Table I.

Curriculum components, time allotment and teaching strategies

Curriculum Component	Time	Teaching strategies
1. Initial SBI seminar	3 hours total
a. Epidemiology & medical impact; evidence base for interventions	40 minutes	a. Lecture
b. Steps of pre-screening & screening; office procedures	20 minutes	b. Lecture, video of nurse asking pre-screen, nurses practiced pre-screen; residents & faculty practiced AUDIT scoring
c. Steps of Brief Intervention for patients with at-risk and problem use, outline of case for practice (case of patient drinking in at-risk manner)	60 minutes	c. Lecture, video demo, dyads of residents and faculty practiced roles of physician and “patient’; “patient” provided feedback to physician
d. Brief intervention steps for patient with possible substance dependence and major consequences to drinking, referral options for treatment, outline of case for practice (patient with possible dependence)	50 minutes	d. Lecture, video demo, dyads practiced roles of physician and “patient” with possible dependence and multiple consequences to drinking; “patient” provided feedback to resident/faculty
e. Diagnosis, coding and billing options; documentation of screening and intervention	5 minutes	e. Lecture and discussion
f. Questions and evaluation	5 minutes	f. Evaluation forms completed
2. Three 1-hour booster sessions at 4 month intervals using Team-based learning on these topics:	3.5 hours total	Each booster consisted of feedback on screening & intervention rates at each site, a quiz over previously covered material, the same quiz completed as a team (small group of 6–7 residents & faculty), large group review of answers, team prizes, team quiz of clinical case related to booster topic, large group review of quiz, team prizes, 15-minute lecture on booster topic, evaluation of session
a. Harms of at-risk drinking	70 minutes
b. Medical management of patient possibly dependent with his/her drinking	70 minutes
c. Implementing SBI in your future practice	70 minutes