title: Developing and implementing a multispecialty graduate medical education curriculum on Screening, Brief Intervention, and Referral to Treatment (SBIRT).
abstract: 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.
authors.affiliation: Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut 06510, USA. jeanette.tetrault@yale.edu
authors.forename: Jeanette M
authors.initials: JM
authors.lastname: Tetrault
authors.forename: Michael L
authors.initials: ML
authors.lastname: Green
authors.forename: Steve
authors.initials: S
authors.lastname: Martino
authors.forename: Stephen F
authors.initials: SF
authors.lastname: Thung
authors.forename: Linda C
authors.initials: LC
authors.lastname: Degutis
authors.forename: Sheryl A
authors.initials: SA
authors.lastname: Ryan
authors.forename: Shara
authors.initials: S
authors.lastname: Martel
authors.forename: Michael V
authors.initials: MV
authors.lastname: Pantalon
authors.forename: Steven L
authors.initials: SL
authors.lastname: Bernstein
authors.forename: Patrick G
authors.initials: PG
authors.lastname: O'Connor
authors.forename: David A
authors.initials: DA
authors.lastname: Fiellin
authors.forename: Gail
authors.initials: G
authors.lastname: D'Onofrio
mesh_terms: D000437:Alcoholism / Q000175:diagnosis* / Q000628:therapy; D003479:Curriculum; D004503:Education, Medical, Graduate / Q000379:methods*; D005240:Feasibility Studies; D006801:Humans; D007396:Internship and Residency / Q000379:methods*; D008403:Mass Screening / Q000458:organization & administration*; D015397:Program Evaluation; D012017:Referral and Consultation; D019966:Substance-Related Disorders / Q000175:diagnosis* / Q000517:prevention & control; D014481:United States; D014482:United States Substance Abuse and Mental Health Services Administration