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. 1993 Dec;36(6):511–519. doi: 10.1111/j.1365-2125.1993.tb00409.x

A survey of undergraduate and continuing medical education about antimicrobial chemotherapy in the United Kingdom. British Society of Antimicrobial Chemotherapy Working Party on Antimicrobial Use.

P Davey 1, S Hudson 1, G Ridgway 1, D Reeves 1
PMCID: PMC1364655  PMID: 12964555

Abstract

1 A questionnaire about undergraduate teaching on antimicrobial chemotherapy was sent to academic Departments of Clinical Pharmacology, Pharmacology and Medical Microbiology throughout the UK. 2 Questionnaires about postgraduate lectures and information circulated to doctors about antimicrobial chemotherapy were sent to Drug Information Centres and Postgraduate Tutors throughout the UK. Review articles and editorials in general medical journals were assessed. 3 The median amount of core undergraduate teaching on antimicrobial chemotherapy was 13.5 h but the range was from 9.0 h to 102.0 h. Content was predominantly oriented towards drugs rather than diseases and towards prescribing in hospital rather than in the community. Most teaching was by formal lecture as part of a core programme. On a scale from 0 to 5 the median emphasis given to individual topics ranged from 2.50 to 3.75 but the range of emphasis given by individual medical schools was wide, for example from 1.00 to 4.50 for teaching on pharmacokinetics. 4 Postgraduate tutors identified advice from local specialists and requests from local practitioners as the most important determinants of content of continuing medical education. Material from drug information centres was predominantly oriented towards discussion of individual drugs rather than management of specific diseases and even this limited survey found evidence of duplication. The UK general medical literature contained a total of 112 reviews or editorials on antimicrobial chemotherapy covering a wide range of topics but these were not, and should not be assumed to be comprehensive. 5 Almost all doctors regularly prescribe antimicrobials and require education about the subject. Wide variations in current medical practice should be addressed explicitly through more extensive use of problem solving. The literature suggests that knowledge is most effectively disseminated through local networks of practitioners. There should be more national co-ordination of the content of information to be disseminated through the existing drug information networks.

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Selected References

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  1. Avorn J., Harvey K., Soumerai S. B., Herxheimer A., Plumridge R., Bardelay G. Information and education as determinants of antibiotic use: report of Task Force 5. Rev Infect Dis. 1987 May-Jun;9 (Suppl 3):S286–S296. [PubMed] [Google Scholar]
  2. Avorn J., Soumerai S. B. Improving drug-therapy decisions through educational outreach. A randomized controlled trial of academically based "detailing". N Engl J Med. 1983 Jun 16;308(24):1457–1463. doi: 10.1056/NEJM198306163082406. [DOI] [PubMed] [Google Scholar]
  3. Bewley B. R. Reorganizing medical education. Br J Hosp Med. 1992 Jan 9;47(1):40–43. [PubMed] [Google Scholar]
  4. Bland J. M., Altman D. G. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986 Feb 8;1(8476):307–310. [PubMed] [Google Scholar]
  5. Brearley S. Medical manpower. BMJ. 1991 Dec 14;303(6816):1534–1536. doi: 10.1136/bmj.303.6816.1534. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Coleman R. W., Rodondi L. C., Kaubisch S., Granzella N. B., O'Hanley P. D. Cost-effectiveness of prospective and continuous parenteral antibiotic control: experience at the Palo Alto Veterans Affairs Medical Center from 1987 to 1989. Am J Med. 1991 Apr;90(4):439–444. [PubMed] [Google Scholar]
  7. Dannenhoffer M. A., Slaughter R. L., Hunt S. N. Use of concurrent monitoring and a preprinted note to modify prescribing of i.v. cimetidine and ranitidine in a teaching hospital. Am J Hosp Pharm. 1989 Aug;46(8):1570–1575. [PubMed] [Google Scholar]
  8. Davey P. G., Malek M. M., Parker S. E. Pharmacoeconomics of antibacterial treatment. Pharmacoeconomics. 1992 Jun;1(6):409–437. doi: 10.2165/00019053-199201060-00003. [DOI] [PubMed] [Google Scholar]
  9. Des Marchais J. E. From traditional to problem-based curriculum: how the switch was made at Sherbrooke, Canada. Lancet. 1991 Jul 27;338(8761):234–237. doi: 10.1016/0140-6736(91)90359-w. [DOI] [PubMed] [Google Scholar]
  10. Ennis M. Training and supervision of obstetric senior house officers. BMJ. 1991 Dec 7;303(6815):1442–1443. doi: 10.1136/bmj.303.6815.1442. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Fraser R. C. Undergraduate medical education: present state and future needs. BMJ. 1991 Jul 6;303(6793):41–43. doi: 10.1136/bmj.303.6793.41. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Friis H., Bro F., Mabeck C. E., Vejlsgaard R. An information campaign--an important measure in controlling the use of antibiotics. J Antimicrob Chemother. 1989 Dec;24(6):993–999. doi: 10.1093/jac/24.6.993. [DOI] [PubMed] [Google Scholar]
  13. Friis H., Bro F., Mabeck C. E., Vejlsgaard R. Changes in prescription of antibiotics in general practice in relation to different strategies for drug information. Dan Med Bull. 1991 Aug;38(4):380–382. [PubMed] [Google Scholar]
  14. Froom J., Culpepper L., Grob P., Bartelds A., Bowers P., Bridges-Webb C., Grava-Gubins I., Green L., Lion J., Somaini B. Diagnosis and antibiotic treatment of acute otitis media: report from International Primary Care Network. BMJ. 1990 Mar 3;300(6724):582–586. doi: 10.1136/bmj.300.6724.582. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Gehlbach S. H., Wilkinson W. E., Hammond W. E., Clapp N. E., Finn A. L., Taylor W. J., Rodell M. S. Improving drug prescribing in a primary care practice. Med Care. 1984 Mar;22(3):193–201. doi: 10.1097/00005650-198403000-00002. [DOI] [PubMed] [Google Scholar]
  16. Gould I. M. Control of antibiotic use in the United Kingdom. J Antimicrob Chemother. 1988 Oct;22(4):395–397. doi: 10.1093/jac/22.4.395. [DOI] [PubMed] [Google Scholar]
  17. Harden R. M., Sowden S., Dunn W. R. Educational strategies in curriculum development: the SPICES model. Med Educ. 1984 Jul;18(4):284–297. doi: 10.1111/j.1365-2923.1984.tb01024.x. [DOI] [PubMed] [Google Scholar]
  18. Harvey K. J., Stewart R., Hemming M., Naismith N., Moulds R. F. Educational antibiotic advertising. Med J Aust. 1986 Jul 7;145(1):28–32. doi: 10.5694/j.1326-5377.1986.tb113736.x. [DOI] [PubMed] [Google Scholar]
  19. Kunzel C., Sadowsky D. Knowledge acquisition processes: dissemination of expert recommendations to general practice dentists. J Health Soc Behav. 1989 Sep;30(3):330–343. [PubMed] [Google Scholar]
  20. Lowry S. What's wrong with medical education in Britain? BMJ. 1992 Nov 21;305(6864):1277–1280. doi: 10.1136/bmj.305.6864.1277. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Manning P. R., Lee P. V., Clintworth W. A., Denson T. A., Oppenheimer P. R., Gilman N. J. Changing prescribing practices through individual continuing education. JAMA. 1986 Jul 11;256(2):230–232. [PubMed] [Google Scholar]
  22. Newhouse J. G., Paul V. M., Waugh N. A., Frye C. B. Reducing i.v. waste to under 2.25 percent. Hosp Pharm. 1988 Mar;23(3):241-2, 246-7. [PubMed] [Google Scholar]
  23. Richards P. America through the looking glass: 2, postgraduate education. Lancet. 1990 Oct 6;336(8719):862–864. doi: 10.1016/0140-6736(90)92353-j. [DOI] [PubMed] [Google Scholar]
  24. Roberts J. Junior doctors' years: training, not education. BMJ. 1991 Jan 26;302(6770):225–228. doi: 10.1136/bmj.302.6770.225. [DOI] [PMC free article] [PubMed] [Google Scholar]
  25. Schaffner W., Ray W. A., Federspiel C. F., Miller W. O. Improving antibiotic prescribing in office practice. A controlled trial of three educational methods. JAMA. 1983 Oct 7;250(13):1728–1732. [PubMed] [Google Scholar]
  26. Skrabanek P. Nonsensus consensus. Lancet. 1990 Jun 16;335(8703):1446–1447. doi: 10.1016/0140-6736(90)91460-r. [DOI] [PubMed] [Google Scholar]
  27. Smith R. Where is the wisdom...? BMJ. 1991 Oct 5;303(6806):798–799. doi: 10.1136/bmj.303.6806.798. [DOI] [PMC free article] [PubMed] [Google Scholar]
  28. Walker A. Teaching junior doctors practical procedures. BMJ. 1991 Feb 9;302(6772):306–306. doi: 10.1136/bmj.302.6772.306. [DOI] [PMC free article] [PubMed] [Google Scholar]
  29. Weatherall D. J. Examining undergraduate examinations. Lancet. 1991 Jul 6;338(8758):37–39. doi: 10.1016/0140-6736(91)90017-j. [DOI] [PubMed] [Google Scholar]
  30. Wyatt J. Use and sources of medical knowledge. Lancet. 1991 Nov 30;338(8779):1368–1373. doi: 10.1016/0140-6736(91)92245-w. [DOI] [PubMed] [Google Scholar]

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