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Elizabeth Robilotti, Lina Meng, Stan Deresinski, MD, and Marisa Holubar, MD, MS

Overview

Enduring Material Sponsored by Stanford University School of Medicine. Presented by the Division of Infectious Diseases in the Department of Medicine at Stanford University School of Medicine.

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Overview

Enduring Material Sponsored by Stanford University School of Medicine. Presented by the Division of Infectious Diseases in the Department of Medicine at Stanford University School of Medicine.

This CME activity provides a practical approach to the management of common outpatient infections through the use of didactic videos, patient role plays and interactive case based video. National guidelines will be reviewed with emphasis on the most appropriate empiric antibiotic choice and duration of therapy. Video role plays will demonstrate communication skills that can be used with patients regarding appropriate antibiotic usage.

Intended Audience

This course is designed for physicians in family practice, primary care, internal medicine, obstetrics and gynecology, emergency medicine, pharmacists, as well as nurse practitioners, physician assistants, and allied health professionals.

Accreditation

In support of improving patient care, Stanford Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Credit DesignationAmerican Medical Association (AMA)

The Stanford University School of Medicine designates this enduring material for a maximum of 1.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

If you would like to earn CME credit from Stanford University School of Medicine for participating in this course, please review the information here prior to beginning the activity.

Additional Instructors

Emily Mui, PharmD, BCPS Katherine E. Fleming-Dutra, MD Lauri Hicks, DO

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What's inside

Learning objectives

  • Define the scope and implications of antibiotic misuse in the outpatient setting.
  • Recognize when antimicrobials are indicated in common outpatient infections.
  • Select the most appropriate empiric antimicrobial choice and duration of therapy for common outpatient bacterial infections.
  • Employ effective communication strategies when discussing antibiotic decisions with patients.

Good to know

Know what's good
, what to watch for
, and possible dealbreakers
Covers common outpatient infections, equipping learners with practical management knowledge
Emphasizes appropriate antibiotic selection and duration for treating infections
Utilizes didactic videos, patient role plays, and case-based videos for effective learning
Taught by medical professionals from Stanford University, ensuring credibility and expertise
Provides CE credits, making it beneficial for medical professionals seeking continuing education
Intended for a wide audience, including physicians, pharmacists, and allied health professionals

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Reviews summary

Antibiotic prescribing in outpatient care

Learners say this is a good review of antibiotic usage in common clinic cases. They also recommend taking the parent course, Antimicrobial Stewardship, for a complete overview.
Taking the Antimicrobial Stewardship course is recommended for a complete overview.
"To have a complete overview also recommend to do its parent course - Antimicrobial Stewardship."
Antibiotic usage is reviewed in context of typical clinic cases.
"A good review of antibiotic usage in different cases commonly seen in clinics."

Activities

Be better prepared before your course. Deepen your understanding during and after it. Supplement your coursework and achieve mastery of the topics covered in To Prescribe or Not To Prescribe? Antibiotics and Outpatient Infections with these activities:
Review current approaches to common outpatient infections
Improve retention and understanding of principles and treatment of outpatient infections.
Browse courses on Antibiotics
Show steps
  • Review relevant sections of Harrison's Principles of Internal Medicine or a similar textbook.
  • Take a practice quiz or exam covering common outpatient infections.
Explore online resources for antibiotic prescribing guidelines
Enhance understanding of appropriate antibiotic selection and duration of therapy.
Show steps
  • Visit websites such as the Infectious Diseases Society of America (IDSA) or UpToDate.
  • Review specific guidelines for common infections such as pneumonia, urinary tract infections, and skin and soft tissue infections.
Participate in a case-based discussion group
Enhance communication skills and gain insights from others.
Browse courses on Antimicrobial Stewardship
Show steps
  • Join a study group or online forum dedicated to discussing antibiotic management of outpatient infections.
  • Prepare for discussions by reviewing relevant materials and identifying questions.
  • Actively participate in discussions, present cases, and provide feedback to peers.
Five other activities
Expand to see all activities and additional details
Show all eight activities
Practice antibiotic selection for common outpatient infections
Reinforce decision-making skills in real-world scenarios.
Browse courses on Antibiotic Resistance
Show steps
  • Use online resources or textbooks to review clinical presentations and diagnostic criteria for common outpatient infections.
  • Practice selecting empiric antibiotics based on patient history, physical examination, and laboratory findings.
  • Discuss with a peer or mentor to compare answers and identify areas for improvement.
Attend a workshop on advanced antibiotic management
Gain in-depth knowledge from experts and network with other healthcare professionals.
Browse courses on Antimicrobial Stewardship
Show steps
  • Identify conferences or workshops that offer advanced topics in antibiotic management.
  • Attend the workshop and actively participate in lectures, discussions, and hands-on activities.
  • Connect with experts and other attendees to exchange ideas and best practices.
Develop a personalized antibiotic prescribing guideline
Reinforce knowledge and promote standardization of antibiotic prescribing practices.
Browse courses on Antimicrobial Stewardship
Show steps
  • Gather information from reputable sources, including IDSA guidelines and hospital policies.
  • Customize the guideline based on specific practice settings and patient population.
  • Share the guideline with colleagues for feedback and implementation.
Mentor junior learners or medical students in antibiotic management
Enhance understanding through teaching and provide guidance to future healthcare professionals.
Browse courses on Mentorship
Show steps
  • Identify opportunities to mentor junior learners, such as through volunteering at teaching hospitals or participating in mentorship programs.
  • Provide guidance on antibiotic selection, dosing, and monitoring.
  • Share experiences and insights to help mentees develop their clinical skills and knowledge.
Contribute to open-source projects in antimicrobial stewardship
Enhance understanding of best practices and contribute to the development of tools and resources used in the field.
Browse courses on Antimicrobial Stewardship
Show steps
  • Identify open-source projects focused on antimicrobial stewardship, such as the Antibiotic Resistance Database or the CDC's Core Elements of Hospital Antibiotic Stewardship Programs.
  • Explore ways to contribute, such as reporting bugs, suggesting improvements, or creating new features.
  • Work collaboratively with the project team to enhance the project and improve antibiotic prescribing practices.

Career center

Learners who complete To Prescribe or Not To Prescribe? Antibiotics and Outpatient Infections will develop knowledge and skills that may be useful to these careers:
Nurse Practitioner
A Nurse Practitioner (NP) is a healthcare professional who is licensed to practice medicine under the supervision of a physician. NPs can work in a variety of settings, including primary care, internal medicine, and emergency medicine. This course would be helpful for NPs in making decisions about when to prescribe antibiotics for common outpatient infections. The course covers the latest guidelines on antibiotic use and provides practical tips for communicating with patients about antibiotics.
Physician Assistant
A Physician Assistant (PA) is a healthcare professional who is licensed to practice medicine under the supervision of a physician. PAs can work in a variety of settings, including primary care, internal medicine, and emergency medicine. This course would be helpful for PAs in making decisions about when to prescribe antibiotics for common outpatient infections. The course covers the latest guidelines on antibiotic use and provides practical tips for communicating with patients about antibiotics.
Primary Care Physician
A Primary Care Physician (PCP) is responsible for providing primary care to patients of all ages. This course would be particularly helpful for PCPs in making decisions about when to prescribe antibiotics for common outpatient infections. The course covers the latest guidelines on antibiotic use and provides practical tips for communicating with patients about antibiotics.
Outpatient Pharmacist
An Outpatient Pharmacist is responsible for dispensing medications to patients who are not staying overnight in a hospital. This course would help build a foundation in determining whether an antibiotic is appropriate for an outpatient and how long therapy should be. This can help reduce antibiotic resistance and improve patient outcomes.
Pharmacist
A Pharmacist is responsible for dispensing medications and providing information about medications to patients. This course can help Pharmacists gain a better understanding of when antibiotics are indicated and how to select the most appropriate antibiotic for a given patient. This knowledge can help Pharmacists improve patient care and reduce antibiotic resistance.
Infectious Disease Physician
An Infectious Disease Physician is a doctor who specializes in the diagnosis and treatment of infectious diseases. This course may be helpful for Infectious Disease Physicians in making decisions about when to prescribe antibiotics for common outpatient infections. The course covers the latest guidelines on antibiotic use.
Medical Writer
A Medical Writer is a person who writes about medical topics for a variety of audiences. This course may be helpful for Medical Writers in gaining a better understanding of the importance of antibiotic resistance and promoting appropriate antibiotic use.
Pharmaceutical Sales Representative
A Pharmaceutical Sales Representative is a person who sells pharmaceutical products to healthcare providers. This course may be helpful for Pharmaceutical Sales Representatives in understanding the importance of antibiotic resistance and promoting appropriate antibiotic use.
Hospitalist
A Hospitalist is a doctor who specializes in the care of hospitalized patients. This course may be helpful for Hospitalists in making decisions about when to prescribe antibiotics for common outpatient infections. The course covers the latest guidelines on antibiotic use.
Regulatory Affairs Manager
A Regulatory Affairs Manager is a person who is responsible for ensuring that a company's products comply with government regulations. This course may be helpful for Regulatory Affairs Managers in understanding the regulatory landscape for antibiotics.
Health Educator
A Health Educator is a person who is trained to provide health information and education to individuals and groups. This course may be helpful for Health Educators in understanding the importance of antibiotic resistance and promoting appropriate antibiotic use.
Microbiologist
A Microbiologist is a scientist who studies microorganisms, such as bacteria, viruses, and fungi. This course may be helpful for Microbiologists in understanding the mechanisms of antibiotic resistance.
Public Health Nurse
A Public Health Nurse is a nurse who works to improve the health of a community. This course may be helpful for Public Health Nurses in understanding the importance of antibiotic resistance and promoting appropriate antibiotic use.
Epidemiologist
An Epidemiologist is a scientist who studies the distribution and determinants of health-related states or events (including disease), and the application of this study to the control of diseases and other health problems.

Reading list

We've selected nine books that we think will supplement your learning. Use these to develop background knowledge, enrich your coursework, and gain a deeper understanding of the topics covered in To Prescribe or Not To Prescribe? Antibiotics and Outpatient Infections.
Classic textbook of internal medicine, providing comprehensive coverage of all aspects of internal medicine, including infectious diseases and antimicrobial therapy.
Comprehensive textbook of infectious diseases, providing in-depth coverage of the diagnosis, treatment, and prevention of infections.
Provides practical guidance on the appropriate use of antimicrobial agents in adults.
Comprehensive guide to the prevention and control of communicable diseases, including information on the use of antibiotics.
Provides a comprehensive overview of antibiotics and antibiotic resistance, including the latest research on the development of new antibiotics and strategies to combat resistance.
Provides a comprehensive and up-to-date review of the basics of microbiology and immunology.

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