Infectious diseases and antimicrobial prescribing: Online spaced education for junior doctors
Background: Inappropriate antimicrobial prescribing may harm patients and drive antimicrobial resistance. Junior doctors’ knowledge of infectious diseases and antimicrobial prescribing is inadequate. Online spaced case-based learning can improve knowledge. Objective: To develop infectious diseases a...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2020-09-01
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| Series: | Journal of Global Antimicrobial Resistance |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213716520300370 |
| _version_ | 1819068385358512128 |
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| author | V. Menon A. Chubaty K. Clezy Y. Su J.J. Post A. Janssen T. Shaw P. Konecny |
| author_facet | V. Menon A. Chubaty K. Clezy Y. Su J.J. Post A. Janssen T. Shaw P. Konecny |
| author_sort | V. Menon |
| collection | DOAJ |
| description | Background: Inappropriate antimicrobial prescribing may harm patients and drive antimicrobial resistance. Junior doctors’ knowledge of infectious diseases and antimicrobial prescribing is inadequate. Online spaced case-based learning can improve knowledge. Objective: To develop infectious diseases and antimicrobial prescribing course content for online spaced education and assess its effectiveness and feasibility for junior doctors. Methods: Infectious diseases and antimicrobial course content was developed for an online spaced education platform (Qstream Inc., Burlington, MA). Junior doctors (postgraduate years 1–3) at two tertiary teaching hospitals in Sydney participated in the study. Course content was provided with Qstream at one hospital and at the other hospital via two face-to-face (FTF) tutorials from August to October 2017. Knowledge and self-confidence were compared before and after training within and between both cohorts. Results: Participation in the course was higher in the Qstream cohort with 48/127 (37.8%) completing the course compared with 44/110 (40%) attending one or both FTF sessions, of whom 22/110 (20%) attended both. Improvement in mean knowledge score from 69.7% to 81.5% in the Qstream cohort was significantly greater than the FTF cohort's minimal improvement from 67.6% to 67.9% (95% CI 2.79–20.33; P = 0.01). In the Qstream cohort mean confidence rating (0–10) improvement from 5.14 to 6.55 was greater than the FTF group improvement from 5.37 to 5.85 (95% CI 0.132–1.171; P = 0.02). Qstream feedback was very positive. Conclusions: Online spaced education in infectious diseases and antimicrobial prescribing was feasible, acceptable and effective for junior doctors. It has potential to reduce inappropriate antimicrobial prescribing and warrants further investigation. |
| first_indexed | 2024-12-21T16:33:18Z |
| format | Article |
| id | doaj.art-6463132bf7654dcfa7248efbaba50901 |
| institution | Directory Open Access Journal |
| issn | 2213-7165 |
| language | English |
| last_indexed | 2024-12-21T16:33:18Z |
| publishDate | 2020-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Global Antimicrobial Resistance |
| spelling | doaj.art-6463132bf7654dcfa7248efbaba509012022-12-21T18:57:17ZengElsevierJournal of Global Antimicrobial Resistance2213-71652020-09-0122226230Infectious diseases and antimicrobial prescribing: Online spaced education for junior doctorsV. Menon0A. Chubaty1K. Clezy2Y. Su3J.J. Post4A. Janssen5T. Shaw6P. Konecny7Department of Infectious Diseases, Prince of Wales Hospital, Sydney, Australia; Prince of Wales Clinical School, University of New South Wales, Sydney, AustraliaPharmacy Department, Prince of Wales Hospital, Sydney, AustraliaDepartment of Infectious Diseases, Prince of Wales Hospital, Sydney, Australia; Prince of Wales Clinical School, University of New South Wales, Sydney, AustraliaDepartment of Infectious Diseases, Prince of Wales Hospital, Sydney, AustraliaDepartment of Infectious Diseases, Prince of Wales Hospital, Sydney, Australia; Prince of Wales Clinical School, University of New South Wales, Sydney, AustraliaResearch in Implementation Science and eHealth Group, The University of Sydney, Sydney, AustraliaResearch in Implementation Science and eHealth Group, The University of Sydney, Sydney, AustraliaDepartment of Infectious Diseases, Immunology & Sexual Health, St George Hospital, Sydney, Australia; St George and Sutherland Clinical School, University of New South Wales, Sydney, Australia; Corresponding author at: Department of Infectious Diseases, Immunology & Sexual Health, St George Hospital, Gray Street, Kogarah New South Wales, 2217, Australia.Background: Inappropriate antimicrobial prescribing may harm patients and drive antimicrobial resistance. Junior doctors’ knowledge of infectious diseases and antimicrobial prescribing is inadequate. Online spaced case-based learning can improve knowledge. Objective: To develop infectious diseases and antimicrobial prescribing course content for online spaced education and assess its effectiveness and feasibility for junior doctors. Methods: Infectious diseases and antimicrobial course content was developed for an online spaced education platform (Qstream Inc., Burlington, MA). Junior doctors (postgraduate years 1–3) at two tertiary teaching hospitals in Sydney participated in the study. Course content was provided with Qstream at one hospital and at the other hospital via two face-to-face (FTF) tutorials from August to October 2017. Knowledge and self-confidence were compared before and after training within and between both cohorts. Results: Participation in the course was higher in the Qstream cohort with 48/127 (37.8%) completing the course compared with 44/110 (40%) attending one or both FTF sessions, of whom 22/110 (20%) attended both. Improvement in mean knowledge score from 69.7% to 81.5% in the Qstream cohort was significantly greater than the FTF cohort's minimal improvement from 67.6% to 67.9% (95% CI 2.79–20.33; P = 0.01). In the Qstream cohort mean confidence rating (0–10) improvement from 5.14 to 6.55 was greater than the FTF group improvement from 5.37 to 5.85 (95% CI 0.132–1.171; P = 0.02). Qstream feedback was very positive. Conclusions: Online spaced education in infectious diseases and antimicrobial prescribing was feasible, acceptable and effective for junior doctors. It has potential to reduce inappropriate antimicrobial prescribing and warrants further investigation.http://www.sciencedirect.com/science/article/pii/S2213716520300370Antibiotic prescribing courseJunior doctorOnline spaced educationInfectious diseases trainingAntimicrobial stewardshipAntimicrobial resistance |
| spellingShingle | V. Menon A. Chubaty K. Clezy Y. Su J.J. Post A. Janssen T. Shaw P. Konecny Infectious diseases and antimicrobial prescribing: Online spaced education for junior doctors Journal of Global Antimicrobial Resistance Antibiotic prescribing course Junior doctor Online spaced education Infectious diseases training Antimicrobial stewardship Antimicrobial resistance |
| title | Infectious diseases and antimicrobial prescribing: Online spaced education for junior doctors |
| title_full | Infectious diseases and antimicrobial prescribing: Online spaced education for junior doctors |
| title_fullStr | Infectious diseases and antimicrobial prescribing: Online spaced education for junior doctors |
| title_full_unstemmed | Infectious diseases and antimicrobial prescribing: Online spaced education for junior doctors |
| title_short | Infectious diseases and antimicrobial prescribing: Online spaced education for junior doctors |
| title_sort | infectious diseases and antimicrobial prescribing online spaced education for junior doctors |
| topic | Antibiotic prescribing course Junior doctor Online spaced education Infectious diseases training Antimicrobial stewardship Antimicrobial resistance |
| url | http://www.sciencedirect.com/science/article/pii/S2213716520300370 |
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