Training and Resources
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):
Care to Quit: Model of care and cheat sheet
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
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       NWCC Patient journeyDescription goes here
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       Quick guide cheat sheetDescription goes here
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) 
Medical Oncologists and Haematologists:
3As:
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 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 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 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 
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 
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       Smoking cessation in oncology (CINSW)
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       Factsheet: Benefits of quitting and harms of smoking for each tumour stream Med OncologistDescription goes here
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       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 
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
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       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 
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       Factsheet: Assessing nicotine dependence (Tool 3)Questions to assess nicotine dependence Cravings Withdrawal symptoms 
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       Q & A on Varenicline with Dr Fiona DayDescription 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
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       Quitline NSW Brochurehttps://www.icanquit.com.au/media/4807/quitline-brochure-quit-kit.pdf 
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       Smoking Cessation in Cancer Services - Training (CINSW)Step 3: Act, NRT, and routine referral to Quitline 
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       QuitKit packsTo 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 
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 
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       GP referral letter templateTemplate to be used as a guide, official referral would be with Central Coast letterhead 
