Developing Interactive Antimicrobial Stewardship and Infection Prevention Curricula for Diverse Learners: A Tailored Approach

Nori, Priya; Madaline, Theresa; Munjal, Iona; Bhar, Shubha; Guo, Yi; Seo, Susan K.; Porrovecchio, Andrea; Gancher, Elizabeth; Nosanchuk, Joshua; Pirofski, Liise-anne; Ostrowsky, Belinda

Student learners were assessed using pre-and postintervention surveys and knowledge assessment questions, and thus the true impact on prescribing and infection prevention practices is not currently known. In the postgraduate residency curriculum, appropriateness of antibiotic dose and duration was not assessed at 1 month due to time constraints, and an antibiotic posttest was not administered due to a wide distribution of resident rotations across multiple sites throughout the Bronx. In addition, a statistically significant improvement in syndrome-based antibiotic prescribing was not demonstrated in all categories due to insufficient sample sizes. In the ID fellows' seminar, content of the program, mix of learners, and preand postassessment questions varied slightly each year, which may have affected survey results. Although a majority of local ID fellows attended our AS and IPC workshop, the study was not powered to demonstrate statistically significant differences in pre-and postsurvey responses. Past course attendees have not been surveyed to determine the role of AS and IPC in their current careers and their perceived preparedness after completion of the workshop. A baseline audit of patient characteristics and antibiotic prescribing on the geriatric units was not conducted before stewardship implementation, and unadjusted length of stay was obtained from 2013 hospital discharge data only. Reduced length of stay observed during the pilot was likely due to other factors in addition to ASP intervention. Fianlly, we