|
Tobacco
Control Competencies for US Medical Students
The recently published National Action Plan for Tobacco Cessation
(2004) recommended that the U.S. Department of Health and Human
Services “…convene a diverse group of experts to ensure
that competency in tobacco dependence interventions is a core graduation
requirement for all new physicians and other key health care professionals.”
Core competencies would guide the design of new modules and explicitly
outline the learning objectives that all medical students should
have met upon graduation. In 2002, the National Cancer Institute
funded a consortium of 12 US medical schools to develop, test, and
integrate tobacco curricula throughout the four years of medical
school. Since there was neither an explicit set of tobacco competencies
for medical schools, nor a process to develop them, one of the consortium’s
first tasks was to articulate competencies and learning objectives.
We look forward to critical review of these competencies prior to
the development and subsequent dissemination of new curricula.
Development of Competencies
Tobacco competencies were derived from a 5-step process that included:
_____a) An assessment of the current
status of tobacco teaching at the _______12 participating
universities
_____b) Establishment of criteria to
guide the development of tobacco _______control
competencies
_____c) Review of tobacco control practice
recommendations and those _______ofleading
practice organizations
_____d) Review of the development of
competencies for similar health _______promotion
efforts in medical schools
_____e) Drafting and consensus by the
12 schools on the competencies _______needed
to guide tobacco modules
Competencies
In order to guide curriculum development as well as enable evaluation,
it is important to articulate learning objectives, including affective
(A), cognitive (C) and skills (S) objectives. Competencies were
organized according to:
1) Adult cessation and prevention competencies
2) Pediatric cessation and prevention competencies
3) Public health
advocacy/population science competencies
4) Support systems in
clinic/medical setting competencies
5) Professional development/global
competencies
The full set of competencies have been submitted for publication. We will gladly discuss specifics of these competencies with all
interested parties.
|