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

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*CME eligible categories: MD, DO, physician trainees, PA, and ANP

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. Primary care providers are in an ideal position to counsel patients to quit since at least 70% of smokers will make a visit to their family doctor 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

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

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

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.