Skip to Content

Tobacco Cessation Course 2 - Interactive Vignettes for Counseling Smokers in Health Care Settings

Course Overview

Smoking is responsible for 30% of all cancer deaths, and has been linked to more than 10 different types of cancer. As one of the leading causes of preventable morbidity and mortality in the United States, smoking is responsible for about one in five deaths annually. Health care providers are in an ideal position to counsel patients to quit since at least 70% of smokers see a physician each year. 

Tobacco Course 2: Interactive Vignettes for Counseling Smokers in Health Care Settings provides the most up-to-date practice advice to assist health care providers in counseling patients to quit smoking. This course is intended for physicians, physician assistants, nurses, and other health care professionals as well as students, residents, and fellows.

This course contains video vignettes and computer simulations which focus on the delivery of evidence-based pharmacologic and behavioral treatments for tobacco dependence. After reviewing the course materials, participants should be able to:

  • Incorporate tobacco cessation counseling models into everyday practice
  • Effectively counsel patients who require additional medical care (pregnant women, alcohol-dependent patients, and clinically depressed patients)
  • Address post-cessation concerns (weight-gain, nicotine withdrawal, and relapse)
  • Effectively counsel smokers who live with nonsmokers and smokers with partners who are not ready to quit
  • Implement the combination of behavioral and pharmacologic treatments for enhancing patient outcomes


Support for this course was provided by a grant from the Cancer Prevention & Research Institute of Texas (CPRIT) PP110026 awarded to Ludmila Cofta-Woerpel, Ph.D.

Accreditation/Credit Designation

The University of Texas MD Anderson Cancer Center is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The University of Texas MD Anderson Cancer Center designates this enduring material for a maximum of 2.00 AMA PRA Category 1 Credits™ in medical ethics and/or professional responsibility. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

 

Course Directors

Alexander V. Prokhorov, M.D., Ph.D.
Professor, Department of Behavioral Science
Director, Tobacco Outreach Education Program
The University of Texas MD Anderson Cancer Center

 

 

 

Ludmila Cofta-Woerpel, Ph.D.
Assistant Professor, Department of Behavioral Science
The University of Texas MD Anderson Cancer Center

 

Course Materials

Introduction   Top of Page

Presenter: Ludmila Cofta-Woerpel, Ph.D.
Assistant Professor, Department of Behavioral Science
The University of Texas MD Anderson Cancer Center

 


Counseling Templates for Prevalent and Special Tobacco-Related Concerns   Top of Page

Narrator : Vance Rabius, Ph.D.
Instructor, Department of Behavioral Science
Co-Director of Operations, Tobacco Treatment Program
The University of Texas MD Anderson Cancer Center
 
Summary: The videos in this series provide templates for primary care conversations between physicians and patients. The opening videos illustrate the steps for two effective, evidence-based tobacco cessation counseling models which can be applied to all patients who smoke: the 5 A’s Tobacco Counseling Model (Ask-Advise-Assess-Assist-Arrange) and the AAR Tobacco Counseling Model (Ask-Advise-Refer). The remaining vignettes feature patients with either a specific medical condition or a concern about quitting smoking. Patients in the following scenarios require specialized counseling and recommendations:

  • Weight Concerns
  • Pregnant Smoker
  • Nicotine Withdrawal Concerns
  • Relapse
  • Secondhand Smoke
  • Other Household Smokers
  • Alcohol Use and Smoking Cessation
  • Depression and Smoking Cessation

Tobacco Counseling Vignettes featuring Virtual Patients   Top of Page

Summary: The Tobacco Counseling Vignettes are computer simulations of clinical encounters which feature virtual physician and patient characters. These simulations include decision points consisting of correct and incorrect counseling options which allow the learners to make their own decisions on how to successfully counsel patients to quit smoking. These computer simulations illustrate the 5A’s and the AAR Tobacco Counseling Models and outline how to counsel a patient with nicotine withdrawal concerns.

 

 

For further information or assistance, to provide feedback on this web site, or to request a specific professional oncology education topic, please e-mail Professional Oncology Education.

Course Options

*CME eligible categories: MD, DO, Physician Trainees, PA, ANP


© 2014 The University of Texas MD Anderson Cancer Center