The Community Experience Module provides a structured, rigorous community experience for medical students. The teaching and advocacy module provides students the opportunity to learn about tobacco prevention and cessation in a hands-on format. The on-line module is a self-study program, which requires about 8-10 hours of on-line training, plus a counseling practicum. Student skills/competencies acquired through the modules include: advocacy building, risk assessment and risk behavior change, policy and environmental change, partnership and coalition building, health education and teaching skills and behavior counseling skills. This elective has a flexible format and provides valuable training to students from all disciplines. The number of students and method of implementation may vary by site. However, the training topics and objectives are consistent at all sites.

Tobacco Teaching and Training
Smoking Sleuths is a tobacco prevention program for elementary and middle school students. The 4 session experiential learning curriculum is led by medical students. The program facilitated by Boston University School of Medicine is ideal for medical students interested in public health, tobacco control, cancer prevention, pediatrics and adolescent medicine

Online Tobacco Cessation Training
The on-line tobacco cessation training is offered through The University of Massachusetts Medical Center includes two components: 1) an eight-module online course that provides background on the health consequences of smoking, appropriate use of pharmacotherapy, and information about how to conduct a brief 5A intervention for patients who use tobacco; and 2) "Putting the Course into Action" at the student's preceptor's office. The course includes all of the ACGME required competencies in patient care, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism and systems-based practice.

Advocacy
Advocacy Training. Physicians have a wealth of knowledge and expertise not limited to healthcare and healthcare reform, but also issues of violence, environmental clean-up, child labor laws, etc. Advocacy involves working with legislators, policy-makers, and others in power to create, remove, or change laws and policies.

The PACE advocacy training program is facilitated through the University of Rochester School of Medicine.

Activities include participating in policy design, meeting with legislators and public health officials and reviewing proposed legislation