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ArticleMedicines (Basel, Switzerland)2023

Antimicrobial Prescribing Preparedness of Croatian Medical Students-Did It Change between 2015 and 2019?

Dora Palčevski, Andrej Belančić, Ivan Mikuličić, Eduard Oštarijaš, Robert Likić, Oliver Dyar, Vera Vlahović-Palčevski

Abstract read
In one paragraph

Article in Medicines (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Dora PalčevskiClinical Hospital Centre Rijeka, 51000 Rijeka, Croatia.
Andrej BelančićDepartment of Clinical Pharmacology, Clinical Hospital Centre Rijeka, 51000 Rijeka, Croatia.ORCID 0000-0001-7848-6600
Ivan MikuličićFaculty of Medicine, University of Rijeka, 51000 Rijeka, Croatia.
Eduard OštarijašInstitute for Translational Medicine, University of Pécs Medical School, Szigeti, 7601 Pécs, Hungary.ORCID 0000-0001-9999-9886
Robert LikićSchool of Medicine, University of Zagreb, 10000 Zagreb, Croatia.
Oliver DyarDepartment of Public Health and Caring Sciences, Uppsala University, 75237 Uppsala, Sweden.ORCID 0000-0002-0094-3303
Vera Vlahović-PalčevskiDepartment of Clinical Pharmacology, Clinical Hospital Centre Rijeka, 51000 Rijeka, Croatia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAntimicrobials are some of the most prescribed drugs by junior doctors, but studies suggest most medical graduates feel unprepared for their future prescribing tasks. The aim of the present study was to compare the self-reported preparedness to prudently prescribe antimicrobials of final-year medical students in Croatia in 2015 and 2019.

methodsThe same self-reported web-based survey on the preparedness to prescribe antibiotics was used in both 2015 and 2019. All final-year students at all four medical schools in Croatia (Osijek, Rijeka, Split, and Zagreb) were invited to participate in both 2015 and 2019. Preparedness scores were divided into "topic preparedness scores" and "global preparedness scores". Topic preparedness scores represented the percentage of students at a medical school who felt sufficiently prepared for each topic. They were first established at a medical school level and then at the national level. Global preparedness scores were determined for each student separately and then calculated at the medical school and national levels.

resultsThe country's global preparedness score, representing the average proportion of topics in which students felt sufficiently prepared, was slightly higher in 2015 compared with the 2019 results (62.7% vs. 56.5%;

conclusionsDespite increasing antimicrobial stewardship activities in various healthcare settings, medical students who are about to start prescribing antibiotics on their own do not feel sufficiently prepared to do so. Antimicrobial stewardship programs should be designed to incorporate undergraduate medical student education, for instance, as a specific, mandatory course or integrated into other courses, such as clinical pharmacology.

Indexed as

antimicrobial prescribingantimicrobial stewardshipeducationmedical studentsundergraduate medical schools

Identifiers

PMID37505060
PMCPMC10384637

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