Post on 17-Dec-2015
Tobacco cessation introduced in Tobacco cessation introduced in the graduate and postgraduate the graduate and postgraduate
dental curriculumdental curriculum
Katalin Nagy, Katalin Barabás, Katalin Nagy, Katalin Barabás, Márk Antal, András Forster, Zsolt Márk Antal, András Forster, Zsolt
ZalaiZalai
University of SzegedFaculty of DentistryFaculty of Medicine
Smoking among dentists and Smoking among dentists and general practitioners?general practitioners?
Smoking among dentists and general practitioners-reality
37% of the smoking professionals will smoke in presence of their patients
Dental and medical students 20% smoking prevalence
Many of them get addicted during university-studies
Current data on medical and dental Current data on medical and dental student’s smoking attitude (Univ. of student’s smoking attitude (Univ. of
SzegedSzeged, 2011., 2011.))Man Woman Altogethe
r
I.st yr. Med 46 123 169
I.st yr. Dent
18 20 38
V.th yr. Dent
5 13 18
Altogether 69 156 225
Frequency of students smoking behaviour in the last month
26%
17%
10% 9%
17%
21%
Did notsmoke
1-4 day
5-9 day
10-19 day
Almost everyday
Every day
Learning about smoking during medical school: are we still missing opportunities?
Chatkin J et al. Int J Tuberc Lung Dis. (2009)Chatkin J et al. Int J Tuberc Lung Dis. (2009)
Answers from 1353 medical faculties:
Only 11% of the faculties addresses smoking in the curriculum
In Europe, only 8% of the faculties addresses smoking in the curriculum
International Tobacco and Health Research International Tobacco and Health Research and Capacity Building Program and Capacity Building Program
(RFA-TW-06-006 )(RFA-TW-06-006 )
1.1. pursue observational, intervention and policy researchpursue observational, intervention and policy research
2.2. build capacity in epidemiological and behavioral build capacity in epidemiological and behavioral research, prevention, treatment, communications, research, prevention, treatment, communications, health services and policy researchhealth services and policy research
3.3. promote international collaborationpromote international collaboration
**Sponsored by Fogarty International Center, National **Sponsored by Fogarty International Center, National Cancer Institute, and National Institute on Drug AbuseCancer Institute, and National Institute on Drug Abuse
HungaryHungary
1. Conduct research that has the potential to significantly reduce tobacco use at the local and national level.
2. Create institutional capacity that will support scientists and advocates engaged in tobacco research and translate research findings into programs and policies to reduce tobacco use.
3. Build individual capacity among Hungarian and U.S. research partners.
Curriculum developmentCurriculum developmentin the Faculty of Dentistry, University of in the Faculty of Dentistry, University of
Szeged, 2009/2010Szeged, 2009/2010
The new course is part of a complex development of European Curriculum
„Health professionals as role model for patients and students”
Message of the courseMessage of the course
45-50% of the smokers would like to quit smoking, but only 4-5 % succeed
17% of smokers are ready to quit in 6 months.
/ Róbert Urbán 2009/
The dentist-patient relationship provides a possibility for a personalized consultancy and guiding; this could increase dramatic chances of cessation
Why??? Dentist-as „role-model”
Good example for patients, what they should follow Students are following their teachers’ example
Natural way of discussion regarding symptoms in the oral cavity Oral effect of smoking (mucosal) Periodontal diseases Healing process decreased Relative contraindication of dental implant Discoloration of teeth Halitosis
Active intervention in the cessation process Only non-smoker dental professionals can take part
successfully in cessation process Smoking dentist are less interested to ask about this
habit or to give advice on the field
Goal of the courseGoal of the courseAfter completing the course, the dental student:
Will be acquainted with the possible health effects of smoking and its scientific relations tools and methods for prevention supporting tobacco
cessation Will be able to give personalized advice and
support the patient in cessation process By the end of the course, professionals will be
capable of understanding, supporting patients, giving them different alternatives in the cessation process
Outcome of the courseOutcome of the courseThe dentist’s role in healthcare*
Personal development
Attitude, ethical, legal responsibility
Decision making capability
Clinical/practical knowledge, knowledge in behaviour sciences
Patient management*
Patient examination
Practical skills
Communication*
Practical methods
Health promotion, disease prevention*
Studies carried out prior to course-introduction
Survey on tobacco use (completed by)
265 dentists 347 dental students
Results analyzed using the SPSS 10.0 software
Results published in Hungarian (prereviewed) journal
International publication in process
Professionals responsible for Professionals responsible for teaching in the courseteaching in the course
Professor of dental sciences Associate professor (Behavior
sciences) General practitioner (family
doctor/SHO) Assistant lecturer (specialist) Communication professional
Motivation for taking the Motivation for taking the coursecourse
„I would like to touch base with the smokers, find alternatives and be helpful in cessation.”
„Not to say only the average - smoking is bad - sentence”
„To develop my ability to convince and have positive influence on my environment, or at least to help my grandmother to give up smoking.”
„I hope to see and experience things, which will help me to give up smoking””
Educational methods of the Educational methods of the graduate graduate coursecourse
Problem oriented method
Interactive „small” group activity Training in the frame of „Dental
Communication” Guidelines for supporting cessation Cooperation with global/Hungarian
supporting agencies and companies
How to progress?How to progress?
Preparation
Feedback
Execution
Authorization
Next course
Reflexions
Explanations
Modifications
Experiences
Interpretation
Postgraduate teaching activityPostgraduate teaching activity
Mandatory courses for residents Testing of courses in progress
Continuing Education (CE courses) In Hungary and abroad
Hungarodent (Budapest, 900 p.) Bucharest,Arad Romania (500 p) Szeged Dental Conference (400 p)
Outcomes and new goals
Publication in prereviewed Hungarian journal Antal M, Ramseier, A, Barabás K, Forster A, Zalai Zs, Nagy K: A dohányzás
megelőzése és a leszokás támogatásának lehetőségei.Fogorvosi Szemle, 2011
Extension of the graduate course for two semesters Under revision and recognition by the Faculty
Board Identical course started in Semmelweis
University, Budapest Staff trained in Szeged
Discussions started with Debrecen University