Department of Neurology, Columbia Presbyterian Medical Center, New York, New York, USA.
Microb Drug Resist. 2010 Dec;16(4):285-9. doi: 10.1089/mdr.2010.0009. Epub 2010 Jul 12.
Physicians who are insufficiently prepared to make choices on antibiotic selection may use antibiotics inappropriately. We surveyed medical students' perceptions and attitudes about their training on antimicrobial use to identify gaps in medical education. Medical students at an urban medical school in the northeast were e-mailed a link to an online survey. The survey was online for 1 week, after which time the survey responses were downloaded and analyzed. Thirty percent of medical students responded to the survey (n = 304). The majority of third- and fourth-year medical students believe that antibiotics are overused in the hospital and in outpatient areas. Over three quarters of the students would like more education on antibiotic selection, and 83% wanted this education to be during the third year of medical school. The resources they used the most for antibiotic selection included other physicians and handheld programs such as Epocrates, but no clear resource emerged as the dominant preference. Medical students recognized the importance of judicious antibiotic use and would like greater instruction on how to choose antibiotics appropriately. Medical school curricula should be expanded in the third year of medical school to provide students with additional training timed with their clinical rotations.
准备不足的医生可能无法正确选择抗生素,从而导致抗生素的不当使用。为了发现医学教育中的差距,我们调查了医学生对抗生素使用方面的培训的看法和态度。我们向东北部一所城市医学院的医学生发送了一封电子邮件,其中包含在线调查的链接。调查持续了一周,之后我们下载并分析了调查结果。30%的医学生(n=304)对调查做出了回应。大多数三、四年级的医学生认为医院和门诊区域的抗生素使用过度。超过四分之三的学生希望在抗生素选择方面接受更多的教育,其中 83%的学生希望在医学生的第三年接受教育。他们最常用来选择抗生素的资源包括其他医生和掌上电脑程序(如 Epocrates),但没有哪种资源明显成为首选。医学生认识到合理使用抗生素的重要性,并希望获得更多关于如何正确选择抗生素的指导。医学院的课程应在医学生的第三年扩大,为学生提供与临床轮转时间相匹配的额外培训。