Alev Inez Wilk1, Norman M Jensen. 1. Department of Medicine, Section of General Internal Medicine, University of Wisconsin Medical School, Madison, USA. aiw@medicine.wisc.edu
Abstract
OBJECTIVE: To investigate a brief teaching intervention using standardized patients (SPs) trained to improve residents' detection and advising of problem drinkers. DESIGN: Pretest-posttest design assessing resident behavior and skills. SUBJECTS: Nineteen internal medicine residents in a University Hospital General Internal Medicine Clinic. INTERVENTION: Announced SPs were interviewed by residents and presented to faculty who provided brief instruction on the National Institute on Alcohol Abuse and Alcoholism guidelines for screening and brief counseling of problem drinkers. MEASURE: Unannounced SPs assessed resident behavior and skills. RESULTS: Following the teaching intervention, 2 times more residents screened for alcohol use and nearly 3 times more residents did brief counseling. Residents reported that the intervention was informative and valuable. CONCLUSION: A single, 1-hour teaching intervention lead to a 2- to 3-fold increase in resident detection and advising of problem drinkers. SPs provide effective teaching encounters and a useful measure of resident behavior.
OBJECTIVE: To investigate a brief teaching intervention using standardized patients (SPs) trained to improve residents' detection and advising of problem drinkers. DESIGN: Pretest-posttest design assessing resident behavior and skills. SUBJECTS: Nineteen internal medicine residents in a University Hospital General Internal Medicine Clinic. INTERVENTION: Announced SPs were interviewed by residents and presented to faculty who provided brief instruction on the National Institute on Alcohol Abuse and Alcoholism guidelines for screening and brief counseling of problem drinkers. MEASURE: Unannounced SPs assessed resident behavior and skills. RESULTS: Following the teaching intervention, 2 times more residents screened for alcohol use and nearly 3 times more residents did brief counseling. Residents reported that the intervention was informative and valuable. CONCLUSION: A single, 1-hour teaching intervention lead to a 2- to 3-fold increase in resident detection and advising of problem drinkers. SPs provide effective teaching encounters and a useful measure of resident behavior.
Authors: P L Stillman; D B Swanson; S Smee; A E Stillman; T H Ebert; V S Emmel; J Caslowitz; H L Greene; M Hamolsky; C Hatem Journal: Ann Intern Med Date: 1986-11 Impact factor: 25.391
Authors: Judith L Bowen; Stephen M Salerno; John K Chamberlain; Elizabeth Eckstrom; Helen L Chen; Suzanne Brandenburg Journal: J Gen Intern Med Date: 2005-12 Impact factor: 5.128
Authors: Jennifer E Hettema; Neda Ratanawongsa; Jennifer K Manuel; Daniel Ciccarone; Diana Coffa; Sharad Jain; Paula J Lum Journal: Subst Abus Date: 2012 Impact factor: 3.716
Authors: Sharon J Parish; Megha Ramaswamy; Melissa R Stein; Elizabeth K Kachur; Julia H Arnsten Journal: J Gen Intern Med Date: 2006-05 Impact factor: 5.128