Table 1.

Learning Objectives for “Smoking Cessation for Pregnancy and Beyond: A Virtual Clinic”

After completing this activity, the participants will be able to: Apply a standard method of tobacco cessation counseling, the 5A’s, for female smokers before, during, and after pregnancy. Describe the effects of inhaled tobacco smoke on the health of the mother and fetus, at a minimum to include the effects of nicotine and carbon monoxide. Describe the benefits of quitting for the mother and fetus. List the effects of nicotine withdrawal and ways of coping with them. State the risks and benefits of pharmacotherapy for smoking cessation during pregnancy or while breastfeeding. Discuss application of the 5A’s for the patient who has relapsed during pregnancy. Describe strategies for addressing weight gain in relationship to smoking. Describe application of the 5A’s to help a patient deal with postpartum relapse. Apply the 5R’s for a patient who is not ready to quit. Describe the effects of secondhand smoke exposure on the health of children. Apply the 5A’s (full and abbreviated versions) for patients who are not pregnant. Describe the use of pharmacotherapy, counseling, and adjuncts to cessation, such as quit lines and fax referrals for patients who are not pregnant. Describe the risks associated with smoking on reproductive health, including the effects on the health of the woman and the newborn. Describe the neurophysiologic aspects of nicotine addiction. Describe the behavioral aspects of nicotine addiction, with emphasis on triggers and the predominant role of behavioral modification for smoking cessation. Discuss the importance of counseling combined with pharmacotherapy. Apply motivational interviewing for smoking cessation. List the core skills involved in motivational interviewing. Describe the use of Scales to elicit patient consideration about conviction and confidence regarding their commitment to behavior change. Describe the steps of implementing an office system for smoking cessation through the GAPS approach. Implement disease detection and prevention healthcare services (e.g., smoking cessation) to prevent health problems and maintain health.

5A’s, ask, advise, assess, assist, and arrange; 5R’s, relevance, risks, rewards, roadblocks, and repetition; GAPS, goals for your practice, assessment of current services provided, planning how to improve those services, and start-up.