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Related Experiment Videos

Training physicians about smoking cessation: a controlled trial in private practice.

S R Cummings1, R J Richard, C L Duncan

  • 1Division of General Internal Medicine, University of California, San Francisco 94143-0320.

Journal of General Internal Medicine
|November 1, 1989
PubMed
Summary

A continuing education program improved physician smoking cessation counseling but did not significantly increase long-term patient quit rates. More effective strategies are needed to help physicians aid patients in smoking cessation.

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Area of Science:

  • Medical Education
  • Public Health
  • Tobacco Control

Background:

  • Physician counseling is a key strategy for smoking cessation.
  • Continuing education programs aim to enhance physician skills in patient care.
  • The effectiveness of such programs on long-term patient outcomes requires rigorous evaluation.

Purpose of the Study:

  • To evaluate a continuing education program (
  • Quit for Life
  • ) designed to improve physician counseling for smokers.
  • To determine if this program increases patient smoking cessation rates.

Main Methods:

  • A randomized trial was conducted with physicians in private practice.
  • Physicians were assigned to receive training or serve as controls.

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  • Patient smoking cessation was assessed biochemically at one year.

    • Main Results:

    • Trained physicians counseled smokers more frequently and for longer durations.
    • More patients in the trained group received self-help materials and follow-up appointments.
    • Long-term smoking cessation rates (≥9 months) were similar between groups (3.2% vs. 2.5%).

    Conclusions:

    • The continuing education program significantly improved physician counseling behaviors.
    • The program had minimal to no impact on long-term patient smoking cessation.
    • Novel strategies are necessary to enhance physician effectiveness in helping patients quit smoking.