Students lack knowledge of and confidence in appropriate antimicrobial prescribing, and most want more training in rational antibiotic selection¶

Claim · All claims
Evidence · 1 study (2 entries) · review r3 · q2
Currency · newest study 2018 · not yet checked against its sources · not reviewed by a person · overdue for a recheck since 2023: baselines and conditions change

Subclaims¶

q2 i? Fifteen reviewed studies found students had poor knowledge of resistant bacteria prevalence and lacked confidence in antibiotic choice, combination therapy, and dose and interval selection. → Brinkman 2018 q2 i? Most students (74–98%) wanted more training in rational antibiotic selection during medical training. → Brinkman 2018 (2)

Evidence¶

Brinkman 2018¶

Brinkman, D. J., Tichelaar, J., Graaf, S., Otten, R. H. J., Richir, M. C., and van Agtmael, M. A. (2018). Do final‐year medical students have sufficient prescribing competencies? A systematic literature review. British Journal of Clinical Pharmacology. https://doi.org/10.1111/bcp.13491

q2 · i? · review · r3

Synthesis of 15 articles evaluating students' attitudes to and knowledge of appropriate antimicrobial prescribing and resistance. The review reports students "lacked self‐reported confidence in choosing the correct antibiotic" and related dose decisions; only four studies reported moderate-to-high knowledge.

"Additionally, they lacked self‐reported confidence in choosing the correct antibiotic, deciding when to use combination therapy, and choosing the correct dose and interval of administration 35, 36, 77."

Brinkman 2018 (2)¶

Brinkman, D. J., Tichelaar, J., Graaf, S., Otten, R. H. J., Richir, M. C., and van Agtmael, M. A. (2018). Do final‐year medical students have sufficient prescribing competencies? A systematic literature review. British Journal of Clinical Pharmacology. https://doi.org/10.1111/bcp.13491

q2 · i? · review · r3

Across the same antimicrobial-prescribing studies, the review reports the proportion of students wanting more training in rational antibiotic selection ranged from 74% to 98%, as printed in the synthesis sentence.

"Most students (74–98%) wanted more training in rational antibiotic selection during medical training 23, 35, 36, 39, 76, 77."

Discussion¶

Related Claims¶

• Final-year medical students show a general lack of preparedness, self-confidence, knowledge and skills for prescribing, especially in general and antimicrobial prescribing and pharmacovigilance
• Final-year students lack pharmacovigilance competencies, particularly knowledge of adverse drug reaction reporting
• Final-year students report low confidence in prescription writing and feel underprepared for prescribing