Development and efficacy of a clinician-targeted refresher course for treating nonpneumonia respiratory tract infections

Journal of General and Family Medicine
Shungo YamamotoNorio Ohmagari

Abstract

In 2017, the Japanese government published an evidence-based manual describing the appropriate use of antibiotics in outpatient settings to tackle the problem of antimicrobial resistance. To fill the evidence-practice gap, we developed a clinician-targeted course aimed at improving clinician skills in the daily clinical practice of treating acute respiratory tract infections (RTIs) based on the manual. The aim of this study was to evaluate the efficacy of the course. This course consisted of lectures using illness scripts and checklists, as well as interactive communication skills training using role-playing. We performed a vignette-based evaluation of the changes in the knowledge and attitudes of the course participants toward prescribing antibiotics for nonpneumonia RTIs, using pre- and postcourse questionnaires. The questionnaires also included course feedback via the use of a 5-point Likert scale. Thirty-eight clinicians were included in the analyses, and 90% of these participants had graduated ≥20 years ago. We found statistically significant reductions in the intention to prescribe antibiotics for four of the six nonpneumonia RTI vignettes: acute bronchitis (-47.2%; 95% confidence interval [CI] -66.3 to -28.1%), common co...Continue Reading

References

Jun 1, 1968·Psychological Reports·N E Streltzer, G V Koch
Aug 4, 2001·Archives of Pediatrics & Adolescent Medicine·R Mangione-SmithR L Kravitz
Nov 30, 2004·Medical Education·Susan Jamieson
Jun 14, 2005·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Jon VeloskiDavid B Nash
Sep 6, 2006·Archives of Pediatrics & Adolescent Medicine·Rita Mangione-SmithJohn Heritage
Nov 25, 2006·The New England Journal of Medicine·Judith L Bowen
Oct 10, 2007·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Genevieve CadieuxMichael Libman
May 3, 2008·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·Mehdi AdeliRichard H Schwartz
Dec 25, 2008·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Jan MatthysMyriam Deveugele
Aug 19, 2009·Internal Medicine·Takahiro Higashi, Shunichi Fukuhara
Jan 21, 2011·Academic Medicine : Journal of the Association of American Medical Colleges·John W ElyPat Croskerry
Jun 10, 2011·Journal of Palliative Medicine·Vicki A Jackson, Anthony L Back
Dec 6, 2012·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Alike W van der VeldenTheo J M Verheij
May 13, 2015·Annals of Family Medicine·Rita Mangione-SmithJohn Heritage
Mar 24, 2016·Education for Primary Care : an Official Publication of the Association of Course Organisers, National Association of GP Tutors, World Organisation of Family Doctors·Parker J MaginMieke L van Driel
May 12, 2017·Annals of Internal Medicine·Michael SilvermanSalimah Z Shariff

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Citations

Nov 24, 2020·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Yoshiki KusamaNorio Ohmagari

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