(Est time: 1.25 hrs) This continuing education course discusses the basic clinical behavioral intervention steps for helping patients quit smoking or other tobacco use. It also describes the process of change and how it relates to tobacco cessation.
Goal: To improve the learners' understanding of basic behavioral tobacco interventions for patients and the process of change in tobacco cessation.
Use the 5 steps of smoking cessation intervention (the 5 A's)
Use knowledge of the prevalence of tobacco use and tobacco-associated mortality to guide treatment of patients
Use knowledge of tobacco initiation, tobacco dependence, interest in quitting, and racial/ethnic differences to guide treatment of patients
Use knowledge of the smoking cessation cycle to tailor behavioral tobacco interventions to patients in each stage in the cycle
Use awareness of typical patterns of smoking relapse to help prevent patients from relapsing to smoking
(Est time: 1 hr) This course was developed to introduce and demonstrate basic motivational interviewing techniques for primary care, techniques that have been used effectively to motivate people with alcohol, tobacco, and other substance abuse problems to change their behavior.
Goal: To teach primary care providers and medical students basic motivational interviewing techniques to motivate patients who are experiencing alcohol use, tobacco, and other addiction problems.
Use several principles of motivational interviewing with primary care patients
Compare the effectiveness of motivational interviewing to traditional medical approaches to counseling primary care patients with substance abuse problems
Select the appropriate principles, techniques, and basic steps of motivational interviewing to meet the specific needs of primary care patients based on the current status of their substance abuse problems
Apply motivational interviewing techniques in typical circumstances encountered in primary care with patients who have alcohol, tobacco, or other substance use problems
(Est time: 1 hr) This continuing education course discusses pharmacological interventions to help your patients quit smoking or other tobacco use. The drugs currently available to support tobacco cessation are discussed in detail. This course was revised and updated in June 2008.
Goal: To increase the learners' understanding about providing pharmacological interventions for smoking cessation.
Use first-line and second-line smoking deterrent pharmacotherapies to help patients quit tobacco use
Consider the indications and contraindications, special precautions, and warnings when prescribing first-line smoking deterrent pharmacotherapies
Consider the efficacy of first-line smoking deterrent pharmacotherapies when selecting one to prescribe
Describe proper use of each form of smoking deterrent pharmacotherapy to patients
Compare and contrast smoking deterrent pharmacotherapy treatments in terms of cost
(Est time: 1 hr) This continuing education course uses a case-based format to present tobacco issues important in treating children in primary care, including the prevention of tobacco use by children (ages 5-13) and prevention of exposure of children to secondhand (environmental) tobacco smoke. This course was revised and updated in June 2008.
Goal: To increase the learners' understanding of tobacco prevention interventions for children and intervening to protect children from exposure to tobacco smoke.
Describe the elements of an evidence-based, developmentally appropriate tobacco use prevention activity for children in a primary care practice
Describe to patients and their parents the health risks for children exposed to tobacco smoke and the importance of preventing exposure
Use the reasons why children initiate tobacco use to guide prevention efforts
Use knowledge of the extent of tobacco dependence, the level of interest in quitting, and success rate for quitting among young smokers to guide tobacco interventions with children
(Est time: 1 hr) This continuing education course uses a case-based format to present the negative health effects of smoking during pregnancy and to illustrate an intensive tobacco counseling intervention as an alternative to pharmacotherapy during pregnancy. This course was revised and updated in June 2008.
Goal: To improve the learners' understanding of the negative effects of smoking on reproductive health in women and how to provide appropriate tobacco interventions for pregnant and potentially pregnant women.
Use tobacco cessation counseling techniques that address the unique concerns of women who are pregnant or who will potentially become pregnant
Discuss the great importance of preventing or stopping tobacco use with pregnant patients and women patients of childbearing age due to negative health effects on both the mother and child before and after birth
Consider the negative effects of using drug therapy to assist with smoking cessation during pregnancy when deciding on the best tobacco cessation intervention
Use intensive tobacco counseling intervention techniques as an alternative to pharmacotherapy in pregnant women
Adapt tobacco interventions to racial, cultural, and ethnic differences in tobacco use when treating women patients
(Est time: 1 hr) This continuing education course presents issues unique to older adults related to quitting smoking or using other forms of tobacco. Topics include tobacco health effects in the elderly, benefits of quitting at this age, age-appropriate tobacco interventions, special precautions in using tobacco cessation pharmacotherapy, tobacco cessation during a health crisis, and Medicare reimbursement issues. A mini case is used to illustrate the issues in primary healthcare of older smokers. The content was revised and updated in June 2008.
Goal: To improve the learners' understanding of tobacco use and cessation issues unique to the older adult.
Use knowledge of tobacco-related health effects and mortality to advise older adults on the benefits of quitting
Use tobacco cessation behavioral interventions to meet the needs of older adults
Use tobacco cessation pharmacotherapy interventions to meet the needs of older adults
(Est time: 1 hr) This continuing education course helps healthcare providers address the problem of smokeless tobacco use in their patients. Topics include the various forms of smokeless tobacco, the extent of its use, its addictive nature, and the associated health effects.
Goal: To improve the learners' understanding of the different forms of smokeless tobacco, its addictive quality and negative health effects, and how to provide appropriate interventions for this form of tobacco.
Recognize the basic forms and varieties of smokeless tobacco products, their contents, and how they are used by patients
Use knowledge of the prevalence of individuals who use smokeless tobacco products, including gender, geographical, and racial/ethnic differences to guide prevention messages and interventions.
Describe the addictive nature of smokeless tobacco to patients
Recognize the health effects of smokeless tobacco
Describe appropriate smokeless tobacco interventions and prevention measures for patients
(Est time: 1 hr) This continuing education course uses a case-based approach to teach the basic clinical intervention steps to help patients quit smoking or using other forms of tobacco. Behavioral and pharmacological interventions to support tobacco cessation are presented. Five patients are introduced in different stages of quitting.
Goal: To improve the learners' understanding of how to provide basic behavioral and pharmacological tobacco interventions for patients at various stages of quitting.
Apply basic behavioral interventions for tobacco cessation
Apply basic pharmacological tobacco use interventions
Determine a patient's stage of quitting, and use it to choose the appropriate tobacco cessation intervention
Determine other characteristics or needs of individual patients who smoke (e.g., concerns about weight gain, amount smoked, history of failed attempts at quitting smoking, etc.), and use the information to choose clinical interventions
(Est time: 1 hr) Dr. David J. Drobes, PhD presents on the neurobiology of addiction, including why patients smoke, why withdrawal symptoms occur, and how the reward pathways in the brain support addiction.
Goal: To improve the learners' understanding of the symptoms of withdrawal from nicotine, why people smoke, and how the reward mechanisms in the brain support addiction.
Identify the factors that characterize nicotine as a drug to which people are addicted.
Describe the symptoms of withdrawal.
Describe nicotine's actions in the brain.
Identify the brain regions and processes associated with addiction to nicotine.
(Est time: 1 hr) This video module, narrated by two members of the Hillsborough county SWAT (Students Working Against Tobacco) group, explains the need for, mission of, and actions of the SWAT program. The additional content explains how to become active with a SWAT group.
Goal: To provide learners with background information pertaining to SWAT, detail its effectiveness, and help interested parties find ways to aid SWAT.
Describe SWAT's mission.
Identify ways tobacco companies market to today's youth.
Detail SWAT's effectiveness in promoting tobacco cessation within the community.
Identify ways to become a tobacco cessation advocate.
Module development and evaluation has been funded solely through learner fees and funding from the NIH including: Buprenorphine Medical Student Education (#R44-DA12066), Medical Student Education on Alcohol Abuse and Dependence (#1R44AA016724-01A1), Ethical, Legal, and Social Issues (ELSI) Associated with Genetics (#R25-HG02266), Tobacco Cessation Web Based Modules for AHEC Students (Grant #R44HL65885), and Medical Student Pain Education (Grant #1R44DA027245-01). The website and Clinical Tools receive no support from the pharmaceutical or device manufacturing industries.
Clinical Tools, Inc. is accredited by the ACCME to provide continuing medical education for physicians.
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