European survey on principles of prudent antibiotic prescribing teaching in undergraduate students
European survey on principles of prudent antibiotic prescribing teaching in undergraduate students
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DOI：
10.1016/j.cmi.2014.11.015
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发表时间：
2015-04-01
影响因子：
14.2
通讯作者：
Gyssens, I. C.
中科院分区：
文献类型：
--
作者：
Pulcini, C.;Wencker, F.;Gyssens, I. C.
我们调查了欧洲医学院在本科课程中关于谨慎抗生素处方的教学。2013年，我们在13个欧洲国家(比利时、克罗地亚、丹麦、法国、德国、意大利、荷兰、挪威、塞尔维亚、斯洛文尼亚、西班牙、瑞士、英国)进行了横断面调查。采用比例抽样，每个国家选择两到四所医学院。一份基于文献回顾并经专家小组验证的标准化问卷被发送给传染病、医学微生物学和临床药理学的讲师。对四名讲师进行了深入访谈。这项研究涵盖了37所医学院中的35所。除了一所医学院外，所有的医学院都教授了谨慎使用抗生素的原则，但13个国家中只有4个国家有国家计划。互动式教学模式的使用频率低于被动教学模式。53%的课程是强制性教学，71%的课程是在临床培训之前开始的。我们观察到，在不同国家和同一国家内，学生对谨慎使用抗生素的重要原则的接触存在很大差异。一些主要原则(例如，抗生素治疗的重新评估和持续时间、沟通技能)没有得到很好的涵盖。虽然77%的受访者完全同意应优先教授这些原则，但缺乏时间，主要是由于课程政策僵化，是实施这些原则的主要障碍。考虑到研究的设计，这些可能是乐观的结果。应加强抗菌药物谨慎处方原则的教学。迫切需要发展特定学习成果或能力的国家和欧洲方案。临床微生物学和感染(C)2014年欧洲临床微生物学和传染病学会。爱思唯尔有限公司出版。保留所有权利。
We surveyed European medical schools regarding teaching of prudent antibiotic prescribing in the undergraduate curriculum. We performed a cross-sectional survey in 13 European countries (Belgium, Croatia, Denmark, France, Germany, Italy, Netherlands, Norway, Serbia, Slovenia, Spain, Switzerland, United Kingdom) in 2013. Proportional sampling was used, resulting in the selection of two to four medical schools per country. A standardized questionnaire based on literature review and validated by a panel of experts was sent to lecturers in infectious diseases, medical microbiology and clinical pharmacology. In-depth interviews were conducted with four lecturers. Thirty-five of 37 medical schools were included in the study. Prudent antibiotic use principles were taught in all but one medical school, but only four of 13 countries had a national programme. Interactive teaching formats were used less frequently than passive formats. The teaching was mandatory for 53% of the courses and started before clinical training in 71%. We observed wide variations in exposure of students to important principles of prudent antibiotic use among countries and within the same country. Some major principles were poorly covered (e.g. reassessment and duration of antibiotic therapy, communication skills). Whereas 77% of the respondents fully agreed that the teaching of these principles should be prioritized, lack of time, mainly due to rigid curriculum policies, was the main reported barrier to implementation. Given the study design, these are probably optimistic results. Teaching of prudent antibiotic prescribing principles should be improved. National and European programmes for development of specific learning outcomes or competencies are urgently needed.Clinical Microbiology and Infection (C) 2014 European Society of Clinical Microbiology and Infectious Diseases. Published by Elsevier Ltd. All rights reserved.