Working with patients with alcohol problems: a controlled trial of the impact of a rich media web module on medical student performance.

Full Abstract

INTRODUCTION/AIMS:
We designed an interactive web module to improve medical student competence in screening and interventions for hazardous drinking. We assessed its impact on performance with a standardized patient (SP) vs. traditional lecture.

SETTING:
First year medical school curriculum.

PROGRAM DESCRIPTION:
The web module included pre/posttests, Flash(c), and text didactics. It centered on videos of two alcohol cases, each contrasting a novice with an experienced physician interviewer. The learner free-text critiqued each clip then reviewed expert analysis.

PROGRAM EVALUATION:
First year medical students conveniently assigned to voluntarily complete a web module (N = 82) or lecture (N = 81) were rated by a SP in a later alcohol case. Participation trended higher (82% vs. 72%, p < .07) among web students, with an additional 4 lecture-assigned students crossing to the web module. The web group had higher mean scores on scales of individual components of brief intervention (assessment and decisional balance) and a brief intervention composite score (1-13 pt.; 9 vs. 7.8, p < .02) and self-reported as better prepared for the SP case.

CONCLUSIONS:
A web module for alcohol use interview skills reached a greater proportion of voluntary learners and was associated with equivalent overall performance scores and higher brief intervention skills scores on a standardized patient encounter.

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Author information

Author/s: Lee, Joshua D (JD); Triola, Marc (M); Gillespie, Colleen (C); Gourevitch, Marc N (MN); Hanley, Kathleen (K); Truncali, Andrea (A); Zabar, Sondra (S); Kalet, Adina (A);

Affiliation: Division of General Internal Medicine, New York University School of Medicine, New York, NY, USA. joshua.lee(-atsign-)med.nyu.edu

Grants: 12-191-1077 (Agency:United States PHS)

Journal and publication information

Publication Type: Journal Article; Research Support, U.S. Gov't, P.H.S.

Journal: Journal of general internal medicine : official journal of the Society for Research and Education in Primary Care Internal Medicine (J Gen Intern Med), published in United States. (Language: eng)

Reference: 2008-Jul; vol 23 (issue 7) : pp 1006-9

Dates: Created 2008/07/09; Completed 2008/08/29;

PMID: 18612733, status: MEDLINE (last retrieval date: 11/6/2008)

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