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Undergraduate medical education – an overlooked opportunity to improve tobacco control. Tibor Baška Jessenius Faculty of Medicine, Comenius University Martin, Slovakia. Special role of physicians in tobacco control. advocating of preventive approach in the community.
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Undergraduate medical education – an overlooked opportunity to improve tobacco control Tibor BaškaJessenius Faculty of Medicine, Comenius UniversityMartin, Slovakia
Special role of physicians in tobacco control advocating of preventive approach in the community • understanding of the problem • significant position in the society • providing information • qualified intervention • primary preventive work • providing cessation support • referring for other services - QUITLINE
Physicians should understand • Numerous smokers needs qualified cessation support, not just command not to smoke • the question is not “why quit” but “how quit” • Prevention is highly cost-effective • Also minimal intervention is effective • GPs can reach large proportion of the population – high population intervention impact of their interventions
Situation in Slovakia • Do physicians understand these issues appropriately ? • Do physicians play their role in prevention satisfactory? • Do we prepare medical students adequately in these issues?
Global Health Professional Students Survey (GHPSS) project • World Health Organization and Centers for Diseases Control and Prevention in Atlanta, USA • questionnaire study in the 3rd year of study, medical, pharmacy, dental and nursing students • uniform questionnaire and standard method valid comparable data • in more than 40 countries until now • in Slovakia in 2006(1049 respondents)
Conclusions • Inadequate undergraduate education in medical students • Physicians and other health workers are not prepared to their role in preventive work • possibilities of evidence-based methods for cessation supports not adequately employed (QUITLINE as a part of existing network of services) • Similar results also in other countries
What to do? • Development of a textbook covering issues on tobacco control meeting needs of undergraduate education • supported by WHO-EURO • Jessenius Faculty of Medicine, Comenius University, Martin • Faculty of Medicine, P.J. Šafárik University, Košice • to be finished until November 30, 2010 • Meeting of representatives of eligible faculties and unversities • in January 2011 • starting points, possibilities, strategies, plans
Final GHPSS Slovakia report : http://www.jfmed.uniba.sk/index.php?id=3015 • More information on GHPSS project: http://www.cdc.gov/tobacco/global/ghpss/ Assoc. Prof. Tibor Baška, M.D., PhD. Institute of Public Health JFM CU in Martin Sklabinská 26 036 01 Martin baska@jfmed.uniba.sk