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2017 ; 4
(3
): ofx117
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
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English Wikipedia
Developing Interactive Antimicrobial Stewardship and Infection Prevention
Curricula for Diverse Learners: A Tailored Approach
#MMPMID28748196
Nori P
; Madaline T
; Munjal I
; Bhar S
; Guo Y
; Seo SK
; Porrovecchio A
; Gancher E
; Nosanchuk J
; Pirofski LA
; Ostrowsky B
Open Forum Infect Dis
2017[Sum]; 4
(3
): ofx117
PMID28748196
show ga
BACKGROUND: To impart principles of antimicrobial stewardship (AS) and infection
prevention and control (IPC), we developed a curriculum tailored to the diverse
aptitudes of learners at our medical center. METHODS: We integrated case-based
modules, group learning activities, smartphone applications (apps), decision
support tools, and prescription audit and feedback into curricula of the medical
school, medicine residency program, infectious diseases (ID) fellowship program,
and hospital medicine program operations. Interventions were implemented in
2012-2016 using a quasi-experimental before-and-after study design, and this was
assessed using pre- and postintervention surveys or audit of antibiotic
prescriptions. RESULTS: Over 180 medical students participated in the AS and IPC
seminars. After smartphone app introduction, 69% reported using the app as their
preferred source of antibiotic information. Approximately 70% of students felt
comfortable prescribing antibiotics for a known infection compared with 40% at
baseline (P = .02), and approximately 83% were able to identify the appropriate
personal protective equipment for specific scenarios. Approximately 99% agreed
that they have a role in promoting patient safety and preventing
healthcare-associated infections as medical students. At 20 months,
appropriateness of trainee antibiotic prescriptions increased by 20% (P < .01).
Almost all ID fellows indicated that the AS and IPC seminar was a vital training
supplement. Uptake of internist antibiotic recommendations using AS decision
support tools was approximately 70%. CONCLUSIONS: All 5 interventions addressed
learning objectives and knowledge gaps and are applicable across a range of
environments. Evaluating long-term impact of our curriculum is the focus of
future study.