The pediatric residency training on tobacco project: four-year resident outcome findings.
OBJECTIVE
To evaluate the efficacy of a special program for training pediatric residents to address tobacco.


METHODS
In a study conducted at the New Jersey Medical School, sixteen pediatric residency training programs in the New York/New Jersey metropolitan area were assigned randomly to either special or standard training conditions. All of the residents were invited to take part in the training. Only second- and third-year residents participated in data collection activities (baseline and follow-up tobacco surveys and objective structured clinical examinations [OSCEs]). Baseline data were collected in the spring of 2001, and follow-up data were collected annually through the spring of 2005. Special training consisted of a hybrid website/CD-ROM training program on tobacco, a seminar series, companion intervention material, and clinic mobilization. Standard training residents participated in the seminar series and utilized standard educational and self-help material.


RESULTS
The percent of residents in special training, but not of those in standard training, who provided assistance for modifying environmental tobacco smoke, preventing use, and helping patients and parents stop smoking increased significantly from baseline to year 4 of training, as did the percent who felt prepared to address tobacco. Performance on the OSCEs was consistent with survey outcomes as special training residents revealed mastery of key interviewing and intervention skills.


CONCLUSIONS
The special training program, with Solutions for Smoking as its centerpiece, was found to be effective for training pediatric residents to address tobacco, and it may serve as a model for pediatric residency training programs. Ways of improving the program are discussed.
Hymowitz
Norman
N
Department of Psychiatry, UMDNJ-New Jersey Medical School, Behavioral Health Sciences Building, F1510, 183 South Orange Avenue, Newark, NJ 07103, USA. Hymowitz@umdnj.edu
Schwab
Joseph V
JV
Haddock
Christopher Keith
CK
Pyle
Sara A
SA
Schwab
Lisa M
LM
D000328:Adult; D001291:Attitude of Health Personnel; D003479:Curriculum; D005260:Female; D006801:Humans; D007396:Internship and Residency; D008297:Male; D009515:New Jersey; D009518:New York; D010372:Pediatrics / Q000193:education*; D015397:Program Evaluation; D016540:Smoking Cessation; D000074606:Smoking Prevention; D014028:Tobacco Smoke Pollution / Q000517:prevention & control*
D014028:Tobacco Smoke Pollution
Prev Med. 2005 Jul;41(1):159-66
15917007
J Pediatr. 2007 May;150(5):547-52
17452234
J Natl Med Assoc. 2006 Feb;98(2):190-203
16708505
Pediatrics. 2001 Jul;108(1):E8
11433087
Prev Med. 2001 Dec;33(6):688-98
11716668
Pediatrics. 2002 Mar;109(3):E47
11875175
Clin Pediatr (Phila). 2002 Jun;41(5):341-9
12086200
J Natl Med Assoc. 2002 Sep;94(9):841-5
12392048
Patient Educ Couns. 2002 Dec;48(3):265-74
12477611
Pediatrics. 2003 Feb;111(2):E162-7
12563090
Pediatrics. 2003 Jun;111(6 Pt 1):e650-60
12777581
Pediatrics. 2003 Nov;112(5):1127-33
14595057
Pediatrics. 2003 Nov;112(5):1146-51
14595060
J Gen Intern Med. 2003 Dec;18(12):1023-7
14687261
Adolesc Med. 2000 Feb;11(1):69-78
10640339
Chest. 2000 Aug;118(2 Suppl):33S-39S
10939997
Arch Pediatr Adolesc Med. 2001 Jan;155(1):25-31
11177058
Pediatrics. 1998 Jan;101(1 Pt 1):125-8
11345974
Pediatrics. 2001 Apr;107(4):794-8
11335763
Pediatrics. 2001 May;107(5):1100-7
11331693
Pediatrics. 2004 Jan;113(1 Pt 1):78-81
14702452
Arch Pediatr Adolesc Med. 2004 Jan;158(1):83-90
14706964
Am J Public Health. 2004 Feb;94(2):205-10
14759928
Health Serv Res. 2004 Jun;39(3):571-86
15149479
Prev Med. 2004 Sep;39(3):507-16
15313090
Arch Intern Med. 1988 May;148(5):1039-45
3365074
Arch Intern Med. 1988 Nov;148(11):2469-73
3190379
Am J Prev Med. 1990;6(2 Suppl):84-92
2383417
Clin Chest Med. 1991 Dec;12(4):727-35
1747990
N J Med. 1995 Oct;92(10):657-60
7478283
Pediatrics. 1996 Apr;97(4):560-8
8632946
Am J Public Health. 1996 Feb;86(2):253-6
8633747
Pediatrics. 1999 May;103(5):e65
10224209
Pediatrics. 2005 Mar;115(3):750-60
15741382
Pediatrics. 2005 Mar;115(3):816-21
15741395
Pediatrics. 2005 Apr;115(4):1013-7
15805379
J Natl Med Assoc. 2006 Sep;98(9):1489-97
17019917
Prev Med. 2006 Dec;43(6):472-6
16920185
Prev Med. 2005 Jul;41(1):334-41
15917030