“抗生素处方礼仪”——医学生的选修课程：我们能否招募潜在的医生来对抗耐药性？

"Antibiotic prescribing etiquette" an elective course for medical students: could we recruit potential physicians to fight resistance?

机构信息

Medical Microbiology and Immunology Department, Faculty of Medicine, Zagazig University, Zagazig , Egypt.

Department of Family and Community Medicine, faculty of medicine, University of Tabuk, Tabuk, Kingdom of Saudi Arabia.

出版信息

BMC Med Educ. 2023 Jan 5;23(1):8. doi: 10.1186/s12909-022-03949-9.

DOI:10.1186/s12909-022-03949-9

PMID:36604698

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9815679/

Abstract

BACKGROUND

A better understanding of medical students' competencies about antimicrobial resistance and their use could facilitate a more effective education for them as future prescribers. The aim is to explore the educational impact of an elective course on medical students' knowledge, perception, and attitude toward antibiotic resistance and use.

METHODS

Between December 2021 and January 2022, when a 2-credit hours elective course was designed and implemented, this interventional study was conducted. The primary outcome measure was the change in medical students' knowledge, perception, and attitude about antibiotic resistance and use. Using a pre-post course questionnaire, this outcome was assessed. The secondary measure included students' perception of the course; assessed by a post-course online survey.

RESULTS

Among the 50 enrolled students, the total knowledge score had significantly increased after the course with 95% CI After the course, with medium effect size ( Cohen's d= -0.7 ) the participants' mean ± SD total perception and attitude scores had significantly increased (52.38 ± 5.53 vs. 56.84 ± 5.86) respectively, (p = 0.000) with large effect size (( Cohen's d= -0.8) There was a significant positive correlation between the total knowledge, attitude, and perception after the course (r = 0.542, p < 0.01). The mean ± SD of the overall course satisfaction was 4.20 ± 0.94. out of 5.

CONCLUSION

Medical students' knowledge, perceptions, and attitudes towards antimicrobial prescription have been improved after the elective antibiotic prescribing etiquette course. Elective courses could offer a great opportunity to enable the students to understand the extent of the problem, stand on the facts, and take responsibility for the antibiotic resistance crisis.

TRIAL REGISTRATION

NA.

摘要

背景

更好地了解医学生对抗生素耐药性的认识和应用能力，可以为他们作为未来的处方者提供更有效的教育。本研究旨在探讨一门关于抗生素耐药性和应用的选修课程对医学生知识、认知和态度的教育影响。

方法

在 2021 年 12 月至 2022 年 1 月设计并实施了一门 2 学分的选修课程，在此期间进行了这项干预研究。主要的观察指标是医学生对抗生素耐药性和应用的知识、认知和态度的变化。通过课程前后的问卷调查来评估这一结果。次要指标包括学生对课程的感知，通过课程结束后的在线调查来评估。

结果

在 50 名入组的学生中，课程结束后，学生的总知识得分有显著提高，95%可信区间为[0.56，0.91]。课程结束后，参与者的总感知和态度得分均有显著提高，具有中等效应量（Cohen's d= -0.7）。（52.38 ± 5.53 对 56.84 ± 5.86），（p = 0.000）具有大效应量（Cohen's d= -0.8）。课程结束后，知识、态度和感知总分呈显著正相关（r = 0.542，p < 0.01）。整体课程满意度的平均值 ± 标准差为 4.20 ± 0.94（满分 5 分）。