Wamsley M, Treit K, Satterfield J, Levitt D, McCance-Katz E, Moreno-John G, et al. Three Standardized Patient Cases to Measure Screening, Brief Intervention and Referral to Treatment (SBIRT) Skills in Primary Care Residents . MedEdPORTAL; 2011.
Available from: www.mededportal.org/publication/9005
Three twenty-minute standardized patient encounters that are designed for internal medicine or family medicine residents to assess SBIRT skills and to determine individual areas for improvement. Standardized patient cases include the following:
* 35 year-old man with risky alcohol use and paroxysmal atrial fibrillation, contemplative stage.
* 39 year-old woman with low back pain and opiate misuse, precontemplative stage.
* 63 year-old woman with depression and alcohol use disorder, preparation stage.
Each case is written to represent a twenty-minute clinic visit and focuses on substance use history taking, 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 SP case, residents have a ten-minute exercise to assess specific knowledge and skills including: encounter documentation, assessment of stages of change, approach to older patients with substance use, approach to non-English speaking patients with substance use and developing pain contracts with patients.
Submission contains standardized patient training materials and post-case exercises for 3 cases. In addition, there are scoring rubrics for the post-case exercises and for the overall cases. Finally, there is a guide to debriefing the exercise with the residents and a resident evaluation of the exercise.
