Evaluation of the Infectious Diseases Society of America's Core Antimicrobial Stewardship Curriculum for Infectious Diseases Fellows

Jennifer O Spicer; Wendy S Armstrong; Brian S Schwartz; Lilian M Abbo; Sonali D Advani; Alice E Barsoumian; Cole Beeler; Kenza Bennani; Marisa Holubar; Misha Huang; Dilek Ince; Julie Ann Justo; Matthew S L Lee; Ashleigh Logan; Conan MacDougall; Priya Nori; Christopher Ohl; Payal K Patel; Paul S Pottinger; Rachel Shnekendorf; Conor Stack; Trevor C Van Schooneveld; Zachary I Willis; Yuan Zhou; Vera P Luther

doi:10.1093/cid/ciab600

Evaluation of the Infectious Diseases Society of America's Core Antimicrobial Stewardship Curriculum for Infectious Diseases Fellows

Clin Infect Dis. 2022 Mar 23;74(6):965-972. doi: 10.1093/cid/ciab600.

Authors

Jennifer O Spicer¹, Wendy S Armstrong¹, Brian S Schwartz², Lilian M Abbo³, Sonali D Advani⁴, Alice E Barsoumian⁵, Cole Beeler⁶, Kenza Bennani⁷, Marisa Holubar⁸, Misha Huang⁹, Dilek Ince¹⁰, Julie Ann Justo¹¹, Matthew S L Lee¹², Ashleigh Logan⁷, Conan MacDougall¹³, Priya Nori¹⁴, Christopher Ohl¹⁵, Payal K Patel¹⁶, Paul S Pottinger¹⁷, Rachel Shnekendorf⁷, Conor Stack¹², Trevor C Van Schooneveld¹⁸, Zachary I Willis¹⁹, Yuan Zhou²⁰, Vera P Luther¹⁵

Affiliations

¹ Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
² Division of Infectious Diseases, University of California, San Francisco, California,USA.
³ Department of Medicine, Division of Infectious Diseases, University of Miami Miller School of Medicine and Jackson Health System, Miami, Florida, USA.
⁴ Department of Medicine, Duke University School of Medicine, Durham, North Carolina, USA.
⁵ Infectious Disease Service, Brooke Army Medical Center, San Antonio, Texas, USA.
⁶ Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA.
⁷ Infectious Diseases Society of America, Arlington, Virginia, USA.
⁸ Department of Medicine, Stanford University School of Medicine, Stanford, California, USA.
⁹ Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.
¹⁰ Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.
¹¹ Department of Clinical Pharmacy and Outcomes Sciences, University of South Carolina College of Pharmacy, Columbia, South Carolina, USA.
¹² Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
¹³ Department of Clinical Pharmacy, University of California San Francisco School of Pharmacy, San Francisco, California, USA.
¹⁴ Department of Medicine, Division of Infectious Diseases, Albert Einstein College of Medicine, Bronx, New York, USA.
¹⁵ Department of Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
¹⁶ Department of Medicine, University of Michigan Medical School and VA Ann Arbor Healthcare System, Ann Arbor, Michigan, USA.
¹⁷ Department of Medicine, University of Washington School of Medicine, Seattle, Washington, USA.
¹⁸ Department of Internal Medicine, University of Nebraska Medical Center, Omaha, Nebraska, USA.
¹⁹ Department of Pediatrics, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA.
²⁰ Department of Infectious Diseases, The PolyClinic, Seattle, Washington, USA.

PMID: 34192322
DOI: 10.1093/cid/ciab600

Abstract

Background: Antimicrobial stewardship (AS) programs are required by Centers for Medicare and Medicaid Services and should ideally have infectious diseases (ID) physician involvement; however, only 50% of ID fellowship programs have formal AS curricula. The Infectious Diseases Society of America (IDSA) formed a workgroup to develop a core AS curriculum for ID fellows. Here we study its impact.

Methods: ID program directors and fellows in 56 fellowship programs were surveyed regarding the content and effectiveness of their AS training before and after implementation of the IDSA curriculum. Fellows' knowledge was assessed using multiple-choice questions. Fellows completing their first year of fellowship were surveyed before curriculum implementation ("pre-curriculum") and compared to first-year fellows who complete the curriculum the following year ("post-curriculum").

Results: Forty-nine (88%) program directors and 105 (67%) fellows completed the pre-curriculum surveys; 35 (64%) program directors and 79 (50%) fellows completed the post-curriculum surveys. Prior to IDSA curriculum implementation, only 51% of programs had a "formal" curriculum. After implementation, satisfaction with AS training increased among program directors (16% to 68%) and fellows (51% to 68%). Fellows' confidence increased in 7/10 AS content areas. Knowledge scores improved from a mean of 4.6 to 5.1 correct answers of 9 questions (P = .028). The major hurdle to curriculum implementation was time, both for formal teaching and for e-learning.

Conclusions: Effective AS training is a critical component of ID fellowship training. The IDSA Core AS Curriculum can enhance AS training, increase fellow confidence, and improve overall satisfaction of fellows and program directors.

Keywords: antimicrobial stewardship; curriculum evaluation; fellowship education; infectious diseases fellows; infectious diseases training.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Aged
Antimicrobial Stewardship*
Communicable Diseases* / drug therapy
Curriculum
Education, Medical, Graduate
Fellowships and Scholarships
Humans
Medicare
Surveys and Questionnaires
United States