Evaluation of Tobacco Education at 12 US Medical Schools Catherine A. Powers, EdD Jane Zapka, ScD

Pathways and Barriers to Curricular Change at Twelve US Medical Schools I. Non-tobacco Behavioral Intervention Teaching II. Faculty Development and Preparation III. Student Knowledge and Skills IV. Barriers to Tobacco Education V. Tobacco Education-The Vision Thing

NON-TOBACCO BEHAVIORAL INTERVENTION TEACHING

Non-Tobacco Behavioral Intervention Skills

Non-Tobacco Behavioral Intervention Skills - Years Taught

Non-Tobacco Behavioral Intervention Skills - Teaching Techniques

FACULTY DEVELOPMENT AND PREPARATON

Areas of Faculty Training for Tobacco Prevention & Cessation

High Level of Institutional Commitment for Faculty Development

High Level of Faculty Support for Workshops Integrating Tobacco Prevention and Cessation Into Coursework

STUDENT KNOWLEDGE AND SKILL

Skill Level of Graduating Students in Prevention Counseling

Skill Level of Graduating Students in Cessation Counseling

Students’ Knowledge of the Stages of Change Model, Intervention at Various Stages and Knowledge of Referrals

Students’ Knowledge of Public Health & Public Policy Related to Tobacco

BARRIERS AND CHALLENGES TO TOBACCO EDUCATION

Faculty Related Issues (PI Survey vs. Administrators’ Survey)

Student and Administrative Barriers (PI Survey vs. Administrators’ Survey)

Other Barriers and Challenges to Tobacco Innovation ( PI Survey vs. Administrators’ Survey )

Institutions’ Willingness to Integrate Tobacco Cessation into Cultural Competency

THE “VISION THING”

Visioning for New Tobacco Education

Summary Non-Tobacco Behavioral Intervention - Patient communication and counseling are very promising areas to include new tobacco information. - They are taught across all four years and include a variety of teaching methodologies

Faculty Development and Preparation -Need for improvement in faculty training for tobacco prevention -Strong levels of institutional commitment for faculty development -Faculty resistance to tobacco workshops is a significant barrier -Need to explore other methods for faculty tobacco training

Student Knowledge and Skills -Need for improvement in students’ prevention and cessation skills -Need for improvement in students’ knowledge of public health and public policy related to tobacco -Students have knowledge of behavioral intervention and stages of change, but need improvement in patient referral

Barriers to Tobacco Education -Faculty resistance and low priority on prevention topics present major barriers -The good news is that student and administrative barriers are minimal

Educational Vision -Majority of schools envision adding new cases to existing courses and adding greater opportunities for practice -The existing patient communication and counseling curriculum may provide a perfect opportunity for achieving these objectives