Smoking Cessation For Pregnancy And Beyond: A Virtual Clinic


This program was developed at the Interactive Media Lab at Dartmouth as the result of a grant from the Robert Wood Johnson foundation in 2003. After 2010, once licensed to World 2 Systems, this program was updated to run on the web with via additional funding from Robert Wood Johnson and the Centers for Disease Control and Prevention.

It was primarily through generous funding from the CDC that the program remained in use until 2018. Unfortunately the technology that was used to create the program Adobe Flash was never usable on IOS and announced its end of life in 2017.

As a result of these and other financial issues the program was discontinued and is no longer in use.

“Smoking Cessation for Pregnancy and Beyond deals with an extremely important topic in a novel format, with simulated patients and a great faculty of experts. It’s highly informative and actually great fun to do. This program sets a very high bar for web-based education… or any continuing education. Highly recommended!”

Dr. C. Everett Koop
C. Everett Koop, MD, ScD
Former United States Surgeon General


“Smoking Cessation for Pregnancy and Beyond: A Virtual Clinic” is an updated online training, based on the “Virtual Practicum” model. The training is intended for health care professionals who will be assisting their female patients in quitting smoking, in particular, patients who are pregnant or in their child-bearing years. Health care professionals include physicians, physician assistants, nurse-midwives, registered nurses, licensed practical/vocational nurses, nurse practitioners, certified health educators, other health educators, pharmacists, health professional students, and other professionals that may interact with women of reproductive age.


Dr. Sharon Phelan is your host and mentor as you counsel and assist three sets of simulated patients to quit smoking. The learner will be able to apply principles of the 5 A’s intervention, a best practice approach for smoking cessation, which reflects current clinical recommendations from the US Public Health Service Guidelines for Treatment of Tobacco Use and Dependence 2008 update and the American College of Obstetricians and Gynecologists, Committee Opinion No. 471: Smoking Cessation During Pregnancy. The interactive cases provide the learner an opportunity to explore the broader psychosocial dimension of cessation counseling, learn motivational interviewing techniques, and implement optimal and efficient office systems to support smoking cessation counseling and documentation.

Sharon Phelan

This program offers various learning tools, including:

  • Interactive case simulations and comprehensive discussions of the simulated patient visits.
  • Mini-lectures on relevant topics from leading experts, including former Surgeon General Dr. C. Everett Koop and Dr. Neil Benowitz.
  • Interviews with real patients who have quit.
  • A dedicated web site of pertinent links and office resources.
Patient Roster

This training was developed by Interactive Media Laboratory, Dartmouth Medical School, in collaboration with the American College of Obstetricians and Gynecologists and was supported by the Centers for Disease Control and Prevention cooperative agreement 1U48DP001935-01. The presence of the CDC logo on this material is not intended as an endorsement of any commercial entity or product/service referenced herein.
Smoking Cessation for Pregnancy and Beyond was designed, written, directed, and produced by Joseph Henderson, MD, Professor of Community and Family Medicine, Dartmouth Medical School.