title: Tobacco and public health.
abstract: OBJECTIVE
  An interactive program for physicians and surgeons was used to focus their attention on current issues of lung cancer in the United States. The issues examined were the risks for the development of lung cancer in smokers, spouses of smokers, recipients of second-hand or sidestream smoke, and the appropriate workup and treatment of patients with lung cancer.
  
  
  METHODS
  Case presentation with interactive questions and answers.
  
  
  METHODS
  Six patients are presented whose cases demonstrate issues that are relevant and timely to the practice of thoracic surgery and oncology Interventions: Treatment for the five case presentations is used for interactive teaching purposes.
  
  
  CONCLUSIONS
  Lung cancer is epidemic in the United States, particularly among women at the present time. Physician awareness of the environmental and other factors contributing to the disease should stay current with the population variables that we are seeing in clinical practice.
authors.affiliation: Brigham and Women's Hospital, Division of Thoracic Surgery, Harvard Medical School, Boston, MA 02115, USA. jmlukanich@bics.bwh.harvard.edu
authors.forename: J M
authors.initials: JM
authors.lastname: Lukanich
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D000328:Adult; D000368:Aged; D017024:Chemotherapy, Adjuvant; D003327:Coronary Disease / Q000150:complications; D004781:Environmental Exposure; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D016609:Neoplasms, Second Primary / Q000209:etiology; D009784:Occupational Diseases / Q000209:etiology; D016273:Occupational Exposure; D011013:Pneumonectomy; D011634:Public Health; D011656:Pulmonary Emphysema / Q000235:genetics; D012307:Risk Factors; D012737:Sex Factors; D012907:Smoking / Q000009:adverse effects*; D016540:Smoking Cessation; D014028:Tobacco Smoke Pollution / Q000009:adverse effects; D014481:United States
chemical_list: D014028:Tobacco Smoke Pollution