TY - JOUR
T1 - Reinventing the reel
T2 - An innovative approach to resident skill-building in motivational interviewing for brief intervention
AU - Cole, Bonnie
AU - Clark, Denice Crowe
AU - Seale, J. Paul
AU - Shellenberger, Sylvia
AU - Lyme, Alan
AU - Johnson, J. Aaron
AU - Chhabria, Aruna
PY - 2012/7/1
Y1 - 2012/7/1
N2 - 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.
AB - 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.
KW - Educational measurement
KW - residency
KW - substance-related disorders
KW - training techniques
UR - http://www.scopus.com/inward/record.url?scp=84863507993&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84863507993&partnerID=8YFLogxK
U2 - 10.1080/08897077.2011.639696
DO - 10.1080/08897077.2011.639696
M3 - Article
C2 - 22738005
AN - SCOPUS:84863507993
SN - 0889-7077
VL - 33
SP - 278
EP - 281
JO - Substance Abuse
JF - Substance Abuse
IS - 3
ER -