Pre-Post Study for Supporting Appropriate Implementation of Lung Cancer Screening

Inclusion Criteria: Subjects must meet all of the following inclusion criteria to participate in this study: * Age 55 - 80; * Current smoker, or former smoker who has less than a 16-year quit history; * Have at least a 30-pack year smoking history (average packs per day \* years smoking); and * Patient of the Internal Medicine Clinic at University of North Carolina Health Care. Exclusion Criteria: All subjects meeting any of the following exclusion criteria at baseline will be excluded from study participation: * Ever diagnosed with lung cancer; * Undergone chemotherapy or radiation therapy in the past 18 months prior to enrollment; * Coughed up blood from lungs (also called hemoptysis) within the past year prior to enrollment; * Experienced unexplained weight loss of 15-pounds or more during six months prior to enrollment; and * Had a chest CT scan within the past 18 months prior to enrollment.