engleski

European survey on principles of prudent antibiotic prescribing teaching in undergraduate students

4Our aim was to survey 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, UK) in 2013. Proportional sampling was used resulting in the selection of two to four medical schools per country. A standardised 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. 35/37 medical schools were included in the study. Prudent antibiotic use principles were taught in all but one medical school, but only 4/13 countries had a national programme. Interactive Clinical Microbiology and Infection For Peer Review teaching formats were used less frequently than passive formats. The teaching was mandatory for 53% of the courses, and started pre- clinically (i.e. before clinical training) in 71%. We observed wide variations in exposure of students to important principles of prudent antibiotic use between 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 prioritised, 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.

antibiotic stewardship ; curriculum ; education ; medical student ; medical school ; questionnaire

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