E-Cigarettes: Harmful or Harm-Reducing?

ONLINE CME COURSE

Internet Enduring Material Sponsored by the Stanford University School of Medicine. Presented by Stanford Prevention Research Center and the Department of Otolaryngology-Head & Neck Surgery at Stanford University School of Medicine

Course Description

This CME activity focuses on the science of e-cigarettes – particularly health risks and benefits. Based on observed patterns in questions from real patients and answers from practicing physicians, we emphasize potential health impacts of e-cigarettes and regulated alternatives such as nicotine replacement therapy. Opportunities focus on special issues related to youth and use by patients in perioperative phase, cancer treatment or cardiovascular disease treatment. Online learners are engaged through interactive video role-play, expert interviews, and interactive activities.

Intended Audience

This course is designed for physicians in cardiology, family practice, primary care, general surgery, internal medicine, oncology, pediatrics, psychiatry, obstetrics and gynecology, and nurse practitioners, physician assistants, nurses, clinical psychologists, tobacco treatment specialists (TTS) as well as other licensed addiction treatment providers.

Dates, Duration and Fee

  • Release Date: January 17, 2017
  • Latest Review Date: June 15, 2018
  • Expiration Date: January 11, 2020
  • Estimated Time to Complete: 1.50 hours
  • CME Credits Offered: 1.50
  • Registration Fee: FREE

To Obtain CME Credits

  • Review the information below and complete the entire activity.
  • Play through each interactive video case three times, making a different set of decisions each time
  • View the three Expert Videos featured at the at the end of each case
  • Watch 24 Expert Videos, at least one from each of the 24 combined topic and/sub-topic areas, these videos range anywhere from 10 seconds to 2 minutes in length.
  • (See the “How to Navigate Patient Cases” module for more information about the Interactive Patient Cases and Expert Videos)
  • Complete the CME Post-test, CME Evaluation Survey, and CME Activity Completion Statement at the end of the activity.
  • You must receive a score of 75% or higher on the post-test in order to receive a certificate. You will have two attempts to answer each multiple-choice question (or one attempt for questions with only two options) to pass the post-test.
  • Once you attest to completing the entire online activity and have scored 75% or higher on the post-test, your certificate will be generated automatically and will be available on your Dashboard page.
  • Physicians will be awarded AMA PRA Category 1 Credit™. All other participants will receive a Certificate of Participation.

* Participation in content marked Optional is not certified for AMA PRA Category 1 Credit

Learning Objectives

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

  • Investigate new information about e-cigarette risks and benefits.
  • Evaluate the quality of e-cigarette information and interpret risks and benefits of e-cigarettes based on scientific evidence.
  • Develop informed professional opinions about when to warn against or recommend e-cigarettes.
  • Assess e-cigarette use in all patients who currently use tobacco.
  • Apply evidence-based brief tobacco/nicotine cessation counseling (5’As Ask-Advise-Assess-Assist-Arrange) protocol in instances where patients ask about e-cigarettes.
  • Counsel patients who are using or considering using e-cigarettes to attempt cessation with FDA-approved nicotine replacement therapy (NRT) or pharmacotherapy.

TABLE OF CONTENTS

  • Introduction
  • Counseling Patients on E-cigarettes
    • Test Your Knowledge
    • How to Navigate Patient Cases
    • A Day in the Life of a Physician – video
    • Patient Case 1- Pre-College Physical
    • Patient Case 2 - Older Smoker
    • Break: Email Inquiry (Optional - No CME Credit)
    • Break: Your Perspective on E-cigs in the Media (Optional - No CME Credit)
    • Patient Case 3 - Perioperative Check-in
    • Advisory on E-Cigarette Epidemic Among Youth
    • Conclusion: The 5 A’s of Intervention
    • Break: Visit a Vape Shop (Optional - No CME Credit)
  • Course Wrap-up
  • Resources and References
  • Help!

Disclosures

The following planner and speakers indicated having relevant relationship(s) with industry to disclose:

Judith Prochaska, PhD, MPH
Associate Professor of Medicine (Stanford Prevention Research Center)
Stanford University School of Medicine
Course Director
Speaker

Dr. Prochaska has indicated that she is on the advisory board, has contracted research, and serves as a consultant to Pfizer.

Maciej Goniewicz, PhD, PharmD
Assistant Professor of Oncology, Department of Health Behavior
Roswell Park Cancer Institute, Buffalo, NY
Speaker

Dr. Goniewicz has indicated that he is on an advisory board for Johnson & Johnson.

The following reviewer, planners, and speakers have indicated that they have no relationships with industry to disclose relative to the content of this activity:

Robert K. Jackler, MD
Edward C. and Amy H. Sewall Professor in Otorhinolaryngology
Professor, by Courtesy, of Neurosurgery and of Surgery 
Stanford University School of Medicine
Course Director
Content Reviewer
Speaker

Cati Brown-Johnson, PhD
Postdoctoral Research Fellow, SCRDP/ Heart Disease Prevention
Stanford University School of Medicine
Course Director

Smita Das, MD, PhD, MPH
Clinical Instructor, Psychiatry and Behavioral Sciences
Stanford University School of Medicine
Planner, Reviewer

Marily Oppezzo, MS, RD, PhD
Postdoctoral Research Fellow, SCRDP/ Heart Disease Prevention 
Stanford University School of Medicine
Planner

Suzaynn Schick, PhD
Professor, Division of Occupational & Environmental Medicine
University of California - San Fransisco School of Medicine
Speaker

Priya Fielding-Singh, PhD
Postdoctoral Research Fellow, Stanford Prevention Research Center
Stanford University School of Medicine
Author

Technical Design and Development

Kimberly Walker, PhD
Stanford EdTech 
Instructional Design

Andrew Baek
Stanford EdTech 
Production Lead

William Bottini
Stanford EdTech
Visual Design

Role Play Actors

Andrew Baek
Lance Huntley
Britt Lauer
TJ Metz
Radhika Rao
Kim Walker
Lauren Watley

Hardware/Software Requirements

  • Computer with Internet connection
  • Current version of Chrome, Firefox or Safari browser. You must have javascript enabled.

Accreditation and Designation of Credits

The Stanford University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Stanford University School of Medicine designates this enduring material for a maximum of 1.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The California Board of Registered Nursing recognizes that Continuing Medical Education (CME) is acceptable for meeting RN continuing education requirements as long as the course is certified for AMA PRA Category 1 Credit™ (rn.ca.gov). Nurses will receive a Certificate of Participation following this activity that may be used for license renewal.

Commercial Support Acknowledgement

Stanford University School of Medicine has received and has used undesignated program funding from Pfizer, Inc. to facilitate the development of innovative CME activities designed to enhance physician competence and performance and to implement advanced technology. A portion of this funding supports this activity.

Cultural and Linguistic Competency

California Assembly Bill 1195 requires continuing medical education activities with patient care components to include curriculum in the subjects of cultural and linguistic competency. It is the intent of the bill, which went into effect July 1, 2006, to encourage physicians and surgeons, CME providers in the State of California and the Accreditation Council for Continuing Medical Education to meet the cultural and linguistic concerns of a diverse patient population through appropriate professional development. The planners and speakers of this CME activity have been encouraged to address cultural issues relevant to their topic area. The Stanford University School of Medicine Multicultural Health Portal also contains many useful cultural and linguistic competency tools including culture guides, language access information and pertinent state and federal laws.

CME Privacy Policy

CONTACT INFORMATION

If you are having technical problems (video freezes or is unplayable, can't print your certificate, etc.) you can submit a Help Request to the OpenEdX Team. If you have questions related to CME credit, requirements (Pre-test, Post-test, Evaluation, Attestation) or course content, you can contact the CME Online support team at cmeonline@stanford.edu

Bibliography

Al-Abed, A., Chung, T., Ismail, I., Lin, E., Sergakis, G., & Mays, M. (2014). Knowledge, perceptions, and awareness of electronic cigarettes among healthcare providers and in-patients (abstract 2022379). Respiratory Care, 59 (10), OF45.

Allem, J.-P., Forster, M., Neiberger, A., & Unger, J. B. (2015). Characteristics of emerging adulthood and e-cigarette use: Findings from a pilot study. Addictive behaviors, 50, 40-44. doi: http://dx.doi.org/10.1016/j.addbeh.2015.06.023

Arrazola, R. A., Singh, T., Corey, C., Husten, C., Neff, L., Apelberg, B. J., Caraballo, R. S. (2015). Tobacco use among middle and high school students - United States, 2011-2014. MMWR Morb Mortal Wkly Rep., 64(14), 381-385.

For a complete list, please view the References/Bibliography page in the Course.

Course Details

  • Ongoing registration for this self-paced course is available until January 11, 2020
  • Estimated Time to Complete: 1.50 hours
  • CME Credits Offered: 1.50
  • Registration Fee: FREE

Contact Information

If you are having technical problems (video freezes or is unplayable, can't print your certificate, etc.) you can submit a Help Request to the OpenEdX Team.

If you have questions related to CME credit, requirements (Pre-test, Post-test, Evaluation, Attestation) or course content, click the link below to contact the CME Online support team.