Tilling the soil while sowing the seeds: combining resident education with medical home transformation

Subst Abus. 2012;33(3):282-5. doi: 10.1080/08897077.2011.640088.


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.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Clinical Competence*
  • Curriculum / standards
  • Electronic Health Records
  • Family Practice / education*
  • Humans
  • Internship and Residency / methods*
  • Oregon
  • Patient-Centered Care / methods*
  • Primary Health Care / methods
  • Program Development
  • Psychotherapy, Brief / education*
  • Referral and Consultation*
  • Substance Abuse Detection*
  • Substance-Related Disorders*