Antimicrobial Sessions for 5 th Year Medical Students

Antimicrobial Sessions for 5 th Year Medical Students Sophie Glynn-Williams Withybush General Hospital Hywel Dda University Health Board

�GMC’s Tomorrow’s Doctors 2009. �Guidance on undergraduate medical education. Medical Schools must comply from academic year 2011/2012. �Student Assistantship- ‘Period during which a student acts as an assistant to a junior doctor, with defined duties under appropriate supervision’.

�Programmed Teaching. - Acute care teaching. - Pharmacy prescribing workshops. - ‘My. Practice’ practice based discussions.

Pharmacy prescribing workshops �Introduction. �Antimicrobials. �Anticoagulants. �Analgesics. �Parenteral fluids and antiemetics. �Bronchodilators. �Insulins.

Antimicrobial session �Indications for antibiotics. �Resistance / HCAI’s. �Start Smart then Focus. �Antibiotic specific selection criteria. �Health Board tools for prudent antibiotic prescribing. �Penicillin allergies.

�Important cautions / contra-indications. �Renal impairment. �Hepatic impairment. �Interactions. �Side-effects. �TDM – gentamicin and vancomycin. �CASE STUDIES.

Case Studies Which of the following would you prescribe for a patient with a penicillin allergy? Doxycycline Nitrofurantoin Co-trimoxazole Augmentin Tazocin Ciprofloxacin Amoxicillin Meropenem Distaclor

Benefits of sessions �Able to promote prudent antimicrobial prescribing. �Raise profile of antimicrobial pharmacists. �Reduce prescribing errors involving antimicrobials by newly qualified doctors. �Excellent feedback so far – students are finding sessions useful.