RE: Tobacco Cessation Champions: Recognizing Physicians Who Ask, Advise, and Refer

As three aspiring clinicians with a keen interest in primary care delivery and electronic health record (EHR) use, we found your article on "Tobacco Cessation Champions: Recognizing Physicians Who Ask, Advise, and Refer" very engaging. In reading your article, several findings stood out to us. First, we are curious to know if any barriers and/or challenges were faced by physicians and if so, how were they addressed? As we read on, we were intrigued to learn about the impact of the initiative. As such, we were left to ponder about the effectiveness of the e-referral initiative, particularly of the tobacco cessation success rates among referred patients. We are curious to know if you plan to conduct a longitudinal study to evaluate the long-term impact of the program, including impact of physician recognition? Third, we are also curious as to how years of clinical experience affected physicians’ adoption of the e-referral initiative. We are aware that primary care clinicians are experiencing high burnout rates. Thank you for considering our questions, we look forward to hearing from you.