Enhanced didactic methods of smoking cessation training for medical students--a randomized study.

It is essential that medical students are adequately trained in smoking cessation. A web-based tobacco abstinence training program might supplement or replace traditional didactic methods. One-hundred and forty third-year medical students were all provided access to a self-directed web-based learning module on smoking cessation. Thereafter, they were randomly allocated to attend 1 of 4 education approaches: (a) web-based training using the same tool, (b) lecture, (c) role playing, and (d) supervised interaction with real patients. Success of the intervention was measured in an objective structured clinical examination. Scores were highest in Group 4 (35.9 +/- 8.7), followed by Groups 3 (35.7 +/- 6.5), 2 (33.5 +/- 9.4), and 1 (28.0 +/- 9.6; p = .007). Students in Groups 4 (60.7%) and 3 (57.7%) achieved adequate counseling skills more frequently than those in Groups 2 (34.8%) and 1 (30%; p = .043). There was no difference in the scores reflecting theoretical knowledge (p = .439). Self-assessment of cessation skills and students' satisfaction with training was significantly better in Groups 3 and 4 as compared with 1 and 2 (p < .001 and p = .006, respectively). Role playing and interaction with real patients are equally efficient and both more powerful learning tools than web-based learning with or without a lecture.