Improving physicians' HIV risk-assessment skills using announced and unannounced standardized patients

Citation
Rm. Epstein et al., Improving physicians' HIV risk-assessment skills using announced and unannounced standardized patients, J GEN INT M, 16(3), 2001, pp. 176-180
Citations number
17
Language
INGLESE
art.tipo
Article
Categorie Soggetti
General & Internal Medicine
Journal title
JOURNAL OF GENERAL INTERNAL MEDICINE
ISSN journal
0884-8734 → ACNP
Volume
16
Issue
3
Year of publication
2001
Pages
176 - 180
Database
ISI
SICI code
0884-8734(200103)16:3<176:IPHRSU>2.0.ZU;2-L
Abstract
OBJECTIVES: To evaluate feasibility of and to validate a rating scale for t wo educational programs that use standardized patient-instructors (SPIs) in the office setting to improve physicians' HIV risk communication skills. D ESIGN:Pilot randomized trial of announced and unannounced SPIs. PARTICIPANTS/SETTINGS: Twenty four primary care physicians in the Rochester , NY, area. MEASUREMENTS: The Rochester HIV Interview Rating Scale (RHIRS), HIV test or dering, physician satisfaction questionnaire. RESULTS:Physicians found the intervention useful, and predicted a positive effect on their future HIV-re lated communication. HIV test ordering and RHIRS scores increased similarly in both intervention groups. Announced SPI visits were more convenient and preferred by physicians. Cost for each SPI visit was $75. CONCLUSIONS: A brief office-based intervention using SPIs was feasible, wel l-accepted, convenient, and inexpensive. Announced SPIs were preferred to u nannounced SPIs. Pilot results suggesting improvement in HIV-related commun ication should be confirmed in a larger randomized trial.