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    This redesigned introductory course about the Prevention and Treatment of Tobacco Use provides a foundation regarding the effects of tobacco on human health, offers effective approaches to preventing and treating tobacco use, and gives opportunities to practice intervention techniques for smoking cessation.  All parts of this training are free, including registration, learning, testing, and a certificate of completion. This course is intended for medical and other clinical and public health trainees and practitioners. This course was redesigned in 2024. 

    The Prevention and Treatment of Tobacco Use course is co-sponsored by the University of the Incarnate Word. Like all NextGenU.org courses, this course is competency-based, using the competencies in Tobacco Control Competencies for US Medical Students and the Core Competencies for evidence-based treatment of tobacco use and dependence. In addition, the course uses resources from world-class organizations such as the Government of Canada, the U.S. National Library of MedicineU.S. Centers for Disease Control and PreventionNU.S. National Institutes of Health, and the World Health Organization. The course developers are Florian Stigler MD; Kentya Ford DrPH; Salma Marani MS; Alexander V. Prokhorov MD, PhD; Valeria Reynolds MD, MPH; Hugo Rojas MD, MSc; Madison Cox MSN, RN; Juan Bravo MD; and Pablo Baldiviezo MD.

    For publications on NextGenU.org’s courses’ efficacy, see “A Novel Integration of Online and Flipped Classroom Instructional Models in Public Health Higher Education,” (2014), BMC Medical Education“Building Public Health Capacity through Online Global Learning,” (2018), Open Praxis, or here on NextGenU.org’s publication page. Subscribe to our newsletter to be notified of future updates, new courses, and to be part of our community.

    There are 9 modules to complete, providing: 

    1. Introduction to Tobacco Consumption as a Public Health Problem
    2. Health, Social, Economic, and Environmental Impact of Tobacco Use and Exposure
    3. Understanding the Neurobiology and Pathophysiology of Nicotine Addiction & Withdrawal
    4. Tobacco Cessation as a Process
    5. Clinical Approach to Smoking Cessation and Tobacco Dependence Treatment
    6. Behavioral Interventions for Tobacco Dependence Treatment
    7.  Pharmacological Interventions for Tobacco Dependence Treatment
    8. Complementary and Alternative Therapies for Smoking Cessation
    9. Relapse: Prevention and Management  

    The completion time for this course is estimated at 42 hours: 30 hours of didactics and curated resources and 12 hours of work studying the resources and participating in activities to assist the student in synthesizing the materials.

    To obtain credit, the course requires completion of all case studies and peer activities. Module seven is a practicum where you will engage in seven peer activities that will require your interaction with practice patients to complete them. At the end of each lesson, there is a practice quiz. At the end of the course, after you’ve completed each lesson, quiz, and activity, you’ll have access to a final exam, and a chance to evaluate this course. Once you’ve passed that last test, you will be able to download a certificate of completion from NextGenU.org and our course’s co-sponsoring organizations (listed above). We keep all of your personal information confidential, never sell any of your information, and only use anonymized data for research purposes, and we are also happy to report your testing information and share your work with anyone (your school, employer, etc.) at your request.

    Engaging with this Course:

    You may browse this course for free to learn for your personal enrichment; there are no requirements. To register in this course for credit, it is required that learners have obtained a bachelor's degree, or be enrolled in a health sciences training program at the bachelor's level or higher.

    To obtain a certificate a learner must successfully complete

    • all the reading requirements,
    • all quizzes and pass with a 70% with unlimited attempts,
    • all case studies,
    • all activities,
    • the final exam with a minimum of 70% and a maximum of 3 attempts, and
    • the self and course evaluation forms.

    To obtain credit

    • complete all requirements listed above for the certificate, and
    • your learning institution or workplace should approve the partner-university-sponsored NextGenU.org course for educational credit, as they would for their learner taking a course anywhere.  

    NextGenU.org is happy to provide your institution with

    • a link to and description of the course training, so they can see all its components, including the cosponsoring universities and other professional organization cosponsors; 
    • your grade on the final exam;
    • your work products (e.g. case study activities), and any other required or optional shared materials that you produce and authorize to share with them;  
    • your evaluations -- course, and self-assessments;
    • a copy of your certificate of completion, with the co-sponsoring universities and other organizations listed.

    To obtain a degree, NextGenU.org co-sponsors degree programs with institutional partners. To obtain a full degree co-sponsored with NextGenU.org, registrants must be enrolled in a degree program as a student of a NextGenU.org institutional partner. If you think that your institution might be interested in offering a degree with NextGenU.org contact us.

    We hope that you will find this a rewarding learning experience, and we count on your assessment and feedback to help us improve this training for future students.

    Here are the next steps to take the course for credit.

    • Complete the registration form.
    • Take the pre-test.
    • Begin the course with Module 1: Introduction to Prevention and Treatment of Tobacco Use. In each lesson, read the description, complete all required readings and any required activity, and take the corresponding quizzes.

    This course meets nationally approved standards of education developed for the addiction/substance use disorders counseling profession. This course's participants are assured that the continuing education (CE) credits provided will be accepted toward national credentialing by the NAADAC Certification Commission for Addiction Professionals (NCC AP), as well as by many of the individual state licensing/certification bodies in the addiction and other helping professions.
  • Competency covered in this module: 
    • Value physician’s role in tobacco smoking prevention, assessment, screening, and treatment.
    • Understand that a high “standard of care” depends on a team approach.
    • Value physicians’ and health professionals’ role in public health advocacy and participation.
    • Value medical practice “team approach” for tobacco smoking prevention, assessment, screening, and treatment.
    • Understand that tobacco cessation advice/patient-centered counseling is a learned skill and can be a highly effective skill.
  • Competency covered in this module: 
    • Describe the chronic-relapsing nature of tobacco dependence, including typical relapse patterns and predisposing factors.
    • Understand the pathophysiology (tissues, systems) of tobacco use and the mechanisms of addiction.
    • Explain the health consequences of tobacco use and benefits of quitting, and the basic mechanisms of the more common tobacco induced disorders.
    • Understand the pathophysiology, mechanisms, and behavioral manifestations of nicotine withdrawal.
    • Know how to intervene to help patients decrease withdrawal symptoms.
    • Describe how tobacco dependence develops and be able to explain the biological, psychological, and social causes of tobacco dependence.
    • Explain the effects of tobacco use, its addictive properties, and the physiological effects of withdrawal to patients.
    • Communicate the symptoms, duration, incidence, and magnitude of nicotine withdrawal.
  • Competency covered in this module:   
    • Explain the societal and environmental factors that promote and inhibit the spread of tobacco use and dependence.
    • Understand personal and family health risks associated with tobacco use.
    • Explain the risks of tobacco use, including its effect on cancer, oral disease, and the cardiovascular, cerebrovascular, respiratory, endocrine, and reproductive systems.
    • Be aware of the beneficial effects of quitting at all ages in terms of overall health, reduced risk of disease, and personal/social issues.
    • Explain the benefits of quitting smoking for each major age group.
    • Understand the basic principles of patient-centered counseling.
    • Define each affective objective and associated questions in the 5 A’s for tobacco treatment (ask, advise, assess, assist, arrange follow-up).
    • Demonstrate the application of system-based practice/practice-based learning that follows the 2000 Public Health Service guidelines.
    • Identify evidence-based treatment strategies and the pros and cons of each strategy.
    • Describe the benefits of combining pharmacotherapy and counseling.
  • Competency covered in this module:   
    • Understand the major risks of environmental tobacco smoke exposure to children in the household.
    • Understand the prevalence of smoking in the pediatric population.
    • Identify developmental issues and age-appropriate interventions for tobacco treatment and provide age-appropriate anticipatory guidance through patient-centered counseling.
    • Know the medical literature regarding vulnerability to tobacco use and quick onset of addiction properties with early tobacco use.
    • Describe strategies and coping skills that can reduce relapse risk.
    • Know resistance skills for early onset of smoking with children and adolescents.
  • Competency covered in this module: 

    • Understand patient instructions for effective use of pharmacological forms of tobacco cessation.
    • Provide appropriate patient education for therapeutic choices and dosing for a wide range of patient situations.
  • Competency covered in this module: 
    • Demonstrate application of system-based practice/practice-based learning that follows the 2000 Public Health Service guidelines.
    • Understand the risks and benefits of smoking in common cultural groups and family structures.
    • Describe specific treatment indications for special population groups (i.e., pregnant women, adolescents, young adults, elderly, hospitalized patients, and those with co-morbid psychiatric conditions).
    • Understand the range of risks related to smoking during pregnancy
    • Understand the high risk of relapse for postpartum women who stopped smoking while pregnant and who have recently delivered their children.
  • Competency covered in this module: 
    • Be aware of successful anti-tobacco initiatives outside the clinical setting, including legislative, policy, media, and partnership building.
    • Understand the influence of the media on tobacco use, behavior, and attitudes toward tobacco.
    • Describe the implications and utilize the regulations that apply to the tobacco treatment setting (confidentiality, HIPAA, and work site-specific regulations).
    • Know resources (or how to access resources) for current information on new standards, new practices, and learning objectives.
    • Demonstrate sources/skills that enable medical professionals to keep current with tobacco information and trends.
    • Demonstrate critical appraisal of intervention modalities.
  • Competency covered in this module:
    • Empathize with addicted patients.
    • Appreciate that smoking cessation is a process; not all smokers are successful on the first attempt.
    • Implement treatment strategies for someone who has lapsed or relapsed.
    • Provide guidance in modifying the treatment plan to reduce the risk of relapse throughout the course of treatment.
    • Respect the importance of keeping current with evidence-based findings in tobacco smoking prevention and control (e.g., epidemiological, behavioral, clinical, and policy science).
    • Utilize the findings of national reports, research studies, and guidelines on tobacco treatment.
    • Demonstrate the ability to access information on the above topics.
    • Name and use peer-reviewed journals, professional societies, websites, and newsletters related to tobacco dependence treatment and/or research.
  • Competency covered in this module: 
    • Understand the factors that influence the probability of relapse to smoking.
    • Understand the consequences and implications of relapse for the smoking cessation process.
    • Understand strategies and techniques for preventing relapses in smoking cessation.
    • Develop and implement a relapse prevention plan.
    • Understand how to respond to a relapse in smoking cessation.
    • Apply strategies for rebuilding motivation and commitment to cessation following a relapse.
  • To take the final exam, you must complete all quizzes and complete all the required activities. 

    To access the exam, click on the name of the exam provided above. On the following screen, click the Attempt Quiz button to respond to the questions.

  • In this section, you can provide feedback about this course to help us make NextGenU.org better. Once evaluations are completed, you will be able to download your certificate of completion.