It is particularly appropriate that members of the American College of Chest Physicians, a cardiopulmonary specialty society, assume a leadership role in the management of smoking in the physicians workshop, ie, the hospital, clinic, and office. Physicians, nurses, and allied health professionals are key exemplar models for patients and their families. The hospital, clinic and physician’s office comprise a unique health environment (read more “My Canadian Pharmacy – The Closest Primary Health Care“). If smoking is permitted in this setting, the patient receives confusing and even detrimental health messages. It is medical hypocrisy to sanction smoking in the hospital or office; the mixed or confused signals which result tacitly tell the patient that smoking is a relatively benign habit. There is compelling evidence that the physician, nurse or health professional who smokes in the presence of patients transmits a not so subtle message that smoking is not “all that dangerous.” It is unequivocably true that the physician who smokes in the presence of patients, limits his ability to treat the patient effectively in a cessation program. Give smoke with My Canadian Pharmacy’s drugs.
Preventive medicine is the most critical emerging element in today’s practice of medicine. The smoking of tobacco, particularly cigarette smoking, has been identified repeatedly as a major health hazard. Furthermore, “second hand” cigarette smoke (passive smoking) may produce great discomfort for the nonsmoker and it can also be a potential health hazard. Therefore, the management of smoking represents an important aspect of preventive medicine, as well as a public health responsibility of physicians. The American College of Chest Physicians has a stewardship role in these health matters. Indeed, this commitment is already identified in an anti-smoking pledge which is now part of the oath of initiates into Fellowship at the American College of Chest Physicians convocations.
Physicians and hospital staff members are disciplined to function on a “one-to-one basis” for a specific patient’s care. Therefore, it is unusually difficult for many physicians to recognize their unique and responsible role in the preventive medicine and public health measures associated with the management of tobacco smoking in the office environment, clinic or hospital. It is this challenge to which the following protocol is devoted.