title: Impact of education on smoking cessation counseling by surgical residents.
abstract: BACKGROUND
  Surgeons infrequently provide smoking cessation counseling for patients, in part because they lack training to do so. We investigated the efficacy of 2 methods of teaching smoking cessation counseling to surgical residents.
  
  
  METHODS
  Residents' knowledge and attitude toward smoking cessation counseling were assessed by written test. Counseling skills were assessed with standardized patients. Residents were randomized for smoking cessation education: a "Role-play" group received a 1-hour lecture plus an hour of role-playing. An evidence-based medicine (EBM) group attended a 1- hour EBM journal club on related articles. Changes in residents' knowledge, attitude, and skills were assessed after education.
  
  
  RESULTS
  Sixteen residents completed the study. After either form of education, residents demonstrated significant improvements in knowledge, attitude, and skills in smoking cessation counseling. There was no significant difference in improvement between the EBM and Role-play groups.
  
  
  CONCLUSIONS
  A brief educational intervention can significantly improve residents' knowledge, attitude, and counseling skills for smoking cessation.
authors.affiliation: Department of Surgery, University of Hawaii, John A. Burns School of Medicine, 1356 Lusitana St., 6th Floor, Honolulu, HI 96813, USA. steine@hawaii.edu
authors.forename: Susan
authors.initials: S
authors.lastname: Steinemann
authors.forename: Timur
authors.initials: T
authors.lastname: Roytman
authors.forename: Janice
authors.initials: J
authors.lastname: Chang
authors.forename: Jennifer
authors.initials: J
authors.lastname: Holzman
authors.forename: Earl
authors.initials: E
authors.lastname: Hishinuma
authors.forename: Michael
authors.initials: M
authors.lastname: Nagoshi
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Tam
authors.forename: Sara
authors.initials: S
authors.lastname: Murakami
authors.forename: Jan
authors.initials: J
authors.lastname: Wong
mesh_terms: D003376:Counseling; D004502:Education, Medical, Continuing; D013502:General Surgery / Q000193:education*; D006801:Humans; D007396:Internship and Residency; D010819:Physician's Role; D012381:Role Playing; D016540:Smoking Cessation