title: Laying the groundwork for Tobacco Cessation Education in Medical Colleges in Indonesia.
abstract: BACKGROUND
  This paper describes a pioneering effort to introduce smoking cessation into Indonesia's medical school curriculum, and the first ever attempt to fully integrate tobacco control in all four years of medical school anywhere in Southeast Asia. The development, pretesting, and piloting of an innovative modular tobacco curriculum are discussed as well as the challenges that face implementation.
  
  
  METHODS
  In-depth interviews were conducted with medical school administrators and faculty in four medical colleges to determine interest in and willingness to fully integrate tobacco cessation into the college curriculum. A tobacco focused curriculum review, student focus groups, and a survey of medical students (n = 579) assessed current exposure to information about tobacco and interest in learning cessation skills. A modular tobacco curriculum was developed and was pretested, modified, piloted, and evaluated. Qualitative research was conducted to identify potential challenges to future curriculum implementation.
  
  
  RESULTS
  Fifteen modules were successfully developed focusing on the relationship between tobacco and specific organ systems, diseases related to smoking, the impact of tobacco on medication effectiveness, and information on how to explain to patients about effects of tobacco on their health condition. Lecturers and students positively evaluated the curriculum as increasing their competency to support cessation during illness as a teachable moment. Systemic challenges to implementing the curriculum were identified including shifts in pedagogy, decentralized curriculum decision-making, and frequent lecturer turnover.
  
  
  CONCLUSIONS
  A fully integrated tobacco curriculum for medical schools was piloted and is now freely available online. An important lesson learned in Indonesia was that a tobacco curriculum must be flexible enough to be adjusted when shifts in medical education take place. The curriculum is a resource for medical colleges and expert committees in Southeast Asia deliberating how best to address lifestyle factors undermining population health.
authors.forename: Yayi Suryo
authors.initials: YS
authors.lastname: Prabandari
authors.affiliation: University of Arizona, School of Anthropology and College of Public Health, Tucson, USA.
authors.forename: Mark
authors.initials: M
authors.lastname: Nichter
authors.forename: Mimi
authors.initials: M
authors.lastname: Nichter
authors.forename: Retna Siwi
authors.initials: RS
authors.lastname: Padmawathi
authors.forename: Myra
authors.initials: M
authors.lastname: Muramoto
mesh_terms: D003479:Curriculum; D004504:Education, Medical, Undergraduate; D017144:Focus Groups; D006801:Humans; D007214:Indonesia; D007407:Interviews as Topic; D012577:Schools, Medical; D020340:Tobacco Use Cessation