A Skills-Based Curriculum for Teaching Motivational Interviewing-Enhanced Screening, Brief Intervention, and Referral to Treatment (SBIRT) to Medical Residents
Abstract Introduction Despite how often medical trainees witness the spectrum of unhealthy substance use, disproportionately little curricular time is devoted to this topic. This lack of curricular time and shortage of actionable skills often leads to feelings of hopelessness and cynicism when carin...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Association of American Medical Colleges
2015-05-01
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| Series: | MedEdPORTAL |
| Subjects: | |
| Online Access: | http://www.mededportal.org/doi/10.15766/mep_2374-8265.10080 |
| _version_ | 1818964395597758464 |
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| author | Soraya Azari Neda Ratanawongsa Jennifer Hettema Caroline Cangelosi Matt Tierney Diana Coffa Brad Shapiro Sharad Jain David Hersh Jennifer Manuel Daniel Ciccarone Paula Lum |
| author_facet | Soraya Azari Neda Ratanawongsa Jennifer Hettema Caroline Cangelosi Matt Tierney Diana Coffa Brad Shapiro Sharad Jain David Hersh Jennifer Manuel Daniel Ciccarone Paula Lum |
| author_sort | Soraya Azari |
| collection | DOAJ |
| description | Abstract Introduction Despite how often medical trainees witness the spectrum of unhealthy substance use, disproportionately little curricular time is devoted to this topic. This lack of curricular time and shortage of actionable skills often leads to feelings of hopelessness and cynicism when caring for affected patients. Towards the goals of helping medical residents learn practical skills and gain confidence in detecting, diagnosing, and managing patients with unhealthy substance use, we developed this 4-week, 16-hour SBIRT (Screening, Brief Intervention, Referral, and Treatment) curriculum. SBIRT is a public health approach to the delivery of early intervention and treatment services for people with, or at risk of developing, substance use disorders. Methods The curriculum is intended for second or third-year postgraduate primary care residents during a 1-month ambulatory block. Teaching elements include traditional didactics, experiential and case-based learning, skills-based practice with feedback, and peer-peer feedback. Slide decks, handouts for reflection exercises and skills practice, educational posters, individual pocket-cards, and instructor guides for each module are provided. For skills reinforcement, this curriculum also includes content for “booster” sessions that can be offered later in the year. Results This curriculum has been a core component of our ambulatory training for a track of internal medicine residents at the University of California, San Francisco. This 4-week curriculum has been very well-received by our residents, and we have demonstrated significant improvements in knowledge and confidence in the management of substance-use disorders from self-administered survey data. Discussion SBIRT is a public health approach to the delivery of early intervention and treatment services for people with or at risk of developing substance-use disorders. Evidence for SBIRT's efficacy in persons with non-dependent, unhealthy alcohol use has led to universal screening recommendations from the United States Preventive Services Task Force for use in primary care settings. |
| first_indexed | 2024-12-20T13:00:26Z |
| format | Article |
| id | doaj.art-21d4fec6cf9543fcb30c8bbd614f8200 |
| institution | Directory Open Access Journal |
| issn | 2374-8265 |
| language | English |
| last_indexed | 2024-12-20T13:00:26Z |
| publishDate | 2015-05-01 |
| publisher | Association of American Medical Colleges |
| record_format | Article |
| series | MedEdPORTAL |
| spelling | doaj.art-21d4fec6cf9543fcb30c8bbd614f82002022-12-21T19:39:56ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652015-05-011110.15766/mep_2374-8265.10080A Skills-Based Curriculum for Teaching Motivational Interviewing-Enhanced Screening, Brief Intervention, and Referral to Treatment (SBIRT) to Medical ResidentsSoraya Azari0Neda Ratanawongsa1Jennifer Hettema2Caroline Cangelosi3Matt Tierney4Diana Coffa5Brad Shapiro6Sharad Jain7David Hersh8Jennifer Manuel9Daniel Ciccarone10Paula Lum111 University of California, San Francisco, School of Medicine2 University of California, San Francisco, School of Medicine3 University of New Mexico School of Medicine4 San Francisco Health Network5 San Francisco General Hospital6 University of California, San Francisco, School of Medicine7 University of California, San Francisco, School of Medicine8 University of California, San Francisco, School of Medicine9 San Francisco Department of Public Health10 San Francisco Veterans Affairs Medical Center11 University of California, San Francisco, School of Medicine12 University of California, San Francisco, School of MedicineAbstract Introduction Despite how often medical trainees witness the spectrum of unhealthy substance use, disproportionately little curricular time is devoted to this topic. This lack of curricular time and shortage of actionable skills often leads to feelings of hopelessness and cynicism when caring for affected patients. Towards the goals of helping medical residents learn practical skills and gain confidence in detecting, diagnosing, and managing patients with unhealthy substance use, we developed this 4-week, 16-hour SBIRT (Screening, Brief Intervention, Referral, and Treatment) curriculum. SBIRT is a public health approach to the delivery of early intervention and treatment services for people with, or at risk of developing, substance use disorders. Methods The curriculum is intended for second or third-year postgraduate primary care residents during a 1-month ambulatory block. Teaching elements include traditional didactics, experiential and case-based learning, skills-based practice with feedback, and peer-peer feedback. Slide decks, handouts for reflection exercises and skills practice, educational posters, individual pocket-cards, and instructor guides for each module are provided. For skills reinforcement, this curriculum also includes content for “booster” sessions that can be offered later in the year. Results This curriculum has been a core component of our ambulatory training for a track of internal medicine residents at the University of California, San Francisco. This 4-week curriculum has been very well-received by our residents, and we have demonstrated significant improvements in knowledge and confidence in the management of substance-use disorders from self-administered survey data. Discussion SBIRT is a public health approach to the delivery of early intervention and treatment services for people with or at risk of developing substance-use disorders. Evidence for SBIRT's efficacy in persons with non-dependent, unhealthy alcohol use has led to universal screening recommendations from the United States Preventive Services Task Force for use in primary care settings.http://www.mededportal.org/doi/10.15766/mep_2374-8265.10080Substance-Related DisordersMotivational InterviewingGraduate Medical EducationSBIRTSubstance Abuse |
| spellingShingle | Soraya Azari Neda Ratanawongsa Jennifer Hettema Caroline Cangelosi Matt Tierney Diana Coffa Brad Shapiro Sharad Jain David Hersh Jennifer Manuel Daniel Ciccarone Paula Lum A Skills-Based Curriculum for Teaching Motivational Interviewing-Enhanced Screening, Brief Intervention, and Referral to Treatment (SBIRT) to Medical Residents MedEdPORTAL Substance-Related Disorders Motivational Interviewing Graduate Medical Education SBIRT Substance Abuse |
| title | A Skills-Based Curriculum for Teaching Motivational Interviewing-Enhanced Screening, Brief Intervention, and Referral to Treatment (SBIRT) to Medical Residents |
| title_full | A Skills-Based Curriculum for Teaching Motivational Interviewing-Enhanced Screening, Brief Intervention, and Referral to Treatment (SBIRT) to Medical Residents |
| title_fullStr | A Skills-Based Curriculum for Teaching Motivational Interviewing-Enhanced Screening, Brief Intervention, and Referral to Treatment (SBIRT) to Medical Residents |
| title_full_unstemmed | A Skills-Based Curriculum for Teaching Motivational Interviewing-Enhanced Screening, Brief Intervention, and Referral to Treatment (SBIRT) to Medical Residents |
| title_short | A Skills-Based Curriculum for Teaching Motivational Interviewing-Enhanced Screening, Brief Intervention, and Referral to Treatment (SBIRT) to Medical Residents |
| title_sort | skills based curriculum for teaching motivational interviewing enhanced screening brief intervention and referral to treatment sbirt to medical residents |
| topic | Substance-Related Disorders Motivational Interviewing Graduate Medical Education SBIRT Substance Abuse |
| url | http://www.mededportal.org/doi/10.15766/mep_2374-8265.10080 |
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