Physicians can play a key role in smoking cessation but often fail to advise smokers effectively, mainly because they lack
counseling skills. We need effective training programs starting during residency to improve physicians’ smoking cessation
interventions and smokers’ quit rates. To achieve this goal, we developed a curriculum using active learning methods and the
stages-of-change model. A randomized trial demonstrated that this program increased the quality of physician’s counseling
and smokers’ quit rates at 1 year. This paper describes the educational content and methods of this program. Participants
learn to assess smokers’ stage of change, to use counseling strategies matching the smoker’s stage, and to prescribe pharmacological
therapy. This 2 half-day training program includes observation of video-clips, interactive workshops, role plays, practice
with standardized patients, and written material for physicians and patients. Participants reached learning objectives and
appreciated the content and active methods of the program.
Key words smoking cessation - curriculum - graduate medical education - patient simulation
Presented at the session “Innovations in Medical Education” of the 24th Annual Meeting of the Society of General Internal
Medicine in San Diego, Calif., May 2–5, 2001.