SRF038: Improving Alcohol Screening and Brief Intervention in a Residency Clinic
Emily Assavapisitkul, MD; Victoria Udezi, MD, MPH; Astrud Villareal, MD, DIMPH; Tyler Evans, DO
Context: Alcohol use disorders (AUD) are extremely prevalent in our society and result in significant morbidity and mortality. According to the 2018 National Survey on Drug Use and Health (NSDUH), the prevalence of AUD and binge drinking in people over the age of 18 was 5.8% and 26.4%, respectively. Additionally, alcohol is the third leading preventable cause of death in the US and costs our economy $249 billion annually. Despite United States Preventative Services Task Force “B” recommendations, alcohol screening and brief intervention (SBI) is infrequently adopted by primary care practices. Primary care physicians are in a prime position to address risky alcohol use. It is important that we understand resident clinician barriers in screening for, identifying, and managing alcohol use disorders. Additionally, incorporating training on alcohol SBI in residency is essential for providing patients with prompt interventions, reducing the risks of alcohol related disease, and facilitating sustained practice-changing behaviors. Objective: To assess current knowledge, usual practice and barriers to screening and treating risky alcohol use among clinicians at a Family Medicine Residency Clinic. We also aim to improve alcohol SBI though an educational intervention. Study Design: Survey research/cross sectional utilizing pre-and post-alcohol SBI training surveys. Setting: Family Medicine Residency Program in North Texas. Participants: Family Medicine residents and faculty. Intervention/instrument (for interventional studies): Alcohol SBI lectures for family medicine faculty and residents. Outcome measures: Measure frequency and methods (i.e. CAGE, AUDIT, etc) for screening and addressing alcohol use disorders pre-and post-intervention. Anticipated Results: We anticipate that educational training will increase clinicians’ self-reported screening rates and treatment for risky alcohol use. Conclusions: We propose that training on alcohol SBI within a residency program will improve resident and faculty knowledge and awareness of AUD in hopes of increasing screening and interventions for risky alcohol use.