Embedding national antimicrobial prescribing and stewardship ...

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Embedding national antimicrobial prescribing and stewardship competences into curricula A survey of health education institutions Full report

Contents

A survey of health education institutions on the embedding of the national antimicrobial prescribing and stewardship competences into curricula

Foreword

3

Executive summary

4

Recommendations

5

Introduction

8

Background

8

National Antimicrobial Prescribing and Stewardship competences

9

Methodology

11

Results Quantitative results

12

Qualitative results

19

Discussion

35

Conclusion

46

References

49

Acknowledgements

53

Appendices

54

2

Foreword The antimicrobial prescribing and stewardship (AMPS) competences, produced jointly by the Government's expert advisory group for antimicrobial resistance and healthcare acquired infections (ARHAI) and Public Health England were published in 2013. Implementation of the competences forms a key aspect of Key area 3 of the UK Government's five year strategy for tackling antimicrobial resistance - improving professional education, training and public engagement to improve clinical practice and promote wider understanding of the need for more sustainable use of antimicrobials. In 2014 the joint Public Health England and Health Education England AMPS Competencies Implementation subgroup was established to review the educational landscape and potential mechanisms through which the AMPS competencies could become embedded into continuous professional development and both undergraduate and postgraduate curricula. The subgroup provided a report of its findings and made recommendations to HEE in March 2015. The recommendations were made based on discussions from the three meetings, results of the survey and presentations made to the subgroup by key research programmes. Amongst these recommendations included surveying the undergraduate curricula, to inform HEE’s four geography directors of education and quality of the variation with which AMPS principles are included within undergraduate curricula, citing the results of the Imperial College London undergraduate curricula survey. The goal of these competencies is to improve the quality of antimicrobial treatment and stewardship therefore reducing the risks of inadequate, inappropriate and ill-effects of treatment. This will enhance the safety and quality of patient care and make a positive contribution to the reduction in the emergence and spread of antimicrobial resistance. These competences can also be used by regulators, education providers and professional bodies to inform standards, guidance and the development of training. For healthcare professionals, it is vital students transfer their undergraduate knowledge and skills into practice to be competent practitioners. As undergraduate students appear interested in receiving increased antimicrobial education linked to the multidisciplinary use of antimicrobials, we welcome findings from this initial survey and hope best practices can be shared between higher health education institutions to enhance the adoption of these competencies. The importance of non-medical prescribing courses adopting these competencies has been highlighted too. Professor Ged Byrne (Director of Education & Quality, Health Education North West) Julie Screaton (Director, London and South East) August 2016

A survey of health education institutions on the embedding of the national antimicrobial prescribing and stewardship competences into curricula

Executive summary Background The threat posed by antimicrobial resistance to the future of healthcare and modern medicine is widely recognised. Education of healthcare workers and students on rational i