Assessment of a motivational interviewing curriculum for year 3 medical students using a standardized patient case

Abstract Objective We sought to evaluate a year 3 motivational interviewing (MI) curriculum using a standardized patient case. Methods The 2-h small group MI curriculum included a didactic presentation followed by interactive role plays. During a clinical skills assessment at the end of year 3 the M...

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Bibliographic Details
Published in:Patient education and counseling 2011-07, Vol.84 (1), p.27-30
Main Authors: Haeseler, Frederick, Fortin, Auguste H, Pfeiffer, Carol, Walters, Cheryl, Martino, Steve
Format: Article
Language:English
Subjects:
Assessment
Biological and medical sciences
Clinical Competence
Clinical skills
Counseling
Curriculum
Directive Counseling
Education, Medical, Undergraduate
Educational Measurement
Humans
Internal Medicine
Interviews as Topic - methods
Medical sciences
Medical student
Medical students
Miscellaneous
Motivation
Motivational interviewing
Nursing
Patient Simulation
Patient-Centered Care
Psychiatry - education
Public health. Hygiene
Public health. Hygiene-occupational medicine
Standardized patient
Standardized patients
Students, Medical - psychology
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Summary:Abstract Objective We sought to evaluate a year 3 motivational interviewing (MI) curriculum using a standardized patient case. Methods The 2-h small group MI curriculum included a didactic presentation followed by interactive role plays. During a clinical skills assessment at the end of year 3 the MI skills of 80 students who had participated in the curriculum were compared with those of 19 students who had not participated. Results The standardized patient reliably rated the students on their performance of 8 items. Students who had participated in the MI curriculum were significantly more proficient than nonparticipating students in the performance of 2 strategic MI skills, importance and confidence rulers ( p s < .006). The groups did not differ in their use of patient-centered counseling skills or collaborative change planning commonly used in MI. Conclusions Third year medical students can learn to use MI skills that specifically aim to enhance patients’ motivations for change. Practice implications Medical schools should consider providing students with MI training and MI skill assessments using standardized patient cases to help students prepare to counsel patients for behavior change.
ISSN:0738-3991
1873-5134
DOI:10.1016/j.pec.2010.10.029