A Sequential Implementation Model for Workforce Development: A Case Study of Medical Residency Training for Substance...

Area of Science:

• Medical Education
• Implementation Science
• Public Health Interventions

Background:

• Residency programs often operate in educational silos, necessitating effective strategies for cross-program implementation of evidence-based practices.
• Varying program needs and patient populations require tailored approaches to ensure successful adoption of new training.

Purpose of the Study:

• To adapt and implement a community development model for sequential rollout of Screening, Brief Intervention, and Referral to Treatment (SBIRT) across five distinct residency programs.
• To evaluate the effectiveness of a supported local champion model in integrating SBIRT training into graduate medical education.

Main Methods:

• Utilized implementation science principles and a case study approach to guide the adaptation and rollout of SBIRT.
• Employed a grant-funded executive team to coordinate implementation, enrolling one program annually, and providing a consultative support structure.
• Integrated program champions a year prior to intervention to facilitate resource development and peer collaboration.

Main Results:

• Successfully implemented SBIRT training in all five targeted residency programs using a supported local champion model.
• Generated 90 curricular products and achieved 57 presentations and publications, demonstrating significant scholarly output.
• Residents reported high satisfaction, and champions found SBIRT valuable, gaining knowledge and relationships through collaboration with the executive team.

Conclusions:

• A robust executive team and supported local champions are crucial for successful implementation of evidence-based interventions in residency programs.
• Financial support for champions is essential to allocate dedicated time for training implementation.
• Establishing a peer network across programs and facilitating resource sharing are critical for sustaining the integration of new practices.