OBGYN Standardized Patient - word

H3 OBGYN BI-MI Proficiency Rating Scale - Standardized Patient Version.docx

Improving Fetal Alcohol Spectrum Disorders Prevention and Practice through Practice and Implementation Centers and National Partnerships

OBGYN Standardized Patient - word

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OBGYN BI-MI Proficiency Rating Scale – Standardized Patient Version


Instructions immediately following Avatar SBI Encounter: Please indicate to what extent the trainee engaged in the following during this simulated screening and brief intervention, and then share specific information from items 12 and 13 with the trainee as constructive feedback to enhance their learning.












Didn’t do this

Attempted could improve

Nearing Acceptable
Skill

Done Well

Done
Very Well



  1. Asked for permission to talk about my alcohol
    use.





  1. Assessed quantity, frequency, and consequences of my alcohol use.





  1. Explained specific NIAAA low risk drinking guidelines, and health risks to me.




  1. Advised me to quit or cut down on alcohol use.




  1. Helped me think about pros & cons of my alcohol use.




  1. Asked how ready I am to make a change.




  1. Helped me make a plan or set a goal for decreasing (or quitting) my alcohol use.




  1. Explored my own possible reasons for quitting or cutting down on my alcohol use.




  1. Worked with me as a partner (respectfully and non-judgmentally) in addressing my substance use issues.




  1. Supported my autonomy and choice regarding my alcohol use.







  1. This conversation increased my motivation to cut down or quit drinking, or at least to consider doing so.

    1 2 3 4 5

Strongly Disagree Neutral Agree Strongly
Disagree Agree


12.* What TWO things did you like about the way the provider/trainee conducted this intervention?

1.



2.



13.* Please list TWO ways that this trainee could improve his/her skills in these conversations?


1.



2.



*Please share these comments as constructive feedback to the provider/trainee immediately following the simulated SBI session.





Thank you for your thoughtful ratings and valuable feedback!






1/22/2021 6:57 a1/p1


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorHorwitz, Bruce
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File Created2021-01-22

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