title: Standardized Patient Instructor (SPI) interactions are a viable way to teach medical students about health behavior counseling.
abstract: OBJECTIVE
  We explored comfort levels of third-year medical (M3) students through two health behavior counseling (HBC) interactions with Standardized Patient Instructors (SPIs) in tobacco cessation (TCC) and nutrition and physical activity (NPA).
  
  
  METHODS
  Nearly 200 M3s participated in two SPI HBC interactions; including a role-play interview and subsequent feedback session on performance. Students completed a 5-point Likert scale evaluation measuring pre- and post-comfort level on two HBC sessions.
  
  
  RESULTS
  Both interactions resulted in statistically significant increases in student's pre- and post-interaction comfort levels. A paired-sample t-test revealed a mean increase of 0.91 for TCC (t = 14.01, df = 197, p<0.001), and a mean increase of 0.69 for NPA (t = 12.65, df = 198, p<0.001).
  
  
  CONCLUSIONS
  The use of SPIs is a viable approach to exposing medical students and future doctors to health behavior counseling, and increasing comfort level with such skills. The SPI experience ensures that HBC opportunities are available and contain meaningful feedback on performance.
  
  
  CONCLUSIONS
  Encouraging patient behavior modification is a skill that can be developed during undergraduate medical training. Combining HBC with SPI sessions and traditional learning approaches could prove effective in a curriculum intended to teach students strategies that improve patient health behavior.
authors.affiliation: University of Michigan Medical School, Office ofMedical Education, Standardized Patient Program, 3908-B Taubman MedicalLibrary, Ann Arbor, MI 48109, USA. hmwags@umich.edu
authors.forename: Heather
authors.initials: H
authors.lastname: Wagenschutz
authors.forename: Paula
authors.initials: P
authors.lastname: Ross
authors.forename: Joel
authors.initials: J
authors.lastname: Purkiss
authors.forename: Jun
authors.initials: J
authors.lastname: Yang
authors.forename: Sarah
authors.initials: S
authors.lastname: Middlemas
authors.forename: Monica
authors.initials: M
authors.lastname: Lypson
mesh_terms: D000328:Adult; D002982:Clinical Clerkship; D003376:Counseling / Q000193:education / Q000379:methods; D003479:Curriculum; D004504:Education, Medical, Undergraduate; D005246:Feedback; D005260:Female; D015438:Health Behavior; D006293:Health Promotion; D006801:Humans; D007388:Internal Medicine / Q000193:education*; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D016544:Patient Simulation; D013337:Students, Medical / Q000523:psychology*; D013663:Teaching / Q000379:methods; D020340:Tobacco Use Cessation