996. Development and Pilot of a 4th year Medical Student Elective in Antimicrobial Stewardship
Session: Poster Abstract Session: Antibiotic Stewardship: General Acute Care Implementation and Outcomes
Friday, October 28, 2016
Room: Poster Hall
  • IDSA Antimicrobial Poster Final .pdf (1.2 MB)
  • Development and Pilot of a 4th year Medical Student Elective in Antimicrobial Stewardship         

    Becky Zon BS, MS4 and Dr. Payal Patel MD, MPH
    University of Michigan Health System, Ann Arbor, MI USA

    Background:  Antimicrobial Stewardship (AS) has serious global implications for healthcare. Early introduction of AS during medical school may be a preventive and informative educational method to help coming generations of physicians prepare for and work to prevent antimicrobial resistance.

    Methods: A detailed review of key literature and important aspects of AS was conducted to inform the curriculum. Foundational aspects of the AS elective include: microbiology and resistance mechanisms, interplay of public health and AS, and practice of clinical medicine with an AS perspective including the concept of an “antibiotic time-out” as recommended by the CDC. The interplay between these variables will demonstrate for students the crucial nature of understanding the social and individual impact of antimicrobial resistance and implications of decision-making in future treatment plans. Following the AS educational sessions, a pre and post test (attached) will be conducted to judge uptake of understanding of AS.

    Results: A four-week clerkship addressing the “Triangular Balance of ID” was developed for a well-rounded experience of infectious disease and AS practices. The structure is as follows:

    Week 1 (Micro): Attend lab meetings, read publications on antimicrobial resistance and meet with researchers exploring how certain microorganisms build resistance with a focus on VRE.

    Week 2 (Macro): Clinical experience on ID Consult Service. Attend the Ann Arbor VA and University of Michigan Hospital AS meetings. Complete Wake Forest and CDC online study modules.

    Week 3 (Public Health): Syllabus of public health work around public policy and AS, one-on-one meetings with researchers at the University of Michigan School of Public Health. Attend multidisciplinary Patient Safety Effectiveness Program, led by Dr. Sanjay Saint.

    Week 4 (Synthesis): Create and present a final presentation of the microbiologic, clinical and public health components to AS to medical students and residents and perform pre and post-testing.

    Macintosh HD:Users:beckyzon:Desktop:Screen Shot 2016-05-12 at 10.01.36 PM.png

    Figure: The Triangular Balance of ID

    Conclusion:  Early introduction to AS for medical students may be a timely AS educational intervention.


    Rebecca (Becky) Zon, medical student, University of Michigan Medical School, Ann Arbor, MI and Payal K. Patel, MD, MPH, Infectious Diseases, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA


    R. Zon, None

    P. K. Patel, None

    Findings in the abstracts are embargoed until 12:01 a.m. CDT, Wednesday Oct. 26th with the exception of research findings presented at the IDWeek press conferences.