Pediatric Infectious Diseases Fellowship Training in Healthcare Epidemiology: A National Needs Assessment

被引:5
|
作者
Sandora, Thomas J. [1 ,2 ]
Esbenshade, Jennifer C. [3 ]
Bryant, Kristina A. [4 ]
机构
[1] Boston Childrens Hosp, Div Infect Dis, Dept Med, Boston, MA 02115 USA
[2] Boston Childrens Hosp, Div Infect Dis, Dept Lab Med, Boston, MA 02115 USA
[3] Monroe Carell Jr Childrens Hosp Vanderbilt, Dept Pediat, Nashville, TN USA
[4] Univ Louisville, Dept Pediat, Div Infect Dis, Louisville, KY 40292 USA
来源
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY | 2013年 / 34卷 / 02期
关键词
D O I
10.1086/669088
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
OBJECTIVE. Pediatric infectious diseases (ID) fellows are required to receive training in hospital epidemiology and infection control and prevention. We sought to assess the current state of healthcare epidemiology training for fellows and to determine which topics are considered important by key stakeholders. PARTICIPANTS. US pediatric ID fellowship program directors and hospital epidemiologists. METHODS. We conducted an anonymous Web-based survey in February 2012. We assessed the presence and content of curricula, perceived importance of specific topics, and barriers to career development. RESULTS. Of 97 eligible participants, 76 (78%) completed the survey, representing 54 programs. Respondents were program directors (60%), hospital epidemiologists (25%), or both (15%). A total of 82% of programs with didactic curricula have infection control sessions, most commonly 1-2 hours in total duration. Of 17 identified topics, only 3 were covered by more than 50% of programs: isolation precautions (54%), central line-associated bloodstream infection (CLABSI; 53%), and hand hygiene (51%). Of the 76 respondents, 35% indicated that fellows participate in a dedicated infection control rotation. Six topics were considered very important by more than 75% of respondents: antimicrobial stewardship (94%), isolation precautions (93%), hand hygiene (90%), CLABSI (90%), surveillance for resistant bacteria (81%), and communicable disease exposure management (81%). CONCLUSIONS. Pediatric ID fellowship programs dedicate little time to didactic or experiential learning in healthcare epidemiology. There are a wide array of topics that the majority of programs do not cover, including several subjects that are considered to be very important by program directors and hospital epidemiologists. Creating a standardized pediatric infection control curriculum would likely benefit fellows in training. Infect Control Hosp Epidemiol 2013; 34(2): 195-199
引用
收藏
页码:195 / 199
页数:5
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