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首页> 外文期刊>Drug and alcohol review >A web-based smoking cessation and prevention curriculum for medical students: why, how, what, and what next.
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A web-based smoking cessation and prevention curriculum for medical students: why, how, what, and what next.

机译：针对医学生的基于网络的戒烟和预防课程：为什么，如何，做什么以及下一步做什么。

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This paper summarises some major developments in medical education relating to the health risks of tobacco and to training in tobacco cessation and prevention strategies, and discusses some of the barriers to training. We also describe a project whose purpose was to design, implement and evaluate a web-based self-study tobacco curriculum for medical students to teach medical students to assist smokers to quit and to counsel non-smoking adolescents not to start smoking. This curriculum addresses some of the barriers, namely lack of curriculum time, lack of access to materials and experts, and relevance of the materials. The project was designed and evaluated at two medical schools in Georgia: Morehouse School of Medicine and Mercer University School of Medicine. A curriculum on tobacco control strategies and techniques designed for use in clinical settings was made available to first-year medical students as interactive computer-based tutorials. The curriculum, based on the US Public Health Service Clinical Guideline for Treating Tobacco Use and Dependence, was divided into two parts: the tutorial and practicum sections. Pre- and post-exposure measures were collected for the evaluation. The mean differences for correctly answered knowledge items in the two schools were similar: mean for Morehouse was +2.07 and for Mercer +1.67, indicating improvements in knowledge for both schools. There were statistically significant improvements in all categories of self-rated ability to perform six counselling skills, except for Mercer students for the 'Ask' skill category (p=0.069). The amount of exposure (measured only at Morehouse) was not related to overall change in scores but was associated with self-reported improvement in skill in assisting patients to quit smoking, confidence in counselling patients not interested in quitting, and confidence in counselling teens. The web-based curriculum successfully improved the students' self-rated counselling skills. Given the need and desire on the part of practitioners for training, the curriculum may be found useful by practising physicians and other health-care professionals who wish to improve their skills in smoking prevention and cessation.
机译：本文总结了与烟草健康风险以及戒烟和预防策略培训有关的医学教育方面的一些重大发展，并讨论了培训的一些障碍。我们还描述了一个项目，该项目的目的是为医学生设计，实施和评估基于网络的烟草自学课程，以指导医学生帮助吸烟者戒烟并建议非吸烟青少年不要吸烟。该课程解决了一些障碍，即缺少课程时间，缺少材料和专家的机会以及材料的相关性。该项目是在乔治亚州的两所医学院设计和评估的：莫尔豪斯医学院和默瑟大学医学院。为一年级医学生提供了基于计算机的交互式教程，专门设计用于临床环境中的烟草控制策略和技术课程。该课程以《美国公共卫生服务治疗烟草使用和依赖性临床指南》为基础，分为两个部分：教程部分和实践部分。收集暴露前和暴露后的措施进行评估。两家学校正确回答的知识项目的平均差异相似：Morehouse的平均值为+ 2.07，Mercer的平均值为+1.67，表明两所学校的知识水平都有所提高。在统计上，除Mercer学生的“询问”技能类别（p = 0.069）外，所有六项咨询技能的自我评价能力都有显着提高。暴露量（仅在Morehouse测量）与分数的总体变化无关，而是与自我报告的帮助患者戒烟的技能提高，对咨询不愿戒烟的患者的信心以及对咨询青少年的信心有关。网络课程成功地提高了学生的自我评价咨询技巧。鉴于从业者对培训的需求和期望，该课程对于那些希望提高其在预防和戒烟方面的技能的执业医师和其他卫生保健专业人员可能有用。

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