This activity is part of the Frankly Speaking with Dr. Frank Domino podcast series.
Frankly Speaking CME 214


Teens and Vaping: A Gateway to Cigarette Smoking? - Frankly Speaking EP 214Guest: Susan Feeney, DNP, FNP-BC, NP-C
Music Credit: Richard Onorato

Rates of electronic cigarettes or vaping in teens has increased exponentially over the last 3 years. Prior to the introduction of the sleek 4th generation vaping device, tobacco use in the teen population was decreasing, and rates were low. Recent evidence indicates that teens with low intention to smoke, once they start vaping, are at increased risk of smoking cigarettes in future. Join us as we discuss the implications of this new evidence on our clinical practice and discuss strategies to reduce risk to adolescents.

Episode Resources: 

  • Barrington-Trimis JL, Kong G, Leventhal AM, et al. E-cigarette Use and Subsequent Smoking Frequency Among Adolescents. Pediatrics. 2018;142(6):e20180486
  • Gaiha SM, et al. J Adolesc Health. Association Between Youth Smoking, Electronic Cigarette Use, and COVID-19. J Adolesc Health. Vol 67, issue 4, pp 519-523; DOI:
  • Owotomo O, Stritzel H, McCabe SE, et al. Smoking Intention and Progression from E-Cigarette Use to Cigarette Smoking. Pediatrics. 2020;146(6):e2020002881; DOI: 10.1542/peds.2020-002881


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CME/CE Information

0 Credits - Not for CME/CE Credit

Release Date: 3/8/2021

Expiration Date: 3/8/2022

Learning Objectives

  • Identify teens who vape and are at risk to start using conventional cigarettes 
  • Apply recent evidence on vaping and smoking cigarettes to smoking prevention strategies for adolescents and their families



Frank J. Domino, MD

Professor, Family Medicine and Community Health,
University of Massachusetts Medical School, Worcester, MA

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Susan Feeney, DNP, FNP-BC, NP-C

Assistant Professor and Coordinator of the Family Nurse Practitioner Track

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Teens and Vaping: A Gateway to Cigarette Smoking? - Frankly Speaking EP 214