434. Is There an App for That?  Expanding the Stewardship Education Armamentarium
Session: Poster Abstract Session: Innovations in Medical Education
Thursday, October 8, 2015
Room: Poster Hall
  • IDSA Munjal et al Session 62 Poster 434.pdf (725.3 kB)
  • Background: Overuse of antibiotics is linked to resistance.  Many physicians believe that antibiotics are overused in their own institutions and have cited the need for more education on local guidelines to assist in antibiotic selection.  Making that information available to students at both the point of learning and care has been a challenge.   Apps are frequently used among providers and may be a useful stewardship tool in educating medical students.

    Methods: A team of infectious diseases physicians and pharmacists with stewardship expertise gave a mandatory second year medical school two-hour interactive session involving the basic principles of antimicrobial stewardship.  In the first year of the session, a paper antibiogram was provided along with instruction.  The format of the session was a lecture with interactive response questions that were collected in aggregate in real time.   In the second year, the session was repeated with an App distributed the week prior with the antibiogram and clinical practice guidelines.  The same interactive response questions were again used.  Content experts were available to instruct use of the tool in both session.   Questions were asked in 3 main categories:  (1) general antibiotic use, (2) principles of microbiology and testing, and (3) prescribing based on local antibiogram susceptibilities.

    Results: The App was downloaded by 108 students prior to the session.  An average of 79 students participated in the interactive response questions each year.  Of those, 69% responded that they would prefer to get their information from an App rather than expert advice or reference materials.  Opinions on antibiotic overuse did not differ between the first and second group.  There was no difference in the mean percent of question correct in the in the general antibiotic use or principles of microbiology and testing categories but there was a mean increase from 38 to 76% correct (p=0.02) in questions involving local antibiogram susceptibilities in the App group.

    Conclusion: An antibiogram and clinical practice guideline App based education session with instruction on use increased the mean percentage correct of questions involving local antibiogram susceptibilities.  As Apps are increasingly being incorporated into medical care, this may present a unique avenue for education and stewardship.

    Iona Munjal, MD, Pediatrics, Infectious Diseases, Montefiore Medical Center and the Albert Einstein College of Medicine, Bronx, NY, Belinda Ostrowsky, MD, MPH, FIDSA, FSHEA, Department of Medicine, Division of Infectious Diseases, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY and Joshua Nosanchuk, MD, FIDSA, Medicine/Microbiology&immunology, Albert Einstein College of Medicine, Bronx, NY


    I. Munjal, None

    B. Ostrowsky, None

    J. Nosanchuk, 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.