From the Classroom to Entrustment - The Development of Motivational Interviewing Skills as an Entrustable...

Area of Science:

• Medical Education
• Behavioral Science
• Health Services Research

Background:

• Value-based care emphasizes social and behavioral factors in health outcomes.
• Patient-centered behavioral guidance is crucial for chronic condition self-management but lacks core competency status.
• Motivational Interviewing (MI) is an evidence-based intervention with observable competencies suitable for framing as an entrustable professional activity (EPA).

Purpose of the Study:

• To propose Motivational Interviewing (MI) as a core entrustable professional activity (EPA) for physicians.
• To provide a framework and roadmap for implementing MI training and assessment within medical education.

Main Methods:

• Implemented competency-based MI training for students and faculty.
• Developed an EPA and workplace-based assessment (WBA) for MI competencies.
• Utilized an iterative group process within the AAMC Core EPA Pilot framework.

Main Results:

• Presented competency data from student and faculty training studies.
• Described the transition of MI training from classroom to clinical settings using an EPA framework.
• Provided a schematic and WBA for an MI-based EPA.

Conclusions:

• Motivational Interviewing (MI) should be recognized as a core EPA for physicians in value-based care settings.
• The proposed framework facilitates curriculum implementation and assessment of MI skills.