The George Washington University, Washington, DC, USA.
University of Maryland, Baltimore, MD, USA.
Acad Psychiatry. 2018 Apr;42(2):309-312. doi: 10.1007/s40596-017-0669-5. Epub 2017 May 8.
The purpose of this study was to assess the usefulness of adding video models of brief alcohol assessment and counseling to a standardized patient (SP) curriculum that covers and tests acquisition of this skill.
The authors conducted a single-center, retrospective cohort study of third- and fourth-year medical students between 2013 and 2015. All students completed a standardized patient (SP) encounter illustrating the diagnosis of alcohol use disorder, followed by an SP exam on the same topic. Beginning in August 2014, the authors supplemented the existing formative SP exercise on problem drinking with one of two 5-min videos demonstrating screening, brief intervention, and referral for treatment (SBIRT). P values and Z tests were performed to evaluate differences between students who did and did not see the video in knowledge and skills related to alcohol use disorders.
One hundred ninety-four students were included in this analysis. Compared to controls, subjects did not differ in their ability to uncover and accurately characterize an alcohol problem during a standardized encounter (mean exam score 41.29 vs 40.93, subject vs control, p = 0.539). However, the SPs' rating of students' expressions of empathy were significantly higher for the group who saw the video (81.63 vs 69.79%, p < 0.05).
The findings did not confirm the original hypothesis that the videos would improve students' recognition and knowledge of alcohol-related conditions. However, feedback from the SPs produced the serendipitous finding that the communication skills demonstrated in the videos had a sustained effect in enhancing students' professional behavior.
本研究旨在评估在涵盖并测试该技能获取的标准化患者（SP）课程中添加简短酒精评估和咨询视频模型的有用性。
作者进行了一项单中心、回顾性队列研究，研究对象为 2013 年至 2015 年间的三、四年级医学生。所有学生都完成了一项标准化患者（SP）就诊，该就诊演示了酒精使用障碍的诊断，随后对同一主题进行了 SP 考试。从 2014 年 8 月开始，作者在现有的关于问题饮酒的形成性 SP 练习中增加了两个 5 分钟的视频之一，展示了筛查、简短干预和转介治疗（SBIRT）。使用 P 值和 Z 检验评估了观看和未观看视频的学生在与酒精使用障碍相关的知识和技能方面的差异。
共有 194 名学生纳入本分析。与对照组相比，在标准化就诊中发现和准确描述酒精问题的能力方面，两组学生没有差异（平均考试成绩分别为 41.29 分和 40.93 分，学生组与对照组相比，p=0.539）。然而，SP 对学生表达同理心的评分，对于观看视频的组明显更高（81.63 分比 69.79%，p<0.05）。
研究结果没有证实视频将提高学生对酒精相关疾病的识别和知识的原始假设。然而，来自 SP 的反馈产生了一个意外的发现，即视频中展示的沟通技巧对增强学生的专业行为产生了持续的影响。
