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PATIENT COMMUNICATION IN TREATING TOBACCO USE DISORDER The Five A s Model The TTUD-CPG recommends using the following five A s for patients, especially those willing to quit: Ask about all tobacco use Advise patients to quit Assess willingness to quit Assist in developing a quit plan Arrange for patient follow-up General Approach to Questioning Appropriate wording of questions by clinicians can have an impact on the thoroughness and accuracy of patient responses

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But under New Yorks enforcement approach, those small misses still carry real consequences