Tilling the Soil While Sowing the Seeds: Combining Resident Education with Medical Home Transformation

In order to successfully integrate screening, brief intervention, and referral to treatment (SBIRT) into primary care, education of clinicians must be paired with sustainable transformation of the clinical settings in which they practice. The SBIRT Oregon project adopted this strategy in an effort t...

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Veröffentlicht in:Substance abuse 2012-07, Vol.33 (3), p.282-285
Hauptverfasser: Muench, John, Jarvis, Kelly, Boverman, Josh, Hardman, Joseph, Hayes, Meg, Winkle, Jim
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container_end_page 285
container_issue 3
container_start_page 282
container_title Substance abuse
container_volume 33
creator Muench, John
Jarvis, Kelly
Boverman, Josh
Hardman, Joseph
Hayes, Meg
Winkle, Jim
description In order to successfully integrate screening, brief intervention, and referral to treatment (SBIRT) into primary care, education of clinicians must be paired with sustainable transformation of the clinical settings in which they practice. The SBIRT Oregon project adopted this strategy in an effort to fully integrate SBIRT into 7 primary care residency clinics. Residents were trained to assess and intervene in their patients' unhealthy substance use, whereas clinic staff personnel were trained to carry out a multistep screening process. Electronic medical record tools were created to further integrate and track SBIRT processes. This article describes how a resident training curriculum complemented and was informed by the transformation of workflow processes within the residents' home clinics.
doi_str_mv 10.1080/08897077.2011.640088
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subjects Access to Health Care
Clinical Competence
Clinics
Curriculum - standards
Electronic Health Records
Family Practice - education
Graduate Medical Education
Graduate Students
Humans
Integration
Internship and Residency - methods
Intervention
Medical Education
Medical Evaluation
medical home
Medical Services
Medical Students
Oregon
Patient-Centered Care - methods
Patients
primary care
Primary Health Care
Primary Health Care - methods
Program Development
Psychotherapy, Brief - education
Records (Forms)
Referral
Referral and Consultation
resident
SBIRT
Screening Tests
Substance Abuse
Substance Abuse Detection
Substance-Related Disorders
title Tilling the Soil While Sowing the Seeds: Combining Resident Education with Medical Home Transformation
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