Smoking Cessation [2006 update]
Introduction to this self-study CME activity
Purpose
Smoking-related deaths account for a fourth of all deaths in this country. Approximately 25% of American men and women continue to smoke. Of these, approximately 70% see a physician each year. A great majority of smokers report a desire to quit smoking and cite physician advice as an important motivator for making a quit attempt. Lack of time, lack of knowledge about counseling and lack of familiarity with current pharmacologic therapies may all contribute to inadequate intervention being done by clinicians. Every clinician should become comfortable and knowledgeable in an approach to assist patients with smoking cessation. This educational guideline addresses the major points concerning assessment and treatment relevant to the clinician's role in promoting smoking cessation. Some of the key points are:
- Clinicians should:
- Advise all smokers to consider making a serious quit attempt.
- Assess all smokers for their readiness to quit.
- Refer those interested in quitting to a tobacco treatment specialist or tobacco cessation program.
- Clinic sites should have a system to monitor and manage smoking cessation.
- Smoking status should be routinely asked and documented for all patients.
- A smoking cessation coordinator and procedures should be in place to provide patient education materials, follow-up on quit dates, and basic cessation counseling.
New in this update:
- The scope of the guideline is expanded to include evaluation and treatment for adolescent smokers.
- Emphasis on the first three A's (ASK, ADVISE, ASSESS). The recommendation is then for clinicians to REFER smokers for further treatment.
- Drug costs have been updated.
- Several new studies reconfirm that treatment (nicotine or bupropion) and modality (patch, gum, inhaler, spray, pill) should be based on patient preference and prior experience.
- Information has been updated for special populations: pregnant smokers, older smokers, hospitalized patients
Audience
This self-study activity is appropriate for adult primary care clinicians and other health care providers involved in assessment and treatment to promote smoking cessation in adults.
Authors
Team Leader |
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John G. Frohna, MD, MPH |
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Team Members |
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Author Disclosures |
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Other Acknowledgements
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CME Accreditation and Credit Designation
The University of Michigan Medical School is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The University of Michigan Medical School designates this educational activity for a maximum of 1 AMA/PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
This CME activity was revised in July 2005. The activity was reviewed for currency of content in July 2006 and availability of credit extended through June 2009. The activity was reviewed for currency of content in June 2009 and availability of credit extended through June 2010.
Method of Participation
- View the web pages. You may print the self-study text to read off-line.
- Complete the on-line learning assessment test. It will be electronically scored and the correct answers returned immediately for your review.
- Complete the electronic credit request and activity evaluation. An electronic certificate of participation will be provided immediately.
- Print the certificate of participation for your personal records.
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