443. Pooling NYC Resources to Educate Fellows About Antimicrobial Stewardship and Infection Prevention and Control
Session: Poster Abstract Session: Innovations in Medical Education
Thursday, October 8, 2015
Room: Poster Hall
Posters
  • IDSA fellow's course poster.pdf (291.3 kB)
  • Background: Training in Antimicrobial Stewardship (AS) and Infection Prevention and  Control (IPC) has historically occurred “on the job” during infectious diseases fellowship. In 2013, the Montefiore Medical Center (MMC) and Memorial Sloan Kettering Cancer Center (MSKCC) collaborated to develop a half-day intensive course on AS and IPC for local infectious diseases fellows. The Infectious Disease Society of New York, and MMC hosted the session each year.

    Methods: IPC curriculum was developed by faculty at MMC. AS curriculum was developed collaboratively by AS directors at MMC and MSKCC. A pre-meeting survey was conducted to gauge fellows’ existing involvement in IPC and AS. The first half session consisted of up to 10 interactive IPC cases and the second half session consisted of 5 challenging AS scenarios. Solutions were discussed in an open forum with a panel of experts from the New York City area (MDs, PharmDs, IPCs representing 11 hospitals). A post-meeting Likert survey was completed by participants. Survey questions varied slightly year to year.

    Results: Fellows from up to 12 diverse NY area programs have attended since the inaugural session in 2013. Survey results indicated that less than half of participants regularly attended IPC meetings. The majority approved antibiotics on call and received some AS training, but felt neutral about having the skills to implement AS in future employment. The majority indicated interest in pursuing work in IPC or AS after fellowship, as well as a desire for additional training after the session. Most also agreed that the program was a good educational supplement, and that case studies are an effective device for learning (see table below for details). Time constraint was the primary critique of participants.

    Conclusion: A case-based seminar pooling regional expertise can supplement existing ID fellowship training in IPC and AS. In the future, we hope to garner the resources for a full day IPC/AS curriculum for regional ID fellows.

     

    Year

    # of Participants

    % with some AS training in fellowship

    % with some IPC training in fellowship

    % participating in regular AS and IPC activities

    % interested   in AS or IPC employment

    % desiring additional AS and IPC training

    2013

    22

    71%

    71%

    56%

    --

    95%

    2014

    24

    87%

    80%

    60%

    77%

    74%

    2015

    30

    53%

    29%

    70%

    88%

    94%

    Belinda Ostrowsky, MD, MPH, FIDSA, FSHEA1, Priya Nori, MD1, Iona Munjal, MD2, Maria Del Castillo Garcia, MD3 and Susan K. Seo, MD3, (1)Department of Medicine, Division of Infectious Diseases, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY, (2)Pediatrics, Infectious Diseases, Montefiore Medical Center and the Albert Einstein College of Medicine, Bronx, NY, (3)Infectious Disease Service, Memorial Sloan Kettering Cancer Center, New York, NY

    Disclosures:

    B. Ostrowsky, None

    P. Nori, None

    I. Munjal, None

    M. Del Castillo Garcia, None

    S. K. Seo, None

    Findings in the abstracts are embargoed until 12:01 a.m. PDT, Wednesday Oct. 7th with the exception of research findings presented at the IDWeek press conferences.