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1333. Developing an Educational Tool to Improve Housestaff Knowledge, Attitudes, and Behavior in Managing Common Infectious Diseases

BACKGROUND: Improving internal medicine (IM) trainees skills in managing common infectious diseases is essential to their development as competent physicians. We currently lack quantitative data of the knowledge and attitudes of IM housestaff regarding their management of common infectious diseases....

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Autores principales: Jacob, Paul, Person, Anna, Bloch, Karen, Fiske, Christina T, Kuriakose, Kevin, Bourgi, Kassem, Dougherty, David, Dobrzynski, David, Staub, Milner Owens, Byrge, Kelly, Grome, Heather, Cohen, Caroline, England, James, Nair, Devika, Kelly, Sean
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6254811/
http://dx.doi.org/10.1093/ofid/ofy210.1166
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author Jacob, Paul
Person, Anna
Bloch, Karen
Fiske, Christina T
Kuriakose, Kevin
Bourgi, Kassem
Dougherty, David
Dobrzynski, David
Staub, Milner Owens
Byrge, Kelly
Grome, Heather
Cohen, Caroline
England, James
Nair, Devika
Kelly, Sean
author_facet Jacob, Paul
Person, Anna
Bloch, Karen
Fiske, Christina T
Kuriakose, Kevin
Bourgi, Kassem
Dougherty, David
Dobrzynski, David
Staub, Milner Owens
Byrge, Kelly
Grome, Heather
Cohen, Caroline
England, James
Nair, Devika
Kelly, Sean
author_sort Jacob, Paul
collection PubMed
description BACKGROUND: Improving internal medicine (IM) trainees skills in managing common infectious diseases is essential to their development as competent physicians. We currently lack quantitative data of the knowledge and attitudes of IM housestaff regarding their management of common infectious diseases. We applied the knowledge, attitude, and behavior model to a pre-intervention survey aimed to uncover housestaff knowledge gaps and discomfort in managing several of the most commonly encountered infectious diseases at our institution. Using this information, we plan to develop a targeted post-survey intervention to increase self-efficacy and improve antimicrobial prescription practices among trainees. METHODS: Survey questions were based on Infectious Disease Society of America (IDSA) guidelines and developed using an iterative process involving interviews of infectious disease physicians and IM housestaff. We chose to focus on cystitis, pneumonia, and skin and soft-tissue infections. The anonymous survey tool was developed using a secure, online platform, and distributed in January 2018. Participation was voluntary and no remuneration for participation was offered. RESULTS: Out of 165 survey recipients, 50 trainees (30%) responded. Fifty-eight percent of trainees stated that they possessed only an average level of knowledge regarding the management of cystitis, pneumonia, and cellulitis. While 98% of housestaff confirmed that they utilized additional resources for information, only 24% felt routinely comfortable making decisions without an infectious disease consultation. Ninety-six percent of trainees felt that an institution-specific guide describing the management of common infectious diseases would be highly beneficial. CONCLUSION: Trainees still lack the knowledge and confidence to make decisions regarding the empiric management of cystitis, pneumonia, and skin and soft-tissue infections at our academic medical center. There is a strong desire for an institution-specific educational resource to provide guidance for these decisions. Increasing trainee self-efficacy and improving their antimicrobial prescription practice patterns should be an educational priority. [Image: see text] [Image: see text] DISCLOSURES: All authors: No reported disclosures.
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spelling pubmed-62548112018-11-28 1333. Developing an Educational Tool to Improve Housestaff Knowledge, Attitudes, and Behavior in Managing Common Infectious Diseases Jacob, Paul Person, Anna Bloch, Karen Fiske, Christina T Kuriakose, Kevin Bourgi, Kassem Dougherty, David Dobrzynski, David Staub, Milner Owens Byrge, Kelly Grome, Heather Cohen, Caroline England, James Nair, Devika Kelly, Sean Open Forum Infect Dis Abstracts BACKGROUND: Improving internal medicine (IM) trainees skills in managing common infectious diseases is essential to their development as competent physicians. We currently lack quantitative data of the knowledge and attitudes of IM housestaff regarding their management of common infectious diseases. We applied the knowledge, attitude, and behavior model to a pre-intervention survey aimed to uncover housestaff knowledge gaps and discomfort in managing several of the most commonly encountered infectious diseases at our institution. Using this information, we plan to develop a targeted post-survey intervention to increase self-efficacy and improve antimicrobial prescription practices among trainees. METHODS: Survey questions were based on Infectious Disease Society of America (IDSA) guidelines and developed using an iterative process involving interviews of infectious disease physicians and IM housestaff. We chose to focus on cystitis, pneumonia, and skin and soft-tissue infections. The anonymous survey tool was developed using a secure, online platform, and distributed in January 2018. Participation was voluntary and no remuneration for participation was offered. RESULTS: Out of 165 survey recipients, 50 trainees (30%) responded. Fifty-eight percent of trainees stated that they possessed only an average level of knowledge regarding the management of cystitis, pneumonia, and cellulitis. While 98% of housestaff confirmed that they utilized additional resources for information, only 24% felt routinely comfortable making decisions without an infectious disease consultation. Ninety-six percent of trainees felt that an institution-specific guide describing the management of common infectious diseases would be highly beneficial. CONCLUSION: Trainees still lack the knowledge and confidence to make decisions regarding the empiric management of cystitis, pneumonia, and skin and soft-tissue infections at our academic medical center. There is a strong desire for an institution-specific educational resource to provide guidance for these decisions. Increasing trainee self-efficacy and improving their antimicrobial prescription practice patterns should be an educational priority. [Image: see text] [Image: see text] DISCLOSURES: All authors: No reported disclosures. Oxford University Press 2018-11-26 /pmc/articles/PMC6254811/ http://dx.doi.org/10.1093/ofid/ofy210.1166 Text en © The Author(s) 2018. 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
Jacob, Paul
Person, Anna
Bloch, Karen
Fiske, Christina T
Kuriakose, Kevin
Bourgi, Kassem
Dougherty, David
Dobrzynski, David
Staub, Milner Owens
Byrge, Kelly
Grome, Heather
Cohen, Caroline
England, James
Nair, Devika
Kelly, Sean
1333. Developing an Educational Tool to Improve Housestaff Knowledge, Attitudes, and Behavior in Managing Common Infectious Diseases
title 1333. Developing an Educational Tool to Improve Housestaff Knowledge, Attitudes, and Behavior in Managing Common Infectious Diseases
title_full 1333. Developing an Educational Tool to Improve Housestaff Knowledge, Attitudes, and Behavior in Managing Common Infectious Diseases
title_fullStr 1333. Developing an Educational Tool to Improve Housestaff Knowledge, Attitudes, and Behavior in Managing Common Infectious Diseases
title_full_unstemmed 1333. Developing an Educational Tool to Improve Housestaff Knowledge, Attitudes, and Behavior in Managing Common Infectious Diseases
title_short 1333. Developing an Educational Tool to Improve Housestaff Knowledge, Attitudes, and Behavior in Managing Common Infectious Diseases
title_sort 1333. developing an educational tool to improve housestaff knowledge, attitudes, and behavior in managing common infectious diseases
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6254811/
http://dx.doi.org/10.1093/ofid/ofy210.1166
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