Alshengeti Amer, Slayter Kathryn, Black Emily, Top Karina
Pediatric Department, College of Medicine, Taibah University, Alqiblatain District, Al-Madinah, 41491, Saudi Arabia.
Faculty of Medicine, Department of Medicine, Division of Infectious Diseases, Halifax, NS, Canada.
BMC Res Notes. 2020 Jul 14;13(1):339. doi: 10.1186/s13104-020-05170-7.
Our objective was to develop and validate a virtual patient (VP) learning module to educate pediatric residents about antimicrobial stewardship (AMS) principles. A VP module on complicated pneumonia was developed by experts in AMS and pediatric infectious diseases using the online platform DecisionSim. Decision points were based on AMS principles (diagnosis, antimicrobial selection, dosing, de-escalation, route, duration). Pediatric residents in all training levels at a tertiary pediatric hospital were recruited to test the VP module. Knowledge was assessed via a multiple choice questionnaire. Mean knowledge scores were compared before, after, and 4 months after completing the module using Generalized Linear Mixed Repeated Measures (RM) Analysis. Resident satisfaction was assessed using a validated questionnaire.
Seven of 24 pediatric residents (Years 1-4) completed the VP module and pre- and post-module questionnaires. Mean knowledge scores before, immediately after and 4 months after the module were 58.2%, 66.6%, and 71.6%, respectively. The change in knowledge across time was significant (p < 0.001). Residents were satisfied with the module as an AMS learning strategy.
我们的目标是开发并验证一个虚拟患者（VP）学习模块，以向儿科住院医师传授抗菌药物管理（AMS）原则。一个关于复杂性肺炎的VP模块由AMS和儿科传染病专家使用在线平台DecisionSim开发。决策点基于AMS原则（诊断、抗菌药物选择、剂量、降阶梯治疗、给药途径、疗程）。招募了一家三级儿科医院所有培训水平的儿科住院医师来测试该VP模块。通过多项选择题问卷评估知识水平。使用广义线性混合重复测量（RM）分析比较完成模块之前、之后以及之后4个月的平均知识得分。使用经过验证的问卷评估住院医师的满意度。
24名儿科住院医师（1 - 4年级）中的7人完成了VP模块以及模块前后的问卷。模块之前、之后立即以及之后4个月的平均知识得分分别为58.2%、66.6%和71.6%。知识随时间的变化具有显著性（p < 0.001）。住院医师对该模块作为一种AMS学习策略感到满意。
