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. 2008 Nov 7;337:a2155. doi: 10.1136/bmj.a2155

Table 6.

 Relation of professional characteristics with perceived relevance (n=1330) to intended practice and self reported frequency of counselling general medicine patients (n=1394) reported during final year of US medical school (2003)

Highly relevant to practice Usually/always counsel
No of students* % of students Crude OR (95% CI) No of students* % of students Crude OR (95% CI)
Intended specialty:
 Primary care 406 59 2.3 (1.8 to 3.0) 421 29 1.1 (0.8 to 1.4)
 Non-primary care 887 39 1.0 (ref) 935 27 1.0 (ref)
Training in alcohol counselling:
 Extensive 451 59 2.3 (1.7 to 3.2) 455 40 2.3 (1.6 to 3.3)
 Less than extensive 835 39 1.0 (ref) 857 22 1.0 (ref)
Confidence in alcohol counselling:
 Highly confident 663 55 2.2 (1.6 to 3.0) 680 36 2.5 (1.7 to 3.6)
 Less than highly 631 36 1.0 (ref) 672 19 1.0 (ref)
I will be able to provide more credible and effective counselling if I drink alcohol in moderation or not at all:
 Strongly agree 306 57 1.0 (ref) 317 37 1.0 (ref)
 Agree 721 44 0.6 (0.4 to 0.8) 747 26 0.6 (0.5 to 0.8)
 Neither 197 33 0.4 (0.2 to 0.6) 214 21 0.4 (0.3 to 0.7)
 Disagree/strongly disagree 79 48 0.7 (0.5 to 1.1) 81 301 0.7 (0.4 to 1.4)
Patients are more likely to adopt healthier lifestyles if physicians counsel them to do so:
 Strongly agree 232 55 1.0 (ref) 239 38 1.0 (ref)
 Agree 810 44 0.7 (0.5 to 0.9) 844 25 0.6 (0.4 to 0.8)
 Neither 176 39 0.5 (0.3 to 0.9) 190 28 0.7 (0.3 to 1.3)
 Disagree/ strongly disagree 79 48 0.8 (0.4 to 1.4) 80 28 0.6 (0.3 to 1.3)
I am less interested in prevention than treatment:
 Strongly agree 77 32 1.0 (ref) 82 28 1.0 (ref)
 Agree 293 39 1.3 (0.8 to 2.2) 308 26 0.9 (0.6 to 1.4)
 Neither 285 39 1.3 (0.8 to 2.2) 302 25 0.9 (0.5 to 1.5)
 Disagree 488 48 2.0 (1.02 to 3.7) 503 27 0.9 (0.5 to 1.7)
 Strongly disagree 156 70 4.8 (2.2 to 10.5) 159 41 1.8 (0.95 to 3.3)
Physicians have a responsibility to promote prevention with their patients:
 Strongly agree 340 56 2.3 (1.5 to 3.5) 352 36 2.6 (1.3 to 5.1)
 Agree 831 43 1.4 (1.05 to 1.8) 858 26 1.6 (0.8 to 3.0)
 Neither disagree/ strongly disagree 124 35 1.0 (ref) 142 18 1.0 (ref)

*Denominator for percent displayed. Numbers for various characteristics might not sum to n for relevance or frequency because of item non-response for those characteristics.