National Center for Physician Training in Addiction Medicine SBIRT Milestone Webinar Series SBIRT Curricular Resources: Baseline Webinar #2 August 21, 2015 Richard D. Blondell, MD Urmo Jaanimägi (Supported by a grant from the Conrad N. Hilton Foundation to the American Board of Addiction Medicine Foundation)

SBIRT Milestone Webinar Series July 17: Baseline August 21: 1 st Quarter October 16: 2 nd Quarter February 19: 3 rd Quarter May 20: Final Evaluation 2 B

Last Webinar ADM educational objectives, existing SBIRT resources, and SBIRT Milestone: Example: UB ADM Fellowship SBIRT Curriculum Teaching basic SBIRT: knowledge, skill, behavior 3 B

Comments from Last Webinar “The strengths of this webinar were that the content was helpful and it was very organized. I attend many webinars and there are usually a number of problems with technology, speakers talking over one another, etc., but there was none of that on this webinar which I greatly appreciated. Rick did a nice job facilitating everything and the length of the webinar was adequate and not too long. Thank you.” “Anecdotal report of the fellow's experience was good. Did this effort have any perceptible clinical impact on the target audience?” 4 B

Things That Should/Could Be Done by Now Fellow started Met with fellow Goals and objectives reviewed Administered pre-test, evaluation Complete Baseline SBIRT Milestone Arrange to get the fellow to next level (from Baseline toward Quarters 1/Next level) 5 B

Today’s Webinar Today Review some basics Development of more advanced SBIRT skills among the fellows Sharing experiences – what has been done, what works, what does not work Completion of SBIRT Baseline Milestone 6 B

6 ACGME and ABMS Core Competencies Patient Care and Procedural Skills (PC) Medical Knowledge (MK) Practice-Based Learning and Improvement (PBLI) Interpersonal and Communication Skills (ICS) Professionalism (PRO) Systems-Based Practice (SBP) 7 M

Medical Knowledge Describe Screening for SUDs Chart of Evidence-Based Screening Tools for Adults or Adolescents (NIDA) 8 M & S

Interpersonal and Communication Deliver basic SBIRT to patients Brief Intervention Steps (University of Maryland) 9 M & S

Patient Care and Procedural Skills University at Buffalo Addiction Medicine (UBAM) – Sample Opportunities for SBIRT UBAM Outpatient Office Erie County Medical Center Emergency Department – Chemical Dependency Intake University at Buffalo Family Medicine Clinics Buffalo State College Student Health 10 M & S

11 Audience Response Time These examples from webinar attendees will be posted with completed webinar slide deck. Question: How do you teach SBIRT skills at your program for the “patient care” core competency?

What are the opportunities for SBIRT at your institution? Examples from webinar attendees to be posted with completed webinar Dr. Lembke – Stanford Dr. Brennan - The Addiction Institute of New York Dr. Specker – Minnesota WOULD BE NICE TO GET MORE HERE (THEY’VE CONFIRMED THUS FAR) 12

Professionalism University at Buffalo Fellowship IRB HIPAA Good Research Practice Training (GRP) for Clinical Researchers at UB Malpractice and risk management Medical Compliance Training and orientation specific to different rotation sites and facilities Bedside mentoring, e.g., with ADM providers at rotation sites 13 M & S

PBLI & SBP Practice-Based Learning and Improvement UBAM Outpatient Office Pregnant women on buprenorphine – assessing and educating on pregnancy and parenting; retention in treatment Renaissance House Developing a peer mentoring program for adolescents Community Health Center of Buffalo (CHCB) Integrating SBIRT into practice UB Didactics Friday morning didactic seminars Medical student lectures Systems-Based Practice Referral to Treatment (RT) Sarah, what do you think would be useful to talk about here this time? CHCB SBIRT integration 14 M & S

Summary Questions, comments, discussion What’s next – October 16, SBIRT Level 2 Webinar 15