After completing this activity, participants should be able to: - Describe a brief, practical, protocol all clinicians can use to initiate the smoking cessation process in any patient setting. - Summarize how basic motivational interviewing techniques can support this process. - Explain the importance of clinicians referring patients to appropriate intensive interventions after initiating the cessation process.

After completing this program participants will be able to: - Utilize the 5 steps of smoking cessation intervention (the 5 A's) and determine each patient's stage in the tobacco cessation cycle to develop individualized tobacco interventions. - Evaluate personal characteristics or needs of individual patients who smoke (e.g., concerns about weight gain, amount smoked, history of failed attempts at quitting smoking, etc.) and use the information to guide interventions. - Implement the curr...

This course provides comprehensive clinical education on tobacco smoke in primary care and public health. It addresses core competencies as well as knowledge, assessment, and treatment-based competencies of healthcare providers. It covers the history of tobacco, epidemiology of tobacco use, tobacco smoke metabolism, dependence, treatment and relapse. It also addresses complications associated with direct and indirect exposure to tobacco smoke, effects of prenatal exposure, methods of screening...

By the time you complete this educational course, you will have met these learning objectives: * Describe the burden of family tobacco use * Demonstrate ways that you and your practice can ask families about tobacco use and tobacco smoke exposure * Learn how you and your practice can ask what help the families want with tobacco use * Learn how you and other clinicians can assist interested families in quitting smoking and establishing smoke-free rules * Understand th...

Objectives 1. Name four consequences or outcomes of COPD and some of the tools currently available to clinicians to assess COPD progression. 2. Describe interventions that have changed the natural history of COPD. 3. Explain the effect of smoking cessation on the rate of decline of FEV1 and other important clinical outcomes. 4. Illustrate the impact of pharmacotherapy on patient-centered outcomes. 5. Review the long-term effects of lung volume reduction surgery on surviva...

Target audience: Primary Care Providers -physicians, NPs, PAs, and RNs, and pharmacists. Objectives: Upon completion of this internet program, the primary care provider will be able to:- 1. Establish an efficient system to briefly and effectively counsel all tobacco users. 2. Appropriately prescribe a variety of nicotine addiction treatments. 3. Utilize quitlines and other patient resources. 4. Evaluate your tobacco cessation program. What you must do to obtain credit for this cour...

Although physicians are responsible for directing and prescribing care for patients with acute coronary syndrome (ACS), nurses play a vital role in promoting adherence to practice guidelines. This course begins with an overview of the scope of the problem and its economic impact on health care in the United States. An overview of the pathophysiology of ACS and its underlying disease process, coronary artery disease (CAD), will be presented to provide background for understanding specific pract...

Objectives 1. Discuss lung development & the effects of Secondhand Smoke (SHS) exposure 2. Review the life cycle of smoking 3. Discuss the scope of the problem of SHS on children in Kentucky 4. Review the effects of SHS on children & the long term complications

Upon completion of this course, you will be able to: * Discuss airway obstruction and describe the two major forms of COPD. * Explain the damage to the lungs caused by COPD. * Identify the causes of COPD. * Describe characteristic findings in the history, physical exam, and lab values of a patient with COPD. * Summarize the components of a long-term treatment plan for COPD. * Understand the goals and techniques of pulmonary rehabilitation. * Discuss acute exacerbations of COPD and the...

Forms CME Credit Application and Disclosure Accreditation The UC Davis Health System is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. This CME activity was planned in accordance with the ACCME essentials for enduring materials. Length of time has been determined to be 1.0 AMA PRA Category 1 Credit credit hour(s). This activity was originally released on May 27, 2010. CME credit is approved for 2 y...

Following this course, the participant should be able to appraise the etiologies and recognize the clinical presentations of the commonly seen disorders presented; indicate diagnostic tests available and the suggested use for making a diagnosis; implement available treatment options and appropriate long-term care when indicated. This activity is expected to result in improved competence in making an appropriate diagnosis and providing effective treatment and referral or follow-up care with the...

John M. Travaline, MD, is an associate professor of medicine and an associate professor of pathology and laboratory medicine at Temple University School of Medicine. He is also the director of the Lung Cancer program at the Temple Lung Cancer Center and director of pulmonary invasive procedures at Temple University Hospital. Here, he discusses the epidemiology, etiology, clinical presentation and diagnosis of tumors of the lung, pleura and mediastinum. This lecture and the post-test is wort...

David B. Nash, MD, MBA, the Founding Dean of the Jefferson School of Population Health on the campus of Thomas Jefferson University in Philadelphia, Pennsylvania. Dr. Nash is also the Dr. Raymond C. and Doris N. Grandon Professor of Health Policy Here, he discusses the main cultural barriers to quality in medical practice and how they can be overcome. Dr. Richard Jacoby is a Clinical Associate Professor in the Department of Health Policy at Jefferson Medical College in Philadelphia, Pa. He ...

Acknowledgement: This course is co-sponsored by the Institute of Lifestyle Medicine. "Stress" is a common patient complaint and chronic stress related symptoms can directly or indirectly account for a substantial proportion of primary care office visits. Adapting to excess stress may give rise to negative coping strategies such as poor diet, smoking and increased alcohol consumption. A NEJM review article on the damaging effect of stress mediators notes that these significant lifestyle chan...

Purpose Statement A 10-year follow up of the original Lipid Treatment Assessment Project (L-TAP) survey was recently published. Overall, 73% of patients reached their LDL-C goal; in high-risk patients, the rate was 67%. Despite this improvement, in high-risk patients (i.e., CHD plus ≥2 major risk factors such as diabetes, hypertension, and smoking), the results are less impressive as one third of these patients remain inadequately treated. Using the more recently recommended optional LDL-C ...

Program Overview Chronic obstructive pulmonary disease (COPD) affects approximately 10% of people 40 years old and older and is the fourth leading cause of death in the United States. In 2007, twelve million people were diagnosed with COPD. However, it is believed an additional 12 million people have COPD, but remain undiagnosed, and there were no improvements in hospitalization rates in patients with COPD aged 45 and older between 1995 and 2006. Despite the recommendations set forth by the G...

Learning Objectives After participating in this educational activity, participants should be able to 1. Recognize the risk factors, comorbidities, signs, and symptoms of obstructive sleep apnea (OSA) 2. Order the appropriate test to confirm the diagnosis of OSA 3. Employ a management plan for patients being treated for OSA to increase adherence 4. Address residual symptoms and comorbidities in regular follow-up visits Overview Obstructive sleep apnea (OSA) is an unexpectedly com...