TY - JOUR
T1 - Improving physicians' HIV risk-assessment skills using announced and unannounced standardized patients
AU - Epstein, Ronald M.
AU - Levenkron, Jeffrey C.
AU - Frarey, Lisabeth
AU - Thompson, Jay
AU - Anderson, Kathryn
AU - Franks, Peter
PY - 2001
Y1 - 2001
N2 - OBJECTIVES: To evaluate feasibility of and to validate a rating scale for two educational programs that use standardized patient-instructors (SPIs) in the office setting to improve physicians' HIV risk communication skills. DESIGN: 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 ordering, physician satisfaction questionnaire. RESULTS: Physicians found the intervention useful, and predicted a positive effect on their future HIV-related 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, well-accepted, convenient, and inexpensive. Announced SPIs were preferred to unannounced SPIs. Pilot results suggesting improvement in HIV-related communication should be confirmed in a larger randomized trial.
AB - OBJECTIVES: To evaluate feasibility of and to validate a rating scale for two educational programs that use standardized patient-instructors (SPIs) in the office setting to improve physicians' HIV risk communication skills. DESIGN: 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 ordering, physician satisfaction questionnaire. RESULTS: Physicians found the intervention useful, and predicted a positive effect on their future HIV-related 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, well-accepted, convenient, and inexpensive. Announced SPIs were preferred to unannounced SPIs. Pilot results suggesting improvement in HIV-related communication should be confirmed in a larger randomized trial.
KW - HIV risk assessment
KW - Medical education
KW - Standardized patients
UR - http://www.scopus.com/inward/record.url?scp=0035725614&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0035725614&partnerID=8YFLogxK
M3 - Article
C2 - 11318913
AN - SCOPUS:0035725614
VL - 16
SP - 176
EP - 180
JO - Journal of General Internal Medicine
JF - Journal of General Internal Medicine
SN - 0884-8734
IS - 3
ER -