Baylor Pediatric SBIRT Medical Residency Training Program: Model Description and Evaluation

Abstract

ABSTRACT. Background: The Baylor College of Medicine SBIRT Medical Residency Training Program is a multilevel project that trains residents and faculty in evidenced-based screening, brief intervention, and referral to treatment methods for alcohol and substance use problems. Methods: This paper describes the training program created for pediatric residents and provides an evaluation of the program. Ninety-five first-year pediatric residents participated in the training program. They were assessed on satisfaction with the program, self-rated skills, observed competency, and implementation into clinical practice. Results: The program was successfully incorporated into the residency curricula in two pediatric residencies. Evaluations indicate a high degree of satisfaction with the program, self-reported improvement in SBIRT skills, observed proficiency in SBIRT skills, and utilization of SBIRT skills in clinical practice. Conclusions: SBIRT skills training can be incorporated into pediatric residency training, and residents are able to learn and implement the skills in clinical practice.

Keywords:

• Adolescent alcohol use
• adolescent substance use
• brief intervention
• motivational interviewing
• residency training
• SBIRT

ACKNOWLEDGMENTS

We would like to thank the dedicated work of our staff and the participating faculty and residents. None of the authors has any potential conflicts of interest, financial or otherwise, pertaining to the data presented in this paper.

AUTHOR CONTRIBUTIONS

The authors made the following contributions to the paper: James H. Bray is the project director and was involved in the design, implementation, data analysis, interpretation, and writing and revision of the paper; Alicia Kowalchuk was involved in the design, implementation, interpretation, and writing and revision of the paper; Vicki Waters was involved in the design, implementation, data analysis, interpretation, and writing and revision of the paper; Erin Allen was involved in the implementation and writing and revision of the paper; Larry Laufman was involved in the implementation, data analysis, interpretation, and writing and revision of the paper; Elizabeth H. Shilling was involved in the implementation, data analysis, and writing and revision of the paper.

FUNDING

This project was supported by a grant from the Substance Abuse and Mental Health Services Administration (grant no: 5UT79TI0202). The agency provided funding but was not involved in the design, preparation, writing, or review of the paper.