Table 3.

Mean scores on knowledge, attitude, and confidence pre- and posttest survey (N=482).

Knowledge, attitude, and confidence questions	Pretest, mean (SD)	Posttest, mean (SD)	P value
I have a good understanding of alcohol and substance use	5.35 (1.01)	5.95 (1.04)	<.001
Learning to screen and intervene in patients with hazardous or harmful substance use is important for me in my current/future position	6.48 (0.77)	6.39 (1.09)	.70
Substance use and associated risks are not appropriate topics to address with patients in my current or future practice	6.15 (1.36)	6.13 (1.51)	.99
There are many physicians I work with who address alcohol and drug problems skillfully and effectively	4.72 (1.18)	4.59 (1.32)	.02
There are many nonphysician providers (social workers and others) I work with who address alcohol and drug problems skillfully	4.86 (1.16)	4.80 (1.24)	.16
I am confident in my ability to screen patients for alcohol/drug problems	4.22 (1.34)	5.70 (0.88)	<.001
I am confident in my ability to assess patients' readiness to change their behavior	4.59 (1.19)	5.81 (0.89)	<.001
I am confident in my ability to discuss patients’ substance use and advise them to change their behavior	4.48 (1.32)	5.78 (0.88)	<.001
I am confident in my ability to refer patients with alcohol/drug problems	4.78 (1.29)	5.77 (0.96)	<.001
It takes too much time to deal with the drinking/drug behavior of my patients	5.59 (1.26)	5.93 (1.18)	<.001
Patients will be angry if I ask questions about their substance use	4.03 (1.21)	5.06 (1.25)	<.001
My interaction with a patient can make a difference regarding their use of substances	5.84 (0.97)	6.23 (0.83)	<.001
Incorporating screening, brief intervention, and referral to treatment into routine medical practice is critical for meeting health care needs	5.52 (1.11)	6.14 (0.91)	<.001
I feel confident in my understanding of low-risk drinking limits	4.28 (1.33)	5.96 (0.85)	<.001
Aggregate scores	5.06 (0.61)	5.73 (0.56)	<.001