REVISED PROGRAM SCHEDULE. Mayo Clinic Nicotine Dependence Seminar: Counselor Training & Program Development. November 3-6, 2002

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1 REVISED PROGRAM SCHEDULE Mayo Clinic Nicotine Dependence Seminar: Counselor Training & Program Development November 3-6, 2002 Siebens Medical Education Building Rochester, Minnesota Course Co-Directors: Kay M. Eberman, MS

2 General Information COURSE DESCRIPTION The Nicotine Dependence Seminar will focus on the Mayo Clinic approach to patient care for nicotine dependence and will provide education in all areas of tobacco intervention: intake, assessment, treatment planning, individual counseling, group counseling, and relapse prevention. The Mayo model will be discussed in-depth and will focus on counseling skills, pharmacologic therapy, and program components. The process of developing a program to deliver nicotine dependence services will also be discussed during the seminar. INTENDED AUDIENCE This program is oriented toward healthcare professionals who are interested in incorporating nicotine dependence treatment into their practice and/or developing a service to meet the needs of tobacco dependent patients. Chemical dependency counselors, respiratory therapists, nurses, social workers, psychologists, physicians, and other allied health professionals will find the seminar of interest. Attendees will have opportunities to meet informally with faculty members to discuss specific program and patient needs. COURSE LEARNING OBJECTIVES At the conclusion of this course, participants should be able to: Integrate the following counseling techniques into practice: group and individual therapy, transtheoretical model, motivational interviewing, and brief primary care provider interventions. Identify pharmacologic agents in the treatment of nicotine dependence. Perform counseling for tobaccco dependent patients in a manner consistent with the four components recommended for treatment. Translate the concept of nicotine use as an addiction, in the provision of treatment. Recognize current developments in the field of nicotine dependence. Identify treatment issues for special populations. Describe a program model for the delivery of nicotine dependence services. Attendance at this Mayo course does not indicate nor guarantee competence or proficiency in the performance of any procedures which may be discussed or taught in this course. CREDIT Mayo Foundation is accredited by the Accreditation Council for Continuing Medical Education to sponsor continuing medical education for physicians. Mayo Foundation designates this educational activity for a maximum of hours in category 1 credit towards the AMA Physician s Recognition Award. Each physician should claim only those hours of credit that he/she actually spent in the educational activity. Nurses, social workers, psychologists and other health care professionals will be provided a certificate of attendance for requesting credits in accordance with state nursing boards, specialty societies, or other professional associations.

3 DATE & LOCATION The Mayo Clinic Nicotine Dependence Seminar will be held May 19-22, 2002, and November 3-6, Please be aware that the program schedule for the Fall session may change slightly. Course headquarters will be located in the Siebens Medical Education Building on the Mayo Clinic Campus, in Rochester, Minnesota. Meeting facilities are easily accessible by skyway and pedestrian subway, which connect Mayo Clinic to shops, theaters, restaurants, and hotels. PARKING Parking is available in hotel, city, and Mayo patient/visitor ramps. The cost for parking is not included in the registration fee. A map indicating the location of downtown parking facilities will be mailed with the registrant confirmation letter. REGISTRATION To register, complete the attached registration form and return by mail or FAX with the appropriate registration fee. Be sure to indicate which session (Spring or Fall) you wish to attend. The registration fee includes tuition, comprehensive course syllabus, continental breakfasts, break refreshments, specified luncheons, reception, and tour. Although it is not Mayo School of Continuing Medical Education policy to limit the number of registrants for a course, conference room facilities may necessitate closing of enrollment; therefore, early registration is strongly advised. A letter of confirmation will be sent upon receipt of payment and completed registration form. Onsite check-in will be conducted from 12:30-1:30 p.m. on Sunday, May 19, 2002 (Spring session), and Sunday, November 3, 2002 (Fall session), in the Siebens Medical Education Building, Mayo Clinic Campus. CANCELLATION POLICY Your registration fee, less a $50 administrative fee, will be refunded when written notification is received by the Mayo School of Continuing Medical Education before May 5, 2002 (Spring session) or October 20, 2002 (Fall session). You may FAX written notification to No refunds will be made after these dates. TRAVEL ARRANGEMENTS Rochester, Minnesota, is a friendly city that greets thousands of visitors from around the world each year. The city is serviced by a modern international airport with multiple flights daily from Chicago and Minneapolis via American or Northwest Airlines. Access to and from the airport is provided by taxi cab and shuttle service. The airport is located approximately 10 driving miles from the Mayo Clinic campus. American Airlines is the official carrier for this Mayo course. Reduced airfares are available for participants by calling American Airlines at / Reference this course as Index#9988, AN#2352AC (Spring session) or AN#33N2AA (Fall session). You may contact the designated travel agency, Corporate Travel, for additional assistance with airfare or ground transportation arrangements by calling /

4 LODGING ACCOMMODATIONS Blocks of guestrooms have been reserved at special group rates at each of the following downtown Rochester hotels. To ensure accommodations and the discounted rates, please make your reservation by April 28, 2002 (Spring session), or by October 13, 2002 (Fall session), and identify yourself as a participant in the Mayo Clinic Nicotine Dependence Seminar. Hilton Garden Inn Radisson Plaza Hotel 225 South Broadway 150 South Broadway / / $89 single/double $99 single/double Kahler Grand Hotel Rochester Marriott Hotel 20 Second Avenue SW 101 First Avenue SW / / $89 single/double $129 single/double Kahler Inn and Suites 9 Third Avenue NW / $65 single/double (standard) $85 single/double (suite) The hotels listed above are connected by skyway and pedestrian subway to conference facilities, downtown shops, restaurants, and theaters. For additional accommodation options, you may also wish to visit the Rochester Convention and Visitors Bureau website at OPTIONAL ACTIVITIES Tour of Mayo Clinic Public tours of Mayo Clinic are provided each day of the week beginning at 10:00 am, except for holidays. The tours originate from Judd Auditorium, Subway Level of the Mayo Building, and last approximately 1.5 hours. The tour includes a 20-minute film on the history and operation of Mayo Clinic plus visits to points of interest in the Mayo, Plummer, and Hilton Buildings. Please make advance reservations by calling Mall of America Trip/Transportation Mall of America, the largest fully-enclosed retail and family entertainment complex in the United States, is an easy 90-minute drive or shuttle ride from Rochester, Minnesota. Along with 500 retail stores, restaurants, and nightclubs, the mall features Knott s Camp Snoopy, the world s largest indoor theme park, and UnderWater World, a walk through an aquarium featuring 15,000 fish. You may reserve shuttle service by contacting Rochester Direct at FACULTY DISCLOSURE As a provider accredited by ACCME, Mayo Foundation must ensure balance, independence, objectivity and scientific rigor in its educational activities. All faculty participating in a Mayo Foundation activity are required to disclose commitments to and/or relationships with pharmaceutical companies, biomedical device manufacturers or distributors, or others whose products or services may be considered to be related to the subject matter of the educational activity. Faculty will also disclose any off-label and/or investigational use of pharmaceuticals or instruments discussed in their presentation. Disclosure of these commitments and/or relationships will be published in course materials so those participants in the activity may formulate their own judgments regarding the presentation.

5 FACULTY (subject to change for the Fall session) Nicotine Dependence Center Staff Physicians and Directors Lowell C. Dale, MD Jon O. Ebbert, MD J. Taylor Hays, MD Christi A. Patten, PhD Treatment Coordinator Kay M. Eberman, MS Research Coordinator Ivana T. Croghan, PhD Education Coordinator Julie A. Czisny, MS, MLS Survey Research Center Kenneth P. Offord, MS Staff Barbara L. Dallavalle, MA Adrienne S. Dormody, MA Patrick T. Draper, MSW Randi E. Foraker, MA Diana L. Friemann Thomas R. Gauvin, MA Susan A. Glaeser, MA Melissa A. Hall Pam R. Krenik Audrey M. Schroeder Debra P. Skare, MA Mayo Clinic Staff Billing and Insurance Collections Tammy L. Kispert Cardiovascular Diseases Thomas E. Kottke, MD, MSPH Communications Michael R. O Hara Health Connection Jeannie M. Boness, RN Information Services Brian T. Welp Psychiatry and Psychology Steven I. Altchuler, MD, PhD Matthew M. Clark, PhD Revenue Recognition and Billing Compliance Bridget F. Avikainen

6 GUEST FACULTY HIGHLIGHTS (subject to change for the Fall session) Gregory N. Connolly, DMD, MPH Doctor Connolly is the Director of the Massachusetts Tobacco Control Program, a forty-eight million dollar state agency started in 1993 and charged with reducing smoking in the state. Since its inception, overall cigarette consumption has fallen 38 percent, almost three times the national average. He is a graduate of Holy Cross College, Tufts Dental School, and Harvard School of Public Health and is recognized as a national expert on smoking. He is credited with passage of the 1986 federal law on smokeless tobacco. He has published over fifty scientific articles on the topic of smoking and health and was awarded the Surgeon General's Medallion for National Leadership by Dr. C. Everett Koop in Dr. Connolly is a U.S. appointee to the World Health Organization's expert panel on smoking and health and has helped train public health officials in Asia and Eastern Europe to control tobacco use. He has testified before Congress on more than a dozen occasions and appears regularly on national news networks. Cheryl Healton, DrPH Doctor Healton was named the American Legacy Foundation's first president and chief executive officer in December She is a researcher, professor, and public health administrator with more than 20 years experience in public health. Dr. Healton joined Legacy from Columbia University's Joseph L. Mailman School of Public Health in New York where she served as Head of the Division of Sociomedical Sciences and Associate Dean for Program Development. Dr. Healton's understanding of tobacco control issues developed through a number of efforts in recent years. She led grant-funded projects for the Centers for Disease Control and Prevention (CDC) to study the effects of marketing and counter-marketing on youth tobacco use. Dr. Healton has worked at Columbia to bring an interdisciplinary approach to tobacco control and prevention, developing innovation grants linking academic researchers to public health practitioners in the field. Elliot Richelson, MD Doctor Richelson is a Consultant in Psychiatry and Pharmacology, Mayo Clinic Jacksonville, and Professor of Psychiatry and Pharmacology, Mayo Medical School. As a psychiatrist and pharmacologist, Dr. Richelson has earned an international reputation for his investigations on the effects of psychiatric drugs on chemical messengers in the brain, supported primarily by grants from the National Institute of Mental Health. He graduated from Brandeis University, earned his MD degree from the Johns Hopkins University School of Medicine and did his residency in psychiatry at Johns Hopkins Hospital. Prior to his residency, he was a Research Associate in the Laboratory of Biochemical Genetics at the National Heart and Lung Institute working with Nobel Laureate Dr. Marshall Nirenberg. He is a fellow of the American Psychiatric Association and of the American College of Neuropsychopharmacology, and past-president of the Society of Biological Psychiatry. Robert G. Robinson, DrPH Doctor Robinson is the Associate Director for Program Development of the Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention (CDC). In his capacity at CDC, Dr. Robinson has developed national programs that in particular target the needs of Communities of Color, women, blue collar and agricultural workers, gays and lesbians, low income and youth. Prior to his association with CDC in 1993, Dr. Robinson was a researcher with the Fox Chase Cancer in Philadelphia. His major accomplishment during this period was development of the Pathways to Freedom (PTF) program, which remains the state-of-art tobacco control program for the African American community. PTF received the National Health Information Silver Award and the Special Award in In addition, he spearheaded the coalition of multiple community leaders and organizations and defeated the introduction of UPTOWN cigarette, the first tobacco product produced and marketed specifically for the African American community. Eric E. Stafne, DDS, MSD Doctor Stafne is a Clinical Professor in the Department of Preventive Sciences in the School of Dentistry at the University of Minnesota. He serves as the Director of the School of Dentistry Tobacco Cessation Program and Clinic, is involved with tobacco dependence treatment research, and is a member of the Society for Research on Nicotine and Tobacco. Dr. Stafne has served as President of the Minnesota Division American Cancer Society, Minnesota Association of Periodontist, St. Paul District Dental Society, and medical delegate from Minnesota to the National Cancer Society. Dr. Stafne has been a member of the coordinating and advisory committee of the Minnesota ASSIST coalition. He also co-chaired the health care setting subcommittee of the Minnesota Tobacco settlement cessation advisory committee.

7 SUNDAY, NOVEMBER 3, :30 p.m. Registration and Exhibits 1:30 p.m. Welcome and Overview of Nicotine Dependence Treatment Approaches 2:15 p.m. National Guidelines for Treatment Thomas E. Kottke, MD, MSPH 3:00 p.m. Refreshment Break and Exhibits 3:15 p.m. Treatment Model Overview Kay M. Eberman, MS 4:00 p.m. Motivational Interviewing Thomas R. Gauvin, MA 4:45 p.m. Q & A Discussion 5:00 p.m. Adjourn Program Schedule (subject to change for the Fall session) MONDAY, NOVEMBER 4, :30 a.m. Continental Breakfast 8:00 a.m. Pharmacotherapy for Tobacco Dependence J. Taylor Hays, MD 8:45 a.m. Brain Chemistry and Addiction Elliot Richelson, MD 9:30 a.m. Refreshment Break 9:45 a.m. American Legacy Foundation: New Initiatives Cheryl Healton, DrPH 10:30 a.m. Nicotine Dependence Education Programs Lowell C. Dale, MD 11:15 a.m. Treating Tobacco Dependence in Chemical Dependence Programs 12:00 p.m. Luncheon Presentation: Panel of Ex-Tobacco Users 1:30 p.m. Individual Treatment: The Consultation Barbara L. Dallavalle, MA

8 MONDAY, NOVEMBER 4, 2002 (continued) 2:15 p.m. Bedside Interventions: Hospital Services Lowell C. Dale, MD 3:00 p.m. Refreshment Break 3:30 p.m. Smokescreen: Secrets of the Tobacco Industry 4:00 p.m. Environmental Tobacco Smoke J. Taylor Hays, MD 4:30 p.m. Discussion of Tobacco Industry and Environmental Tobacco Smoke 5:00 7:00 p.m. Reception and Guided Tours of the Mayo Clinic Nicotine Dependence Center All Nicotine Dependence Center Staff TUESDAY, NOVEMBER 5, :00 a.m. Hot Breakfast Buffet 7:30 a.m. Breakfast Discussion Groups Nicotine Dependence Center Staff Adolescent Treatment Issues Christi A. Patten, PhD Chemical Dependence Programs: Treatment Issues Depression and Psychiatric Co-Morbidity J. Taylor Hays, MD Educating/Working with Physicians Lowell C. Dale, MD Group Programs Barbara L. Dallavalle, MA MOST (Mayo Outreach to Students and Teachers) Education and Prevention Randi E. Foraker, MA Physician Intervention and Leadership Pregnancy and Smoking Susan A. Glaeser, MA Relapse Prevention Kay M. Eberman, MS Services in Hospital Settings Thomas R. Gauvin, MA Spit Tobacco Treatment Jon O. Ebbert, MD Telephone Counseling Jeannie M. Boness, RN

9 TUESDAY, NOVEMBER 5, 2002 (continued) 8:45 a.m. Residential Treatment J. Taylor Hays, MD 9:30 a.m. Depression and Smoking Christi A. Patten, PhD 10:15 a.m. Refreshment Break 10:45 a.m. Psychiatric Co-Morbidity in Smokers Steven I. Altchuler, MD, PhD 11:30 a.m. Luncheon Presentation Tobacco Control Gregory N. Connolly, DMD, MPH 1:15 p.m. Weight Concerns in Tobacco Treatment Matthew M. Clark, PhD 2:00 p.m. Pathways to Freedom: A Protocol for Community Competence Robert G. Robinson, DrPH 2:45 p.m. Refreshment Break 3:15 p.m. Treating Tobacco Dependence in the Dental Practice Eric E. Stafne, DDS, MSD 4:00 p.m. Spit Tobacco Treatment Jon O. Ebbert, MD 4:45 p.m. Q&A Discussion 5:00 p.m. Adjourn

10 WEDNESDAY, NOVEMBER 6, :15 a.m. Continental Breakfast Small Group Networking Sessions According to Topic of Interest Track A Program Development Track B Counseling Applications 8:30 a.m. Program Design, Staffing, Motivational Interviewing: Applications and Record Keeping Kay M. Eberman, MS 9:30 a.m. Data Management Individual Treatment Plans Melissa A. Hall Patrick T. Draper, MSW Brian T. Welp 10:30 a.m. Marketing, Reimbursement Preventing Relapse: Applications and Financial Issues Patrick T. Draper, MSW Bridget F. Avikainen Tammy L. Kispert Michael R. O Hara 11:30 a.m. Lunch (on your own) Lunch (on your own) Counseling Applications 1:00 p.m. Motivational Interviewing: Applications 2:00 p.m. Individual Treatment Plans Patrick T. Draper, MSW 3:00 p.m. Preventing Relapse: Applications Patrick T. Draper, MSW 4:00 p.m. Adjourn Track C (maximum of 30 participants; first-registered, first-served basis) 8:30 a.m. 11:30 a.m. Advanced Counseling Skills Workshop and 1:00 p.m. 4:00 p.m. Thomas R. Gauvin, MA (all day session) This session will include motivational interviewing information, practice with counseling techniques, and group therapy theories and practice. *Pre-requisites for this session include: At least 5 years in counseling and/or at least 2 years in addiction or tobacco dependence counseling; and some familiarity with brief therapy such as motivational interviewing

11 Mayo Clinic Nicotine Dependence Seminar: Counselor Training and Program Development November 3-6, 2002 Rochester, Minnesota Registration Form To register, complete and return this registration form by mail or fax. The registration fee includes tuition, comprehensive course syllabus, continental breakfasts, refreshment breaks, luncheons, reception, and tour. Pre-registration is required. A letter of confirmation will be sent upon receipt of payment and completed registration form. Enrollment is limited; early registration is encouraged. Mail or FAX form with payment to: Telephone: or Mayo School of Continuing Medical Education FAX: First Street SW Website: Rochester, MN cme@mayo.edu R2002M229 (Please print or type all information. You may duplicate this form for multiple registrations.) Name Degree First Name M.I. Last Name Institution Medical Specialty What is your preferred mailing address? Choose one: Work Home Work Address City State/PV ZIP/PC Country Home Address City State/PV ZIP/PC Country Business Phone ( ) Home Phone ( ) Int l Phone (country code) (city code) (phone) FAX ( ) address Check box if you have special accommodation/dietary needs. If so, please indicate your needs here: BREAKFAST DISCUSSION GROUPS: Please rank your preference for Tuesday morning s breakfast sessions (1=most desirable, 11=least desirable): Adolescent Treatment Issues Physician Intervention and Leadership Chemical Dependence Programs Pregnancy and Smoking Depression & Psychiatric Co-Morbidity Relapse Prevention Educating/Working with Physicians Services in Hospital Settings Group Programs Spit Tobacco Treatment MOST: Education and Prevention Telephone Counseling WEDNESDAY SESSIONS: Please rank your preference for Wednesday s sessions (1=most desirable, 3=least desirable): TRACK A -- Program Development (am)/counseling Applications (pm) TRACK B -- Counseling Applications (am) TRACK C* -- Advanced Counseling Skills Workshop (all day session) For Track C Pre-requisites include: At least 5 years in counseling and/or at least 2 years in addiction or tobacco dependence counseling; and some familiarity with brief therapy such as motivational interviewing *A maximum of 30 participants will be allowed in this session; first-registered, first-served basis PAYMENT: Physician Fee: $500 $ Non-Physician Fee: $250 $ Check Enclosed (make checks payable to Mayo Foundation) Credit Card: Visa MasterCard Discover Card Number Expiration Date Signature Date