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Substance use screening, brief intervention, and referral to treatment training for emergency medicine trainees

Authors Mello MJ, Bromberg JR, Rougas S, Chun TH, Brown LL, Parnagian CS, Baird J

Received 5 September 2018

Accepted for publication 23 December 2018

Published 14 February 2019 Volume 2019:10 Pages 71—76


Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Robert Robinson

Peer reviewer comments 4

Editor who approved publication: Dr Anwarul Azim Majumder

Michael J Mello,1,2 Julie R Bromberg,1,2 Steven Rougas,1 Thomas H Chun,1 Linda L Brown,1 Christina S Parnagian,2 Janette Baird1,2

1Department of Emergency Medicine, The Warren Alpert Medical School, Brown University, Providence, RI, USA; 2Injury Prevention Center, Rhode Island Hospital, Providence, RI, USA

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.

Keywords: SBIRT, substance misuse, emergency medicine trainees

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