1. Antimicrobial Sessions for 5th Year Medical Students
Sophie Glynn-Williams
Withybush General Hospital
Hywel Dda University Health Board

2. GMC’s Tomorrow’s Doctors 2009.
Guidance on undergraduate medical education. Medical Schools must comply from academic year 2011/2012.
Student Assistantship- ‘Period during which a student acts as an assistant to a junior doctor, with defined duties under appropriate supervision’.

3. Programmed Teaching.
Acute care teaching.
Pharmacy prescribing workshops.
‘MyPractice’ practice based discussions.

4. Pharmacy prescribing workshops
Introduction.
Antimicrobials.
Anticoagulants.
Analgesics.
Parenteral fluids and antiemetics.
Bronchodilators.
Insulins.

5. Antimicrobial session
Indications for antibiotics.
Resistance / HCAI’s.
Start Smart then Focus.
Antibiotic specific selection criteria.
Health Board tools for prudent antibiotic prescribing.
Penicillin allergies.

6. Important cautions / contra-indications.
Renal impairment.
Hepatic impairment.
Interactions.
Side-effects.
TDM – gentamicin and vancomycin.
CASE STUDIES.

7. Case Studies
Which of the following would you prescribe for a patient with a penicillin allergy? Doxycycline Nitrofurantoin Tazocin Co-trimoxazole Ciprofloxacin Amoxicillin Augmentin Meropenem Distaclor

8. Benefits of sessions
Able to promote prudent antimicrobial prescribing.
Raise profile of antimicrobial pharmacists.
Reduce prescribing errors involving antimicrobials by newly qualified doctors.
Excellent feedback so far – students are finding sessions useful.