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Title:
Training Guide for Standardized Patient Instructors to Teach Medical Students Culturally Competent Tobacco Cessation Counseling
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MedEdPORTAL ID#:
762
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Version:
1
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Resource Type:
Standardized Patient Case
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Description:
This module was supported by a grant from the National Cancer Institute to develop, implement, and evaluate a culturally-competent Web-based curriculum on tobacco cessation for undergraduate medical students (R25CA096562, PI: J. Spangler, MD MPH). The module was designed to serve as a toolkit for health care educators interested in training lay persons to serve as tobacco-using standardized patient instructors (SPIs). The curriculum has been applied in undergraduate medical education, but could easily be adopted in physician assistant programs, nursing schools, residency programs, among others. This module is divided into three parts, each expected to be completed within three, half-day training chapters. Chapters 1-3 of this training module correspond to the curriculum content to be delivered. Chapter 4 'Observation of an SPI Encounter' can occur within the three days or might be offered on another day. Chapter 5 provides additional training materials. It is recommended that the comprehensive training program be fully undertaken to achieve the full value of the curriculum content.
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Author Institution:
Wake Forest University School of Medicine
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Primary Author:
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Sonia Crandall, PhD, MS
Wake Forest University School of Medicine
Dept. of Family and Community Medicine
Medical Center Blvd
Winston Salem,
NC
27157
USA
336-716-2252
crandall@wfubmc.edu
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Other Authors:
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Kristie
Long Foley, PhD
Davidson College
krfoley@davidson.edu
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Gail
Marion, PA, PhD
Wake Forest University School of Medicine
gmarion@wfubmc.edu
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Donna
Kronner
Wake Forest University School of Medicine
dkronner@wfubmc.edu
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Kathy
Walker
Wake Forest University School of Medicine
khwalker@wfubmc.edu
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Karen
Vaden
Wake Forest University School of Medicine
kvaden@wfubmc.edu
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John
Spangler, MD, MPH
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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1 .zip file containing the following 10 resources and their content:
1. Cover Page (4 resources)
2. Chapter 1 (6 resources)
3. Chapter 2 (8 resources)
4. Chapter 3 (5 resources)
5. Chapter 4 (2 resources)
6. Chapter 5 (5 resources)
7. Andrea_M.doc
8. Charles_R.doc
9. Daphine_L.doc
10. Copyright_License.pdf
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AAMC Hot Topics:
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Medicine: Epidemiology
Medicine: Substance Abuse
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Content Last Updated:
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| 08/09/2007 |
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Specialty/Discipline:
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Medicine: Family Medicine
Medicine: Undergraduate Medical Education
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Educational Objectives:
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1.) To describe basic epidemiology of tobacco prevalence and health effects of tobacco use.
2.) To articulate pharmacotherapy treatment options for nicotine dependence.
3.) To describe Stages of Change and application to tobacco cessation counseling.
4.) To raise awareness among SPIs about the role tobacco has played in their own lives.
5.) To reliably apply the scoring algorithms using the guide and behavioral indicators.
6.) To appreciate the role that culture plays on tobacco use/dependence.
7.) To identify disparities in tobacco use/dependence among various subgroups.
8.) To reliably evaluate students' cultural counseling skills using the Tobacco Beliefs and Management Scale and the Tobacco Cultural Concerns Scale.
9.) To learn how to provide constructive feedback to the health care student.
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Resource Keyword/Symptom:
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Nicotine (MeSH)
Cultural Competency (MeSH)
Tobacco Use Disorder (MeSH)
Smoking Cessation (MeSH)
Training Guide for Standardized Patient Instructors
Curriculum (MeSH)
Tobacco (MeSH)
Standardized Patients
SPs
SP Cases
Family Medicine
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Accreditation Council for Graduate Medical Education (ACGME) Competencies Addressed:
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Interpersonal and Communication Skills
Professionalism
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Intended Learner Audience:
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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
Medical/Dental School Administrators (broadly defined)
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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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| The significance of this work and the reliability of the training were published (not the training the manual). See Foley KL, George G, Crandall SJ, Walker KH, Marion GS, Spangler JG. Training and evaluating tobacco-specific standardized patient instructors. Family Medicine 2006; 38:28-37. |
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Special Implementation Requirements or Guidelines:
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| No special guidelines or requirements are needed. Anyone wishing to use the training guide will receive additional information from the authors as needed to compile the manual and organize a training program. |
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Lessons Learned:
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The results showed that "SPIs highly rated the content, organization, and presenters of the training program. Medical students positively evaluated their experience with the SPIs. The TIRFIS and TBMS-TCCS subscales demonstrated good internal reliability and inconsistencies in ratings by different SPIs were minimal. In addition, a range of scores on both measures attest to the sensitivity of the instruments to assess variations in student performance. Significant start-up costs are associated with developing this training program, although costs decline when SPIs are retained long term. The SPI training program was effective in developing a cohort of knowledgeable and reliable SPIs to train medical students in ways to improve their tobacco intervention counseling skills."
Foley KL, George G, Crandall SJ, Walker KH, Marion GS, Spangler JG. Training and evaluating tobacco-specific standardized patient instructors. Family Medicine 2006; 38:28-37. |
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Publications, Presentations, and/or Citations For This Publication:
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| Foley KL, George G, Crandall SJ, Walker KH, Marion GS, Spangler JG. Training and evaluating tobacco-specific standardized patient instructors. Family Medicine 2006; 38:28-37. |
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Sponsorship (Funding Source):
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| This module was supported by a grant from the National Cancer Institute to develop, implement, and evaluate a culturally-competent Web-based curriculum on tobacco cessation for undergraduate medical students (R25CA096562, PI: J. Spangler, MD MPH). |
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Publication Contains Materials Not Owned or Created by The Author(s):
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| Yes |
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All Parties Content Is Associated With:
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1) Nicotinic Stomatitis Photo used with permission of Mucosa: Developmental Conditions Chapter 13 (c) 2006 William H. Crawford, Jr. D. D. S., M. S.
2)David Reznik, D.D.S., President, HIVdent
Both authors have granted permission to use the photos.
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Citation Formats:
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NLM:
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Crandall S , Long Foley K, Marion G, Kronner D, Walker K, Vaden K, et al.
Training Guide for Standardized Patient Instructors to Teach Medical Students Culturally Competent Tobacco Cessation Counseling. MedEdPORTAL;
2008.
Available from: http://services.aamc.org/30/mededportal/servlet/s/segment/mededportal/?subid=762
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APA:
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Crandall, S., Long Foley, K., Marion, G., Kronner, D., Walker, K., Vaden, K., et al.
(2008).
Training Guide for Standardized Patient Instructors to Teach Medical Students Culturally Competent Tobacco Cessation Counseling. MedEdPORTAL:
http://services.aamc.org/30/mededportal/servlet/s/segment/mededportal/?subid=762
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