Evidence map›Paper›PMID 25990861›Full record

ArticleBMC medical education2015

Developing a fully integrated tobacco curriculum in medical colleges in India.

T R Yamini, Mark Nichter, Mimi Nichter, P Sairu, S Aswathy, K Leelamoni, B Unnikrishnan, Prasanna Mithra P, Rekha Thapar, S R Basha and 5 more

Abstract read
In one paragraph

Article in BMC medical education, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Tobacco Cessation Curriculum in Medical Schools: a Scoping Review.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023
    Article
  3. Review
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

T R YaminiAchutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Institute for Medical Science and Technology, Thiruvananthapuram, Kerala, India. yaminiganesh@gmail.com.
Mark NichterUniversity of Arizona, School of Anthropology, 85721, Tucson, AZ, USA. nichtermark@gmail.com.
Mimi NichterUniversity of Arizona, School of Anthropology, 85721, Tucson, AZ, USA. mimi.nichter@gmail.com.
P SairuDepartment of Community Medicine, T.D. Medical College, Alappuzha, Kerala, India. sairuphilip09@gmail.com.
S AswathyDepartment of Community Medicine, Amrita Institute of Medical Sciences, Kochi, Kerala, India. draswathygopan@gmail.com.
K LeelamoniDepartment of Community Medicine, Amrita Institute of Medical Sciences, Kochi, Kerala, India. kleelamoni@aims.amrita.edu.
B UnnikrishnanDepartment of Community Medicine, Kasturba Medical College, Manipal University, Mangalore, Karnataka, India. unnikrishnan.b@manipal.edu.
Prasanna Mithra PDepartment of Community Medicine, Kasturba Medical College, Manipal University, Mangalore, Karnataka, India. ppmithra@gmail.com.
Rekha ThaparDepartment of Community Medicine, Kasturba Medical College, Manipal University, Mangalore, Karnataka, India. rekha.apar@manipal.edu.
S R BashaDepartment of Community Medicine, Bangalore Medical College and Research Institute, Bangalore, Karnataka, India. drriyaz@gmail.com.
A K JayasreeDepartment of Community Medicine, Academy of Medical Sciences, Pariyaram, Kannur, Kerala, India. akjayasree@gmail.com.
T R MayamolDepartment of Community Medicine, Academy of Medical Sciences, Pariyaram, Kannur, Kerala, India. pradeepmayamol@gmail.com.
Myra MuramotoDepartment of Family and Community Medicine, University of Arizona, Tucson, AZ, USA. myram@email.arizona.edu.
G K MiniAchutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Institute for Medical Science and Technology, Thiruvananthapuram, Kerala, India. minisureshkumar@yahoo.com.
K R ThankappanAchutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Institute for Medical Science and Technology, Thiruvananthapuram, Kerala, India. kavumpurathu@yahoo.com.

Funding

Building Capacity of Tobacco Cessation in India & IndonesiaR01TW007944 · FIC · UNIVERSITY OF ARIZONA · PI NICHTER, MARK A · 2007 to 2011
$1.5M
FIC NIH HHS R01 TW007944
6 · The paper itself

Abstract

backgroundThis paper describes a pioneering effort to introduce tobacco cessation into India's undergraduate medical college curriculum. This is the first ever attempt to fully integrate tobacco control across all years of medical college in any low and middle income country. The development, pretesting, and piloting of an innovative modular tobacco curriculum are discussed as well as challenges that face implementation and steps taken to address them and to advocate for adoption by the Medical Council of India.

methodsIn-depth interviews were conducted with administrators and faculty in five medical colleges to determine interest in and willingness to fully integrate smoking cessation into the college curriculum. Current curriculum was reviewed for present exposure to information about tobacco and cessation skill training. A modular tobacco curriculum was developed, pretested, modified, piloted, and evaluated by faculty and students. Qualitative research was conducted to identify challenges to future curriculum implementation.

resultsFifteen modules were successfully developed focusing on the public health importance of tobacco control, the relationship between tobacco and specific organ systems, diseases related to smoking and chewing tobacco, and the impact of tobacco on medication effectiveness. Culturally sensitive illness specific cessation training videos were developed. Faculty and students positively evaluated the curriculum as increasing their competency to support cessation during illness as a teachable moment. Students conducted illness centered cessation interviews with patients as a mandated part of their coursework. Systemic challenges to implementing the curriculum were identified and addressed.

conclusionsA fully integrated tobacco curriculum for medical colleges was piloted in 5 colleges and is now freely available online. The curriculum has been adopted by the state of Kerala as a first step to gaining Medical Council of India review and possible recognition.

Indexed as

CurriculumDeveloping CountriesEducation, Medical, UndergraduateTobacco Use CessationHealth PrioritiesHumansIndiaModels, EducationalPilot ProjectsSmoking Cessation

Identifiers

PMID25990861
PMCPMC4455282

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.