Tobacco Education in US Physician Assistant Programs

Houston, Lisa; Warner, Mary; Corelli, Robin L.; Fenlon, Christine M.; Hudmon, Karen Suchanek

doi:10.1080/08858190902854475

Cited by 19 publications

(15 citation statements)

References 29 publications

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“…As with the initial study, 28 this later report revealed dental hygiene faculty continued to place greater emphasis on tobaccorelated pathology topics, as compared to behavioral aspects of cessation or cessation medication topics. 31 In a similar but unrelated study, Houston et al 18 assessed tobacco dependence education in PA programs during the 2003-2004 academic year. This was the first study to investigate the status of tobacco education in PA curricula.…”

Section: R Repetitionmentioning

confidence: 97%

“…In this study, 99 program directors (out of 132 programs) reported a median of 150 total minutes spent on tobaccorelated content over the span of the entire PA program. 18 Within these totals, 91% of the programs covered nonpharmacologic and pharmacologic aids for cessation, with a median of 20 minutes reported, and 87% of responding programs included the Public Health Service 5 As, though only 20 minutes were dedicated to that topic as well. 18 Tobacco dependence education in PA curricula is guided by several governing bodies.…”

Section: R Repetitionmentioning

confidence: 99%

“…18 Within these totals, 91% of the programs covered nonpharmacologic and pharmacologic aids for cessation, with a median of 20 minutes reported, and 87% of responding programs included the Public Health Service 5 As, though only 20 minutes were dedicated to that topic as well. 18 Tobacco dependence education in PA curricula is guided by several governing bodies. The Accreditation Standards for Physician Assistant Education 32 mandate that PA programs provide instruction in key areas of behavioral medicine: (1) preventive patient care;…”

Section: R Repetitionmentioning

confidence: 99%

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Assessing the Current Status of Tobacco Dependence Education Curricula in US Physician Assistant Programs

Kelly¹,

Davis²,

DiCocco³

2011

The Journal of Physician Assistant Education

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MSPurpose: Tobacco use continues to be the single most preventable cause of death and disease in the United States. A paradigm shift is needed in physician assistant (PA) education to address tobacco dependence as a chronic, relapsing disease requiring patient education, counseling, treatment, and follow-up. Methods: A national study was conducted to assess the existing tobacco dependence education currently offered in US PA programs. An established tobacco dependence curriculum survey was revised and mailed to the 141 accredited PA programs in the United States during the 2008-2009 academic year. The survey asked respondents to report the following with regard to tobacco dependence education content in their PA program: (1) Perceived self-efficacy and barriers; (2) Medical topics covered and minutes spent; (3) Evaluation of students' competency level; (4) Tobacco courses, topics, and resources used; and (5) Level of tobacco-cessation competency expected upon graduation. Results: A total of 79 surveys were returned (56% response rate). Though, on average, over 827 minutes (14 hours) were devoted to tobacco dependence education curriculum, most minutes (223 minutes) were spent on the health effects of tobacco use, with only 42 minutes spent on cessation counseling, 55 minutes on medications, and 13 minutes on integrating tobacco-cessation into clinical practice. Conclusions: PA educators have the unique opportunity to affect tobacco-related morbidity and mortality. The present study demonstrates that PA instructors are more than adequately teaching students about tobacco use. However, it is not clear if students are being adequately taught how to assist patients to quit using tobacco.

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Section: R Repetitionmentioning

confidence: 97%

Section: R Repetitionmentioning

confidence: 99%

Section: R Repetitionmentioning

confidence: 99%

See 1 more Smart Citation

Assessing the Current Status of Tobacco Dependence Education Curricula in US Physician Assistant Programs

Kelly¹,

Davis²,

DiCocco³

2011

The Journal of Physician Assistant Education

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“…Unfortunately, at most universities, the curricula do not meet those needs satisfactorily. (3,4) It should be borne in mind that a multidisciplinary approach is needed in order to provide appropriate treatment for smokers. In addition, health care teams that work in programs of smoking prevention and treatment should have a high level of understanding and commitment.…”

Section: Introductionmentioning

confidence: 99%

Tabagismo em universitários de ciências da saúde: prevalência e conhecimento

2011

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Objective: To determine the prevalence of smoking and the level of knowledge about smoking among undergraduate health sciences students. Methods: This was a cross-sectional study. A self-administered structured questionnaire was completed in the classroom by senior undergraduate health sciences students in the cities of Cuiabá and Várzea Grande, Brazil. We evaluated students at one public university and two private universities. Five variables were studied: age, gender, type of course, smoking status, and knowledge about smoking. The knowledge variable was divided into five parts: smoking as a disease; smoking/nicotine as a cause of dependence; specific education on smoking; major obstacles to the success of smoking cessation; and forms of smoking treatment. Only the medical students responded to questions related to the last two items. Results: The prevalence of smoking ranged from 9.3% at the public university to 21.1% at one of the two private universities. Approximately 30% of the respondents were unable to identify nicotine as the cause of dependence, 20.8% did not consider smoking a disease, and 47.2% reported that they had never received any instruction on the topic of smoking. The medical students enrolled at the public university showed the highest level of knowledge regarding the various forms of smoking treatment. Conclusions: The prevalence of smoking among the university students in our sample was high. Their knowledge about smoking was insufficient, which suggests inadequacy of the curricula at these universities.Keywords: Smoking/epidemiology; Students; Questionnaires. ResumoObjetivo: Determinar a prevalência de tabagismo e o nível de conhecimento acerca do tabagismo entre estudantes universitários da área de saúde. Métodos: Estudo transversal. Um questionário estruturado e autoadministrado foi respondido em sala de aula por universitários do último ano dos cursos da saúde de Cuiabá e Várzea Grande (MT). Foram avaliados alunos de uma universidade pública e de duas universidades particulares. Cinco variáveis foram analisadas: idade, sexo, curso de graduação, status tabágico e noções sobre o tabagismo. A variável "conhecimento" foi dividida em cinco partes: tabagismo como doença; tabagismo e nicotina como causa de dependência; treinamento específico sobre tabagismo; fatores dificultadores da cessação tabágica; e formas de tratamento do tabagismo. Os últimos dois itens somente foram respondidos pelos alunos dos cursos de medicina. Resultados: A prevalência do tabagismo variou de 9,3% na universidade pública a 21,1% em uma das universidades particulares. Aproximadamente 30% dos entrevistados não souberam identificar a nicotina como causadora da dependência, 20,8% não consideravam o tabagismo como doença, e 47,2% responderam não terem recebido nenhum treinamento sobre o tabagismo. Os alunos de medicina da universidade pública mostraram maior conhecimento sobre as diversas formas de tratamento do tabagismo. Conclusões: A prevalência do tabagismo entre os universitários estudados foi alta. O conh...

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“…4 One explanation is the well-documented, historically inadequate level of tobacco cessation training in health professional curricula. [5][6][7][8][9][10][11][12][13][14][15] Nearly 20% of adults are current smokers; 16 given the widespread use of tobacco and its significant negative public health impact, comprehensive tobacco cessation training should be integrated into health curricula. 2 In 1999, a comprehensive tobacco cessation curriculum was developed by pharmacy faculty members in California (University of California -San Francisco, Western University of Health Sciences, and University of Southern California).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of an Online Tobacco Cessation Course for Health Professions Students

Schmelz¹,

Nixon²,

McDaniel

et al. 2010

American Journal of Pharmaceutical Education

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Objective. To implement and evaluate the impact of a semester-long, online, 1-credit elective course designed to promote tobacco cessation counseling proficiency among health professions students. Design. Online technology was used to create an elective course devoted to tobacco cessation, modeled closely after the Rx for Change curriculum. Students from pharmacy, nursing, and other health disciplines enrolled in the course. Assessment. Students completed pretraining and posttraining survey instruments that assessed their self-reported skills and ability to counsel patients for tobacco cessation. Overall ability to counsel for tobacco cessation and each of the ''5 A's'' approach for comprehensive counseling (ask, advise, assess, assist, arrange) increased significantly from pretraining to posttraining (p , 0.001). Self-efficacy also increased from 2.2 to 4.1 (p , 0.001; on a 5-point scale). Conclusion. This study demonstrated that an online tobacco cessation course improved studentreported ability and skills to counsel patients on tobacco cessation.

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Tobacco Education in US Physician Assistant Programs

Abstract: Similar to other disciplines, enhanced tobacco education is needed in PA programs to adequately prepare graduates to address the primary known cause of preventable death in the United States.

Cited by 19 publications

References 29 publications

Assessing the Current Status of Tobacco Dependence Education Curricula in US Physician Assistant Programs

Assessing the Current Status of Tobacco Dependence Education Curricula in US Physician Assistant Programs

Tabagismo em universitários de ciências da saúde: prevalência e conhecimento

Evaluation of an Online Tobacco Cessation Course for Health Professions Students

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