Evaluation of the Infectious Diseases Society of America’s Core Antimicrobial Stewardship Curriculum for Infectious Diseases Fellows

作者：Jennifer O. Spicer, Wendy S. Armstrong, Brian S. Schwartz, Lilian M. Abbo, Sonali D. Advani, Alice E Barsoumian, Cole Beeler, Kenza Bennani, Marisa Holubar, Misha Huang, Dilek İnce, Julie Ann Justo, Matthew Lee, Ashleigh Logan, Conan MacDougall, Priya Nori, Christopher Ohl, Payal Patel, Paul S. Pottinger, Rachel Shnekendorf, Conor Stack, Trevor Van Schooneveld, Zachary Willis, Yuan Zhou, Vera Luther · 发表于：Clinical Infectious Diseases · 年份：2021 · DOI：10.1093/cid/ciab600 · 被引用次数：9 · 研究领域：Antibiotic Use and Resistance、Innovations in Medical Education、Healthcare Systems and Technology

Abstract Background 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. Methods 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”). Results 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, bot...