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Cigarette smoking is the leading cause of preventable death. On the Clinical Teaching Unit, medical students and residents are well positioned to provide smoking cessation resources to patients with the aim of improving quit rates. However, there is a paucity of data evaluating their role in counselling patients on smoking cessation. A survey at our centre identified that medical trainees had a lack of knowledge regarding Nicotine Replacement Therapy (NRT) as a barrier to smoking cessation counselling. We hypothesized that a teaching session on NRT during an inpatient Internal Medicine rotation would increase learner comfort in prescribing these products. Medical trainees on the Internal Medicine Clinical Teaching Unit (CTU) attended a teaching session during week 4 of an 8-week rotation. Pharmacy records from the 8-week period were retrospectively analyzed to determine NRT prescribing behaviour. Pre-intervention, 5.8% (13/225) of new admissions received an NRT prescription. Post-intervention, 17% (31/182) of new admissions received an NRT prescription. Using a Fisher’s exact test, the percentage of new admissions that received a prescription was significantly different (p<0.001) between the preand post-intervention time frames. This data suggests that integrating education on NRT into CTU teaching can significantly alter prescribing behaviour and improve access to NRT for patients who need it. RESUME Le tabagisme est la principale cause de décès évitable. Dans l’unité d’enseignement clinique, les étudiants en médecine et les résidents sont bien placés pour fournir aux patients des ressources sur le renoncement au tabac dans le but d’améliorer les taux de renoncement au tabac. Cependant, il existe peu de données évaluant leur rôle dans le conseil aux patients en matière de renoncement au tabac. Une enquête menée dans notre centre a révélé que les stagiaires en médecine manquaient de connaissances sur la thérapie de remplacement de la nicotine (TRN) en tant qu’obstacle aux conseils en matière de renoncement au tabac. Nous avons émis l’hypothèse C a n a d i a n J o u r n a l o f G e n e r a l I n t e r n a l M e d i c i n e V o l u m e 1 3 , I s s u e 4 , 2 0 1 8 17 Teaching and Learning

Teaching Residents how to Effectively Prescribe Nicotine Replacement Therapy on the Clinical Teaching Unit