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Volume 19 (3)
Volume 19, Issue 3, Summer 1999 
J Contin Educ Health Prof 1999; 19(3):142-151
ORIGINAL ARTICLES
Margaret H. Shanley, MD Margaret Laskey, RN Richard Decker, MD A b s t r a c t Previous studies have shown that the most effective strategy to promote smoking cessation is for the physician to provide brief, simple counseling for the patient. The effectiveness of a Reminder Program for physicians to counsel adult and adolescent smokers was assessed. Twenty-two residents and faculty of a community-based family practice residency program were surveyed regarding their training, knowledge, and practice of smoking cessa-tion counseling before and after implementation of a Physician Reminder Program. A retrospective review of adolescent and adult patient office records was also performed before and after initiating the reminder program. The prestudy results on specific counseling behaviors indicated that the majority of physicians asked patients how much they smoked and also advised patients about health risks. Approximately half did not use follow-up visits or calls to check on patients and less than half did not discuss smoking with patients other than their own. Prestudy and poststudy physician surveys produced similar results. Prestudy and post-study retrospective chart reviews indicated that 6% (2) of patients quit smoking in each review. The second chart review indicated use of the Reminder Program on 46% (16) of charts. Documented physician counseling behaviors from chart review demonstrated a significant increase in physicians providing self-help material (p = .007). This change in physician behavior did not manifest any significant change in smoking cessation among patients. The study did reveal areas that needed improvement, including discussing smoking (1) during follow-up visits and telephone calls and (2) when seeing other physicians’ patients. Educational inservices during residency training may prove valuable in modified physician behavior and ultimately decreasing smoking among patients. Keywords: Physician Reminder Program; Smoking Cessation |
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