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OMB No. 0920XXXX
Exp. Date xx/xx/20xx
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(0920XXXX).
OBGYN
BI-MI Proficiency Rating Scale – Standardized
Patient Version
Instructions immediately following Avatar SBI Encounter: Please indicate to what extent the trainee engaged in the following during this simulated screening and brief intervention, and then share specific information from items 12 and 13 with the trainee as constructive feedback to enhance their learning.
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Attempted could improve |
Nearing
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Done Well |
Done |
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This
conversation increased my motivation to cut down or quit drinking,
or at least to consider
doing so.
1 2
3 4 5
Strongly Disagree
Neutral Agree Strongly
Disagree
Agree
12.*
What TWO
things did you like about
the way the provider/trainee conducted this intervention? 1.
2.
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13.* Please list TWO ways that this trainee could improve his/her skills in these conversations?
1.
2.
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*Please share these comments as constructive feedback to the provider/trainee immediately following the simulated SBI session.
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Thank
you for your thoughtful ratings and valuable feedback!
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Horwitz, Bruce |
File Modified | 0000-00-00 |
File Created | 2021-01-22 |