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Title:
Tobacco Ties
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MedEdPORTAL ID#:
3138
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Version:
1
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Resource Type:
Video
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Description:
"Tobacco Ties" is a 9-minute video of a patient-centered tobacco cessation interview.
The "Tobacco Ties" video and Facilitator Guide are designed to be used formatively to instruct clinicians and health professions learners how to use culturally sensitive, patient-centered communication skills to effectively counsel patients to stop using tobacco.
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Author Institution:
Wake Forest University School of Medicine
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Primary Author:
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Gail S. Marion, PA-C, PhD
Wake Forest University School of Medicine
WFU Dept of Family & Community Medicine
Med Ctr Blvd
Winston Salem,
NC
27157
USA
336-716-2906
gmarion@wfubmc.edu
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Other Authors:
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Sonia
Crandall, PhD
Wake Forest University School of Medicine
crandall@wfubmc.edu
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Carol
Hildebrandt, BA
Wake Forest University School of Medicine
childebr@wfubmc.edu
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Kathy
Walker, BA
Wake Forest University School of Medicine
khwalker@wfubmc.edu
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Barbara
Gamberini, BS
Wake Forest University School of Medicine
bgamberini@triad.rr.com
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John
Spangler, MD
Wake Forest University School of Medicine
jspangle@wfubmc.edu
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Resource File(s):
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Additional Resource File Information:
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The following two resource files are associated with this publication:
1.) DVD
2.) A zip file that contains the following: (a) Facilitator guide.pdf (b) Copyright license.pdf
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AAMC Hot Topics:
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Medicine: Communication Skills
Medicine: Prev& Health Maint
Oral Health: Prevention
Oral Health: Tobacco Cessation
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Content Last Updated:
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| 08/18/2008 |
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Specialty/Discipline:
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Medicine: Family Medicine
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Educational Objectives:
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Attitudes:
1.) To be able to appreciate social determinants of health and other underlying factors related to growing up in a tobacco producing and manufacturing region.
2.) To be able to appreciate that even though tobacco use is not a healthy habit, this patient's family is proud of how their tobacco growing heritage enabled their economic stability.
Knowledge:
3.) To be able to recognize effective tobacco cessation counseling skills.
4.) To be able to identify patient's readiness to change stage.
Skills:
5.) To be able to use effective patient-centered tobacco cessation counseling skills that attend to the patient's culture in a respectful manner.
6.) To be able to effectively address the impact of smoking in a patient with uncontrolled asthma.
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Resource Keyword/Symptom:
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Tobacco Cessation
Counseling Skill
Patient-Centered
Communication Skills
Smokers Cough
Tobacco Heart
Cultural Competence (MeSH)
Tobacco Use Cessation (MeSH)
Smoking Cessation (MeSH)
Smokeless Tobacco Cessation (MeSH)
Smoking (MeSH)
Leukoplakia (MeSH)
Nicotine (MeSH)
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Accreditation Council for Graduate Medical Education (ACGME) Competencies Addressed:
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Patient Care
Interpersonal and Communication Skills
Professionalism
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Intended Learner Audience:
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1st Year Medical/Dental Students
2nd Year Medical/Dental Students
3rd Year Medical/Dental Students
4th Year Medical/Dental Students
Medical Fellows
Medical/Dental Residents
Continuing Medical/Dental Education (CME) for Faculty Self Learning
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Intended Faculty Audience:
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Clinical Science Faculty
Clerkship Director / Clinical Science Course Director
Residency Program Directory
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Content Suitable to Patient Education:
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| Yes |
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Effectiveness and Significance of Publication:
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Tobacco Ties can be used with a wide variety of health professions learners. Currently it is used to prepare first-year PA students for a tobacco cessation counseling standardized patient encounter and to introduce third-year medical students to effective counseling skills in the Family Medicine Clerkship. Student evaluation subsequent to a tobacco cessation standardized patient encounter with 1st-year students, the didactic sessions which included viewing and evaluating "Tobacco Ties" resulted in an overall score of 3.4 on a scale of 0-4. Additionally, the video was independently scored by a standardized patient instructor who has been working in tobacco cessation counseling for over 20 years.
The SPI scored all TIRFIS, TBMS/CCS items as 5s (1-5) with the exception 2 items in TIRFIS and 3 items in TBMS/CCS. These skills were intentionally weak or omitted in the film in order to provide learners with the opportunity to discriminate between highly effective skill performance and less effective performance on individual skills. |
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Special Implementation Requirements or Guidelines:
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| None. |
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Lessons Learned:
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| Feedback from students and faculty has been so positive that a second film portraying an African American woman with diabetes whose cultural beliefs and support system create additional barriers to weight loss will be filmed on September 12th, 2008. |
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Publications, Presentations, and/or Citations For This Publication:
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| None. |
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Sponsorship (Funding Source):
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| National Cancer Institute grant #R25CA096562 |
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Citation Formats:
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NLM:
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Marion G , Crandall S, Hildebrandt C, Walker K, Gamberini B, Spangler J,
Tobacco Ties. MedEdPORTAL;
2009.
Available from: http://services.aamc.org/30/mededportal/servlet/s/segment/mededportal/?subid=3138
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APA:
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Marion, G., Crandall, S., Hildebrandt, C., Walker, K., Gamberini, B., Spangler, J.,
(2009).
Tobacco Ties. MedEdPORTAL:
http://services.aamc.org/30/mededportal/servlet/s/segment/mededportal/?subid=3138
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