438. Medical Residentsí Perspective on Antibiotic Rounds
Session: Poster Abstract Session: Innovations in Medical Education
Thursday, October 8, 2015
Room: Poster Hall
Posters
  • LEE_AbRoundsPosterIDWeek2015.pdf (424.3 kB)
  • Background: Weekly antibiotic rounds (ABR) occur on selected units with a team of medical residents, students, an Infectious Disease (ID) attending, and an ID PharmD to discuss all patients on that unit who are on antibiotics (abx).  Patients are presented in a focused manner highlighting the indication and reason for choice of abx and duration of therapy.  The goals of ABR are to decrease unnecessary abx use, educate on appropriate abx selection, dosing, and monitoring, and promote antimicrobial stewardship.  The objective of this study is to identify medical residents’ perspective on ABR.

    Methods: An electronic survey was distributed to medical residents in April 2015.  The survey obtained respondent demographics and perspective on the effectiveness and structure of ABR.  Responses consist of a 5-point Likert scale from “strongly agree” to “strongly disagree”. 

    Results: A total of 64 medical residents who have attended at least 1 ABR participated in the survey: 31.3% (20/64) PGY-1, 34.4% (22/64) PGY-2, and 34.4% (22/64) PGY-3.  Three areas ranked with the most strongly agreed was the participation of an ID PharmD as beneficial (54.7%; 35/64), followed by improvement in understanding the use of the antibiogram (32.8%; 21/64) and raising awareness in antimicrobial stewardship (29.7%; 19/64).

    Majority of respondents strongly agreed or agreed that ABR increased their confidence, knowledge, and understanding in the following:  prescribing abx therapy (87.5%; 56/64), appropriate duration of abx therapy (89.1%; 57/64), abx dosing and drug monitoring (84.4%; 54/64), value of obtaining pre-abx cultures (82.8%; 53/64), and using the institution’s antibiogram (89.1%; 57/64).  Majority of respondents also strongly agreed or agreed that ABR raised their awareness in antimicrobial stewardship (92.2%; 59/64) and encouraged them to be actively involved in antimicrobial stewardship (87.5%; 56/64).  Respondents also strongly agreed or agreed that once weekly rounds is sufficient and participation of an ID PharmD as beneficial (81.3%; 52/55 and 85.9%; 55/64, respectively).

    Conclusion: Medical residents’ perspective on ABR was overwhelmingly positive.  Once weekly ABR with participation of an ID PharmD demonstrated to be an effective education tool to increase knowledge in appropriate abx use and promote antimicrobial stewardship.

    Yuman Lee, Pharm.D., BCPS, Pharmacy, St. Barnabas Hospital, Bronx, NY

    Disclosures:

    Y. Lee, 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.