Department of Family Medicine and Population Health, Virginia Commonwealth University School of Medicine, Richmond, VA.
Office of Assessment, Evaluation, and Scholarship, Virginia Commonwealth University School of Medicine, Richmond, VA.
Fam Med. 2023 Oct;55(9):598-606. doi: 10.22454/FamMed.2023.476432. Epub 2023 Jul 24.
Many health conditions are preventable or modifiable through behavioral changes. Motivational interviewing (MI) is an evidence-based communication technique that explores a patient's reasons for behavioral changes. This study assesses the current landscape of MI training in North American Family Medicine (FM) clerkships.
We analyzed data gathered as part of the 2022 Council of Academic Family Medicine's Educational Research Alliance (CERA) survey of FM clerkship directors (CDs). The survey was distributed via email invitation to 159 US and Canadian FM CDs in June 2022.
Of the 94 responses received, 61% indicated that MI training is provided in their FM clerkship. Medical school type, class size, and location were associated with MI training priority, offerings, and duration in the clerkship, respectively. CD experience correlated with MI training duration; student MI skill training level was associated with MI training duration and priority; the rigor of student MI skills evaluation was correlated with MI teaching methods and training duration; self-reported student MI competency was associated with the length of time students spent with FM community preceptors as well as MI training priority and teaching methods; and several items emerged as predictors of student, CD, and FM faculty MI training expansion.
Opportunities exist to enhance the volume, content, and rigor of MI training in North American FM clerkships as well as to improve self-reported student MI competency within those clerkships.
许多健康状况可以通过行为改变来预防或控制。动机性访谈（MI）是一种基于证据的沟通技巧，用于探讨患者进行行为改变的原因。本研究评估了北美家庭医学（FM）实习中 MI 培训的现状。
我们分析了作为 2022 年学术家庭医学理事会教育研究联盟（CERA）对 FM 实习主任（CD）调查的一部分收集的数据。该调查于 2022 年 6 月通过电子邮件邀请向 159 名美国和加拿大 FM CD 发送。
在收到的 94 份回复中，61%的人表示在他们的 FM 实习中提供 MI 培训。医学院类型、班级规模和位置分别与实习中的 MI 培训优先级、提供内容和持续时间相关。CD 经验与 MI 培训持续时间相关；学生 MI 技能培训水平与 MI 培训持续时间和优先级相关；学生 MI 技能评估的严格程度与 MI 教学方法和培训持续时间相关；自我报告的学生 MI 能力与学生与 FM 社区导师一起的时间长短以及 MI 培训优先级和教学方法相关；有几个项目被确定为学生、CD 和 FM 教师 MI 培训扩展的预测因素。
北美 FM 实习中 MI 培训的数量、内容和严格程度有机会得到加强，并且可以提高这些实习中自我报告的学生 MI 能力。
