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March 15, 2000

Tobacco Dependence Curricula in Medical Schools—Reply

Author Affiliations

Phil B.FontanarosaMD, Deputy EditorIndividualAuthorStephen J.LurieMD, PhD, Fishbein FellowIndividualAuthor

JAMA. 2000;283(11):1426-1427. doi:10.1001/jama.283.11.1421

In Reply: While conducting our survey, we learned from faculty at several medical schools that clinical training and evaluation of nicotine dependence is most commonly incorporated in the primary care clerkships, as described by Dr Wadland and colleagues. Objective structured clinical examinations (OSCEs) are increasingly used in the third and fourth years to evaluate mastery of interviewing, physical diagnosis, and counseling skills. We know of a few medical schools that currently incorporate nicotine dependence treatment into their OSCE panel of cases, similar to those at the Michigan State University College of Human Medicine. Their encouraging outcome is consistent with other studies that show that medical students can develop skills in counseling nicotine-dependent patients.1,2 Unfortunately, schools with such commitments to nicotine dependence education remain in the minority.

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