Appropriate antibiotic prescribing among final-year medical students in Europe

Working Group Research on CPT Education of the European Association for Clinical Pharmacology and Therapeutics (EACPT)

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Little is known about undergraduate education on antibiotic prescribing in Europe and even less about the antibiotic prescribing skills of nearly-graduated medical students. This study aimed to evaluate the antibiotic prescribing skills of final-year medical students across Europe and the education they received during medical training. In a cross-sectional study, final-year medical students from 17 medical schools in 15 European countries were asked to prescribe for two written case reports of infectious diseases (acute bronchitis and community-acquired pneumonia). The appropriateness of antimicrobial therapy was determined using a scoring form based on local guidelines. Teachers from each medical school were asked to complete a standardised questionnaire about the teaching and assessment of undergraduate education on antibiotic use. In total, 856 final-year medical students (95.6%) completed the assessment and 16 teachers (94.1%) completed the questionnaire. Overall, 52.7% (range 26–83%) of the 1.683 therapies prescribed were considered appropriate. The mean number of contact hours for undergraduate education on antimicrobials was 25.6 (range 2–90). Differences in education styles were found to have a significant impact on students’ performance, with a problem-based learning style being associated with more appropriate antimicrobial prescribing than a traditional learning style (46.0% vs. 22.9%; P < 0.01). Although there are differences between medical schools, final-year medical students in Europe lack prescribing skills for two common infectious diseases, possibly because of inadequate undergraduate education on antibiotic use and general prescribing. To improve students’ skills, interactive teaching methods such as prescribing for simulated and real patients should be used.
Original languageEnglish
Pages (from-to)375-379
JournalInternational Journal of Antimicrobial Agents
Volume54
Issue number3
DOIs
Publication statusPublished - 1 Sep 2019

Cite this

Working Group Research on CPT Education of the European Association for Clinical Pharmacology and Therapeutics (EACPT) (2019). Appropriate antibiotic prescribing among final-year medical students in Europe. International Journal of Antimicrobial Agents, 54(3), 375-379. https://doi.org/10.1016/j.ijantimicag.2019.05.008
Working Group Research on CPT Education of the European Association for Clinical Pharmacology and Therapeutics (EACPT). / Appropriate antibiotic prescribing among final-year medical students in Europe. In: International Journal of Antimicrobial Agents. 2019 ; Vol. 54, No. 3. pp. 375-379.
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abstract = "Little is known about undergraduate education on antibiotic prescribing in Europe and even less about the antibiotic prescribing skills of nearly-graduated medical students. This study aimed to evaluate the antibiotic prescribing skills of final-year medical students across Europe and the education they received during medical training. In a cross-sectional study, final-year medical students from 17 medical schools in 15 European countries were asked to prescribe for two written case reports of infectious diseases (acute bronchitis and community-acquired pneumonia). The appropriateness of antimicrobial therapy was determined using a scoring form based on local guidelines. Teachers from each medical school were asked to complete a standardised questionnaire about the teaching and assessment of undergraduate education on antibiotic use. In total, 856 final-year medical students (95.6{\%}) completed the assessment and 16 teachers (94.1{\%}) completed the questionnaire. Overall, 52.7{\%} (range 26–83{\%}) of the 1.683 therapies prescribed were considered appropriate. The mean number of contact hours for undergraduate education on antimicrobials was 25.6 (range 2–90). Differences in education styles were found to have a significant impact on students’ performance, with a problem-based learning style being associated with more appropriate antimicrobial prescribing than a traditional learning style (46.0{\%} vs. 22.9{\%}; P < 0.01). Although there are differences between medical schools, final-year medical students in Europe lack prescribing skills for two common infectious diseases, possibly because of inadequate undergraduate education on antibiotic use and general prescribing. To improve students’ skills, interactive teaching methods such as prescribing for simulated and real patients should be used.",
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Working Group Research on CPT Education of the European Association for Clinical Pharmacology and Therapeutics (EACPT) 2019, 'Appropriate antibiotic prescribing among final-year medical students in Europe' International Journal of Antimicrobial Agents, vol. 54, no. 3, pp. 375-379. https://doi.org/10.1016/j.ijantimicag.2019.05.008

Appropriate antibiotic prescribing among final-year medical students in Europe. / Working Group Research on CPT Education of the European Association for Clinical Pharmacology and Therapeutics (EACPT).

In: International Journal of Antimicrobial Agents, Vol. 54, No. 3, 01.09.2019, p. 375-379.

Research output: Contribution to journalArticleAcademicpeer-review

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T1 - Appropriate antibiotic prescribing among final-year medical students in Europe

AU - van der Voort, Tim

AU - Brinkman, David J.

AU - Benemei, Silvia

AU - Böttiger, Ylva

AU - Chamontin, Bernard

AU - Christiaens, Thierry

AU - Likic, Robert

AU - Mačiulaitis, Romaldas

AU - Marandi, Toomas

AU - Monteiro, Emilia C.

AU - Papaioannidou, Paraskevi

AU - Pers, Yves M.

AU - Pontes, Caridad

AU - Raskovic, Aleksandar

AU - Regenthal, Ralf

AU - Sanz, Emilio J.

AU - Wilson, Kurt

AU - Tichelaar, Jelle

AU - van Agtmael, Michiel A.

AU - Working Group Research on CPT Education of the European Association for Clinical Pharmacology and Therapeutics (EACPT)

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Working Group Research on CPT Education of the European Association for Clinical Pharmacology and Therapeutics (EACPT). Appropriate antibiotic prescribing among final-year medical students in Europe. International Journal of Antimicrobial Agents. 2019 Sep 1;54(3):375-379. https://doi.org/10.1016/j.ijantimicag.2019.05.008