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Richard J Woodman 1 Article
Junior doctors’ preparedness to prescribe, monitor, and treat patients with the antibiotic vancomycin in an Australian teaching hospital  
Cameron J Phillips, Ross A McKinnon, Richard J Woodman, David L Gordon
J Educ Eval Health Prof. 2017;14:13.   Published online June 7, 2017
DOI: https://doi.org/10.3352/jeehp.2017.14.13
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  • 8 Citations
AbstractAbstract PDF
Purpose
We aimed to assess the preparedness of junior doctors to use vancomycin, and to determine whether attending an educational session and being provided pocket guidelines were associated with self-reported confidence and objective knowledge.
Methods
This was a 2-component cross-sectional study. A 60-minute educational session was implemented and pocket guidelines were provided. Preparedness was evaluated by a self-reported confidence survey in the early and late stages of each training year, and by continuing medical education (CME) knowledge scores.
Results
Self-confidence was higher among those later in the training year (n=75) than in those earlier (n=120) in the year for all questions. In the late group, vancomycin education was associated with higher self-confidence regarding the frequency of therapeutic drug monitoring (P=0.02) and dose amendment (P=0.05); however, the confidence for initial monitoring was lower (P<0.05). Those with pocket guidelines were more confident treating patients with vancomycin (P<0.001), choosing initial (P=0.01) and maintenance doses (P<0.001), and knowing the monitoring frequency (P=0.03). The 85 respondents who completed the knowledge assessment scored a mean±standard deviation of 8.55±1.55 on 10 questions, and the interventions had no significant effect.
Conclusion
Attending an educational session and possessing pocket guidelines were associated with preparedness, as measured by higher self-reported confidence using vancomycin. High knowledge scores were attained following CME; however attending an educational session or possessing pocket guidelines did not significantly increase the knowledge scores. Our findings support providing educational sessions and pocket guidelines to increase self-confidence in prescribing vancomycin, yet also highlight the importance of evaluating content, format, and delivery when seeking to improve preparedness to use vancomycin through education.

Citations

Citations to this article as recorded by  
  • Implementation of antimicrobial stewardship to reduce antimicrobial drug resistance
    Mohammed S Razzaque
    Expert Review of Anti-infective Therapy.2021; 19(5): 559.     CrossRef
  • Are vancomycin dosing guidelines followed? A mixed methods study of vancomycin prescribing practices
    Jane E. Carland, Sophie L. Stocker, Melissa T. Baysari, Crystal Li, Jacqueline Själin, Maria A. Moran, Sarah Tang, Indy Sandaradura, Tania Elhage, Timothy Gilbey, Kenneth M. Williams, Deborah J. E. Marriott, Richard O. Day
    British Journal of Clinical Pharmacology.2021; 87(11): 4221.     CrossRef
  • Evaluation of Eight-Item Vancomycin Prescribing Confidence Questionnaire Among Junior Doctors
    Lu Liu, Zhehan Jiang, Ana Xie, Weimin Wang
    Frontiers in Medicine.2021;[Epub]     CrossRef
  • The knowledge and perceptions regarding antibiotic stewardship of the interns rotating at the Bloemfontein Academic Complex
    Anke Archer, Marna Blom, Renette de Lange, Esther Jansen van Vuuren, Theunis E Kellerman, Samantha Potgieter, Gina Joubert
    South African Family Practice.2021;[Epub]     CrossRef
  • Ist die Fachrichtung assoziiert mit der Selbstsicherheit im Umgang mit rationaler Antibiotikaverordnung?
    F. Schneider, C. M. Schulz, M. May, G. Schneider, M. Jacob, H. Mutlak, M. Pawlik, M. Zoller, M. Kretzschmar, C. Koch, M. G. Kees, M. Burger, S. Lebentrau, A. Novotny, M. Hübler, T. Koch, M. Heim
    Der Anaesthesist.2020; 69(3): 162.     CrossRef
  • The association of the anesthesiologist’s academic and educational status with self-confidence, self-rated knowledge and objective knowledge in rational antibiotic application
    Frederick Schneider, Christian M. Schulz, Matthias May, Gerhard Schneider, Christian Ernst, Matthias Jacob, Kai Zacharowski, Thomas Hachenberg, Maren Schmidt, Moritz Kretzschmar, Bernhard Graf, Martin G. Kees, Michael Pawlik, Michael Sander, Christian Koc
    BMC Research Notes.2020;[Epub]     CrossRef
  • Rational application of antibiotics—The influence of anaesthetists’ gender on self‐confidence and knowledge
    Markus Heim, Frederick Schneider, Haitham Mutlak, Christian M. Schulz, Thomas Hachenberg, Michael Zoller, Jens Soukup, Michael Pawlik, Julika Schön, Martin Kees, Matthias Hübler, Michael Sander, Christian Ernst, Matthias Jacob, Matthias May
    Acta Anaesthesiologica Scandinavica.2019; 63(8): 1037.     CrossRef
  • Sustained improvement in vancomycin dosing and monitoring post-implementation of guidelines: Results of a three-year follow-up after a multifaceted intervention in an Australian teaching hospital
    Cameron J. Phillips, Ross A. McKinnon, Richard J. Woodman, David L. Gordon
    Journal of Infection and Chemotherapy.2018; 24(2): 103.     CrossRef

JEEHP : Journal of Educational Evaluation for Health Professions