Introduction to the workshop and overview of our work together. Juliet McDonnell IPCRG Education Co-ordinator Jaime Correia de Sousa, MD, PhD School of Medicine, University of Minho, Portugal

Global Bridges Project 25678413: Capacity Building: About the project Global Bridges Project 25678413: Capacity Building: Teaching the teachers of primary healthcare professionals to treat tobacco dependence. The IPCRG ‘Teach the Teacher’ initiative: Building a trusted faculty with the knowledge, influence, communication and teaching skills to deliver effective workshops that are relevant to the local situation, and can be embedded in local primary care.

AIM Project goal: to develop a sustainable network of teachers who will increase the capacity of healthcare professionals working in primary care to treat tobacco dependence. International teachers workshop: to teach a group of teachers from four countries, who are involved in continuing medical education, the skills and knowledge required to develop in-country programmes of education to treat tobacco dependence in primary care (Level 1).

AIM These teachers will then adapt the resources for their own context and develop a programme of in-country workshops for primary care educators (Level 2). In a third level, primary care educators will deliver education modules to improve knowledge, skills and confidence for treating tobacco dependence in their community, including GPs, FPs, medical assistants, nurses and pharmacists (Level 3).

A ‘cascade approach’ International Teachers Primary Care Educators Level 1 5 teachers per country Primary Care Educators Level 2 15 – 20 teachers per country Primary Healthcare Workers Level 3 250 healthcare professionals per country Patient population Average no of patient numbers per GP/FP Estimate of patients who smoke per GP/FP Potential no of patients benefitting per year

Project Sequence March 2017 March 2019 March 2018 Sofia- March 2017 International Teachers Event Adapting materials for in country prorgammes In-country teaching of teachers (level 2) Teaching primary healthcare professionals (level 3) Final reporting Project Sequence March 2019 March 2017 March 2018

Faculty Juliet McDonnell, IPCRG Education Co-ordinator Jaime Correia de Sousa, President IPCRG, teacher for family medicine, University of Minho, Portugal. Andy McEwen, an expert in evidence-based behaviour change techniques and Executive Director of the National Centre for Smoking Cessation & Training, UK. Noel Baxter, a GP and Clinical Lead for Stop Smoking, Chair of the Primary Care Respiratory Society (PCRS-UK) Executive. Darush Attar-Zadeh, an experienced community pharmacist and trainer for smoking cessation services, UK.

Please introduce your group Participants Please introduce your group Names Country Where do you work Previous experiences of teaching and learning Previous experiences of treating tobacco dependence

Person Specification Good ability of spoken and written English. Experience of teaching and learning with professional colleagues. Some knowledge of theory and practice of behaviour change. Knowledgeable about current thinking around tobacco and interventions available both pharmacological and behavioural. A healthcare professional who considers regular tobacco smoking to be a long-term relapsing condition, a dependency that needs treatment. The courage to challenge the concept of tobacco use as a lifestyle choice. A healthcare professional that works with people who smoke tobacco. An ability to lead change and influence others and can articulate the relevant policy in your country. Willing to share and communicate with colleagues to support their programmes and to lead this work in your own area. Commit to work with colleagues to organise and deliver an educational programme on the treatment of tobacco dependence to primary health care professionals in your own country,

Evaluating the programme and impact Participant reactions Participant learning Organisational support and change Participant use of new knowledge and skills Impact on participants, practice and service users Evaluating your programmes Source: Evaluating Professional Development . T Guskey 2002.

International Teachers Workshop Learning Outcomes At the end of this workshop the participants will: Understand the principles of Very Brief Advice (VBA) and how VBA can be adapted in different settings e.g. hospital, GP, pharmacy. Demonstrate their ability to teach others how to effectively deliver this intervention and be able to design a teaching programme, choose teaching methods and put together a proposal for an in-country programme. Understand the relative value of specific pharmacotherapy and non-pharmacotherapy interventions, how to prescribe safely and effectively and consider how services can approach prescribing according to what is available in each country. To include use of tools like the carbon monoxide machine to aid behaviour change. Take an evidence-based position on the use of e-cigarettes in treating tobacco dependency and understand country, European and international regulation currently and how to remain updated.