OBJECTIVES: To evaluate feasibility of and to validate a rating scale for two educational programs that use standardized patient-instructors
(SPIs) in the office setting to improve physicians’ HIV risk communication skills.
DESIGN: Pilot randomized trial of announced and unannounced SPIs.
PARTICIPANTS/SETTINGS: Twenty four primary care physicians in the Rochester, NY, area.
MEASUREMENTS: The Rochester HIV Interview Rating Scale (RHIRS), HIV test ordering, physician satisfaction questionnaire.
RESULTS: Physicians found the intervention useful, and predicted a positive effect on their future HIV-related communication. HIV
test ordering and RHIRS scores increased similarly in both intervention groups. Announced SPI visits were more convenient
and preferred by physicians. Cost for each SPI visit was $75.
CONCLUSIONS: A brief office-based intervention using SPIs was feasible, well-accepted, convenient, and inexpensive. Announced SPIs were
preferred to unannounced SPIs. Pilot results suggesting improvement in HIV-related communication should be confirmed in a
larger randomized trial.
Key words HIV risk assessment - standardized patients - medical education