Table 3.

Session Descriptions

Session 1	Pre-assessment:
	▪ Measured knowledge, skill performance, and confidence in counseling patients through behavior change
	Content:
	▪ Background and basic techniques of MI
	▪ Stages of behavior change
	Interactivity:
	▪ Students received various patient statements and were asked to determine the patient’s stage of change and respond with an open-ended question and a strategic reflection
	Homework assignment:
	▪ Students were to practice the newly learned MI techniques with patients each week and video record themselves during an interview with one of their clinic patients, to be shared with the class during the final session
Session 2	Content:
	▪ Advanced principles of MI
	▪ Step-by-step instructions for interviewing in a medical setting
	Interactivity:
	▪ Students were shown a video of a physician interviewing a patient using MI, followed by group discussion
	▪ Round-robin group role play to practice the seven steps of medical MI
Session 3	Content:
	▪ Describe strategies to help pre-contemplative patients begin the change process
	Interactivity:
	▪ Group brainstorming activity to explore common traits of pre-contemplative patients
	▪ Role play designed to demonstrate how physicians can “create” difficult patients through ineffective communication
	▪ Role play vignettes with “resistant” patients
	▪ Instructors observed the exercises and provided both individual and group feedback
Session 4	Interactivity:
	▪ Presentation of students’ video-recorded patient interviews
	▪ Peer review and group discussion
	▪ Post-assessment
	▪ Students were able to evaluate their progress by comparing their pre/post assessments
	Course evaluation