Multi-Center Medical Education Curriculum for Training Pediatric Residents on Tobacco Cessation

Gribben, Valerie; Kosack, Amanda; Garell, Cambria; Shaikh, Ulfat; Huang, Maria Z.; Chang, Andrew Y.; Rasmussen, Jennifer; Tebb, Kathleen; Marbin, Jyothi

doi:10.1542/peds.147.3ma10.1010

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“…In addition, in June 2019, we sent an anonymous, electronic survey ( Appendix F ) to all pediatric residents to compare self-perceived knowledge, confidence, and practice related to smoking cessation between those who had and had not participated in the CEASE training. 18 By querying house staff the year following their training, we hoped to capture the durability of the curriculum. We focused the survey on pediatric residents because they were permitted to prescribe medication.…”

Section: Methodsmentioning

confidence: 99%

Impact of a Multidisciplinary Curriculum Training Students and Residents in Tobacco Cessation Strategies for Adult Caregivers of Children

et al. 2023

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Introduction Children's exposure to secondhand smoke is an underaddressed public health threat. The Clinical Effort Against Secondhand Smoke Exposure (CEASE) is a validated framework that trains pediatric providers to screen, counsel, refer to quitlines, and prescribe tobacco cessation medications to adult caregivers of children. Methods A physician champion at a major urban academic center delivered a longitudinal didactic curriculum of CEASE principles to medical and nurse practitioner students and pediatrics and family medicine residents. At the end of each session, participants completed an anonymous survey measuring changes in self-perceived knowledge, comfort, and familiarity with smoking cessation skills and concepts. Using a separate end-of-year questionnaire, we also surveyed a group of pediatric residents to compare the impact of CEASE training on clinical practice. Finally, we tracked the number of referrals to the state's quitline for the duration of the training. Results Fifty-two trainees (55% students, 45% residents) responded to the evaluation survey administered immediately following training. There were statistically significant improvements in median scores after CEASE training for comfort in screening, counseling, motivational interviewing, referring to smokers’ helplines, and providing caregivers with nicotine replacement therapy (NRT) prescriptions. Fifty-one percent of pediatric residents (41 of 80) responded to the end-of-year survey, which showed statistically significant differences in the number of patients/caregivers offered a referral to California's quitline and prescription of NRT according to completion of CEASE training. Discussion CEASE training successfully improved the self-efficacy of health professions students and residents in smoking cessation techniques for adult caregivers of children.

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Section: Methodsmentioning

confidence: 99%