The use of electronic nicotine delivery systems (ENDS), or e-cigarettes, has grown rapidly over the past decade, especially among American youth under age 18. One of the reasons for this sharp increase is the misbelief that e-cigarette use is a harmless alternative to using combustive tobacco products. While primary care providers (PCP’s) routinely ask about tobacco use, it is unclear whether they specifically screen for the use of ENDS products, especially with their younger patients. In fact, it is not clear whether health care professionals are under some of the same misconceptions regarding use of these products. After giving the participants a brief questionnaire regarding their own understanding and clinical behaviors regarding ENDS, we will present current information about the topic. We will then report the responses of PCP’s from two geographic sites to the questionnaire. Finally we will discuss ways to increase both residents’ and practitioners’ knowledge of the importance of providing this information to their patients. We will also discuss recent developments regarding numerous reports of lung damage and deaths resulting from vaping and its implications in providing guidance to patients.