兽医专业学生在临床实习前后对抗菌药物管理的了解和认识。

IF 1.1 3区 农林科学 Q3 EDUCATION, SCIENTIFIC DISCIPLINES Journal of veterinary medical education Pub Date : 2024-06-01 Epub Date: 2023-04-27 DOI:10.3138/jvme-2022-0125
Ruinan Sun, Kevin J Cummings, Andrea Beukema, Ariana L Hinckley-Boltax, Jodi A Korich, Casey L Cazer
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引用次数: 0

摘要

鉴于抗菌素耐药性的全球性威胁,兽医毕业生必须成为有效的抗菌素管理者。兽医专业的学生通过临床前的课程学习抗菌药物管理的原则,也通过临床轮转时遇到的病例学习抗菌药物管理的原则。我们的目的是了解临床前学习和临床学习对兽医专业学生的抗菌概念知识和意识的影响,从而指导改进这些领域的教学工作。为了评估知识掌握情况并探讨学生对抗菌药物管理的看法,我们在两个时间点对康奈尔大学兽医专业的学生进行了标准化在线调查:2020 年 8 月临床轮转前(26 人完整回答,24 人部分回答)和 2021 年 5 月临床轮转后(17 人完整回答,6 人部分回答)。采用成对删除不完整答卷的方法,计算了总体和具体章节的信心和知识得分。学生普遍对抗菌药物话题信心不足,只正确回答了一半的知识问题;他们在抗菌药物耐药性知识问题上表现最好。临床轮转后,学生在知识和信心方面没有明显差异。学生平均只读过一本抗菌药物管理指南。学生们报告说,人类医疗保健提供者比兽医对抗菌药耐药性的贡献更大。总之,我校即将毕业的兽医专业学生在成为抗菌药物管理者所必需的关键原则方面存在很大的知识差距。有必要在临床前和临床课程中明确教授抗菌药物管理知识,并强调抗菌药物管理指南的实际应用。
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Veterinary Students' Knowledge and Awareness of Antimicrobial Stewardship Before and After Clinical Rotations.

Given the global threat of antimicrobial resistance, it is imperative that veterinary graduates are effective antimicrobial stewards. Veterinary students learn the principles of antimicrobial stewardship explicitly, through pre-clinical coursework, and implicitly, through the cases they each encounter on clinical rotations. We aimed to understand the influence of pre-clinical versus clinical learning on veterinary students' knowledge and awareness of antimicrobial concepts to guide efforts to improve instruction in these areas. To assess knowledge acquisition and to explore student perceptions of antimicrobial stewardship, a standardized online survey was administered to Cornell University veterinary students at two timepoints: in August 2020 before clinical rotations (N = 26 complete responses and N = 24 partial responses) and again in May 2021 after their clinical rotations (N = 17 complete responses and N = 6 partial responses). Overall and section-specific confidence and knowledge scores were calculated, using pairwise deletion for incomplete responses. Students generally had low confidence in antimicrobial topics and correctly answered only half of knowledge questions correctly; they performed the best on antimicrobial resistance knowledge questions. There were no significant differences in knowledge or confidence after clinical rotations. On average, students had only read one antimicrobial stewardship guideline. Students reported that human health care providers contributed more to antimicrobial resistance than veterinarians. In conclusion, graduating veterinary students at our institution have significant knowledge gaps in critical principles that are essential to become antimicrobial stewards. Explicit instruction in antimicrobial stewardship is necessary in the pre-clinical and clinical coursework, and the practical use of antimicrobial stewardship guidelines should be emphasized.

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来源期刊
CiteScore
2.20
自引率
30.00%
发文量
113
审稿时长
>36 weeks
期刊介绍: The Journal of Veterinary Medical Education (JVME) is the peer-reviewed scholarly journal of the Association of American Veterinary Medical Colleges (AAVMC). As an internationally distributed journal, JVME provides a forum for the exchange of ideas, research, and discoveries about veterinary medical education. This exchange benefits veterinary faculty, students, and the veterinary profession as a whole by preparing veterinarians to better perform their professional activities and to meet the needs of society. The journal’s areas of focus include best practices and educational methods in veterinary education; recruitment, training, and mentoring of students at all levels of education, including undergraduate, graduate, veterinary technology, and continuing education; clinical instruction and assessment; institutional policy; and other challenges and issues faced by veterinary educators domestically and internationally. Veterinary faculty of all countries are encouraged to participate as contributors, reviewers, and institutional representatives.
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