Susan B Racette, Mary L Uhrich, M Leanne White, Liyang Yu, B Ruth Clark
Sex differences in FITNESSGRAM® health risk based on aerobic capacity and body composition among urban public elementary school children
Preventive medicine
selecting empiric antimicrobial regimen difficult early learners misuse antibiotics lead adverse events antimicrobial resistance interventions focused improving antibiotic decision making form therapeutic reasoning postgraduate trainees describe approach aid internal medicine interns therapeutic reasoning particularly comes diagnosing empirically treating infections pest pathology epidemiology severity treatment model created fourstep approach therapeutic reasoning choosing appropriate antimicrobial regimen given infectious disease syndrome february 2020 conducted two independent teaching sessions interns pest approach assessed preand postteaching responses five clinical vignettebased questions results presented percentage interns chose appropriate antibiotic provided sufficient therapeutic reasoning defined using least three four pest criteria statistical analysis occurred via fischers exact test determine level statistical significance responses twentyseven interns participated activity baseline several interns incorporated aspects pest approach preteaching responses ten interns commented usefulness systematic approach statistically significant difference antibiotic selection teaching session demonstrated trend towards significance improving therapeutic reasoning defined pest strategy results suggested improvement using structured cognitive tool pest approach reinforce therapeutic reasoning method little improve antibiotic selection interns used select pest concepts prior intervention suggesting pest approach may enhance prior knowledge clinical reasoning skills continued incorporation pest approach using casebased framework may solidify conceptual practical knowledge antimicrobial selection studies needed assess impact teaching interventions