Reinventing the reel: An innovative approach to resident skill-building in motivational interviewing for brief intervention

Bonnie Cole, Denice Crowe Clark, J. Paul Seale, Sylvia Shellenberger, Alan Lyme, J. Aaron Johnson, Aruna Chhabria

Research output: Contribution to journalArticlepeer-review

18 Scopus citations


To enhance the skills of primary care residents in addressing substance misuse, residency screening, brief intervention, and referral to treatment (SBIRT) programs increasingly offer motivational interviewing (MI) training, but seldom include feedback and coaching. This innovative 2-round Virginia Reel approach, supplementing 3 hours of basic MI instruction, was designed to teach and coach residents to use MI while providing ongoing medical care. SBIRT/MI-competent facilitators served as both trainers and actors at 8 carefully sequenced Objective Structured Clinical Examination (OSCE) stations, providing instruction, role-play practice, and feedback on 17 microskills in 2 successive clinical visits/rounds addressing alcohol misuse and diabetes management. Evaluation included OSCE checklists, overall competency assessments, and responses to open-ended questions. Three residents showed improvement between rounds. Resident evaluations were strongly positive, identifying practice of MI skills and receipt of coaching and feedback from MI experts as particularly valuable. Further study is needed to confirm effectiveness of the approach and explore the impact of fewer OSCE stations of longer duration.

Original languageEnglish (US)
Pages (from-to)278-281
Number of pages4
JournalSubstance Abuse
Issue number3
StatePublished - Jul 1 2012
Externally publishedYes


  • Educational measurement
  • residency
  • substance-related disorders
  • training techniques

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Psychiatry and Mental health


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