Approaching Smoking Cessation in a Patient With Alcohol Use Disorder

Program Description:

Cease Smoking Today (CS2day) is a collaborative partnership designed to reduce the number of persons who smoke and decrease morbidity and mortality from smoking-related illness. Patients with psychiatric disorders and substance use disorders have smoking rates that are two to four times higher than and are likely to die 25 years earlier than the general population. Yet, less than 13% of psychiatrists offer smoking cessation counseling to these patients. The Clinical Practice Guideline: Treating Tobacco Use and Dependence 2008 Update recommends that all smokers with psychiatric disorders be offered treatment to help them overcome their dependence on tobacco. This interactive, case-based activity walks learners through an unfolding clinical scenario with several decision-making points around the management of a patient presenting with nicotine dependence and comorbid alcohol use disorder. Key points and practical tips on overcoming common barriers will be presented. Downloadable tools are also provided to help clinicians in their practice.

Elements of Competence

INTENDED AUDIENCE:

This activity is designed for psychiatrists, primary care physicians, and other healthcare professionals, such as nurses and pharmacists, whose scope of practice includes providing care to patients who use tobacco and who have alcohol use disorders.

Activity Objectives:

At the conclusion of this activity, participants should be able to:

• Evaluate the importance of assisting patients who have alcohol use disorders with smoking cessation.


• Apply strategies for motivating and supporting patients in efforts to quit smoking.


• Choose effective smoking cessation treatment approaches to assist patients with alcohol use disorders.



Credits	Type	Accreditation Statement	Designation Statement
0.50	CE for Nurse Practitioners	This program was planned in accordance with American Academy of Nurse Practitioners CE Standards and Policies and AANP Commercial Support Standards.	This program has been approved for 0.5 contact hours of continuing education (which includes 0.25 hours of pharmacology) by the American Academy of Nurse Practitioners. Program ID 1103106.
0.50	CE for Pharmacists	Purdue University College of Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.	This is a knowledge based, continuing education activity of Purdue University, an equal access/equal opportunity institution. Universal Activity Number (UAN): 0018-9999-11-021-H01-P, 0.5 contact hours (0.05 CEU). Approval is valid from the initial release date of April 11, 2011. The expiration date is December 31, 2012.
0.50	AMA PRA Category 1 Credit(s)TM	This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the University of Wisconsin School of Medicine and Public Health and CME Enterprise. The University of Wisconsin School of Medicine and Public Health is accredited by the ACCME 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 0.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Faculty:

Jill M. Williams, MD
Associate Professor of Psychiatry,
Director, Division of Addiction Psychiatry
UMDNJ-Robert Wood Johnson Medical School
New Brunswick, New Jersey

Educational Reviewer
Randy Brown, MD, PhD
Assistant Professor, Department of Family Medicine
Director, University of Wisconsin Hospital and Clinics Center for Addictive Disorders
University of Wisconsin School of Medicine and Public Health
President, Wisconsin Society of Addiction Medicine
Madison, Wisconsin

Planners
Danielle Hepting
University of Wisconsin School of Medicine and Public Health
Madison, Wisconsin

Chris Larrison
Healthcare Performance Consulting, Inc.
Carmel, Indiana

Tom McKeithen, Jr, MBA
Healthcare Performance Consulting, Inc.
Fleming Island, Florida

Amy Robertson
CME Enterprise
Carmel, Indiana

Sheila Robertson, MPH, CCMEP
CME Enterprise
Carmel, Indiana

Disclosures:

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/CE activity disclose all relevant financial relationships with commercial interests* in order to allow CME/CE 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 interest have been resolved and detailed disclosures are listed below:

Randy Brown, MD, PhD has no relevant relationships to disclose in regard to this activity.

Danielle Hepting has no relevant relationships to disclose in regard to this activity.

Chris Larrison has no relevant relationships to disclose in regard to this activity.

Tom McKeithen, Jr has no relevant relationships to disclose in regard to this activity.

Amy Robertson has no relevant relationships to disclose in regard to this activity.

Sheila Robertson has no relevant relationships to disclose in regard to this activity.

Jill Williams, MD serves as a consultant for Pfizer Inc.

*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 contains reference(s) to unlabeled or unapproved uses of drugs or devices.

Disclaimer:
The views and opinions expressed in this activity are those of the faculty and do not necessarily reflect the views or recommendations of the accredited providers, medical education partners, or commercial supporter.

Privacy Policy
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Accredited Provider:

Jointly sponsored by the University of Wisconsin School of Medicine and Public Health and CME Enterprise

                 



Commercial Supporter:

The CS2day initiative is supported by an educational grant from Pfizer Inc.



Instructions:

How Do I Receive My Credit?
After participating in this online activity, you will complete the activity post-test and evaluation and receive a credit letter online. The activity is available to complete at your convenience through December 31, 2012. Credit will not be given after this date.

Method of Participation
There are no fees or prerequisites for participating in and receiving CME credit for this online educational activity. In order to obtain CME credit for participating in this activity during the period of April 11, 2011, through December 31, 2012, participants must

1. Read the educational objectives and disclosure statements.
2. Study the educational activity.
3. Proceed to the post-test tab to answer each post-test question and complete the activity evaluation.

Credit will be issued only upon receipt of a post-test with a score of 70% or higher and a completed activity evaluation. After submitting these forms, you will be able to print out your credit certificate.

This activity should take approximately 30 minutes to complete. Approximately 25 minutes should be spent participating in the activity. The remaining 5 minutes should be used to complete the activity post-test and evaluation. As part of this activity, you will receive a follow-up e-mail approximately 12 weeks following completion to remind you of the content and inquire about its application in your practice.

For questions regarding the content of this activity, contact the accredited provider for this CME activity, the University of Wisconsin School of Medicine and Public Health, by e-mailing Danielle Hepting at drhepting@ocpd.wisc.edu.

If you have any questions relating to your certificate or other issues with this activity, please contact myCME.Support@haymarketmedical.com.

SYSTEM REQUIREMENTS:

WINDOWS PC SYSTEM REQUIREMENTS:
266-MHz Pentium II; Windows 98 or higher; 64 MB RAM; 800 x 600 screen resolution set for “High Color (16-Bit)”; Macromedia Flash Player 6 or higher.

MACINTOSH^® SYSTEM REQUIREMENTS:
Power Mac g3 at 300 MHz; System 8.5 or higher (excluding Mac OSX); 96 MB RAM; 20 MB minimum hard disk space available; 800 x 600 screen resolution set to “Thousands of Colors”; Macromedia Flash Player 6 or higher.