PCP SBIRT Training Needs Analysis

Please enter your email address: *

We will not email you unless you request more information.

Please indicate if you are a PCP and what sort of contact you have with PCPs in your practice (Check all that apply): *

I am a primary care physician

I frequently collaborate with PCPs in my practice

I frequently collaborate with PCPs outside of my practice

I rarely collaborate with PCPs

In your experience, how proficient are PCPs at performing the following skills related to substance abuse screening?: *

	Not at all proficient	Slightly proficient	Adequate	Fairly proficient	Extremely proficient
Selecting appropriate screening tools for substance abuse problems based on patient history and characteristics
Screening patients effectively for substance use problems
Interpreting substance abuse screening results
Triaging patients to the appropriate level of care within their practice

Brief intervention for substance abuse?: *

	Not at all proficient	Slightly proficient	Adequate	Fairly proficient	Extremely proficient
Employing motivational interviewing techniques to develop rapport with the patient
Implementing a brief intervention that is tailored to the patient and the severity of the substance use problem
Modifying the brief intervention for substance abuse as appropriate to the patient or situation
Providing the patient with education and resources needed

Referral for substance abuse?: *

	Not at all proficient	Slightly proficient	Adequate	Fairly proficient	Extremely proficient
Select the proper type of treatment center, specialist, and/or counselor for patients with substance use problems according to patient's situation
Determining the need for referral to various other treatment/care

Follow-up for substance abuse?: *

	Not at all proficient	Slightly proficient	Adequate	Fairly proficient	Extremely proficient
Collaborating with specialist to ensure ongoing patient care after referral
Setting up a plan to follow-up on patients who are referred out for additional treatment
Re-assessing patients who previously participated in a brief intervention or other treatment

Screening and assessment of TOBACCO use?: *

	Not at all proficient	Slightly proficient	Adequate	Fairly proficient	Extremely proficient
Screening patients for tobacco use
Assessing patients' interest in quitting tobacco use

Treatment for TOBACCO use?: *

	Not at all proficient	Slightly proficient	Adequate	Fairly proficient	Extremely proficient
Assisting patients in quitting tobacco use
Determining the appropriate tobacco cessation intervention
Determining other characteristics or needs and preferences of individual patients who smoke and use the information to choose an appropriate intervention
Setting up a plan to follow-up with patients who start treatment

In your opinion, how effective are the following learning approaches for teaching PCPs about SBIRT topics?:

	Not at all effective	Slightly effective	Not sure	Fairly effective	Very effective
Didactic course content
Knowledge quizzes
Case studies/vignettes
Standardized patient interviews

Do you have any other comments about this survey or PCPs proficiency related to SBIRT skills?:

I would be willing to assist by (Check all that apply):

Reviewing your curriculum

Providing case examples for teaching

Identifying others who could help out

Reviewing a course prior to accreditation

Helping you test the effect of the program on PCP colleagues or residents in training

Please email me when the SBIRT courses are available for CME: *

Yes

No

Please send me the group results of this survey: *

Yes

No

THANK YOU FOR YOUR HELP!