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Tobacco Use and Dependence: An Updated Review of Treatments
Tobacco Use and Dependence
2008 Guidelines Cover Photo

Tobacco Use and Dependence: An Updated Review of Treatments

Faculty: Michael C Fiore, MD, MPH

Registration: FREE

Credit Hours:
Physicians - 1.00 AMA PRA Category 1 Credit(s)TM

Nurses - 1.00 ANCC Contact Hour(s) (0 contact hours in the area of pharmacology)

Respiratory Therapists - 1.0 contact hours Continuing Respiratory Care Education (CRCE) credit by the American Association for Respiratory Care

Release Date: Jan 26, 2013
Expiration Date: Jan 25, 2016

Format: Internet Enduring


Activity Description

Target Audience and Scope of Practice

This activity is intended to meet the needs of all professionals who provide healthcare to tobacco users. This includes physicians, nurses, nurse practitioners, physician assistants, medical assistants, dentists, hygienists, respiratory therapists, psychologists, social workers, substance abuse counselors, mental health counselors, pharmacists, and others.

Elements of Competence

This activity has been designed to change learner competence focusing on the American Board of Medical Specialties areas of medical knowledge, patient care, interpersonal and communication skills, practice-based learning and improvement and systems based practice. The goal of this activity is to identify effective interventions for tobacco use that can be offered during clinical/medical visits.

Overview

Tobacco use has been cited as the chief avoidable cause of illness and death in our society and accounts for more than 435,000 deaths each year in the United States. Smoking is a known cause of multiple cancers, heart disease, stroke, complications of pregnancy, chronic obstructive pulmonary disease (COPD), and many other diseases. In addition, research has documented the substantial health dangers of involuntary exposure to tobacco smoke. Despite these health dangers and the public's awareness of those dangers, tobacco use remains surprisingly prevalent. Recent estimates are that about 20 percent of adult Americans smoke, representing approximately 45 million current adult smokers. Moreover, tobacco use remains a pediatric disease. Each day, about 4,000 youth ages 12 to 17 years smoke their first cigarette, and about 1,200 children and adolescents become daily cigarette smokers. As a result, new generations of Americans are at risk for the extraordinarily harmful consequences of tobacco use. Tobacco use exacts a heavy cost to society as well as to individuals. Smoking-attributable health care expenditures are estimated at $96 billion per year in direct medical expenses and $97 billion in lost productivity. Despite the tragic consequences of tobacco use, clinicians and health care systems often fail to treat it consistently and effectively despite substantial evidence that even brief interventions can be effective among many different populations of smokers. Also, the use of FDA-approved, evidence-based, effective medication remains very low. This activity, based on the Clinical Practice Guideline Treating Tobacco Use and Dependence 2008 Update, will help learners understand tobacco dependence as a chronic disease and instruct learners on how to initiate clinical interventions using a brief intervention model.

Objectives

Upon completion of this activity, participants should be able to:

  1. Describe the rationale for treating tobacco dependence
  2. Explain why tobacco dependence is a chronic disease
  3. Initiate clinical interventions for tobacco users who are willing to quit as well as users who are not willing to make a quit attempt
  4. Assist users attempting to quit with strategies designed to prevent relapse
  5. Implement appropriate strategies to assist special populations of smokers

How Do I Receive My Credit?

To receive continuing education credits, you will need to create a user account, complete the activity and register for credit. After you register, you will be able to take the posttest. You must receive a passing score of 70% on the posttest. When you pass the posttest you will be directed to a course evaluation. Complete and submit the course evaluation. After submitting the evaluation, you will be able to select the appropriate credit letter in PDF format, to print or save to your computer. The activity is available to complete at your convenience through January 25, 2016. Credit will not be given after this date. See "Instructions" for more detailed information.

Method of Participation

There are no fees for participating in or receiving credit for this online educational activity. For information on applicability and acceptance of continuing education credit for this activity, please consult your professional licensing board.
This activity is designed to be completed within the time designated on this page; physicians should claim only those credits that reflect the time actually spent in the activity. To successfully earn credit, participants must complete the activity online during the valid credit period that is noted on this page. To receive AMA PRA Category 1 Credit™, you must receive a minimum score of 70% on the posttest.

Instructions

Instructions

To receive continuing education credits, you will need to register for this activity and complete the course posttest and evaluation. To do this, follow all the directions listed below.

  1. Proceed to the activity by clicking the pdf titled “BEGIN ACTIVITY". You will be directed to the activity content. Once you complete your review of the material, select the link "Activity CME Home Page" located at the top left of the first page of the PDF. This will direct you back to this page to register and complete the posttest and evaluation to receive credit.
  2. If you have not done so already, create a FREE user account. To do this click on the Account Sign-up button at the top of the screen. After completing the sign-up, select the option to "return to the previous page," which will redirect you back to this page. You are now logged into the system.
  3. If you already have a user account, log in on the right.
  4. Click on Register for Credit.
  5. Once you have successfully registered, you will have access to the posttest and evaluation.
  6. Complete the posttest and submit answers. A passing grade of 70% is required. Next, complete and submit evaluation responses.
  7. Credit documents can be printed immediately after successful completion of the posttest and evaluation. Select the appropriate "View Certificate" and print for your records.

For questions regarding the content of this activity, contact Danielle Hepting at the Office of Continuing Professional Development in Medicine and Public Health, University of Wisconsin School of Medicine and Public Health, the accredited provider for this CME activity.

Computer Requirements

Free, current version of Internet Explorer, Firefox, Safari, or Chrome. Some older browsers could produce error messages or not display the content correctly.

Free, current version of Adobe Flash Player
Free, current version of Adobe Reader

Faculty

Michael C Fiore, MD, MPH
Faculty/Author
Founder and Director of the Center for Tobacco Research and Intervention (CTRI), Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin

Planning Committee

Danielle Hepting
CME Staff
Outreach Specialist
University of Wisconsin School of Medicine and Public Health
Madison, Wisconsin

Robert Adsit, MEd
Content Reviewer
Outreach Director
University of Wisconsin School of Medicine and Public Health
Madison, Wisconsin

Wendy Theobald, PhD
Planning Committee
Researcher
University of Wisconsin School of Medicine and Public Health
Madison, Wisconsin

Suzanne Hase, BSN
Planning Committee
Research Specialist
University of Wisconsin School of Medicine and Public Health
Madison, Wisconsin

Credit

Accreditation Statements:


For Physicians
The University of Wisconsin School of Medicine and Public Health is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The University of Wisconsin School of Medicine and Public Health designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

For Nurses
This continuing nursing education activity was approved by the Wisconsin Nurses Association Continuing Education Approval Program Committee, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation.
Approved for 1.0 contact hour(s) of continuing education for RNs, LPNs, LVNs and NPs.

For Respiratory Therapists
This program has been approved for 1.0 contact hours Continuing Respiratory Care Education (CRCE) credit by the American Association for Respiratory Care.

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UW Banner PhotoThe University of Wisconsin provides equal opportunities in employment and programming, including Title IX requirements. The University of Wisconsin School of Medicine and Public Health fully complies with the legal requirements of the ADA and the rules and regulations thereof. If any participant in this educational activity is in need of accommodations, please notify the Office of Continuing Professional Development in Medicine and Public Health.


Faculty Disclosure

It is the policy of the University of Wisconsin School of Medicine and Public Health that the faculty, authors, planners, and other persons who may influence content of this CME activity disclose all relevant financial relationships with commercial interests* in order to allow CME staff to identify and resolve any potential conflicts of interest. Faculty must also disclose any planned discussions of unlabeled/unapproved uses of drugs or devices during the educational activity. For this educational activity all conflicts of interests have been resolved and detailed disclosures are listed below:

  • Michael C. Fiore, MD, MPH has no relevant relationships to disclose in regard to this activity.
  • Danielle Hepting has no relevant relationships to disclose in regard to this activity.
  • Robert Adsit, MEd has no relevant relationships to disclose in regard to this activity.
  • Wendy Theobald, PhD has no relevant relationships to disclose in regard to this activity.
  • Suzanne Hase, BSN has no relevant relationships to disclose in regard to this activity.

* The ACCME defines a commercial interest as any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients. The ACCME does not consider providers of clinical service directly to patients to be commercial interests.

Disclosure of Unlabeled Use: The University of Wisconsin School of Medicine and Public Health advises the participant that this continuing medical education activity does not contain reference(s) to unlabeled or unapproved uses of drugs or devices.

Privacy Policy

The privacy and security pertaining to the information that our learners provide is a serious matter, therefore The Office of Continuing Professional Development in Medicine and Public Health (OCPD) has established the following privacy statement for our organization and users. Read our privacy statement.

Copyright

Copyright © 2013 The University of Wisconsin Board of Regents



    
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BEGIN_ACTIVITY.pdf


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