A Sequential Implementation Model for Workforce Development: A Case Study of Medical Residency Training for Substance Use Concerns

Teaching and Learning in Medicine
Patricia S O'SullivanJason M Satterfield

Abstract

In graduate medical education, residency programs are often educationally isolated from each other, with varying needs and patient populations, so strategies are needed when attempting to implement training in evidence-based practices across multiple residencies. Using implementation science as a guide, we adapted a community development model to sequentially implement an evidence-based intervention, Screening, Brief Intervention, and Referral to Treatment (SBIRT) for alcohol and drug use problems, across internal medicine, pediatrics, emergency medicine, psychiatry, and obstetrics and gynecology residency programs. A grant-funded "executive" team coordinated the implementation, enrolled a new residency program annually, and served as the consultative team to span the programs. The team was attentive to aligning implementation with the needs of each program. To assist in planning, the team included a program champion 1 year prior to SBIRT implementation to provide the opportunity to develop resources and work with peers. We evaluated this model through an implementation science lens using a case study approach that included interviews and quantitative tabulation of products and resident perceptions. We successfully instituted S...Continue Reading

References

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Citations

Jun 23, 2020·Academic Medicine : Journal of the Association of American Medical Colleges·John Q YoungPatricia S O'Sullivan

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Software Mentioned

PSYCH
SBIRT

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