Teaching Motivational Interviewing Skills to Third-Year Psychiatry Clerkship Students

Roman, Brenda; Morrison, Ann

doi:10.1176/appi.ap.35.1.51

Cited by 14 publications

(7 citation statements)

References 13 publications

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“…A plethora of educational curricula focused on training medical students on smoking cessation techniques have been proposed and successfully implemented [9-11]. However, evidence shows that medical schools are not consistently preparing students to counsel patients on smoking cessation and that, despite the existence of model curricula, vast disparities persist in medical students’ knowledge of smoking-related health risks [12,13].…”

Section: Introductionmentioning

confidence: 99%

Assessment of Tobacco Habits, Attitudes, and Education Among Medical Students in the United States and Italy: A Cross-sectional Survey

Armstrong

Veronese

George

et al. 2017

J Prev Med Public Health

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ObjectivesMedical students represent a primary target for tobacco cessation training. This study assessed the prevalence of medical students’ tobacco use, attitudes, clinical skills, and tobacco-related curricula in two countries, the US and Italy, with known baseline disparities in hopes of identifying potential corrective interventions.MethodsFrom September to December 2013, medical students enrolled at the University of Bologna and at Brown University were recruited via email to answer survey questions assessing the prevalence of medical students’ tobacco use, attitudes and clinical skills related to patients’ smoking, and elements of medical school curricula related to tobacco use.ResultsOf the 449 medical students enrolled at Brown and the 1426 enrolled at Bologna, 174 Brown students (38.7%) and 527 Bologna students (36.9%) participated in this study. Italian students were more likely to smoke (29.5% vs. 6.1%; p<0.001) and less likely to receive smoking cessation training (9.4% vs. 80.3%; p<0.001) than their American counterparts, even though the majority of students in both countries desired smoking cessation training (98.6% at Brown, 85.4% at Bologna; p<0.001). Additionally, negative beliefs regarding tobacco usage, the absence of formal training in smoking cessation counseling, and a negative interest in receiving specific training on smoking cessation were associated with a higher risk of not investigating a patient’s smoking status during a routine history and not offering tobacco cessation treatment to patients.ConclusionsMedical curricula on tobacco-related health hazards and on smoking cessation should be mandatory in order to reduce smoking among medical students, physicians, and patients, thereby improving tobacco-related global health.

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Section: Introductionmentioning

confidence: 99%

Assessment of Tobacco Habits, Attitudes, and Education Among Medical Students in the United States and Italy: A Cross-sectional Survey

Armstrong

Veronese

George

et al. 2017

J Prev Med Public Health

View full text Add to dashboard Cite

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“…Strategies such as MI have been broadly emphasized in the practical and clinical skills training of medical students and have been shown to enhance confidence and knowledge regarding approaches to behavioural intervention. 17 A combination of patientcentered counselling and evidence-based pharmacotherapies produces significantly increased abstinence rates when treating nicotine addictionand might usefully form the basis of SCC training in the pre-clerkship years. 6,7 Although the majority of Canadian institutions that participated in the curriculum survey claimed to promote knowledge of pharmacological interventions and employ one or more enhanced methods of learning including, but not limited to, CBL, PBL, TBL, PSD and SLMs, only three institutions completed any form of direct evaluation of clinical counselling skills using role-play or observed interaction with real or standardized patients.…”

Section: Discussionmentioning

confidence: 99%

Smoking cessation counselling training in the pre-clerkship curriculum of Canadian medical schools: A national survey

2018

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“…The addition of SBIRT training to residency programme has been shown to greatly improve counselling skills and confidence in these skills (Tetrault et al, 2011). It has also been demonstrated that knowledge and confidence in working with patients for promoting smoking cessation as well as other behavioural change can be improved by brief (1-2 hour) training sessions, including brief web-based intervention (Pederson, Blumenthal, Dever, & McGrady, 2006;Roman, Borges, & Morrison, 2011). Implementation of US Public Health Service guidelines for smoking cessation also is less than optimal.…”

Section: Discussionmentioning

confidence: 99%

Factors Influencing Smoking Cessation Counselling: A Qualitative Study of Medical Residents

2013

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Introduction: Physicians in training must be able to counsel their patients on smoking cessation, however, little is known about the barriers that they face to counselling their patients.Aims: The study sought to identify barriers to smoking cessation counselling specific to physicians in training.Methods: Qualitative interviews in the form of focus groups were conducted with 30 medical residents. Focus groups were audio taped, transcribed verbatim and coded by two independent reviewers. Similar codes were grouped to form categories and then aggregated to form themes.Results: Seven themes emerged describing resident barriers to provision of smoking cessation counselling : (1) Lack of self-efficacy for providing counselling; (2) their perception that patients are not willing to change; (3) a lack of available resources/information for providers and patients; (4) differences in supervising physician's recommendations; (5) perceived lack of time; (6) a perception of lack of continuous care; and (7) a lack of practical skills in counselling.Conclusions: This study highlighted residents’ perceived barriers to providing smoking cessation counselling. These barriers are similar to those encountered by other providers. Additional barriers specific to residency exist and more training is necessary.Practice Implications: The barriers that physicians encounter to smoking cessation counselling must be addressed early on in residency training.

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Teaching Motivational Interviewing Skills to Third-Year Psychiatry Clerkship Students

Abstract: students can gain basic knowledge and increased confidence in working with patients for promoting behavioral change, even with a brief session, taught by nonexperts in motivational interviewing theory.

Cited by 14 publications

References 13 publications

Assessment of Tobacco Habits, Attitudes, and Education Among Medical Students in the United States and Italy: A Cross-sectional Survey

Assessment of Tobacco Habits, Attitudes, and Education Among Medical Students in the United States and Italy: A Cross-sectional Survey

Smoking cessation counselling training in the pre-clerkship curriculum of Canadian medical schools: A national survey

Factors Influencing Smoking Cessation Counselling: A Qualitative Study of Medical Residents

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