Document Type : Original Article

Authors

Abstract

Background: Tobacco addiction is an important public health issue. It is important
for health professional to counsel the tobacco users for cessation. Aim: To enhance
communication skills of MBBS (Bachelor of Medicine and Bachelor of Surgery) students
in counseling of tobacco users by using interactive teaching methods and examine it
by using OSCE. Materials and Methods: It was a before and after comparison study.
Communication skills of students were examined by standardized patients (investigators)
by objective structured clinical examination (OSCE) method before and after intervention.
All the students were trained to enhance the communication skills by role play, interactive
session, anecdotes. Statistical analysis was done by using Paired t‑test. Results: The
difference in scores at all the 3 stations before and after the intervention and also global
scores before and after the intervention was statistically highly significant (P = 0.0001).
Conclusion and Recommendation: Communication skills of students in counseling
tobacco users improved after they were given role play, interactive session, anecdotes.
Similar model can be used to improve the communication/counseling skills in other
important health hazards.

Keywords

1. Ferlay J, Parkin DM, Pisani P. GLOBOCAN 2002: Cancer incidence,
mortality and prevalence worldwide. IARC Cancer base No.5,
Version 2.0. Lyon: IARC Press; 2004.
2. Mishra GA, Shastri SS, Uplap PA, Majmudar PV, Rane PS, Gupta SD.
Establishing a model workplace tobacco cessation program in India.
Indian J Occup Environ Med 2009;13:97-103.
4. Ahsen NF, Batul SA, Ahmed AN, Imam SZ, Iqbal H, Shamshair K,
et al. Developing counseling skills through pre-recorded videos and
role play: A pre- and post-intervention study in a Pakistani medical
school. BMC Med Educ 2010;10:7.
5. Zick A, Grainier M, Makoul G. First-year medical students’
assessment of their own communication skills: A video-based,
open-ended approach. Patient Educ Couns 2007;68:161-6.
3. Paula Nunes. The use of the Objective Structured Clinical
Examination (OSCE) with Video-taped feedback sssessment as a
teaching tool of communication skills. As available from, http://
pcf4.dec.uwi.edu/viewpaper.php?id=138&print=1 (last accessed
on 19/06/2013)
6. Mbakwem A, Oke A, Ajuluchukwu J. Improving medical students’
skills to counselling hypertensive patients. Med Educ 2009;43:476-7.
7. Tsai JC, Liu KM, Lee KT, Yen JC, Yen JH, Liu CK, et al. Evaluation
of the effectiveness of postgraduate general medicine training by
objective structured clinical examination---pilot study and reflection
on the experiences of Kaohsiung Medical University Hospital.
Kaohsiung J Med Sci 2008;24:627-33.
8. Parish SJ, Ramaswamy M, Stein MR, Kachur EK, Arnsten JH.
Teaching about substance abuse with objective structured clinical
exams. J Gen Intern Med 2006;21:453-9.
9. Tervo RC, Dimitrievich E, Trujillo AL, Whittle K, Redinius P,
Wellman L. The Objective Structured Clinical Examination (OSCE)
in the clinical clerkship: An overview. S D J Med 1997;50:153-6.
10. Matten P, Morrison V, Rutledge DN, Chen T, Chung E, Wong SF.
Evaluation of tobacco cessation classes aimed at hospital staff
nurses. Oncol Nurs Forum 2011;38:67-73.
11. Schwartz JL. Methods of smoking cessation. Med Clin North Am
1992;76:451-76.