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Undergraduate medical education – an overlooked opportunity to improve tobacco control. Tibor Baška Jessenius Faculty of Medicine, Comenius University Martin, Slovakia. Special role of physicians in tobacco control. advocating of preventive approach in the community. - PowerPoint PPT Presentation
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Undergraduate medical education – an overlooked opportunity to improve tobacco control
Tibor BaškaJessenius Faculty of Medicine, Comenius University
Martin, Slovakia
Special role of physicians in tobacco control
understanding of the problem
significant position in the society
providing information qualified intervention
advocating of preventive approach in the community
•primary preventive work
•providing cessation support
•referring for other services - QUITLINE
Physicians should understand
Numerous smokers needs qualified cessation support, not just command not to smoke the question is not “why quit” but “how quit”
Prevention is highly cost-effective Also minimal intervention is effective GPs can reach large proportion of the population
– high population intervention impact of their interventions
Do physicians understand these issues appropriately ?
Do physicians play their role in prevention satisfactory?
Do we prepare medical students adequately in these issues?
Situation in Slovakia
Global Health Professional Students Survey (GHPSS) project
World Health Organization and Centers for Diseases Control and Prevention in Atlanta, USA
questionnaire study in the 3rd year of study, medical, pharmacy, dental and nursing students
uniform questionnaire and standard method valid comparable data
in more than 40 countries until now in Slovakia in 2006
(1049 respondents)
Students‘ views
84,295,3
78,385,9
59,6 55,3 58,4 57,562,9 61,9
58,348,2
0
20
40
60
80
100
%
Health workers should be anexample for their patients and
other people
Health workers should giveadvices and information on
smoking cessation
Patient’s chances of quitting areincreased if a health worker
advises him/her to quit
medical
dental
pharmacy
nursing
Cessation support included in undergraduate education
3,0
14,0
2,511,2
97,7 97,795,7 94,6
14,828,6
19,9 19,1
0
20
40
60
80
100
%
Ever learned on cessationapproach used in patients
Ever heard on nicotinereplacement therapy
Ever heard on antidepressivesused in cessation
medical
dental
pharmacy
nursing
Conclusions
Inadequate undergraduate education in medical students
Physicians and other health workers are not prepared to their role in preventive work possibilities of evidence-based methods for
cessation supports not adequately employed (QUITLINE as a part of existing network of services)
Similar results also in other countries
What to do?
Development of a textbook covering issues on tobacco control meeting needs of undergraduate education supported by WHO-EURO Jessenius Faculty of Medicine, Comenius University,
Martin Faculty of Medicine, P.J. Šafárik University, Košice to be finished until November 30, 2010
Meeting of representatives of eligible faculties and unversities in January 2011 starting points, possibilities, strategies, plans
Final GHPSS Slovakia report : http://www.jfmed.uniba.sk/index.php?id=3015More information on GHPSS project: http://www.cdc.gov/tobacco/global/ghpss/
Assoc. Prof. Tibor Baška, M.D., PhD.Institute of Public Health JFM CU in MartinSklabinská 26036 01 [email protected]
