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How to Talk with Patients about Smoking Cessation and Substance Use Disorders
California Smokers' Helpline and Center for Tobacco Cessation


How to Talk with Patients about Smoking Cessation and Substance Use Disorders

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Activity Description
Smoking rates among people with substance use disorders are high.  Contrary to popular belief, many smokers with substance use disorders want to quit and can quit successfully, and skills gained through quitting smoking can enhance recovery from other substances. Experts in addiction treatment will:
  • Describe a national study of tobacco use among patients enrolled in addiction treatment, together with other community-based research projects
  • Discuss patient, program, and policy strategies to reduce tobacco use in addiction treatment populations

This activity is an archived recording of a live webinar and is 1 hour in length.

Target Audience

This course is designed for physicians and other health care providers interested in the most current research surrounding smoking cessation and substance use disorders.

Method of Participation

The estimated time to complete this activity is 1 hour. To obtain credit, participants should view the presentation, answer the multiple-choice post test questions, and complete the evaluation form online to receive a certificate online immediately upon completion. 

Educational Objectives

Following completion of this educational activity, learners should be able to:

  • Discuss the evidence regarding tobacco use among patients enrolled in addiction treatment
  • Discuss patient, program, and policy strategies to reduce tobacco use in addiction treatment populations
  • Identify and implement evidence-based treatment for treating tobacco dependence.

Statement of Need

Substance use disorders are common among smokers, as two nationally representative population surveys found prevalence rates between 34-68%. Contrary to popular belief, the majority of persons with substance use disorders want to quit smoking and want information on cessation services and resources. Furthermore, persons in this population can successfully quit using tobacco; in a review of 24 studies, the recorded quit rates of patients with mental illness or addictive disorders were similar to those of the general population.
There are treatment gaps in clinical practice surrounding smoking cessation and substance use disorders. Many clinicians lack time, resources, and knowledge to talk with their patients about the health effects of tobacco use, how to quit and stay quit, and where to refer them for additional help. As a result, there are missed opportunities to provide effective cessation treatment to those who would benefit from quitting smoking. This course addresses the gaps in treatment by providing clinicians with practical tips and tools on how to address tobacco use with smokers with substance use disorders.


The University of California, San Diego School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation

The University of California, San Diego School of Medicine 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.

AAPA: AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit from organizations accredited by the ACCME or a recognized state medical society. Physician assistants may receive a maximum of 1.0 hour of Category 1 credit for completing this program.

For the purpose of recertification, the American Nurses Credentialing Center accepts AMA PRA Category 1 Credits™ issued by organizations accredited by the ACCME. For the purpose of relicensure, the California Board of Registered Nursing accepts AMA PRA Category 1 Credits™ (report up to 1.0 hour of credit and list "CME Category 1" as the provider number).

elease Date: February 1, 2016
Expiration Date:
January 31, 2019


Course Director

Gary Tedeschi, PhD

Clinical Director, California Smokers' Helpline
University of California, San Diego
Moores Cancer Center at UC San Diego Health


Joseph Guydish, PhD, MPH
Professor, Department of Medicine
University of California, San Francisco

Valerie Gruber, PhD
Clinical Professor
Department of Psychiatry
University of California, San Francisco

Balance and Objectivity of Content
It is the policy of the University of California, San Diego School of Medicine to ensure balance, independence, objectivity and scientific rigor. All persons involved in the selection, development and presentation of content are required to disclose any real or apparent conflicts of interest. All conflicts of interest will be resolved prior to an educational activity being delivered to learners through one of the following mechanisms 1) altering the financial relationship with the commercial interest, 2) altering the individual's control over CME content about the products or services of the commercial interest, and/or 3) validating the activity content through independent peer review. All persons are also required to disclose any discussions of off label/unapproved uses of drugs or devices. Persons who refuse or fail to disclose are disqualified from participating in the CME activity. Participants will be asked to evaluate whether the speaker's outside interests reflect a possible bias in the planning or presentation of the activity. This information is used to plan future activities.

The following faculty, planning committee members, and project staff have indicated they have no financial relationships with commercial interests relevant to the content of this activity:

Valerie Gruber, PhD
Joseph Guydish, PhD, MPH
Gary Tedeschi, PhD

The CME staff, meeting planners, editorial staff, planning committee, and CME committee reviewers do not have any relevant financial relationships to disclose.

Off-label Disclosure: This educational activity may contain discussion of unlabeled and/or investigational uses of agents that are not approved by the FDA. Please consult the prescribing information for each product.

The views and opinions expressed in this activity are those of the faculty and do not necessarily reflect the views of the University of California, San Diego.

Cultural Competency
This activity is in compliance with California Assembly Bill 1195 which requires CME courses with patient care components to include curriculum in the subjects of cultural and linguistic competencies. Cultural competency is defined as a set of integrated attitudes, knowledge, and skills that enables health care professionals or organizations to care effectively for patients from diverse cultures, groups, and communities. Linguistic competency is defined as the ability of a physician or surgeon to provide patients who do not speak English or who have limited ability to speak English, direct communication in the patient's primary language. Cultural and Linguistic Competency was incorporated into the planning of this activity. Additional resources on cultural and linguistic competency and information about AB1195 can be found on the UC San Diego CME website at

UC San Diego School of Medicine
9500 Gilman Drive, MC 0947, La Jolla, CA 92093-0947

Phone: (858) 534-3940 • Fax: (858) 534-1896
E-mail: • Website:

Type:     Internet Activity (Enduring Material)
328 Registered Users