Cease and desist.

“Counsel on smoking cessation” is a knee-jerk component of any oral boards response on treatment recs for tobacco-related cancers. But how earnest and effective is real-world counseling, really? This review suggests oncologists should put a prescription pad with their mouth is. Studies have consistently shown varenicline (aka Chantix) is more reliably effective than any other standard intervention. So consider counseling your next smoking patient on initiating a varenicline starter pack so he can actually quit. | Leischow, JAMA 2019