Do Ask, Do Tell: The 5 A's for Successful Smoking Cessation

Program Description:

Cease Smoking Today (CS2day) is a nine-partner collaborative designed to reduce the number of persons who smoke and decrease morbidity and mortality from tobacco-related illness. According to the Clinical Practice Guideline: Treating Tobacco Use and Dependence 2008 Update, the 5 A’s (ask, advise, assess, assist, arrange) are an effective approach that clinicians should take to identify patients who smoke and to assist these patients with quitting. This online activity is designed to guide clinicians through the evidence-based methods for addressing smoking with patients (via the “5 A’s” framework), covering key points and practical tips to overcome common barriers. Downloadable tools are also provided to help clinicians implement the 5 A’s in clinical practice.

ELEMENTS OF COMPETENCE:

INTENDED AUDIENCE:

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

Activity Objectives:

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

• Ask patients about tobacco use at every visit.


• Advise all tobacco users to quit.


• Assess readiness to quit.


• Assist tobacco users in developing a quit plan (including counseling, pharmacotherapy, and quitline referrals).


• Arrange for follow-up visits.



Credits	Type	Accreditation Statement	Designation Statement
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): 0018-9999-11-005-H04-P, 0.50 contact hours (0.050 CEU). Approval is valid from the initial release date of March 17, 2011. The expiration date is December 31, 2012.
0.50	CE for Nurses	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 1101018.
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 0.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Faculty:

Thomas C. Bent, MD
Clinical Professor, Department of Family Medicine
University of California, Irvine School of Medicine
Irvine, California
Medical Director and Chief Operating Officer,
Laguna Beach Community Clinic
Laguna Beach, California

Educational Reviewer
Rob Adsit, MEd
Education and Outreach Programs Supervisor,
University of Wisconsin Center for Tobacco Research and Intervention
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

Katie Fanning, CAPM
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 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 interest have been resolved and detailed disclosures are listed below:

Thomas C. Bent, MD, has no relevant relationships to disclose in regard to this activity.

Rob Adsit, MEd, 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, MBA, has no relevant relationships to disclose in regard to this activity.

Katie Fanning, CAPM, has no relevant relationships to disclose in regard to this activity.

Sheila Robertson, MPH, CCMEP, 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 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 University of Wisconsin School of Medicine and Public Health, CME Enterprise, or commercial supporter.

Privacy Policy
To view the myCME privacy policy, please click here.

To view the University of Virginia Health System privacy policy, please click here.

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 March 17, 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.