Brown R L, Fleming M F
Department of Family Medicine, University of Wisconsin Medical School, Madison 53715, USA.
Int J Psychiatry Med. 1998;28(1):137-46. doi: 10.2190/VG0W-TW89-UWE0-HYJL.
Screening and brief intervention for substance abuse is effective yet underutilized by primary care physicians. This article reports on Project SAEFP (Substance Abuse Education for Family Physicians), which aimed to enhance the clinical and teaching skills and activities of U.S. family practice residency faculty.
Ten five-day workshops were designed and administered for 165 participants. Evaluation data included measures of participant satisfaction and pre-workshop and twelve-month post-workshop measures of the frequency of teaching, consulting, and clinical activities, and the attainment of self-identified teaching goals.
The participants were very satisfied with the workshops. They improved significantly in the key outcome measures.
Several workshops may have contributed to the apparent success of Project SAEFP. Attributes of the workshops which might have facilitated their success were their duration, funding, frequency of offering, collegial learning environment, opportunities for active learning, emotionally moving exposure to recovering individuals, focus on how to modify curriculum at participant residency programs, availability of family physician role models as faculty, and readily usable instructional materials. Planners of interventions for physician educators might profit from similar attention to these attributes.
对药物滥用进行筛查和简短干预是有效的，但初级保健医生对其利用不足。本文报道了SAEFP项目（家庭医生药物滥用教育项目），该项目旨在提高美国家庭医学住院医师培训教员的临床和教学技能及活动。
为165名参与者设计并举办了10期为期五天的工作坊。评估数据包括参与者满意度的测量指标，以及工作坊前和工作坊后十二个月的教学、咨询和临床活动频率的测量指标，以及自我确定的教学目标的达成情况。
参与者对工作坊非常满意。他们在关键成果指标上有显著改善。
多个工作坊可能促成了SAEFP项目的明显成功。可能促成其成功的工作坊的特点包括持续时间、资金、举办频率、合作学习环境、主动学习机会、与康复者的情感触动交流、关注如何在参与者的住院医师培训项目中修改课程、有家庭医生榜样作为教员以及易于使用的教学材料。医生教育工作者干预措施的规划者可能会从对这些特点的类似关注中受益。
