Training pediatric residents to prevent tobacco use.
OBJECTIVE
To assess the effectiveness and acceptability of incorporating the National Cancer Institute (NCI) Guide to Preventing Tobacco Use During Childhood and Adolescence into pediatric training.


METHODS
Preintervention and postintervention self-reported surveys for residents receiving training and postintervention baseline surveys for those residents not receiving training. Measures include: (1) a self-reported knowledge, attitude, and behavior survey of residents; and (2) physician behavior reports from parent exit interviews.


METHODS
A hospital-based pediatric residency program and continuity clinic.


METHODS
Pediatric residents and parents of pediatric patients seen for well child examinations.


METHODS
Structured NCI smoking cessation curriculum modified for delivery during scheduled teaching activities.


RESULTS
The NCI training was acceptable and perceived as important by residents. Many did not recall receiving the materials or training. Trained residents who remembered the intervention improved their smoking cessation counseling effectiveness. Most patients' parents think it appropriate for physicians to ask; however, most reported not having been asked about smoking or environmental smoke exposure.


CONCLUSIONS
For residents to learn effective prevention counseling strategies, systematic, reinforced preventive educational curricula must become an institutionalized part of residency training.
Klein
J D
JD
Department of Pediatrics, University of Rochester School of Medicine, NY 14642, USA.
Portilla
M
M
Goldstein
A
A
Leininger
L
L
D000293:Adolescent; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D002648:Child; D003376:Counseling; D003479:Curriculum; D005500:Follow-Up Studies; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007396:Internship and Residency; D009316:National Institutes of Health (U.S.); D010290:Parents; D010353:Patient Education as Topic; D010372:Pediatrics / Q000193:education*; D015203:Reproducibility of Results; D012907:Smoking / Q000523:psychology; D016540:Smoking Cessation; D000074606:Smoking Prevention; D013663:Teaching / Q000379:methods; D014028:Tobacco Smoke Pollution / Q000517:prevention & control; D014481:United States
D014028:Tobacco Smoke Pollution