title: Impact of a multicomponent screening, brief intervention, and referral to treatment (SBIRT) training curriculum on a medical residency program.
abstract: BACKGROUND
  Substance-related disorders are a growing problem in the United States. The patient-provider setting can serve as a crucial environment to detect and prevent at-risk substance use. Screening, brief intervention, and referral to treatment (SBIRT) is an integrated approach to deliver early intervention and treatment services for persons who have or are at risk for substance-related disorders. SBIRT training components can include online modules, in-person instruction, practical experience, and clinical skills assessment. This paper will evaluate the impact of multiple modes of training on acquisition of SBIRT skills as observed in a clinical skills assessment.
  
  
  METHODS
  Residents were part of an SBIRT training program, from 2009 through 2013, consisting of lecture, role-play, online modules, patient encounters, and clinical skills assessment (CSA). Differences were assessed across satisfactory and unsatisfactory CSA performance.
  
  
  RESULTS
  Seventy percent of the residents satisfactorily completed CSA. Demographics, type of components completed, and number of components completed were similar among residents who demonstrated satisfactory clinical skills compared with those who did not. All components of the training program were accepted equally across specialties and resident matriculation cohorts.
  
  
  CONCLUSIONS
  The authors conclude that the components employed in SBIRT training do not have to be numerous or of a particular mode of training in order to see observable demonstration of SBIRT skills among medical residents. Thus, residency educators who have limited time or resources may utilize as few as 1 mode of training to effectually disseminate SBIRT skills among health care providers. As SBIRT continues to evolve as a promising tool to address at-risk substance-related disorders, it is critical to train medical residents and other health professionals.
authors.affiliation: a SBIRT Medical Residency Program , Howard University , Washington , DC , USA.
authors.forename: Nnenna
authors.initials: N
authors.lastname: Kalu
authors.affiliation: a SBIRT Medical Residency Program , Howard University , Washington , DC , USA.
authors.forename: Gloria
authors.initials: G
authors.lastname: Cain
authors.affiliation: b Department of Community and Family Medicine , Howard University , Washington , DC , USA.
authors.forename: TyWanda
authors.initials: T
authors.lastname: McLaurin-Jones
authors.affiliation: a SBIRT Medical Residency Program , Howard University , Washington , DC , USA.
authors.forename: Denise
authors.initials: D
authors.lastname: Scott
authors.affiliation: c Georgetown-Howard Universities Center for Clinical and Translation Science (GHUCCTS) , Howard University College of Medicine/Howard University Hospital , Washington , DC , USA.
authors.forename: John
authors.initials: J
authors.lastname: Kwagyan
authors.affiliation: d Howard-Hopkins Surgical Outcomes Research Center , Washington , DC , USA.|e Howard University Hospital Trauma and Critical Care , Washington , DC , USA.
authors.forename: Catsim
authors.initials: C
authors.lastname: Fassassi
authors.affiliation: e Howard University Hospital Trauma and Critical Care , Washington , DC , USA.
authors.forename: Wendy
authors.initials: W
authors.lastname: Greene
authors.affiliation: a SBIRT Medical Residency Program , Howard University , Washington , DC , USA.
authors.forename: Robert E
authors.initials: RE
authors.lastname: Taylor
mesh_terms: D002983:Clinical Competence; D003479:Curriculum; D006801:Humans; D007396:Internship and Residency; D011614:Psychotherapy, Brief / Q000193:education*; D012017:Referral and Consultation; D019966:Substance-Related Disorders / Q000175:diagnosis* / Q000628:therapy*; D014481:United States
keywords: Internship and residency; SBIRT; substance-related disorders; training