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

The IDSA suggests real-time electronic question-answer sessions, peer instruction, and small group discussions as tools to enhance preclinical curricula in ID [1] . These tools can effectively introduce AS concepts to medical students, because studies indicate that only 65% of medicals schools address stewardship in their curricula [20, 21] . A recent collaborative study by MacDougall et al [21] at the University of California San Francisco suggests that early introduction of core AS concepts to both pharmacy and medical students may foster appropriate antibiotic use as a shared responsibility of both professions. Since its introduction in 2013, our AS student seminar has evolved to better suit students' needs, and it has become a cornerstone of Einstein's preclinical clinical microbiology and ID curriculum. Introduction of the APPropriate Use app resulted in a 30% increase in the percentage of students who felt more confident prescribing antibiotics for a given syndrome. Likewise, introduction of an ID core curriculum and tailored antibiotic guide for medical residents enabled a 20% increase in appropriate antibiotic prescriptions over time. To further leverage this success, we adapted our antibiotic guide to a smart phone app for all Montefiore prescribers, which we launched during the Centers for Disease Control's "Get Smart about Antibiotics" campaign in November 2015. This "version 2.0" of the APPropriate Use app was downloaded onto over 200 devices and accessed over 1200 times within the first 6 months of introduction [22] . Thus, similar tools, adapted across a range of learners, have proven successful and are popular throughout our institution.