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

In cooperation with Healthcare Performance Consulting, Inc.

University of Wisconsin Logo      Healthcare Performance Consulting      CME Enterprise Logo

Release date: November 14, 2008
Revised date: July 29, 2009
Reviewed and Renewed: March 17, 2011
Expiration date: March 16, 2012

Supported by an educational grant from Pfizer Pfizer Logo

Faculty

David A. Baron, MSEd, DO
Professor and Chair,
Department of Psychiatry and Behavioral Science
Temple University School of Medicine
Philadelphia, Pennsylvania

Steven Koenig, MD
Former Professor of Medicine,
University of Virginia School of Medicine
Charlottesville, Virginia

John Kues, PhD
Assistant Senior Vice President for
Continuous Professional Development,
University of Cincinnati Academic Health Center
Cincinnati, Ohio

Thomas D. Stamos, MD
Director,
Heart Failure Program
Director,
Cardiovascular Disease Fellowship
University of Illinois at Chicago
Chicago, Illinois

Clinician Reviewers

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

Douglas E. Jorenby, PhD
Professor,
General Internal Medicine
Director, Clinical Services
University of Wisconsin Center for Tobacco
Research and Intervention
University of Wisconsin School of
Medicine and Public Health
Madison, Wisconsin

Educational Design Consultants

Chris Larrison
Educational Design Consultant,
Healthcare Performance Consulting, Inc.
Carmel, Indiana

Tom McKeithen, MBA
Senior Consultant,
Healthcare Performance Consulting, Inc.
Green Cove Springs, Florida

Planning Committee

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

Amy Robertson
Activity Manager,
CME Enterprise, Inc.
Carmel, Indiana

Activity Details

Target Audience and Scope of Practice
This activity is designed for all physicians and other healthcare professionals involved in smoking cessation management, including primary care clinicians, cardiologists, psychiatrists, and pulmonologists. Physicians with patient contact in any setting, including both inpatient and outpatient, as well as in any geographic location in the United States, would benefit from this activity.

Elements of Competency
The overall goals of this activity range from improved knowledge to assisting performance change in practice. The competencies set forth by the American Board of Medical Specialties (ABMS) and the Accreditation Council for Graduate Medical Education (ACGME) provide the framework required to address physician needs through this activity as identified below.

Need
ABMS/ACGME Competencies
Incorporate tools and process changes that support proactive screening of patients for tobacco use. Patient Care, Medical Knowledge, Interpersonal and Communication Skills, Professionalism
Address patient/physician communication issues so physicians are equipped to advise all tobacco users
to quit.
Patient Care, Interpersonal and Communication Skills, Professionalism
Improve/refine physician skills in assessing the patient's willingness to quit. Medical Knowledge, Practice-Based Learning and Improvement
Improve/refine physician skills in assisting patients in developing a quit plan, including pharmacologic and behavioral therapy. Medical Knowledge, Practice-Based Learning and Improvement
Improve physician abilities in appropriately following up with patients willing to make a quit attempt. Medical Knowledge, Practice-Based Learning and Improvement

Overview
Since smoking is the single most important preventable cause of death in the United States, physicians involved in smoking cessation need to take an active role in their healthcare setting to assist in the implementation of the Clinical Practice Guideline: Treating Tobacco Use and Dependence 2008 Update. This activity is a self-administered assessment intended to identify perceived and actual abilities related to smoking cessation. Clinical competencies from the 2008 guidelines will be rated for both current and desired ability, followed by questions related to each competency to provide a more accurate reading of the physician's ability. Links to various reference sources will allow immediate access to information relative to each competency.

Learning Objectives

  1. Develop a process to identify smokers in clinical practice
  2. Advise all smokers to quit
  3. Assess a patient's willingness to make a quit attempt
  4. Assist in developing a quit plan that includes medication and counseling
  5. Arrange for follow-up contacts

Acreditation Statement
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 joint sponsorship of the University of Wisconsin School of Medicine and Public Heath 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.

Credit Designation Statement
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.

Faculty Disclosure Statement
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:

Rob Adsit, M.Ed
Dr. Adsit has no relevant relationships to disclose in regard to this activity.

David A. Baron, MSEd, DO
Dr. Baron has no relevant relationships to disclose in regard to this activity.

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

Douglas E. Jorenby, PhD
Dr. Jorenby is a Principal Investigator for Pfizer Inc., Nabi Biopharmaceuticals, and the National Institute on Drug Abuse.

Steve Koenig, MD
Dr. Koenig has no relevant relationships to disclose in regard to this activity.

John Kues, PhD
Dr. Kues has no relevant relationships to disclose in regard to this activity.

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

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

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

Tom D. Stamos, MD
Dr. Stamos has no relevant relationships to disclose in regard to this activity.

* The ACCME defines a commercial interest as any entity producing, marketing, reselling, or distributing healthcare 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.

How Do I Receive My Credit?
After participating in the self-assessment activity and completing the online activity evaluation, you will be redirected to the University of Wisconsin School of Medicine and Public Health’s Office of Continuing Professional Development Web site to complete the activity and receive a credit letter online. The self-assessment activity is available to complete at your convenience 24 hours a day, seven days a week through March 16, 2012. Credit will not be given after this date.

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.

Method of Participation
This activity should take approximately 60 minutes to complete. Approximately 55 minutes should be spent taking the self-assessment. The remaining five minutes should be used to complete the activity evaluation. There are no fees or prerequisites for participants.

Computer Requirements
Free, current version of Internet Explorer or Firefox. (Some older browsers could produce error messages or not display the content correctly.)
Free, current version of Adobe Reader.

For technical assistance, e-mail Robyn Snyder at robyn_snyder@cmeenterprise.com.