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Tobacco education in US physician assistant programs

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Abstract

Background. Few health degree programs incorporate sufficient tobacco cessation education in core curricula. Methods. A national survey of 132 PA programs assessed the extent to which tobacco is addressed, educational methods, perceived importance and adequacy of tobacco education, and perceived barriers to enhancing tobacco-related content. Results. Surveys (n=99; 75%) revealed a median of 150 minutes of tobacco education throughout the degree program. Key barriers to enhancing training are lack of curriculum time and lack of access to comprehensive, evidence-based resources. Two-thirds expressed interest in participating in a nationwide effort to enhance tobacco cessation training. Conclusions. 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.

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References

  1. Fiore MC, Jaén CR, Baker TB, et al. Treating Tobacco Use and Dependence: 2008 Update. Clinical Practice Guideline. Rockville, MD: U. S. Department of Health and Human Services, Public Health Service; 2008.

    Google Scholar 

  2. CDC. Cigarette smoking among adults—United States, 2000. MMWR. 2002;51:642–645.

    Google Scholar 

  3. Ferry LH, Grissino LM, Runfola PS. Tobacco dependence curricula in US undergraduate medical education. JAMA. 1999;282:825–829.

    Article  CAS  PubMed  Google Scholar 

  4. Richmond RL, Debono DS, Larcos D, Kehoe L. Worldwide survey of education on tobacco in medical schools. Tob Control. 1998;7: 247–252.

    Article  CAS  PubMed  Google Scholar 

  5. Spangler J, George G, Foley K, Crandall S. Tobacco intervention training: Current efforts and gaps in US medical schools. JAMA. 2002;288:1102–1109.

    Article  PubMed  Google Scholar 

  6. Montalto NJ, Ferry LH, Stanhiser T. Tobacco dependence curricula in undergraduate osteopathic medical education. J Am Osteopath Assoc. 2004;104:317–23.

    PubMed  Google Scholar 

  7. Heath J, Andrews J, Thomas SA, Kelley FJ, Friedman E. Tobacco dependence curricula in acute care nurse practitioner education. Am J Crit Care. 2002;11:27–33.

    PubMed  Google Scholar 

  8. Wewers ME, Kidd K, Armbruster D, Sarna L. Tobacco dependence curricula in U. S. baccalaureate and graduate nursing education. Nurs Outlook. 2004;52:95–101.

    Article  PubMed  Google Scholar 

  9. Hudmon KS, Bardel K, Kroon LA, Fenlon CM, Corelli RL. Tobacco education in U. S. schools of pharmacy. Nicotine Tob Res. 2005;7:225–232.

    Article  PubMed  Google Scholar 

  10. Grinstead CL, Dolan TA. Trends in U. S. dental schools’ curriculum content in tobacco use cessation 1989–93. J Dent Educ. 1994;58:663–667.

    CAS  PubMed  Google Scholar 

  11. Barker GJ, Williams KB. Tobacco use cessation activities in U. S. dental and dental hygiene student clinics. J Dent Educ. 1999;63:828–833.

    CAS  PubMed  Google Scholar 

  12. Lawvere S, Mahoney MC, Englert J, et al. Approaches to tobacco control & lung cancer screening among physician assistants. J Cancer Educ. 2006;21:248–252.

    Article  PubMed  Google Scholar 

  13. American Academy of Physician Assistants. Projected number of people in clinical practice as PAs as of December 31, 2008: Available at: http://www.aapa.org/research/InformationUpdates08/IU2008Num ClinPract.pdf.Accessed April 6, 2009.

  14. Cherry DK, Hing E, Woodwell DA, Rechtsteiner EA. National Ambulatory Medical Care Survey: 2006 summary. Natl Health Stat Report. 2008 August 6(3):1–39.

    Google Scholar 

  15. American Academy of Physician Assistants. Number of Patient Visits Made to Physician Assistants and Number of Medications Prescribed or Recommended by Physician Assistants in 2008. Available at: http://www.aapa.org/research/InformationUpdates08/IU08Visitsand Rx.pdf Accessed April 6, 2009.

  16. Bureau of Labor Statistics. Bureau of Labor Statistics, US Department of Labor, Occupational Outlook Handbook, 2008–09 Edition, Physician Assistants. Available at: http://www.bls.gov/oco/ocos081.htm. Accessed April 6, 2009.

  17. Stead LF, Bergson G, Lancaster T. Physician advice for smoking cessation. Cochrane Database Syst Rev. 2008 April 16(2):CD000165.

    Google Scholar 

  18. Geller AC, Zapka J, Brooks KR, et al. Tobacco control competencies for US medical students. Am J Public Health. 2005;95:950–955.

    Article  PubMed  Google Scholar 

  19. Hudmon KS, Corelli RL, Chung E, et al. Development and implementation of a tobacco cessation training program for students in the health professions. J Cancer Educ. 2003;18:142–149.

    Article  PubMed  Google Scholar 

  20. Corelli RL, Kroon LA, Chung EP, et al. Statewide evaluation of a tobacco cessation curriculum for pharmacy students. Prev Med. 2005; 40:888–895.

    Article  PubMed  Google Scholar 

  21. Coultas DB, Klecan DA, Whitten RM, et al. Training medical students in smoking-cessation counseling. Acad Med. 1994;69(suppl 10):S48-S50.

    Article  CAS  PubMed  Google Scholar 

  22. Roche AM, Eccleston P, Sanson-Fisher R. Teaching smoking cessation skills to senior medical students: a block-randomized controlled trial of four different approaches. Prev Med. 1996;25:251–258.

    Article  CAS  PubMed  Google Scholar 

  23. Usatine RP, Wilkes M, Slavin S, Wilkerson L. A model smoking-intervention curriculum for medical school. Acad Med. 1996;71 (suppl 1):S96-S98.

    CAS  PubMed  Google Scholar 

  24. Cornuz J, Humair JP, Seematter L, et al. Efficacy of resident training in smoking cessation: a randomized, controlled trial of a program based on application of behavioral theory and practice with standardized patients. Ann Intern Med. 2002;136:429–437.

    PubMed  Google Scholar 

  25. Ockene JK, Quirk ME, Goldberg RJ, et al. A residents’ training program for the development of smoking intervention skills. Arch Intern Med. 1988;148:1039–1045.

    Article  CAS  PubMed  Google Scholar 

  26. Pololi LH, Potter S. Behavioral change in preventive medicine: an efficacy assessment of a physician education module. J Gen Intern Med. 1996;11:545–547.

    Article  CAS  PubMed  Google Scholar 

  27. Quirk M, Ockene J, Kristeller J, et al. Training family practice and internal medicine residents to counsel patients who smoke: improvement and retention of counseling skills. Fam Med. 1991;23:108–111.

    CAS  PubMed  Google Scholar 

  28. Kottke TE, Brekke ML, Solberg LI, Hughes JR. A randomized trial to increase smoking intervention by physicians: Doctors Helping Smokers, Round I, JAMA. 1989;261:2101–2106.

    Article  CAS  PubMed  Google Scholar 

  29. Davis D, O’Brien MA, Freemantle N, Wolf FM, Mazmanian P, Taylor-Vaisey A. Impact of formal continuing medical education: do conferences, workshops, rounds, and other traditional continuing education activities change physician behavior or health care outcomes. JAMA. 1999;282:867–874.

    Article  CAS  PubMed  Google Scholar 

  30. Fasser CE, Mullen PD, Holcomb JD. Health beliefs and behaviors of physician assistants in Texas: implications for practice and education. Am J Prev Med. 1988;4:208–215.

    CAS  PubMed  Google Scholar 

  31. Rice VH, Stead L. Nursing intervention and smoking cessation: meta-analysis update. Heart Lung. 2006;35:147–163.

    Article  PubMed  Google Scholar 

  32. Carr AB, Ebbert JO. Interventions for tobacco cessation in the dental setting. Cochrane Database Syst Rev. 2006;1:CD005084.

    Google Scholar 

  33. Sinclair H, Bond C, Stead L. Community pharmacy personnel interventions for smoking cessation. Cochrane Database Syst Rev. 2004;1: CD003698.

  34. Simon B, Link M. Twentieth Annual Report on Physician Assistant Educational Programs in the United States, August 2004. Loretto, PA: Association of Physician Assistant Programs.

    Google Scholar 

  35. Lancaster T, Silagy C, Fowler G. Training health professionals in smoking cessation. Cochrane Database Syst Rev. 2000;3:CD000214.p

    Google Scholar 

Download references

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Correspondence to Karen Suchanek Hudmon DRPH.

Additional information

Supported by a fellowship from the National Institute on Alcohol Abuse and Alcoholism, Grant P50-AA15632, through the Yale University Transdisciplinary Tobacco Use Research Center to Lisa Houston (S O’Malley, Principal Investigator). This research was also supported in part by Grant NCI R25 CA90720 (KS Hudmon, Principal Investigator).

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Houston, L.N., Warner, M., Corelli, R.L. et al. Tobacco education in US physician assistant programs. J Canc Educ 24, 107–113 (2009). https://doi.org/10.1080/08858190902854475

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