This activity is designed to change: Competence, Performance.3hr(s)
Activity Format:

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Overview

Goal: To provide health profession students with the necessary knowledge and skills training to be able to confidently interview, assess, and counsel patients with alcohol use disorders.

Professional Practice GapsAlcohol use continues to be a widespread public and social health problem. The health care provider needs to be able to screen for drinking in patients and assess, provide brief interventions, and/or make appropriate referrals when screening results are positive. The reality is that few physicians or other health care providers are routinely providing screening or intervention with their patients (D'Amico et al., 2005).
D'Amico EJ, Paddock SM, Burnam A, Kung FY. Identification of and guidance for problem drinking by general medical providers: results from a national survey. Medical Care. 2005; 43(3): 229-236.

Educational Objectives:

After completing this activity participants will be able to:

  • Confidently conduct a basic patient interview assessing for alcohol use disorders.

  • Choose and implement an appropriate screening instrument.

  • Correctly identify the different criteria and distinguishing factors between abuse and dependence in patients.

  • Outline a preliminary diagnosis for patients with abuse or dependence.

  • Assess a patient's willingness to change and use this assessment to motivate the patient towards treatment.

  • Perform a brief intervention to patients who misuse alcohol.

  • Assess and refer those patients who are at a higher risk level to a specialist's care.

  • Manage patients who have relapsed, encouraging those patients to attempt treatment again.

  • Describe how to confidently interview patients for alcohol use.

  • Recommend to patients a treatment plan that coordinates patient care with other health professionals.

  • Facilitate treatment confidentiality in multiple contexts with multiple parties in a coordinated care effort.

Authors

As an ACCME accredited provider of continuing medical education, Clinical Tools, Inc.complies with the Standards for Commercial Support issued by the ACCME and requires disclosure of and resolution of any conflicts of interest for those in control of content.
Clinical Tools, MD, MD (Company, CTI)Clinical Tools, Inc. (CTI) is a small, physician-run business dedicated to harnessing the potential of the Internet to create scalable, usable, and broadly available tools to improve the ability of physicians and other health care providers to care for patients. We achieve this goal by providing education and training to students and professionals and creating Web-based support tools for clinicians, researchers, and consumers. Information technology can and should serve as a stable framework that supports researchers and clinicians in their roles. We provide dissemination and management tools that empower clinicians and consumers to understand and control the vast amount of information related to making individual health choices. We serve our clients creatively, effectively, and with the highest quality of service.
Disclosure: Has disclosed no relevant financial relationships.

Reviewers

Mark Gold, MD (Chief, Division of Addiction Medicine , University of Florida College of Medicine)Dr. Gold has made a number of important contributions to the field of addiction science: his research was instrumental in advancing the norepinepherine hyperactivity theory of opiate withdrawal and in understanding the relationship between dopamine and cocaine addiction; he also holds a U.S. patent for the use of clonidine to treat opioid withdrawal. Most recently his nanotechnology research has focused on second hand drug exposure as a cause of drug abuse among health professionals. Dr. Gold has worked recently to understand the fMRI and other similarities between food and substances of abuse, and he has a new book on food addiction. He has written a prodigious number of articles, monographs, and books on the prevention, detection, and treatment of substance use disorders. His primary interest is educating addiction professionals, and he has mentored many of the nation's current leaders in tobacco, alcohol and other drug education and research.
Disclosure: Has disclosed no relevant financial relationships.
Steve Applegate, MEd, MEdMr. Applegate has experience in substance use counseling, state initiatives impacting substance use, and professional training. His prior positions include director of higher education and instructional design at the North Carolina Governor's Institute on Alcohol and Substance Abuse, project director of the North Carolina Initiative of the Mid-Atlantic Addiction Technology Transfer Center, and program director of the Addiction Sciences Center (an outpatient substance abuse treatment center at the University of Virginia Health Sciences Center). Mr. Applegate works as an on-site consultant and travels to the Clinical Tools (CTI) office on a monthly basis from his office in Richmond, VA. Mr. Applegate helped design the CTI Instructional Manual and works to continue to revise it as we expand our Instructional Design methodology. Mr. Applegate has extensive experience with online education and training, especially in the area of substance abuse. He often pushes the envelope of technology and brainstorms with Clinical Tools how we can utilize new technology within our products. He helped guide development of the curriculum plan and assessments in Phase I of the current project.
Disclosure: Has disclosed no relevant financial relationships.
Ashley Crimmins, MD (Resident, Yale School of Medicine, Emergency Medicine )Dr. Crimmins received an undergraduate degree from Davidson College, and afterwards worked in HIV research at UNC. She worked at Clinical Tools, Inc. as a Research Assistant prior to attending medical school at New York Medical College (2005). She is currently a resident at the Yale School of Medicine. Her professional goal is to become a clinical educator in Emergency Medicine. Her areas of interest in Emergency Medicine include toxicology and critical care.
Disclosure: Has disclosed no relevant financial relationships.
Ted Diedrich, MSc (SBIRT Progarm Coordinator; PhD Student, Denver Health and Hospital Authority, Denver, CO University of Colorado at Denver)
Disclosure: Has disclosed no relevant financial relationships.
Timothy John McGrath, MD, MBA (Family Physician, Private Practice )Dr. McGrath is currently in private practice in Mebane, North Carolina. He earned his undergraduate degree at Drew University and his medical degree at the Medical College of Georgia. He completed his residency at the University of North Carolina at Chapel Hill, where he served as Chief Resident in the Department of Family Medicine. His interests include preventive medicine and disease modifying lifestyles, medical delivery systems, and medical economics. He is currently enrolled in the Kenan Flagler executive master of business administration program at UNC. Dr. McGrath is an active member of the NCAFP, AAFP, and AMA.
Disclosure: Has disclosed no relevant financial relationships.

Review Dates

Content Review:Editorial Review:
Mon, 1/3/2011Mon, 1/3/2011

Modules in this Training Activity

  • Alcohol: Screening, Assessment, and Diagnosis of Alcohol Use Disorder

  • Alcohol Use Disorder: Brief Intervention and Treatment Referral

  • Alcohol: Improving Communication and Providing Coordinated Care

Module Practice Gap References
National Survey of Primary Care Physicians and Patients on Substance Abuse. The National Center on Addiction and Substance Abuse at Columbia University. 2000.
NIH. Alcohol-Related Traffic Deaths Fact Sheet. NIH. 2010. Available at: http://report.nih.gov/NIHfactsheets/Pdfs/AlcoholRelatedTrafficDeaths(NIAAA).pdf Accessed on: 2015-05-07.
SAMHSA. Screening, Brief Intervention, and Referral to Treatment (SBIRT). SAMHSA. 2014. Available at: http://www.samhsa.gov/sbirt Accessed on: 2015-03-20.

Audience and Accreditation

Audience:

Health professional students

A letter of completion for up to 3 hour(s) is available for non-physicians.
A score of 70% on the post-test is required to complete the activity.
Participation Requirements

Activity Credit: Obtaining credit for participation in this activity requires that you complete the pre-assessments, work through the modules (including all in-module interactive activities), complete the post-assessments with a 70% score on the post-test, and then request credit. At the end of the activity, you will be instructed on how to print out a certificate for your records.

Time Requirement: Keep track of the amount of time it takes you to complete this activity. You will be required to spend a set amount of time in order to claim credit. You should claim credit only for the time actually spent in the activity.

Technical Requirement: To participate in this activity, you will need a computer, an Internet connection, and a Web browser. This activity requires Chrome, Firefox, and IE7 or higher.

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FundingInitial development of this activity was supported by a grant from the National Institute on Alcohol Abuse and Alcoholism (#1R44AA016724-01A1).