive tobacco curriculum that includes smokeless tobacco education. A thorough review of the literature was carried out to develop includes 8 modules in basic and clinical sciences that are evaluated by pretest/posttest increases in knowledge as well as standardized patient encounters and process evaluation.
EVALUATION
Pretest/posttest data indicate that students increased knowledge on specific smokeless tobacco questions. Students also scored well on interactions with standardized patients using the Tobacco Intervention Risk Factor Interview Scale, a validated instrument to assess medical students' tobacco counseling skills. Process evaluation data indicate that modules were generally well received.
CONCLUSIONS
This Web-based, comprehensive curriculum-the only curriculum we are aware of treating the topic of smokeless tobacco use-appears to be effective and well received. Smokeless tobacco should be included in medical education.
背景
尽管无烟烟草使用具有独特的健康和流行病学特征，但关于这一主题的医学教育实际上却十分匮乏。
描述
本研究的目的是开发一门涵盖无烟烟草教育的综合性烟草课程。通过对文献进行全面回顾来开展研究，该课程包括基础科学和临床科学的8个模块，通过前后测知识增加情况、标准化患者问诊以及过程评估来进行评价。
评估
前后测数据表明，学生在特定无烟烟草问题上的知识有所增加。学生在使用烟草干预风险因素访谈量表与标准化患者互动时得分也很高，该量表是一种经过验证的评估医学生烟草咨询技能的工具。过程评估数据表明，各模块总体上受到好评。
结论
这一基于网络的综合性课程——据我们所知，是唯一一门涉及无烟烟草使用主题的课程——似乎有效且受到好评。无烟烟草应纳入医学教育。
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