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Associations with resident physicians' early adoption of electronic cigarettes for smoking cessation
  1. Eric Egnot1,
  2. Kim Jordan1,
  3. John O Elliott2
  1. 1Department of Medical Education, OhioHealth Riverside Methodist Hospital, Columbus, Ohio, USA
  2. 2OhioHealth Research Institute, OhioHealth Riverside Methodist Hospital, Columbus, Ohio, USA
  1. Correspondence to Dr Eric Egnot, 3535 Olentangy River Road, Columbus, OH 43214-3998, USA; eric.egnot{at}


Background Use of the electronic cigarette for nicotine delivery has increased dramatically in recent years. Information continues to emerge on its role as a smoking cessation aid, but little is known about resident physician use of the device in clinical practice.

Methods In 2015, an electronic survey was administered to resident physicians in one healthcare system in Columbus, Ohio. The survey included questions about personal smoking exposure, knowledge, beliefs, attitudes about electronic cigarettes and early adoption of electronic cigarettes with patients. Data were dichotomised based on a ‘stages of change’ model that assessed resident physician adoption of electronic cigarettes for therapeutic use. Data were analysed through χ2 tests and logistic regression using ORs and 95% CIs.

Results Of 338 residents, 142 (42%) responded. Of all residents, 25 (17.7%) reported that they have been recommending electronic cigarettes to their patients for the past 6 months or longer. In the multivariate model, residents ≥postgraduate year (PGY)-3 (OR=3.68, 95% CI 1.20 to 11.29), peer-reviewed article exposure (OR=6.65, 95% CI 1.56 to 28.38) and the view that addictive potential is definitely or somewhat less than traditional cigarettes (OR=5.05, 95% CI 1.48 to 17.24) were associated with recommendation of electronic cigarettes.

Conclusions Few residents report recommending electronic cigarettes to patients who smoke. These residents consider the electronic cigarette less addicting than traditional cigarettes, supporting harm reduction strategies over strict abstinence. Most residents require further evidence-based education on efficacy and long-term safety of electronic cigarettes before recommending to their patients.

  • GENERAL MEDICINE (see Internal Medicine)
  • RESPIRATORY MEDICINE (see Thoracic Medicine)

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  • Previous presentations This research was presented at the American College of Physicians Ohio Chapter meeting in Columbus, Ohio in October 2015 and the American College of Physicians National meeting in Washington, DC in May 2016.

  • Contributors All authors were involved in the planning, conducting and reporting of the work. All authors are guarantors and accept full responsibility for the work and/or the conduct of the study, had access to the data and controlled the decision to publish.

  • Funding This research was funded and supported by the OhioHealth Research Institute resident research fund.

  • Competing interests None declared.

  • Ethics approval This human subjects research received expedited approval (IRB #: OH1-14-00546) under the Riverside/Grant Institutional Review Board on 18 September 2014.

  • Provenance and peer review Not commissioned; externally peer reviewed.