How prepared are psychiatry residents for treating nicotine dependence?
OBJECTIVE
Nicotine dependence is the most prevalent substance abuse disorder among adult psychiatric patients and a leading cause of death and disability. The authors examined the extent to which psychiatry residents are prepared to treat nicotine dependence in clinical practice.


METHODS
Residents from five psychiatry residency programs in northern California completed an anonymous survey of their knowledge, attitudes, and behaviors regarding treating nicotine dependence among their patients.


RESULTS
Respondents (N = 105, 60% female) represented all 4 years of residency training. Residents' smoking status was 11% current, 17% former, and 72% never. Knowledge scores averaged 54% correct. Confidence ratings averaged 3 (SD = 0.6) on a 5-point scale. Seventy six percent rated their overall ability to help patients quit using tobacco as fair or poor. The percent reporting often or always engaging in the National Cancer Institute's 5-A intervention for smoking cessation was: 58% ask; 29% advise; 17% assess; 18% assist; and 13% arrange follow up. Most residents reported none or inadequate tobacco cessation training during medical school (74%) or residency (79%), and nearly all (94%) reported moderate to high interest in learning more about helping patients quit smoking.


CONCLUSIONS
Psychiatry residents appear unprepared to treat nicotine dependence, but report considerable interest in this area. The findings demonstrate the need for and interest in tobacco cessation curricula in psychiatry residency training.
Prochaska
Judith J
JJ
Department of Psychiatry, University of California San Francisco School of Medicine, San Francisco, CA 94143-0984, USA. JProchaska@lppi.ucsf.edu
Fromont
Sebastien C
SC
Hall
Sharon M
SM
D002983:Clinical Competence; D006801:Humans; D007396:Internship and Residency; D011570:Psychiatry / Q000193:education*; D016540:Smoking Cessation / Q000379:methods*; D011795:Surveys and Questionnaires; D013663:Teaching / Q000379:methods*; D014029:Tobacco Use Disorder / Q000628:therapy*