title: Future physicians and tobacco: an online survey of the habits, beliefs and knowledge base of medical students at a Canadian University.
abstract: BACKGROUND
  Little is known about the knowledge and attitudes towards tobacco use among medical students in Canada. Our objectives were to estimate the prevalence of tobacco use among medical students, assess their perceived level of education about tobacco addiction management and their preparedness to address tobacco use with their future patients.
  
  
  METHODS
  A cross-sectional online survey was administered to University of Alberta undergraduate medical school trainees. The 32-question survey addressed student demographics, tobacco use, knowledge and attitudes around tobacco and waterpipe smoking, tobacco education received in medical school, as well as knowledge and competency regarding tobacco cessation interventions.
  
  
  RESULTS
  Of 681 polled students, 301 completed the survey. Current (defined as "use within the last 30 days") cigarette, cigar/cigarillo and waterpipe smoking prevalence was 3.3%, 6% and 6%, respectively. One third of the respondents had ever smoked a cigarette, but 41% had tried cigars/cigarillos and 40% had smoked a waterpipe at some time in the past. Students reported moderate levels of education on a variety of tobacco-related subjects but were well-informed on the role of tobacco in disease causation. The majority of students in their final two years of training felt competent to provide tobacco cessation interventions, but only 10% definitively agreed that they had received enough training in this area.
  
  
  CONCLUSIONS
  Waterpipe exposure/current use was surprisingly high among this sample of medical students, a population well educated about the role of tobacco in disease causation. The majority of respondents appeared to be adequately prepared to manage tobacco addiction but education could be improved, particularly training in behavioral modification techniques used in tobacco use cessation.
authors.affiliation: Department of Anesthesiology and Pain Medicine, University of Alberta, Edmonton, Canada.
authors.forename: Amanda J
authors.initials: AJ
authors.lastname: Vanderhoek
authors.affiliation: Department of Anesthesiology and Pain Medicine, University of Alberta, Edmonton, Canada.
authors.forename: Fadi
authors.initials: F
authors.lastname: Hammal
authors.affiliation: Department of Anesthesiology and Pain Medicine, University of Alberta, Edmonton, Canada.
authors.forename: Alyssa
authors.initials: A
authors.lastname: Chappell
authors.affiliation: School of Public Health, University of Alberta, Edmonton, Canada.
authors.forename: T Cameron
authors.initials: TC
authors.lastname: Wild
authors.affiliation: Department of Cardiology and Pneumology, University Hospital Göttingen, Göttingen, Germany.
authors.forename: Tobias
authors.initials: T
authors.lastname: Raupach
authors.affiliation: Department of Anesthesiology and Pain Medicine, University of Alberta, Edmonton, Canada.
authors.forename: Barry A
authors.initials: BA
authors.lastname: Finegan
keywords: Medical education; Medical students; Tobacco cessation; Waterpipe
references.citation: Microb Drug Resist. 2010 Dec;16(4):285-9
references.pmid: 20624097
references.citation: BMC Public Health. 2009 Jan 10;9:10
references.pmid: 19134220
references.citation: Public Health Nurs. 2010 Jan-Feb;27(1):49-53
references.pmid: 20055968
references.citation: Nicotine Tob Res. 2009 Jan;11(1):92-8
references.pmid: 19246446
references.citation: Patient Educ Couns. 2009 Jan;74(1):118-23
references.pmid: 18774670
references.citation: Br J Gen Pract. 2007 Dec;57(545):948-52
references.pmid: 18252069
references.citation: Acad Med. 2008 Oct;83(10):982-9
references.pmid: 18820533
references.citation: Acad Med. 2012 Jul;87(7):956-68
references.pmid: 22622220
references.citation: Addiction. 2012 Oct;107(10):1878-82
references.pmid: 22551065
references.citation: Med Teach. 2012;34(11):1000
references.pmid: 22931146
references.citation: Acad Psychiatry. 2009 May-Jun;33(3):193-7
references.pmid: 19574514
references.citation: Pharmacol Biochem Behav. 2005 Jan;80(1):173-9
references.pmid: 15652393
references.citation: Cochrane Database Syst Rev. 2008 Apr 16;(2):CD000165
references.pmid: 18425860
references.citation: Pediatrics. 2012 Apr;129(4):735-44
references.pmid: 22430451
references.citation: Cochrane Database Syst Rev. 2009 Jul 08;(3):CD001055
references.pmid: 19588322
references.citation: Addict Behav. 2011 Jan-Feb;36(1-2):1-5
references.pmid: 20888700
references.citation: CMAJ. 1995 Jul 15;153(2):208A-208D
references.pmid: 7600473
references.citation: Can J Public Health. 2008 Jan-Feb;99(1):31-5
references.pmid: 18435387
references.citation: J Cancer Educ. 2007 Winter;22(4):254-8
references.pmid: 18067439
references.citation: Arch Fam Med. 2000 Apr;9(4):359-67
references.pmid: 10776365
references.citation: Eur J Cardiovasc Prev Rehabil. 2011 Apr;18(2):334-41
references.pmid: 21450679
references.citation: Addiction. 2005 Oct;100(10):1423-31
references.pmid: 16185204
references.citation: QJM. 2005 Jan;98(1):41-51
references.pmid: 15625353
references.citation: Can J Public Health. 2010 Sep-Oct;101(5):390-5
references.pmid: 21214054
references.citation: Prev Med. 2007 Jan;44(1):76-81
references.pmid: 16978687
references.citation: Can Fam Physician. 2008 Oct;54(10):1424-30
references.pmid: 18854472