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, Rekha Thapar, S. R. Basha, A. K. Jayasree, T. R. Mayamol, Myra Muramoto, G. K. Mini, K. R. Thankappan

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background: This 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. Methods: In-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. Results: Fifteen 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. Conclusions: A 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.

Original languageEnglish
Article number90
JournalBMC Medical Education
Volume15
Issue number1
DOIs
Publication statusPublished - 20-05-2015

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nicotine
India
curriculum
illness
smoking
willingness to integrate
student
interview
qualitative research
medication
video
public health
Disease
income
present

All Science Journal Classification (ASJC) codes

  • Education

Cite this

Yamini, T. R., Nichter, M., Nichter, M., Sairu, P., Aswathy, S., Leelamoni, K., ... Thankappan, K. R. (2015). Developing a fully integrated tobacco curriculum in medical colleges in India. BMC Medical Education, 15(1), [90]. https://doi.org/10.1186/s12909-015-0369-3
Yamini, T. R. ; Nichter, Mark ; Nichter, Mimi ; Sairu, P. ; Aswathy, S. ; Leelamoni, K. ; Unnikrishnan, B. ; Mithra, Prasanna ; Thapar, Rekha ; Basha, S. R. ; Jayasree, A. K. ; Mayamol, T. R. ; Muramoto, Myra ; Mini, G. K. ; Thankappan, K. R. / Developing a fully integrated tobacco curriculum in medical colleges in India. In: BMC Medical Education. 2015 ; Vol. 15, No. 1.
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Yamini, TR, Nichter, M, Nichter, M, Sairu, P, Aswathy, S, Leelamoni, K, Unnikrishnan, B, Mithra, P, Thapar, R, Basha, SR, Jayasree, AK, Mayamol, TR, Muramoto, M, Mini, GK & Thankappan, KR 2015, 'Developing a fully integrated tobacco curriculum in medical colleges in India', BMC Medical Education, vol. 15, no. 1, 90. https://doi.org/10.1186/s12909-015-0369-3

Developing a fully integrated tobacco curriculum in medical colleges in India. / Yamini, T. R.; Nichter, Mark; Nichter, Mimi; Sairu, P.; Aswathy, S.; Leelamoni, K.; Unnikrishnan, B.; Mithra, Prasanna; Thapar, Rekha; Basha, S. R.; Jayasree, A. K.; Mayamol, T. R.; Muramoto, Myra; Mini, G. K.; Thankappan, K. R.

In: BMC Medical Education, Vol. 15, No. 1, 90, 20.05.2015.

Research output: Contribution to journalArticle

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T1 - Developing a fully integrated tobacco curriculum in medical colleges in India

AU - Yamini, T. R.

AU - Nichter, Mark

AU - Nichter, Mimi

AU - Sairu, P.

AU - Aswathy, S.

AU - Leelamoni, K.

AU - Unnikrishnan, B.

AU - Mithra, Prasanna

AU - Thapar, Rekha

AU - Basha, S. R.

AU - Jayasree, A. K.

AU - Mayamol, T. R.

AU - Muramoto, Myra

AU - Mini, G. K.

AU - Thankappan, K. R.

PY - 2015/5/20

Y1 - 2015/5/20

N2 - Background: This 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. Methods: In-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. Results: Fifteen 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. Conclusions: A 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.

AB - Background: This 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. Methods: In-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. Results: Fifteen 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. Conclusions: A 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.

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Yamini TR, Nichter M, Nichter M, Sairu P, Aswathy S, Leelamoni K et al. Developing a fully integrated tobacco curriculum in medical colleges in India. BMC Medical Education. 2015 May 20;15(1). 90. https://doi.org/10.1186/s12909-015-0369-3