Developing and Implementing a Multispecialty Graduate Medical Education Curriculum on Screening, Brief Intervention, and Referral to Treatment (SBIRT)

被引:41
作者
Tetrault, Jeanette M. [1 ]
Green, Michael L. [1 ]
Martino, Steve [2 ]
Thung, Stephen F. [3 ]
Degutis, Linda C. [4 ]
Ryan, Sheryl A. [5 ]
Martel, Shara [4 ]
Pantalon, Michael V. [2 ]
Bernstein, Steven L. [4 ]
O'Connor, Patrick G. [1 ]
Fiellin, David A. [1 ]
D'Onofrio, Gail [4 ]
机构
[1] Yale Univ, Sch Med, Dept Internal Med, New Haven, CT 06510 USA
[2] Yale Univ, Sch Med, Dept Psychiat, New Haven, CT 06510 USA
[3] Yale Univ, Sch Med, Dept Obstet & Gynecol, New Haven, CT 06510 USA
[4] Yale Univ, Sch Med, Dept Emergency Med, New Haven, CT 06510 USA
[5] Yale Univ, Sch Med, Dept Pediat, New Haven, CT 06510 USA
关键词
Brief intervention; graduate medical education; screening; RANDOMIZED CONTROLLED-TRIAL; BRIEF PHYSICIAN ADVICE; PRIMARY-CARE; ALCOHOL-USE; HEALTH IMPACT; EMERGENCY; DRINKERS; OUTCOMES; DRUG; DISORDERS;
D O I
10.1080/08897077.2011.640220
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
The authors sought to evaluate the feasibility and acceptability of initiating a Screening, Brief Intervention, and Referral to Treatment (SBIRT) for alcohol and other drug use curriculum across multiple residency programs. SBIRT project faculty in the internal medicine (traditional, primary care internal medicine, medicine/pediatrics), psychiatry, obstetrics and gynecology, emergency medicine, and pediatrics programs were trained in performing and teaching SBIRT. The SBIRT project faculty trained the residents in their respective disciplines, accommodating discipline-specific implementation issues and developed a SBIRT training Web site. Post-training, residents were observed performing SBIRT with a standardized patient. Measurements included number of residents trained, performance of SBIRT in clinical practice, and training satisfaction. One hundred and ninety-nine residents were trained in SBIRT: 98 internal medicine, 35 psychiatry, 18 obstetrics and gynecology, 21 emergency medicine, and 27 pediatrics residents. To date, 338 self-reported SBIRT clinical encounters have occurred. Of the 196 satisfaction surveys completed, the mean satisfaction score for the training was 1.60 (1 = very satisfied to 5 = very dissatisfied). Standardized patient sessions with SBIRT project faculty supervision were the most positive aspect of the training and length of training was a noted weakness. Implementation of a graduate medical education SBIRT curriculum in a multispecialty format is feasible and acceptable. Future efforts focusing on evaluation of resident SBIRT performance and sustainability of SBIRT are needed.
引用
收藏
页码:168 / 181
页数:14
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