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Physician's practices and perspectives regarding tobacco cessation in a teaching hospital in Mysore City, Karnataka.

Saud M, Madhu B, Srinath KM, Ashok NC, Renuka M - Indian J Psychiatry (2014)

Bottom Line: Thus, they do not regularly provide assistance to help patients quit, even though 98% of the physicians believed that helping patients to quit was a part of their role.Our medical education system is failing to impart the necessary skills to doctors, needed to help patients quit smoking.Reforms in education are needed so as to prepare the physician to effectively address this problem.

View Article: PubMed Central - PubMed

Affiliation: MBBS Student, JSS Medical College (JSS University), Mysore, Karnataka, India.

ABSTRACT

Context: Tobacco is a leading cause of disease and premature death. Most of the smokers visit a doctor for various health related ailments and thus such clinic visits provide many opportunities for interventions and professional tobacco cessation advice.

Aims: The primary aim of the following study is to assess the physician practices, perspectives, resources, barriers and education relating to tobacco cessation and their perceived need for training for the same. The secondary aim is to compare the physician's cessation practices from patient's perspective.

Settings and design: A descriptive study was conducted in a hospital attached to Medical College in Mysore city, Karnataka.

Materials and methods: Information about doctor's practices, perspectives and their perceived need for training in tobacco cessation were collected using pre-structured self-administered Questionnaire, which were distributed in person. Patient's practices and perspectives were assessed using a pre-structured Oral Questionnaire.

Results: Almost 95% of physicians said that they ask patients about their smoking status and 94% advise them to quit smoking, but only 50% assist the patient to quit smoking and only 28% arrange follow-up visits. Thus, they do not regularly provide assistance to help patients quit, even though 98% of the physicians believed that helping patients to quit was a part of their role. Only 18% and 35% of the physicians said that Undergraduate Medical Education and Post Graduate Medical Education respectively prepared them very well to participate in smoking cessation activities.

Conclusions: Tobacco cessation requires repeated and regular assistance. Such assistance is not being provided to patients by attending doctors. Our medical education system is failing to impart the necessary skills to doctors, needed to help patients quit smoking. Reforms in education are needed so as to prepare the physician to effectively address this problem.

No MeSH data available.


Related in: MedlinePlus

Average time spent on each visit by physicians discussing with patients about quitting tobacco use
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Figure 1: Average time spent on each visit by physicians discussing with patients about quitting tobacco use

Mentions: Average time spent by most physicians with patients discussing to quit smoking at each visit was around 2 min. While 38.7% spent between 2 and 5 min, 36.1% spent less than 2 min, whereas 16.3% spent 5-10 min discussing to quit smoking with patients [Figure 1].


Physician's practices and perspectives regarding tobacco cessation in a teaching hospital in Mysore City, Karnataka.

Saud M, Madhu B, Srinath KM, Ashok NC, Renuka M - Indian J Psychiatry (2014)

Average time spent on each visit by physicians discussing with patients about quitting tobacco use
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3927241&req=5

Figure 1: Average time spent on each visit by physicians discussing with patients about quitting tobacco use
Mentions: Average time spent by most physicians with patients discussing to quit smoking at each visit was around 2 min. While 38.7% spent between 2 and 5 min, 36.1% spent less than 2 min, whereas 16.3% spent 5-10 min discussing to quit smoking with patients [Figure 1].

Bottom Line: Thus, they do not regularly provide assistance to help patients quit, even though 98% of the physicians believed that helping patients to quit was a part of their role.Our medical education system is failing to impart the necessary skills to doctors, needed to help patients quit smoking.Reforms in education are needed so as to prepare the physician to effectively address this problem.

View Article: PubMed Central - PubMed

Affiliation: MBBS Student, JSS Medical College (JSS University), Mysore, Karnataka, India.

ABSTRACT

Context: Tobacco is a leading cause of disease and premature death. Most of the smokers visit a doctor for various health related ailments and thus such clinic visits provide many opportunities for interventions and professional tobacco cessation advice.

Aims: The primary aim of the following study is to assess the physician practices, perspectives, resources, barriers and education relating to tobacco cessation and their perceived need for training for the same. The secondary aim is to compare the physician's cessation practices from patient's perspective.

Settings and design: A descriptive study was conducted in a hospital attached to Medical College in Mysore city, Karnataka.

Materials and methods: Information about doctor's practices, perspectives and their perceived need for training in tobacco cessation were collected using pre-structured self-administered Questionnaire, which were distributed in person. Patient's practices and perspectives were assessed using a pre-structured Oral Questionnaire.

Results: Almost 95% of physicians said that they ask patients about their smoking status and 94% advise them to quit smoking, but only 50% assist the patient to quit smoking and only 28% arrange follow-up visits. Thus, they do not regularly provide assistance to help patients quit, even though 98% of the physicians believed that helping patients to quit was a part of their role. Only 18% and 35% of the physicians said that Undergraduate Medical Education and Post Graduate Medical Education respectively prepared them very well to participate in smoking cessation activities.

Conclusions: Tobacco cessation requires repeated and regular assistance. Such assistance is not being provided to patients by attending doctors. Our medical education system is failing to impart the necessary skills to doctors, needed to help patients quit smoking. Reforms in education are needed so as to prepare the physician to effectively address this problem.

No MeSH data available.


Related in: MedlinePlus