Changing the Antibiotic Prescribing of general practice registrars: the ChAP study protocol for a prospective controlled study of a multimodal educational intervention

van Driel, Mieke L., Morgan, Simon, Tapley, Amanda, McArthur, Lawrie, McElduff, Patrick, Yardley, Lucy, Dallas, Anthea, Deckx, Laura, Mulquiney, Katie, Davis, Joshua S., Davey, Andrew, Henderson, Kim, Little, Paul and Magin, Parker J. (2016) Changing the Antibiotic Prescribing of general practice registrars: the ChAP study protocol for a prospective controlled study of a multimodal educational intervention. BMC Family Practice, 17 67: 1-8. doi:10.1186/s12875-016-0470-7


Author van Driel, Mieke L.
Morgan, Simon
Tapley, Amanda
McArthur, Lawrie
McElduff, Patrick
Yardley, Lucy
Dallas, Anthea
Deckx, Laura
Mulquiney, Katie
Davis, Joshua S.
Davey, Andrew
Henderson, Kim
Little, Paul
Magin, Parker J.
Title Changing the Antibiotic Prescribing of general practice registrars: the ChAP study protocol for a prospective controlled study of a multimodal educational intervention
Journal name BMC Family Practice   Check publisher's open access policy
ISSN 1471-2296
Publication date 2016-06
Year available 2016
Sub-type Article (original research)
DOI 10.1186/s12875-016-0470-7
Open Access Status DOI
Volume 17
Issue 67
Start page 1
End page 8
Total pages 8
Place of publication London, United Kingdom
Publisher BioMed Central
Collection year 2017
Language eng
Formatted abstract
Background
Australian General Practitioners (GPs) are generous prescribers of antibiotics, prompting concerns including increasing antimicrobial resistance in the community. Recent data show that GPs in vocational training have prescribing patterns comparable with the high prescribing rate of their established GP supervisors. Evidence-based guidelines consistently advise that antibiotics are not indicated for uncomplicated upper respiratory tract infections (URTI) and are rarely indicated for acute bronchitis. A number of interventions have been trialled to promote rational antibiotic prescribing by established GPs (with variable effectiveness), but the impact of such interventions in a training setting is unclear. We hypothesise that intervening while early-career GPs are still developing their practice patterns and prescribing habits will result in better adherence to evidence-based guidelines as manifested by lower antibiotic prescribing rates for URTIs and acute bronchitis.

Methods/design
The intervention consists of two online modules, a face-to-face workshop for GP trainees, a face-to-face workshop for their supervisors and encouragement for the trainee-supervisor dyad to include a case-based discussion of evidence-based antibiotic prescribing in their weekly one-on-one teaching meetings.

We will use a non-randomised, non-equivalent control group design to assess the impact on antibiotic prescribing for acute upper respiratory infections and acute bronchitis by GP trainees in vocational training.

Discussion
Early-career GPs who are still developing their clinical practice and prescribing habits are an underutilized target-group for interventions to curb the growth of antimicrobial resistance in the community. Interventions that are embedded into existing training programs or are linked to continuing professional development have potential to increase the impact of existing interventions at limited additional cost.
Keyword Antibacterial agents
Drug resistance
Evidence-based medicine
General practice
Graduate medical education
Physician prescribing patterns
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Discipline of General Practice Publications
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