E-Cigarettes: Harmful or Harm-Reducing? Online Medical Education in Electronic Nicotine Delivery Products (CME)


Stanford School of Medicine

Health and Medicine: E-Cigarettes: Harmful or Harm-Reducing?


This CME activity focuses on the science of e-cigarettes – particularly health risks and benefits. Based on observed patterns in questions from real patients and answers from practicing physicians, we emphasize potential health impacts of e-cigarettes and regulated alternatives such as nicotine replacement therapy. Video role-playing opportunities focus on special issues related to youth, pregnancy, and use by parents and patients in perioperative phase, cancer treatment or cardiovascular disease treatment. Online learners are engaged through role-play, expert interviews, and interactive activities.

Intended Audience

This course is designed for physicians in cardiology, family practice, primary care, general surgery, internal medicine, oncology, pediatrics, psychiatry and others in Ob-Gyn.

Learning Objectives

At the conclusion of this activity, participants should be able to:

  • Investigate new information about e-cigarette risks and benefits.
  • Evaluate the quality of e-cigarette information and interpret risks and benefits of e-cigarettes based on scientific evidence.
  • Develop informed professional opinions about when to warn against or recommend e-cigarettes.
  • Assess e-cigarette use in all patients who currently use tobacco.
  • Apply evidence-based brief tobacco/nicotine cessation counseling (5'As Ask-Advise-Assess-Assist-Arrange) protocol in instances where patients ask about e-cigarettes.
  • Counsel patients who are using or considering using e-cigarettes to attempt cessation with FDA-approved NRT or pharmacotherapy.