Trofor Antigona, Mihăescu Traian
Clinica Pneumologică Iaşi, Universitatea de Medicină şi Farmacie "Gr.T.Popa", Iaşi, România.
Pneumologia. 2009 Jul-Sep;58(3):159-62.
Respiratory Medicine is a complex domain of activity, moreover has enlarged its content in last decades by numerous areas of expertise, among which also smoking cessation, a field aiming to assist individuals to quit or prevent tobacco use. Introducing routinely this preoccupation in Romanian doctors' work is supposed to legitimate nicotine dependence as a disease, as already classified by world medical organizations. In agreement with HERMES project, an European Respiratory Society initiative to harmonize education in respiratory medicine across Europe, we recommend smoking cessation to be mandatory in Romanian medical curricula. Thus, students will earn theoretical, practical and behavioral skills to approach health effects of tobacco use, treatment and approach of smokers. Yet, considering real life situation in our country, for actual generations of practitioners we suggest intensive training in two modules: a basic one to cover lack of elementary knowledge during previous years and an advanced module for specialists. To future generations, a continuous, more coherent approach is to be settled, aiming to create brief advice expertise during medical university years of study. When graduating, future doctors willing to become smoking cessation experts will be provided postgraduate training to achieve this degree. Hopefully, within next two generations, many Romanian doctors will become capable to routinely deliver smoking cessation interventions, at European standards.
呼吸医学是一个复杂的活动领域,而且在过去几十年中,其内容因众多专业领域而得到扩展,其中还包括戒烟,这是一个旨在帮助个人戒烟或预防烟草使用的领域。在罗马尼亚医生的工作中常规引入这一关注点,应该会使尼古丁依赖作为一种疾病合法化,正如世界医学组织已经分类的那样。根据HERMES项目(欧洲呼吸学会在欧洲协调呼吸医学教育的一项倡议),我们建议在罗马尼亚医学课程中强制进行戒烟教育。这样,学生将获得理论、实践和行为技能,以应对烟草使用的健康影响、吸烟者的治疗和处理方法。然而,考虑到我国的现实情况,对于现有的从业者一代,我们建议进行两个模块的强化培训:一个基础模块,以弥补前几年基础知识的不足;一个高级模块,针对专家。对于未来几代人,应建立一种持续、更连贯的方法,旨在在医科大学学习期间培养简短建议的专业技能。毕业时,希望成为戒烟专家的未来医生将接受研究生培训以获得这一学位。希望在接下来的两代人之内,许多罗马尼亚医生将有能力按照欧洲标准常规提供戒烟干预措施。