Improving medical student performance in adolescent anti-smoking health promotion.

BACKGROUND: We developed a 1-hour teaching seminar for medical students on anti-smoking health promotion for adolescents. We report the development of the programme and a performance-based evaluation. AIM: To develop a seminar for medical students with the objective of improving medical student inqu...

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Publicado en:Medical Education Vol. 37; no. 8; pp. 704 - 709
Autores principales: Roseby R, Marks MK, Conn J, Sawyer SM
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Aug2003
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2003
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1046/j.1365-2923.2003.01560.x
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        atl: Improving medical student performance in adolescent anti-smoking health promotion.
      aug:
        au:
          Roseby R
          Marks MK
          Conn J
          Sawyer SM
        affil: Dept of Respiratory Medicine, Royal Children's Hospital, Melbourne, Australia
      sug:
        subj:
          Education, Medical Evaluation
          Smoking Cessation Education
          Smoking Prevention and Control
          Teaching Methods
          Adolescence
          Chi Square Test
          Descriptive Statistics
          P-Value
          Program Evaluation
          Victoria
          Videorecording
          Funding Source
          Human
          Adolescent: 13-18 years
      ab: BACKGROUND: We developed a 1-hour teaching seminar for medical students on anti-smoking health promotion for adolescents. We report the development of the programme and a performance-based evaluation. AIM: To develop a seminar for medical students with the objective of improving medical student inquiry into smoking and the delivery of advice accordingly for adolescent patients in routine consultations. METHOD: The seminar was developed using principles of adult learning and delivered to a cohort of medical students (intervention group). Participants were Year 5 medical students in their paediatrics term. A comparison group of 58 medical students who did not receive the seminar was studied in the semester prior to the intervention. The primary outcome measure was a change in anti-smoking health promotion practice within an objective structured clinical examination (OSCE), where taking a smoking history and making links between smoking status and health were indicated in a 15-year-old simulated patient (SP) with poorly controlled asthma. This was part of the summative assessment in the paediatrics term. RESULTS: In the OSCE, 21 of 58 (36%) students in the comparison group asked the asthmatic SP about smoking, compared with 41 of 56 (73%) students in the intervention group (P = 0.0001). In all, 15 (26%) of the comparison group students addressed the patient's smoking, compared with 33 of the 56 (59%) intervention group students (P = 0.0004). CONCLUSION: A carefully designed seminar addressing adolescent smoking can increase the frequency of smoking inquiry and advice by medical students.
      pubtype: Academic Journal
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      ougenre: Article
    language: English
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