Original Publication
Open Access

Three Standardized Patient Cases to Measure Screening, Brief Intervention and Referral to Treatment (SBIRT) Skills in Primary Care Residents

Published: September 13, 2011 | 10.15766/mep_2374-8265.9005

Included in this publication:

  • Case 1 Post-Case Scoring Rubric.xls
  • Case 1 Post-case exercise.doc
  • Case 1 Standardized Patient Training Materials.doc
  • Case 2 Post-Case Exercise.doc
  • Case 2 Post-Case Scoring Rubric.doc
  • Case 2 Standardized Patient Training Materials.doc
  • Case 3 Post-Case Exercise.doc
  • Case 3 Post-case Scoring Rubric.doc
  • Case 3 Standardized Patient Training Materials.doc
  • Debrief Session Guide for Faculty.doc
  • Resident Evaluation of Standardized Patient Activity.xls
  • SBIRT SP Case Objectives and Checklist Items.pdf
  • SBIRT Standardized Patient Scoring Rubric.doc

To view all publication components, extract (i.e., unzip) them from the downloaded .zip file.


Editor's Note: This publication predates our implementation of the Educational Summary Report in 2016 and thus displays a different format than newer publications.

Abstract

Introduction: This resource consists of three 20-minute standardized patient encounters that are designed for internal medicine or family medicine residents to assess SBIRT (Screening, Brief Intervention and Referral to Treatment) skills and to determine individual areas for improvement. Methods: Each case is written to represent a 20-minute clinic visit and focuses on substance use history taking and the assessment and development of a clear treatment plan. There are no physical exams included in these cases, but if desired the cases could be modified to assess relevant physical examination skills. After each standardized patient case, residents have a 10-minute exercise to assess specific knowledge and skills. Results: Fifteen primary care internal medicine residents participated in the exercise. Averaging across all three cases, the residents received an overall satisfaction rating of .63, which ranked them slightly above “good.” Residents reported that the standardized patient scenarios were representative of the patients they might see in clinic. Most felt the learning experience was valuable and would recommend the exercise to a fellow resident. Discussion: SBIRT has been promoted as model for improving health care delivery for patients with alcohol and substance use disorders. Many have called for increased curricular content in medical schools and residency training on alcohol and substance use disorders. Thus, we developed these three standardized patient cases and three postcase exercises to assess SBIRT skills in internal medicine residents.


Educational Objectives

By the end of this resource, learners will be able to:

  1. Demonstrate an understanding of SBIRT (Screening, Brief Intervention and Referral to Treatment) skills.
  2. Screen for alcohol and substance use.
  3. Screen for mental illness.
  4. Take a substance use history.
  5. Provide accurate assessment of substance use disorders.
  6. Provide brief intervention to address substance use.
  7. Provide appropriate referral for patients with substance use disorders.
  8. Provide effective communication with patients regarding substance abuse.

Author Information

  • Maria Wamsley, MD: University of California, San Francisco, School of Medicine
  • Kathryn Treit, MD: University of California, San Francisco
  • Jason Satterfield, PhD: University of California, San Francisco
  • David Levitt: University of California, San Francisco
  • Elinore McCance-Katz, MD, PhD: University of California, San Francisco,
  • Gina Moreno-John, MD, MPH: University of California, San Francisco
  • Patricia O'Sullivan, MS, EdD: University of California, San Francisco
  • Sharon Parish, MD: Albert Einstein College of Medicine
  • Melissa Stein, MD: Albert Einstein College of Medicine

Disclosures
None to report.

Funding/Support
None to report.

Prior Presentations
Using Standardized Patients to Evaluate Resident Skills in Screening and Brief Interventions for Substance Abuse in the Primary Care Setting. Poster presented at: WGEA/WGSA Regional Conference; April 2011; Palo Alto, CA.

Using Standardized Patients to Evaluate Resident Skills in Screening and Brief Interventions for Substance Abuse in the Primary Care Setting. Poster presented at: SGIM National Meeting; May 2011; Phoenix, AZ.



Citation

Wamsley M, Treit K, Satterfield J, et al. Three standardized patient cases to measure screening, brief intervention and referral to treatment (SBIRT) skills in primary care residents. MedEdPORTAL. 2011;7:9005. https://doi.org/10.15766/mep_2374-8265.9005