Division of Infectious Diseases, Department of Medicine, University of Miami Miller School of Medicine, Florida 33136, USA.
Clin Infect Dis. 2013 Sep;57(5):631-8. doi: 10.1093/cid/cit370. Epub 2013 May 31.
Better understanding of medical students' perceptions, attitudes, and knowledge about antimicrobial prescribing practices could facilitate more effective education of these future prescribers.
A 24-item electronic survey on antimicrobial prescribing and education was administered to fourth-year medical students at the University of Miami, the Johns Hopkins University, and the University of Washington (January-March 2012).
Three hundred seventeen of 519 (61%) students completed the survey; 92% of respondents agreed that strong knowledge of antimicrobials is important in their careers, and 90% said that they would like more education on appropriate use of antimicrobials. Mean correct knowledge score (11 items) was 51%, with statistically significant differences between study sites and sources of information used to learn about antimicrobials. Only 15% had completed a clinical infectious diseases rotation during medical school; those who had done so rated the quality of their antimicrobial education significantly higher compared to those who had not (mean, 3.93 vs 3.44, on a 5-point scale; P = .0003). There were no statistically significant associations between knowledge scores and having had an infectious diseases clinical elective. Only one-third of respondents perceived their preparedness to be adequate in some fundamental principles of antimicrobial use.
Differences exist between medical schools in educational resources used, perceived preparedness, and knowledge about antimicrobial use. Variability in formative education could frame behaviors and prescribing practices in future patient care. To help address the growing problem of antimicrobial resistance, efforts should be undertaken to ensure that our future doctors are well educated in the principles and practices of appropriate use of antibiotics and antimicrobial stewardship.
更好地了解医学生对抗菌药物处方实践的看法、态度和知识，有助于更有效地对这些未来的处方者进行教育。
2012 年 1 月至 3 月，对迈阿密大学、约翰霍普金斯大学和华盛顿大学的四年级医学生进行了一项关于抗菌药物处方和教育的 24 项电子调查。
在 519 名学生中，有 317 名（61%）完成了调查；92%的受访者认为对抗菌药物有深入的了解对他们的职业生涯很重要，90%的受访者表示希望接受更多关于合理使用抗菌药物的教育。正确知识得分（11 项）的平均值为 51%，不同的学习地点和用于学习抗菌药物的信息来源之间存在统计学差异。只有 15%的学生在医学院期间完成了临床传染病轮转；与未完成轮转的学生相比，完成轮转的学生对抗菌药物教育质量的评价显著更高（平均为 3.93 对 3.44，五分制；P =.0003）。知识得分与是否有传染病临床选修课程之间没有统计学上的显著关联。只有三分之一的受访者认为自己在一些抗菌药物使用的基本原则方面准备充分。
不同医学院之间在教育资源的使用、感知准备情况和抗菌药物使用知识方面存在差异。形成性教育的差异可能会影响未来患者护理中的行为和处方实践。为了帮助解决抗菌药物耐药性日益严重的问题，应努力确保我们未来的医生在抗生素的合理使用和抗菌药物管理的原则和实践方面接受良好的教育。
