1292. Accessible Antibiotic Stewardship: Development of an Open-Source, Interactive Online Curriculum

Abstract

Abstract Background Significant gaps exist at all levels of medical training with regards to knowledge and confidence in antimicrobial prescribing and stewardship. Studies of antimicrobial prescribing perceptions have also noted that trainees and physicians desire further education on antibiotics and antimicrobial stewardship. Although courses in antimicrobial stewardship exist, these have generally been limited in scope and accessibility. Methods We first performed a needs assessment by reviewing all existing online antibiotic curricula. We then developed an open-source, comprehensive online antibiotic curriculum comprising educational modules for adult clinical learners to build expertise at their own pace, without financial burden. We based the curriculum on a previously validated framework for learning principles of antibiotics and drew on cognitive-load theory. Our intended learners were medical students, medical and surgical residents, and advanced practice provider trainees. Results There are 24 currently accessible online antibiotic learning materials, 4% of which are comprehensive, 25% of which include interactive content, and >40% of which include inaccuracies. We designed a curriculum to address these gaps. Our curriculum consists of 22 modules including videos lasting 8 minutes or less and accompanied by activities to apply and reinforce content. We partnered with a student in graphic design to create visually appealing and memorable animated videos. The modules reinforce the “3Ps and 3Ds”: 1) from what place is the infection coming, 2) what pathogens tend to live in the place of the infection and should be empirically covered with antibiotics, 3) are there patient-specific factors that affect antibiotic choice, and ) what are the drug, dose, and duration of antibiotic therapy. Conclusion To our knowledge, this would be the first open-source, comprehensive online curriculum targeting appropriate antibiotic selection using a novel framework for choosing antimicrobials: the “3Ps and 3Ds”. Our antibiotic curriculum is also novel in that we have built short, interactive learner-friendly modules that incorporate microbiology concepts as well as fundamentals of antimicrobial stewardship to facilitate antibiotic learning. Disclosures Kathleen Degnan, MD, Gilead: Grant/Research Support.