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Review of PACE Survey Results
Jane G. Zapka, Sc.D.
Catherine Powers, Ed.D.
ORDER OF PRESENTATION
Courses and Tobacco Content
Non-tobacco Behavioral Intervention Teaching
Student Knowledge and Skills
Barriers to Tobacco Education
Visions for Tobacco Education Improvement
HOW DO WE JUDGE QUALITY?
CRITERIA?
% courses with content
Total minutes (by year)
Variety (appropriateness) of teaching method
# (%) learning objectives addressed
# (%) learning objectives achieved
LIMITATIONS
Minutes not always known/reported
Reliability of reporting “courses”
“Didactic” not necessarily “lecture”
Variable operational definitions
Incomplete content descriptions
Courses and Tobacco Content (12 schools)
Courses
Courses with Tobacco
YEAR 1
112 (range =6-11)
mode=9 mean=9
41 (range=0-7)
mode=2,5 mean=3
YEAR 2
92 (range =4-17)
mode=6,7 mean=8
39 (range=1-10)
mode=3 mean=3
YEAR 3
92 (range =4-10)
mode=5 mean=6
26 (range=1-7)
mode=2 mean=3
Clerkships
Heavy Hitters - Tobacco
•
•
•
•
Family Medicine (7/12 schools)
Internal Medicine (6/12 schools)
Pediatrics (6/12)
FM/IM/Amb/1º/ComMed (10/12)
Tobacco Hours by Year
Year 1
Year 2
Year 3
Total
42
53
37
132
Mean = 11 hours/school
(range 4-27)
Number of Tobacco Hours by School
(n=12)
6
# of Schools
5
4
3
2
1
0
< 5 hours
6-9 hours
10-15 hours
Hours
27 hours
DEFINITIONS
Didactic: Lectures, small groups, labs
Skills Training: Role play, counseling video
Applied Skills: Supervised clinical training,patient
centered counseling
Year 1 – Methods by Minutes (n = 2544)
9%
10%
Applied Skill
Didactic
Skills Training
81%
Year 2 – Methods by Minutes (n = 3195)
5%
10%
26%
Applied Skills
Didactic
Skills Training
Web-Based
59%
Clerkships – Method by Minutes (n = 2249)*
4%
17%
28%
Applied Skill
Didactic
Skills Training
Web-Based
51%
*Excludes 590 OSCE minutes
Content
Pathophysiology/Addiction
Epidemiology, Disease Causation
Pharmacology
Pregnancy, women’s issues
Counseling, efficacy
Culture, Gender
Epi-Pediatrics
Counseling/Ped/Kids
Counseling/Ped/parents
Public Policy, Advocacy
Case Applications
• Weight Gain
• Mothers and Smoking
• Patient with Stroke
• Smoking – Crohn’s Disease
Content by Objective Theme by Year
Year 1 Year 2 Clerk
-ships
Pathophysiology/addiction 9/12
10/12 1/12
Epi/Disease causation
8/12
10/12 9/12
Counseling
9/12
8/12
11/12
Pharmacology
2/12
6/12
4/12
3/12
2/12
1/12
3/12
2/12
Counseling/Pediatric
Epi/Pediatric
Evaluation
Little overall
Multiple choice exam
Tobacco case, OSCE
Verbal feedback from faculty
Journal critique
Student feedback/satisfaction
Preceptor feedback
Evaluation Strategies by Year (any mention)
Year 1
Written exam/quiz
Faculty
observation/feedback
Student feedback
9/12
8/12
Year 2 Clerk
-ships
7/12
1/12
2/12
1/12
3/12
1/12
OSCE
3/12
4/12
Journal critique
Peer feedback
1/12
1/12
5/12