Methods: This is an IRB approved cross-sectional single center study with a pre and post design. The study population was the EM Residents. The 12 residents from each residency class were offered the quiz. They received a pre-intervention quiz, prior to implementation and education of the ED specific antibiotic guide. The quiz contained a mixture of simple and complex case based questions that were tailored to match the antibiotic card that was used as the education tool. The empiric antibiotic drug card was distributed to all EM residents regardless of study participation. The EM clinical pharmacist provided education on recommendations over 3 one-hour sessions during EM weekly conference. The post-intervention quiz was offered to the same residency classes approximately six months after the pre-intervention quiz was offered.
Results: In total, 31 residents took the pre-intervention quiz, while 22 residents participated in the post-intervention quiz. The overall pre-intervention quiz average was 36.9% and the post-intervention quiz average was 49.5%, inclusive of all residency classes. Results were also analyzed to differentiate in-patient versus outpatient antibiotic selection. Pre-intervention, the average results for inpatient and outpatient were 39.6% and 34% respectively. Post-intervention, the average results for inpatient and outpatient were 53.6% and 45% respectively.
Conclusion: Overall, the education and antibiotic guide did improve EM resident quiz scores. Additional educational sessions and materials may be necessary to further improve empiric antibiotic selection, particularly for outpatient prescriptions.
A. Kuyumjian, None
D. Finefrock, None
D. Zodda, None
C. Ogedegbe, None
R. Sebti, None
J. Feldman, None