Training Medical Student Counselors for the Rochester Model, a Hospital Tobacco Treatment Program

Figures & data

Figure 1 Rochester Model protocol. Step 1, Step 2, and Step 3 follow early in the hospitalization. Then the student obtains signed patient consent for the post-discharge calls. The enroller (JG) places the e-referral to the NYS Quitline upon discharge.

Table 1 Medical Student Survey

Counseled smokers before training ?	Extensive amount	Moderate amount	Small amount	None
	0%	4%	34%	62%
Explanation of teaching materials	Excellent	Very good	Acceptable	Poor
	46%	35%	19%	0%
Training satisfaction	Highly satisfied	Satisfied	Not satisfied or unsatisfied	Not satisfied
	35%	54%	11%	0%
Bedside counseling confidence	Extremely confident	Very confident	Moderately confident	Not confident
	11%	62%	27%	0%
Phone counseling confidence	Extremely confident	Very confident	Moderately confident	Not confident
	9%	38%	50%	3%
Will experience be valuable as MD ?	Very valuable	Moderate value	Little value	None
	81%	19%	0%	0%
What prevented bedside counseling ?	Patient discharge	Patient not available	Patient illness	Will not engage Other
	65%	50%	23%	11% 11%
What prevented phone counseling ?	No answer	Phone disconnected	No time Forgot to call	Wrong # Pt declines
	69%	23%	19% 11%	8% 8%

Notes: Twenty-six students report about prior counseling experience, the program materials, and training. The students report about confidence with counseling, barriers, and the experience value.

Table 2 Demographic and Smoking Data on 81 Patients from 1/29/22 to 7/24/23

Mean Age	57 Years
Sex	71% male 29% female
Race/ethnicity	71% Caucasian 16% African American
	5% Hispanic 1% Native American
Admitting diagnosis	52% Cardiac 9% Pulmonary 9% Neurological
	5% Vascular 34% other medical
Average length of hospital stay	10 days
Average daily cigarette use	23
Average number of previous quit attempts	3
Average quit confidence at discharge	4 out of 5 1 = least confident 5 = most confident
Received pharmacotherapy on discharge	46%
Received NYS Quitline call	33%

Note: Averages reported for representative group of 81 patients.

Figure 2 Rochester Model program percentage of 7-day point prevalence abstinence. Blue bars represent the as-treated (patients contacted) analysis, Orange bars indicate the intent-to-treat analysis (all patients) at each time point. Displayed are 95% Confidence intervals.