Substance use screening, brief intervention, and referral to treatment training for emergency medicine trainees
Substance use screening, brief intervention, and referral to treatment training for emergency medicine trainees
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为急诊医学学员提供药物使用筛查、简短干预和转介治疗培训
DOI：
10.2147/amep.s186502
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发表时间：
2019
影响因子：
2
通讯作者：
J. Baird
中科院分区：
文献类型：
--
作者：
M. Mello;J. Bromberg;S. Rougas;T. Chun;Linda L. Brown;Christina S Parnagian;J. Baird
急诊医学（EM）提供者处于一个机会主义的位置，以识别和干预有酒精滥用和相关问题风险的患者。然而，酒精筛查，短暂干预和转诊治疗（SBIRT）服务在急诊科未得到充分利用。向受训者提供SBIRT培训可能有助于提高今后对这些宝贵服务的利用率。为EM教师和学员制定并提供了SBIRT培训计划，以提高学员的SBIRT服务技能和实践。方法SBIRT培训计划包括医学生，医生助理（PA）的学生，EM居民和教师导师独特的轨道。教师和学员在每次培训结束时，培训后30天和12个月后完成绩效指标。结果对238名学员和65名教职工进行了SBIRT培训。在所有随访时间点，培训和有用性的满意度不同的受训者类型与PA学生的评级结构高于医学生和EM居民。在12个月的随访调查中，这些受训者之间的信息共享评分没有显著差异（χ2（2）=0.38，P=0.33），大多数受训者（96%的PA学生，83%的居民和68%的医学生）回答说，他们已经将培训中学到的知识应用到工作中。结论成功地为EM学员提供了SBIRT培训课程，并在实施后12个月使用。
Introduction Emergency medicine (EM) providers are in an opportunistic position to identify and intervene with patients at risk for alcohol misuse and related problems. However, alcohol screening, brief intervention, and referral to treatment (SBIRT) services are underutilized within the emergency department. Providing SBIRT training to trainees may help to increase utilization of these valuable services in the future. An SBIRT training program for EM faculty and trainees was developed and delivered to increase trainees’ skills and practice of SBIRT services. Methods The SBIRT training program included unique tracks for medical students, physician assistant (PA) students, EM residents and faculty preceptors. Faculty and trainees completed performance measures at the end of each training session, 30 days post-training and 12 months later. Results SBIRT training was provided to 238 trainees and 65 faculty members. At all follow-up time points, satisfaction of training and usefulness varied by trainee type with PA students rating constructs higher than both medical students and EM residents. At the 12-month follow-up survey, there was no significant difference in ratings of sharing the information (χ2 (2)=0.38, P=0.33) between these trainees, with the majority of all trainees (96% of PA students, 83% of residents and 68% of medical students) responding that they had applied what they learned in the training to their work. Conclusion An SBIRT training curriculum for EM trainees was delivered successfully and utilized 12 months after implementation.