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Results of a Pilot Fourth year Medical Student Elective in Antimicrobial Stewardship

BACKGROUND: Antimicrobial stewardship (AS) is not currently a formal part of the medical school curriculum. We hypothesized that presenting the topic to medical students can raise awareness of the effects of inappropriate antibiotic prescribing. METHODS: A fourth-year medical student elective was cr...

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Autores principales: Zon, Rebecca (Becky), Patel, Payal K
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5631967/
http://dx.doi.org/10.1093/ofid/ofx163.576
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author Zon, Rebecca (Becky)
Patel, Payal K
author_facet Zon, Rebecca (Becky)
Patel, Payal K
author_sort Zon, Rebecca (Becky)
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description BACKGROUND: Antimicrobial stewardship (AS) is not currently a formal part of the medical school curriculum. We hypothesized that presenting the topic to medical students can raise awareness of the effects of inappropriate antibiotic prescribing. METHODS: A fourth-year medical student elective was created that included microbiological, clinical, and multidisciplinary elements. Week 1: Understand mechanisms of bacterial resistance and clinical implications. Week 2: Rotate on Infectious Disease (ID) Consult Service. Complete Wake Forest and CDC online study modules. Michigan Medicine faculty recently created new AS modules; these were reviewed and feedback was provided. Week 3: Meet with ID pharmacists and attend AS and Patient Safety Effectiveness Program meetings. Review the process behind creating AS guidelines and antibiograms. Week 4: Give a presentation to the third-year medical students at University of Michigan Medical School. Have the class complete pre- and post- surveys (before and after the presentation, respectively) of nine questions regarding important topics in AS. RESULTS: The presentation created featured an innovative antibiotic-antimicrobial dating application model that was used to teach important AS scenarios. 96 third-year medical students completed the pre-survey and 62/96 completed the post-survey. The average correct response for multiple-choice questions on the pre-survey was 3.34/8 (42%) and 5.18/8 (65%) on the post-survey. Twenty-one/96 (22%) who took the pre-survey responded that they did not know what AS is, compared with 1/62 (1.6%) in the post-survey. CONCLUSION: Having an interdisciplinary clerkship for medical students to explore and learn about AS could have large impact, though sustainability is unknown. In this cohort, a focused social media savvy review helped medical students learn basic elements of AS, demonstrated by the improvement in student scores on the subsequent surveys. As patient and staff education becomes a requirement of AS programs, medical student education should be incorporated as well. DISCLOSURES: All authors: No reported disclosures.
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spelling pubmed-56319672017-11-07 Results of a Pilot Fourth year Medical Student Elective in Antimicrobial Stewardship Zon, Rebecca (Becky) Patel, Payal K Open Forum Infect Dis Abstracts BACKGROUND: Antimicrobial stewardship (AS) is not currently a formal part of the medical school curriculum. We hypothesized that presenting the topic to medical students can raise awareness of the effects of inappropriate antibiotic prescribing. METHODS: A fourth-year medical student elective was created that included microbiological, clinical, and multidisciplinary elements. Week 1: Understand mechanisms of bacterial resistance and clinical implications. Week 2: Rotate on Infectious Disease (ID) Consult Service. Complete Wake Forest and CDC online study modules. Michigan Medicine faculty recently created new AS modules; these were reviewed and feedback was provided. Week 3: Meet with ID pharmacists and attend AS and Patient Safety Effectiveness Program meetings. Review the process behind creating AS guidelines and antibiograms. Week 4: Give a presentation to the third-year medical students at University of Michigan Medical School. Have the class complete pre- and post- surveys (before and after the presentation, respectively) of nine questions regarding important topics in AS. RESULTS: The presentation created featured an innovative antibiotic-antimicrobial dating application model that was used to teach important AS scenarios. 96 third-year medical students completed the pre-survey and 62/96 completed the post-survey. The average correct response for multiple-choice questions on the pre-survey was 3.34/8 (42%) and 5.18/8 (65%) on the post-survey. Twenty-one/96 (22%) who took the pre-survey responded that they did not know what AS is, compared with 1/62 (1.6%) in the post-survey. CONCLUSION: Having an interdisciplinary clerkship for medical students to explore and learn about AS could have large impact, though sustainability is unknown. In this cohort, a focused social media savvy review helped medical students learn basic elements of AS, demonstrated by the improvement in student scores on the subsequent surveys. As patient and staff education becomes a requirement of AS programs, medical student education should be incorporated as well. DISCLOSURES: All authors: No reported disclosures. Oxford University Press 2017-10-04 /pmc/articles/PMC5631967/ http://dx.doi.org/10.1093/ofid/ofx163.576 Text en © The Author 2017. Published by Oxford University Press on behalf of Infectious Diseases Society of America. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Abstracts
Zon, Rebecca (Becky)
Patel, Payal K
Results of a Pilot Fourth year Medical Student Elective in Antimicrobial Stewardship
title Results of a Pilot Fourth year Medical Student Elective in Antimicrobial Stewardship
title_full Results of a Pilot Fourth year Medical Student Elective in Antimicrobial Stewardship
title_fullStr Results of a Pilot Fourth year Medical Student Elective in Antimicrobial Stewardship
title_full_unstemmed Results of a Pilot Fourth year Medical Student Elective in Antimicrobial Stewardship
title_short Results of a Pilot Fourth year Medical Student Elective in Antimicrobial Stewardship
title_sort results of a pilot fourth year medical student elective in antimicrobial stewardship
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5631967/
http://dx.doi.org/10.1093/ofid/ofx163.576
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