Hall M N, Pettice Y J, Robinson M D, Alexander M
Department of Family Practice, Carolinas Medical Center, Charlotte, NC, USA.
Fam Med. 1996 May;28(5):331-6.
Smoking cessation is a complex process influenced by the smoker's motivation to quit and the effective use of external support measures. Understanding the complexities of smoking cessation can be difficult for physicians, many of whom have never smoked. This paper describes an experiential educational approach that exposes family practice residents to the process of smoking cessation through active participation in an American Lung Association (ALA) Freedom From Smoking group.
We designed and observed a 1-month educational program in which residents co-led a modified ALA group. Ethnography, a qualitative research technique, was used to discover what residents learned.
We identified five themes that describe what residents learned through their experience in the ALA Group: 1) the power of nicotine addiction, 2) the power of the smoking cessation group, 3) skills, tips, tools, and tricks to help the smoker quit, 4) the process of redefining success, and 5) the ability to understand the smoker. Residents' recall of their experience remained vivid, even 9 months after the training concluded.
This experiential approach provided a rich, lasting learning experience for the residents we studied.
戒烟是一个复杂的过程，受吸烟者戒烟动机和外部支持措施有效利用情况的影响。对于许多从未吸烟的医生来说，理解戒烟的复杂性可能存在困难。本文描述了一种体验式教育方法，通过让家庭医学住院医师积极参与美国肺脏协会（ALA）的“摆脱吸烟”小组，使其接触戒烟过程。
我们设计并观察了一个为期1个月的教育项目，住院医师共同主持一个经过改进的ALA小组。采用人种志这一定性研究技术来发现住院医师学到了什么。
我们确定了五个主题，描述住院医师通过参与ALA小组的经历学到的内容：1）尼古丁成瘾的影响力；2）戒烟小组的影响力；3）帮助吸烟者戒烟的技巧、小贴士、工具和窍门；4）重新定义成功的过程；5）理解吸烟者的能力。即使在培训结束9个月后，住院医师对其经历的回忆依然清晰。
这种体验式方法为我们研究的住院医师提供了丰富且持久的学习体验。
