Introduction:
Medical doctors play a key role in patients' attitudes and behavior towards smoking. We aimed to estimate the current prevalence rate of smoking and determine the attitudes among doctors with regards to smoking and use of tobacco products.

Methods:
A self-reported survey was emailed to a random sample of 500 doctors employed inthe state and private health system. Data from 247 respondents were used, majority or 65% werefemale and 35% were male

Results:
Overall 29% of the doctors currently are smokers, 18.6% were former smokers. The prevalence of smoking was found to be higher among male doctors. Representation of smoking among Macedonian doctors in comparison to the prevalence smoking rate among doctors reported in the neighboring countries (Greece:38,6%, Serbia:34%, Bosnia:40%) is lower. Regard to attitudes, the majority of respondents, agreed that the doctors need to be role model and patients were more likely to quit cigarettes if their doctor advises them. However, 19% of the doctors have a negative attitude towards providing a smoking cessation advice and more than 46% have not received a formal training in tobacco cessation interventions. The population of medical doctors-smokers reported more liberal attitudes with regards to the smoking ban in public areas, especially in bars.

Conclusions:
Although the smoking prevalence among medical doctors in our country shows a positive trend of decreased frequency in the last 10 years, the prevalence is still high. Our study found the need to strengthen education on the Medical Faculty in the part of smoking prevention.

Funding:
This survey was supported by the World Health Organization.