Division of General Internal Medicine, University of California-San Francisco, San Francisco, California 94143, USA.
Subst Abus. 2012;33(3):303-7. doi: 10.1080/08897077.2011.640103.
Comprehensive clinical competency curricula for hazardous drinking and substance use disorders (SUDs) exists for medical students, residents, and practicing health care providers. Evaluations of these curricula typically focus on learner attitudes and knowledge, although changes in clinical skills are of greater interest and utility. The authors present a pre-post clinical skill evaluation of a 10-hour screening, brief intervention, and referral to treatment (SBIRT) curriculum for hazardous drinking and SUDs for primary care internal medicine residents using standardized patient examinations to better determine the impact of SBIRT training on clinical practice. Residents had large improvements in history taking, substance use screening skills, SUD assessment and diagnostic skills, and in SBIRT knowledge, including documentation, systems, and diversity issues. Residents made moderate improvements in brief intervention skills. Future SBIRT curricular evaluations would ideally include a controlled comparison with larger samples from multiple institutions.
针对医学生、住院医师和执业医疗保健提供者，存在全面的临床能力课程，用于治疗危险饮酒和物质使用障碍（SUD）。这些课程的评估通常侧重于学习者的态度和知识，尽管临床技能的变化更具兴趣和实用性。作者使用标准化患者检查，对初级保健内科住院医师进行了 10 小时的筛查、简短干预和转介治疗（SBIRT）课程的临床技能进行了前后评估，以更好地确定 SBIRT 培训对临床实践的影响。住院医师在病史采集、物质使用筛查技能、SUD 评估和诊断技能以及 SBIRT 知识（包括文档、系统和多样性问题）方面都有了很大的提高。住院医师在简短干预技能方面有了适度的提高。未来的 SBIRT 课程评估理想情况下应包括与来自多个机构的更大样本进行对照比较。
