A Statewide Screening, Brief Intervention, and Referral to Treatment (SBIRT) Curriculum for Medical Residents: Differential Implementation Strategies in Heterogeneous Medical Residency Programs

Abstract

Adaptable curricula, such as SMaRT, may be a viable step towards developing a nationwide curriculum.

Evaluating Graduate Medical Education on Opioid Use Disorder in America’s Heroin Overdose Capital

“…Training for alcohol use disorder in 1988 with medical students and resident physicians was successful in improving the quality of care and outcomes for this major chronic disease (Geller, 1989). There are programs looking to develop best practices by utilizing sequential implementation across residency programs (O'Sullivan et al, 2017), Project ECHO (University of New Mexico, 2018), clinical site champions (Pringle, 2017) and OSCE (objective structured clinical examination) training (UMass Med 2018, Brown 2017and Polydorough, 2008.…”

Fit and Feasibility: Adapting a Standardized Curriculum to Prepare Future Health Professionals to Address Alcohol Misuse

“…The SBIRT curriculum contains five topics and seven modules, each with learning resources and materials (Pringle, Kearney, Rickard-Aasen, Campopiano, & Gordon, 2017). The five topics include (1) What is SBIRT (describe its purpose and the evidence base), (2) Screening (describe the rationale for universal alcohol/substance use screening in primary care and hospital settings, and practice using standardized alcohol and drug screeners), (3) Motivational Interviewing ([MI]; a three-module lesson covering MI principles, core MI skills, and practice applying MI to enhance motivation to change behavior), (4) Brief Negotiated Interview ([BNI]; apply MI principles, learn BNI steps, and practice conducting a brief behavioral counseling intervention to reduce risky drinking or drug use), and (5) referring patients to treatment (review techniques for identifying appropriate treatment or supportive programs, and use MI and BNI skills to make a successful referral).…”

Approaches to brief interventions.

“…Evidence supports the administration of BIs via trained providers or electronic methods (e.g., computers, text messages, tablets; Baumann et al, 2018;KayLambkin, Baker, Lewin, & Carr, 2009). Practitioners who can be trained to conduct BIs include physicians, physicians' assistants, nurses, social workers, mental health counselors, psychologists, behavioral health specialists, dentists, physical and occupational therapists, and pharmacists (Duong, O'Sullivan, Satre, Soskin, & Satterfield, 2016;Kalu et al, 2016;Moore et al, 2017;Pringle, Kearney, RickardAasen, Campopiano, & Gordon, 2017;Stanton, Atherton, Toriello, & Hodgson, 2012;Tanner, Wilhelm, Rossie, & Metcalf, 2012). Clinical staff who can be reimbursed for providing BIs vary by state and provider status for their profession (Institute for Research Education & Training in Addictions, 2018).…”

“…Practitioners are encouraged to undergo training before conducting BIs. Unfortunately, formal training for evidencebased substance use interventions is lacking in the graduate school curricula for most health care professionals (Pringle, Kearney, et al, 2017). To address this knowledge gap in the work force, SAMHSA has funded SBIRT training for 31 medical residency and other professional programs (e.g., social work psychologists) across the United States since 2003 (SAMHSA, 2017b).…”