Journal article
Evaluation of the Infectious Diseases Society of America's Core Antimicrobial Stewardship Curriculum for Infectious Diseases Fellows
Clinical infectious diseases, Vol.74(6), pp.965-972
03/23/2022
DOI: 10.1093/cid/ciab600
PMID: 34192322
Abstract
Antimicrobial stewardship (AS) programs are required by Centers for Medicare and Medicaid Services and should ideally have infectious diseases (ID) physician involvement; however, only 50% of ID fellowship programs have formal AS curricula. The Infectious Diseases Society of America (IDSA) formed a workgroup to develop a core AS curriculum for ID fellows. Here we study its impact.
ID program directors and fellows in 56 fellowship programs were surveyed regarding the content and effectiveness of their AS training before and after implementation of the IDSA curriculum. Fellows' knowledge was assessed using multiple-choice questions. Fellows completing their first year of fellowship were surveyed before curriculum implementation ("pre-curriculum") and compared to first-year fellows who complete the curriculum the following year ("post-curriculum").
Forty-nine (88%) program directors and 105 (67%) fellows completed the pre-curriculum surveys; 35 (64%) program directors and 79 (50%) fellows completed the post-curriculum surveys. Prior to IDSA curriculum implementation, only 51% of programs had a "formal" curriculum. After implementation, satisfaction with AS training increased among program directors (16% to 68%) and fellows (51% to 68%). Fellows' confidence increased in 7/10 AS content areas. Knowledge scores improved from a mean of 4.6 to 5.1 correct answers of 9 questions (P = .028). The major hurdle to curriculum implementation was time, both for formal teaching and for e-learning.
Effective AS training is a critical component of ID fellowship training. The IDSA Core AS Curriculum can enhance AS training, increase fellow confidence, and improve overall satisfaction of fellows and program directors.
Details
- Title: Subtitle
- Evaluation of the Infectious Diseases Society of America's Core Antimicrobial Stewardship Curriculum for Infectious Diseases Fellows
- Creators
- Jennifer O Spicer - Emory UniversityWendy S Armstrong - Emory UniversityBrian S Schwartz - University of California, San FranciscoLilian M Abbo - Jackson Health SystemSonali D Advani - Duke UniversityAlice E Barsoumian - San Antonio Military Medical CenterCole Beeler - Indiana UniversityKenza Bennani - Infectious Diseases Society of AmericaMarisa Holubar - Stanford UniversityMisha Huang - University of Colorado DenverDilek Ince - University of IowaJulie Ann Justo - University of South CarolinaMatthew S L Lee - Beth Israel Deaconess Medical CenterAshleigh Logan - Infectious Diseases Society of AmericaConan MacDougall - University of California, San FranciscoPriya Nori - Albert Einstein College of MedicineChristopher Ohl - Wake Forest UniversityPayal K Patel - VA Ann Arbor Healthcare SystemPaul S Pottinger - University of WashingtonRachel Shnekendorf - Infectious Diseases Society of AmericaConor Stack - Beth Israel Deaconess Medical CenterTrevor C Van Schooneveld - University of Nebraska Medical CenterZachary I Willis - University of North Carolina at Chapel HillYuan Zhou - The PolyclinicVera P Luther - Wake Forest University
- Resource Type
- Journal article
- Publication Details
- Clinical infectious diseases, Vol.74(6), pp.965-972
- DOI
- 10.1093/cid/ciab600
- PMID
- 34192322
- ISSN
- 1058-4838
- eISSN
- 1537-6591
- Grant note
- DOI: 10.13039/100006292, name: IDSA
- Language
- English
- Date published
- 03/23/2022
- Academic Unit
- Infectious Diseases; Internal Medicine
- Record Identifier
- 9984359919602771
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