CARDIOVASCULAR HEALTH & TOBACCO USE
A Resource from the
American College of Preventive Medicine
overwhelming evidence of the harms of smoking, especially the damage to the
cardiovascular system -- about one in five Americans continue to smoke. Most
of them know the risks. Most would like to quit, have tried to quit. But only
about 1 in 20 who try to quit on their own are successful. Many give up, at
least until they are forced to quit by a cardiovascular event. We underestimate
the addictive power of nicotine. Quitting is extremely difficult without a
doctor’s assistance. There are more effective ways to stop smoking that combine
behavior counseling and medications. The irony is that a doctor’s advice to
quit is one of the most powerful stimulants to make a quit attempt, but few
doctors "prescribe” an optimal quit plan after they advise patients to quit.
There are many reasons for the lack of comprehensive smoking cessation services
in primary care, but there are also many solutions.
The Cardiovascular Health and Tobacco Use Time Tool developed by
the American College of Preventive Medicine is one of these solutions -- an
innovative educational tool designed to assist physicians in transforming their
office systems to facilitate smoking cessation interventions for smoking
patients. It provides a guide to the physician’s role, the counseling and
follow-up provided by nurses and other staff, and the many resources available
to meet the needs of the practice.
The tool includes a practical approach for a clinical visit,
along with a robust clinical reference document delineating the
epidemiology, clinical evidence, guidelines and recommendations, along with
additional tools and resources, as well as a patient handout.
This educational activity is intended for primary care
After completing this program, physician participants should be able
- Describe the 5A model for counseling on smoking
- Describe the practice changes needed to enhance smoking
- Assess the readiness to quit of a patient
- Understand the barriers that physicians must overcome to
improve cessation protocols
- Discuss the role of medications in a quit plan
- Develop a referral network, including quitline, online, local
- Reference the guidelines for further assistance in developing
their practice protocols
This activity has been planned and implemented in accordance with the
Essential Areas and policies of the Accreditation Council for Continuing Medical
Education (ACCME). The American College of Preventive Medicine is accredited by
the Accreditation Council for Continuing Medical Education to provide continuing
medical education for physicians.
College of Preventive Medicine designates this Enduring Material for a maximum
of 1.0 AMA PRA Category 1 Credit(s)
™. Physicians should claim only the credit commensurate with the
extent of their participation in the activity.
estimated time to complete this activity is 1.0 hour.
To earn CME credit for this educational activity:
- Read the CME information on this
- Read the Time Tool and Clinical
- Complete the CME
exam with a score of at
- Complete the
CME evaluation survey.
- Your CME certificate will be sent to you via email.
October 2009 through
October 2011. Original release date: October 2009
These materials have been reviewed by the members of the American
College of Preventive Medicine to ensure the continued scientific accuracy and
medical relevance of information presented and its independence from commercial
David Goldberg, MD
Rush University Medical Center
Michael C. Fiore, MD, MPH,
University of Wisconsin School of Medicine
Tom Houston, MD
The Ohio State
In the interest of providing an educational
experience free of commercial bias, and as the accredited provider of CME for
this activity, the American College of Preventive Medicine was responsible for
decisions regarding educational content and allocation of funds. All
individuals involved in the planning, development, and delivery of educational
activities are required to sign a conflict of interest statement in which they
disclose any relevant financial interests or other affiliations with industry or
other associations which may have direct and substantial interest in the subject
matter of the CME activity. Such disclosure allows program
participants to better evaluate the objectivity of the information presented in
- David Goldberg, MD has disclosed no
- Michael C. Fiore, MD, MPH, MBA has disclosed
financial relationships with NABI Pharmaceutical, GlaxoSmithLine and Pfizer.
- Tom Houston, MD has disclosed a financial relationship with Pfizer.
- Larry Mattson,
Medical Writer, has disclosed no financial relationships.
These pages may be viewed using standard Internet browser applications
(e.g. Internet Explorer). They may also be downloaded as PDFs and read using
standard PDF reader applications (e.g. Adobe Acrobat Reader).
American College of Preventive Medicine collects personal information from
participants in this online activity for purposes of assigning CME credit only.
We will not share or sell your contact information, and your answers to quizzes
and feedback forms will be kept confidential.
This material is copyright of the
American College of Preventive Medicine.
If you have questions regarding this CME activity, please contact
Jennifer Edwards at firstname.lastname@example.org.
Cardiovascular Health and Tobacco Use Patient Guide
CLICK FOR CARDIOVASCULAR HEALTH AND
USE TIME TOOL
FOR CME EXAM AND EVALUATION
American College of Preventive Medicine. All Rights Reserved.