SBIRT Role-Play: NIDA Quick Screen + AUDIT-C — High Overdose-Risk Opioid Use

Description

This AI-powered Clinical Skill Lab is a 20-minute primary care/urgent-care simulation designed for PA students and clinicians to practice SBIRT with a patient who presents with GI upset, anxiety/insomnia, and pain—but has clear overdose-risk indicators (including opioid + benzodiazepine risk factors).

Go beyond checklists and practice the SBIRT conversation that gets hard in real life.

You will lead the visit. The patient will respond realistically. You’ll receive a rubric-based feedback report grounded in your transcript.

What You’ll Practice

Practice SBIRT Under Pressure

• A professional start: identity, privacy, confidentiality limits, agenda-setting, and permission to discuss substance use
• Screening clarification using intake results (NIDA Quick Screen + AUDIT-C) and verbal follow-up questions
• Risk and safety assessment:
  • overdose history and current risk factor
  • mixing sedatives (benzos/alcohol) with opioids
  • using alone, naloxone access, tolerance changes
  • withdrawal/intoxication cues, driving/caregiving safety
  • brief mental health safety screening when clinically indicated
• Brief intervention (MI-consistent): 
  • Elicit–Provide–Elicit
  • OARS (open questions, affirmations, reflections, summaries)
  • readiness/confidence scaling and change talk
  • a patient-chosen next step
• Harm reduction and naloxone planning (plain-language, nonjudgmental)
• Referral to treatment and warm handoff (social work/recovery coach/addiction consult pathway)
• Closing: summary, teach-back, follow-up plan, and return precautions
  

The Scenario

What Makes This Scenario Realistic

You’ll meet Marisol “Mari” Rivera (32). She arrives restless and guarded, asking for help with stomach cramps, anxiety, insomnia, and knee pain—and may request stronger medication. Her intake screening and chart snapshot reflect high overdose risk:

• • NIDA Quick Screen + AUDIT-C already completed at intake (results available to you)
  • urine drug screen positive for opioids/fentanyl and benzodiazepines
  • prior ED overdose event with naloxone response
  • mild withdrawal-like cues during the visit

Clinic resources are available (if you initiate them): on-site social worker for warm handoff, recovery coach by phone, addiction consult slots, naloxone kits, and referral resources.

How it Works

This Lab consists of 3 Phases

1. Orientation + Competency Review

   The AI explains each competency one at a time and invites clarification.

2. Role-Play (You Start the Conversation)

   You begin with your first clinician message. The patient responds after you start. You can include non-verbal actions in [brackets] (e.g., [steps out to get the social worker]).

3. Feedback Report

   After you click “Finish Attempt,” you receive a structured feedback report aligned to the rubric (including safety-critical items).

What to Expect

Who Should Attend:

This course is intended for PA students, PA clinicians, faculty/preceptors, and healthcare learners practicing SBIRT.

Teaching Methods:

This is an interactive, AI role-play + transcript-based feedback report

CE Hours:

0 (skills practice lab; no CE credit)

Availability:

From the time of registration, you have six months to access the coursework and complete unlimited attempts.

Disclaimer:

This is an educational simulation and is not clinical care.

How to Access the Tool: 

Course access and completion instructions. Please note that AI activities are accessed the same manner as our courses, but the completion steps vary based on the skill being practiced.

Accommodations and Policies

Close Captioning is available for live webinars and recorded video presentations.

You can click on the following links to view our policies:

• Accommodations for Individuals with Disabilities.
• Cancellation Policy
• Grievance Policy
• Support Options
• Disclosure Statement