Training for Clinicians:

Medical Oncology Department

Patients expect their health care provider to talk with them about smoking cessation. This page provides the basic training resources needed to complete the 3As model of care in your service.

The webpage is separated into the following sections (click to jump to section):

General

Medical Oncologists & Nurse Practitioners

3As

Pharmacotherapy

Quitline

Nursing

3As

Pharmacotherapy

Quitline

General

CINSW online training lesson 3: Introducing the 3As brief intervention model

This short online lesson provides an interactive overview of the Ask Advise Act brief smoking cessation intervention

  • Model of Care CMN Rad Onc

  • Factsheet: Benefits of quitting and harms of smoking for each tumour stream

Medical Oncologists & Nurse Practitioners

3As:

USA Prof Graham Warren interview: Tobacco in Cancer Treatment Outcomes (1:22min; CINSW resource)

Interview with oncologist Prof Graham Warren:

  • Smoking in cancer patients increases mortality

  • Decreases chance of 1st line treatment success

  • Smoking decreases effectiveness of radiation and all chemotherapy for all cancers (Head & neck, lung, breast, prostate, colon)

Australian Oncologist personal opinion about smoking cessation (2:03min; C2Q resource)

Oncologist Dr Fiona Day describes her experience of patient reactions to starting a conversation around smoking cessation

Oncologist initial consultation appointment asking about smoking status (2:44min; ASK; C2Q resource)

Oncologist Dr Fiona Day has initial consultation with patient John (lung cancer) asking about his smoking status (pack hx, initiation, first cigarette, quit hx

Oncologist Act/Help discussion about Quitline, NRT and Champix/Varenicline (4:03min; ACT; C2Q resource)

Oncologist Dr Fiona Day with John (lung cancer). In-depth discussion about Quitline, NRT, & Champix/Varenicline

Oncologist dispels myths about cigarettes and stress (1:22min; ADVISE; C2Q resource)

Oncologist Dr Fiona Day with John (lung cancer) provides education:

  • Cigarette use actually increases stress

Oncologist suggestions with resistant patients (0:57min; C2Q resource)

Interview with oncologist Dr Fiona Day provides patients:

  • With an informed choice

  • Benefits of quitting

  • Flag to rediscuss smoking cessation at a later time

Practical strategies and tips for smoking cessation: Final Smoking Cessation Session (53:53min; C2Q resource)

Pharmacotherapy training session delivered by Dr James McLennan to the Calvary Mater Newcastle Oncology Department, on 1st May 2023

  • The clinical case for smoking cessation in cancer care (CINSW)

    Benefits of smoking cessation in cancer

    Negative treatment outcomes if smoking

    AAA module and further advise

  • Smoking cessation in oncology (CINSW)

  • Smoking Cessation in Cancer Services - Training (CINSW)

    How to ask patients about cessation using AAA model

Pharmacotherapy:

Pharmacist education about the NRT options (3:17min; CINSW resource)

Pharmacist Nicolas Holton provides a summary of NRT:

  • Gum

  • Lozenges

  • Patch

  • Inhaler

  • Mouth spray

  • Contraindications/ Precautions

Oncologist education about the use of patches (2:21min; C2Q resource)

Oncologist Dr Fiona Day with patient Jessica 

  • Administering the patch

  • Usage

  • Top-up dosage is useful if cravings persist 

Care to Quit Nicotine Replacement Therapy Pharmacotherapy Training (56:38min)

Pharmacotherapy training session delivered by Dr James McLennan to the Calvary Mater Newcastle Oncology Department, on 30th Nov 2022

Care to Quit Pharmacotherapy Training 11 Questions (39:59min)

Varenicline training session delivered by Dr James McLennan to the Calvary Mater Newcastle Oncology Department, on 21st February 2023

  • Quick guide to nicotine replacement therapy (Tool 5)

    NRT products and dosage

    Contraindications and precautions

    Side-effects and how to deal with them

    Considerations in pregnancy

  • Factsheet: Assessing nicotine dependence (Tool 3)

    Questions to assess nicotine dependence

    Cravings

    Withdrawal symptoms

  • Q & A on Varenicline with Dr Fiona Day

    Description goes here

Quitline:

Oncologist education about Quitline (0:37min; ACT; C2Q resource)

Oncologist Dr Fiona Day with patient Jessica 

  • Quitline will assist with forming new habits

Medical Oncologist 3As referral to Quitline (1:24min; CINSW resource)

Medical Oncologist Dr Deme Karikios asks, advises about quitting and referral to Quitline

 
  • Quitline NSW Brochure

    https://www.icanquit.com.au/media/4807/quitline-brochure-quit-kit.pdf

  • QuitKit packs

    To request bulk orders of Quitline materials, please complete the order at: http://icanquit.snap.com.au

    To access online versions of the resources: https://www.icanquit.com.au/quitting-methods/professional-support-and-advice/quit-kit/online-quit-kit

  • Smoking Cessation in Cancer Services - Training (CINSW)

    Step 3: Act, NRT, and routine referral to Quitline

GP referral:

GPs on the oncologists’ role in smoking cessation (6:58min)

  • GPs Dr Nin Kiu, Dr Charles Ellis, Dr Jimmy Cheng and Dr Jo Thomas on the oncologists’ role in smoking cessation

 
  • GP referral letter template

    Template to be used as a guide, official referral would be with Calvary Mater Newcastle letterhead

Nursing

3As:

Nurse 3As referral to Quitline (1:30min; CINSW resource)

Nurse Kerry Lang provides asks, advises about quitting and referral to Quitline at a chemotherapy appointment

Anne Mellon Patient 1 Ask -Impact of smoking on treatment (2:30min; C2Q resource)

Nurse Anne Mellon and the impact of smoking on treatment

Anne Mellon Patient 1 Advise -Impact of smoking on treatment (2:15min; C2Q resource)

Nurse Anne Mellon and the impact of smoking on treatment

Anne Mellon Patient 1 Offering treatment options when a patient doesn’t want to quit (1:47min; C2Q resource)

Nurse Anne Mellon and options when a patient doesn’t want to quit

Patient opinion about the clinician-patient relationship if smoking cessation is discussed (2:49min; C2Q resource)

Patient Julie McCrossin:

  • If the health professional is authentically wanting to help the patient will listen

Nurse suggestion on handling challenging situations with patients (1:08min; C2Q resource)

Overcoming Challenging Situations in the Provision of Smoking Cessation Care (Nursing)

 
 
  • Overcoming Challenging Situations in the Provision of Smoking Cessation Care

Pharmacotherapy:

Discussing NRT with patients (3:32min; C2Q resource)

Nurse Anne Mellon discussing NRT (patches and spray) with a patient

Follow up appointment and side effects of NRT (2:08min; C2Q resource)

Nurse Anne Mellon discussing side effects of NRT during follow up appointments

 
  • Nicotine replacement therapy (NRT) information booklet

    Types of products: lozenges, patches, inhalators, oral spray, gum and how to use them

    Side effects and dosage

Quitline:

Nurse opinion about Quitline (2:08min; C2Q resource)

Nurse Anne Mellon describes Quitline and how to make a referral

Nurse opinion about Quitline, NRT (2:07min; C2Q resource)

Nurse Anne Mellon discusses Quitline and NRT

 
  • Quitline NSW Brochure

    https://www.icanquit.com.au/media/4807/quitline-brochure-quit-kit.pdf

  • QuitKit packs

    To request bulk orders of Quitline materials, please complete the order at: http://icanquit.snap.com.au

    To access online versions of the resources: https://www.icanquit.com.au/quitting-methods/professional-support-and-advice/quit-kit/online-quit-kit