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Previous studies of instructional interventions have shown enchancment in screening and counseling sufferers with substance use problems, nevertheless, these approaches have not been extensively adopted, probably due to time constraints of current curricula.

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The program is at present in the pilot stage, and future developments will deal with danger-adjusting information to account for the well being of the affected person prior to the operation, and concentrating on particular procedures so that hospitals can focus quality improvement efforts on procedures with higher rates of complications.