1. Review of PACE Survey Results Jane G. Zapka, Sc.D. Catherine Powers, Ed.D.

2. 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

3. HOW DO WE JUDGE QUALITY? CRITERIA? % courses with content Total minutes (by year) Variety (appropriateness) of teaching method # (%) learning objectives addressed # (%) learning objectives achieved

4. LIMITATIONS Minutes not always known/reported Reliability of reporting “courses” “Didactic” not necessarily “lecture” Variable operational definitions Incomplete content descriptions

5. Courses and Tobacco Content (12 schools) Courses 112 (range =6-11) mode=9 mean=9 92 (range =4-17) mode=6,7 mean=8 92 (range =4-10) mode=5 mean=6 Courses with Tobacco 41 (range=0-7) mode=2,5 mean=3 39 (range=1-10) mode=3 mean=3 26 (range=1-7) mode=2 mean=3 YEAR 1 YEAR 2 YEAR 3

6. Clerkships Heavy Hitters - Tobacco Family Medicine (7/12 schools) Internal Medicine (6/12 schools) Pediatrics (6/12) FM/IM/Amb/1º/ComMed (10/12)

7. Tobacco Hours by Year Year 142 Year 253 Year 337 Total132 Mean = 11 hours/school (range 4-27)

8. Number of Tobacco Hours by School (n=12) Hours # of Schools

9. DEFINITIONS Didactic: Lectures, small groups, labs Skills Training: Role play, counseling video Applied Skills: Supervised clinical training,patient centered counseling

10. Year 1 – Methods by Minutes (n = 2544)

11. Year 2 – Methods by Minutes (n = 3195)

12. Clerkships – Method by Minutes (n = 2249)* *Excludes 590 OSCE minutes

13. Content Pathophysiology/AddictionCulture, Gender Epidemiology, Disease CausationEpi-Pediatrics PharmacologyCounseling/Ped/Kids Pregnancy, women’s issuesCounseling/Ped/parents Counseling, efficacyPublic Policy, Advocacy Case Applications Weight Gain Mothers and Smoking Patient with Stroke Smoking – Crohn’s Disease

14. Content by Objective Theme by Year Year 1Year 2Clerk -ships Pathophysiology/addiction9/1210/121/12 Epi/Disease causation8/1210/129/12 Counseling9/128/1211/12 Pharmacology2/126/124/12 Counseling/Pediatric2/123/12 Epi/Pediatric3/121/122/12

15. Evaluation Little overall Multiple choice exam Tobacco case, OSCE Verbal feedback from faculty Journal critique Student feedback/satisfaction Preceptor feedback

16. Evaluation Strategies by Year (any mention) Year 1Year 2Clerk -ships Written exam/quiz9/127/121/12 Faculty observation/feedback 8/122/121/12 Student feedback3/121/12 OSCE3/124/125/12 Journal critique1/12 Peer feedback1/12