The statewide protocol permitting Colorado pharmacists to engage with their customers on smoking cessation goals are relatively new an, outside the required online course, very little educational work has been applied to training pharmacists how to perform tobacco cessation counseling. The protocol points the pharmacists to the seminal text Treating Tobacco Dependence, 2008 update, but this text is sparse on practical knowledge itself. Moreover, we know that even while screening for tobacco use is high in Colorado primary care offices, the provision of counseling is very low despite decades of engaging PCPs in this important work. While we don't yet have data measuring the provision of counseling, given the newness of the permission, the lack of practical training on the topic, and the overall difficulties inherent in counseling, one can suppose the need exists.

At the end of this module pharmacist will be able to:

• List the named resources and strategies in the statewide protocol.
• Breakdown the components of smoking cessation counseling.
• Discuss those components explaining how those components contribute to cessation success, and where modifications can be made without engaging in non-evidenced based strategies.
• Discuss different formats of smoking cessation counseling.