Titre : | Tobacco dependence curricula in US undergraduate medical education (1999) |
Auteurs : | L. H. FERRY ; L. M. GRISSINO ; P. SIELER RUNFOLA |
Type de document : | Article : Périodique |
Dans : | Journal of the American Medical Association (Vol.282, n°9, September 1, 1999) |
Article en page(s) : | p.825-829 |
Langues: | Anglais |
Discipline : | TRA (Traitement et prise en charge / Treatment and care) |
Mots-clés : |
Thésaurus mots-clés FORMATION ; MEDECIN ; MILIEU ETUDIANT ; SEVRAGE ; CONSULTATION ; TABAC ; DEPENDANCEThésaurus géographique ETATS-UNIS |
Résumé : |
FRANÇAIS :
Les médecins américains peu formés contre le tabac. Une enquête menée dans 126 écoles de médecine américaines montre que la formation initiale théorique des médecins américains en matière de lutte contre la dépendance nicotinique laisse beaucoup à désirer. La plupart de ces écoles (83/120) n'imposent pas d'apprentissage clinique à la prise en charge des fumeurs et 27 écoles sur 115 ne prévoient qu'un enseignement clinique optionnel : 3 écoles sur 10 proposent moins d'une heure par an de formation aux techniques d'arrêt de l'intoxication tabagique et une minorité d'entre elles en proposent trois heures ou plus pendant la troisième (14,7%) et la quatrième (4,9%) année d'enseignement. Comment s'étonner alors que dans un pays où le tabac est responsable de 500 000 décès par an et où 70% des fumeurs consultent un médecin au moins une fois chaque année, la plupart des patients ne reçoivent ni conseil ni aide pour mettre fin à leur intoxication ? [Source : Impact Médecin Hebdo, n°463, 1er octobre 1999, p.27] ENGLISH: CONTEXT. Tobacco use is the leading preventable cause of death in the United States. And yet only 21% of practicing physicians claim they received adequate training to help their patients stop smoking. OBJECTIVE. To assess the content and extent of tobacco education and intervention skills in US medical schools' curricula. DESIGN. A survey with 13 multiple-response items on tobacco education. Survey questions were based on the recommendations of the Agency for Health Care Policy and Research and the National Cancer Institute Expert Panel. The Liaison Committee on Medical Education included 4 of these items in a modified form on the 1997 annual questionnaire. SETTING. One hundred twenty-six US medical schools. PARTICIPANTS. Surveys were obtained from 122 associate deans for medical education (98.6%). MAIN OUTCOME. Measures Curriculum content in basic science and clinical science, elective or required clinical experience, hours of instruction, and resource materials. RESULTS. Inclusion of all 6 tobacco curricula content areas recommended by the National Cancer Institute and the Agency for Health Care Policy and Research was higher in basic science (63/115 [54.8%]) than in clinical science (5/115 [4.4%]). Most medical schools (83/120 [69.2%]) did not require clinical training in smoking cessation techniques, while 23.5% (27/115) offered additional experience as an elective course. Thirty-one percent (32/102) of schools averaged less than 1 hour of instruction per year in smoking cessation techniques during the 4 years of medical school. A minority of schools reported 3 or more hours of clinical smoking cessation instruction in the third (14.7%) and fourth (4.9%) years. CONCLUSIONS. A majority of US medical school graduates are not adequately trained to treat nicotine dependence. The major deficit is the lack of smoking cessation instruction and evaluation in the clinical years. A model core tobacco curricula that meets national recommendations should be developed and implemented in all US medical schools. |
Domaine : | Tabac / Tobacco / e-cigarette |
Refs biblio. : | 19 |
Lien : | https://jamanetwork.com/journals/jama/fullarticle/191414 |
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