Mello Michael J, Bromberg Julie R, Rougas Steven, Chun Thomas H, Brown Linda L, Parnagian Christina S, Baird Janette
Department of Emergency Medicine, The Warren Alpert Medical School, Brown University, Providence, RI, USA,
Injury Prevention Center, Rhode Island Hospital, Providence, RI, USA,
Adv Med Educ Pract. 2019 Feb 14;10:71-76. doi: 10.2147/AMEP.S186502. eCollection 2019.
Emergency medicine (EM) providers are in an opportunistic position to identify and intervene with patients at risk for alcohol misuse and related problems. However, alcohol screening, brief intervention, and referral to treatment (SBIRT) services are underutilized within the emergency department. Providing SBIRT training to trainees may help to increase utilization of these valuable services in the future. An SBIRT training program for EM faculty and trainees was developed and delivered to increase trainees' skills and practice of SBIRT services.
The SBIRT training program included unique tracks for medical students, physician assistant (PA) students, EM residents and faculty preceptors. Faculty and trainees completed performance measures at the end of each training session, 30 days post-training and 12 months later.
SBIRT training was provided to 238 trainees and 65 faculty members. At all follow-up time points, satisfaction of training and usefulness varied by trainee type with PA students rating constructs higher than both medical students and EM residents. At the 12-month follow-up survey, there was no significant difference in ratings of sharing the information (χ (2)=0.38, =0.33) between these trainees, with the majority of all trainees (96% of PA students, 83% of residents and 68% of medical students) responding that they had applied what they learned in the training to their work.
An SBIRT training curriculum for EM trainees was delivered successfully and utilized 12 months after implementation.
急诊医学（EM）提供者处于一个有利位置，能够识别有酒精滥用及相关问题风险的患者并进行干预。然而，酒精筛查、简短干预及转介治疗（SBIRT）服务在急诊科的利用不足。为实习生提供SBIRT培训可能有助于未来提高这些有价值服务的利用率。开发并实施了一项针对急诊医学教员和实习生的SBIRT培训项目，以提高实习生提供SBIRT服务的技能和实践能力。
SBIRT培训项目包括针对医学生、医师助理（PA）学生、急诊医学住院医师和教员带教老师的独特课程。教员和实习生在每次培训课程结束时、培训后30天及12个月后完成绩效评估。
共为238名实习生和65名教员提供了SBIRT培训。在所有随访时间点，培训满意度和实用性因实习生类型而异，PA学生对各项指标的评分高于医学生和急诊医学住院医师。在12个月的随访调查中，这些实习生在分享信息评分方面无显著差异（χ² = 0.38，P = 0.33），大多数实习生（96%的PA学生、83%的住院医师和68%的医学生）表示他们已将培训中学到的知识应用到工作中。
成功实施了一项针对急诊医学实习生的SBIRT培训课程，且在实施12个月后仍在使用。
