To Prescribe or Not To Prescribe? Antibiotics and Outpatient Infections

ONLINE CME COURSE

Internet 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

Course Description

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.

Dates, Duration and Fee

  • Release Date: October 21, 2016
  • Expiration Date: October 21, 2019
  • Estimated Time to Complete: 1.75 hours
  • CME Credits Offered: 1.75
  • Registration Fee: FREE

To Obtain CME Credits

  • Review the information below and complete the entire activity.
  • Complete the Post-test, Evaluation Survey, and Activity Completion Statement at the end of the activity.
  • You must receive a score of 75% or higher on the post-test in order to receive a certificate. You will have two attempts to answer each multiple-choice question (or one attempt for questions with only two options) to pass the post-test.
  • Once you attest to completing the entire online activity and have scored 75% or higher on the post-test, your certificate will be generated automatically and will be available on your Dashboard page.
  • Physicians will be awarded AMA PRA Category 1 Credit™. All other participants will receive a Certificate of Participation.
  • * Participation in content marked Optional is not certified for AMA PRA Category 1 Credit™.

Learning Objectives

At the conclusion of this activity, participants should be able to:

  • 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.

TABLE OF CONTENTS

  • Introduction
  • Test Your Knowledge
  • Case 1. Sinus congestion
  • Case 2. Bumps, lumps and pus
  • Case 3. Red leg
  • Case 4. Cough
  • Case 5. Positive urine culture
  • Case 6. Sore throat
  • Case 7. Dysuria
  • Course Wrap-up
  • Resources and References
  • Help!

Disclosures of Relevant Financial Relationships with Commercial Interests

The following planners, speakers, and authors have indicated that they have no relationships with industry to disclose relative to the content of this activity:

Stan Deresinski, MD, FIDSA
Clinical Professor of Medicine, Division of Infectious Disease and Geographic Medicine
Director Stanford Antimicrobial Safety and Sustainability Program
Stanford University School of Medicine
Course Director
Speaker

Marisa Holubar, MD, MS
Clinical Assistant Professor of Medicine, Division of Infectious Disease and Geographic Medicine
Associate Director Stanford Antimicrobial Safety and Sustainability Program
Stanford University School of Medicine
Course Director
Speaker

Elizabeth Robilotti, MD, MPH
Assistant Attending, Infectious Diseases
Associate Director, Infection Control
Memorial Hospital for Cancer and Allied Diseases,
Memorial Sloan Kettering Cancer Center, New York, NY
Planner

Lina Meng, PharmD, BCPS
Antimicrobial Stewardship Pharmacist
Stanford Hospital and Clinics
Planner

Emily Mui, PharmD, BCPS
Antimicrobial Stewardship Pharmacist
Stanford Hospital and Clinics
Planner

Katherine E. Fleming-Dutra, MD
Medical Epidemiologist with the Office of Antibiotic Stewardship 
Division of Healthcare Quality Promotion
Centers for Disease Control and Prevention (CDC)
Planner

Lauri Hicks, DO
Medical Epidemiologist in the Division of Healthcare Quality Promotion
National Center for Emerging and Zoonotic Infectious Diseases
Centers for Disease Control and Prevention (CDC)
Planner

Technical Design and Development

Kimberley Walker, PhD
Stanford EdTech

Huy Tran
Stanford EdTech

Greg Bruhns
Stanford Online

Role Play Actors

Michael Abts
Sam Cohen
Beverly Fagundes
Lance Huntley
Adrienne Krug
TJ Metz
Jan Probst
Radhika Rao
Margo Sims
Jo Streit

Hardware/Software Requirements

  • Computer with Internet connection
  • Current version of Chrome or Safari browser. You must have javascript enabled.

Accreditation and Designation of Credits

The Stanford University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

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

Commercial Support Acknowledgement

The Stanford University School of Medicine has received and has used undesignated program funding from Pfizer, Inc. to facilitate the development of innovative CME activities designed to enhance physician competence and performance and to implement advanced technology. A portion of this funding supports this activity.

Cultural and Linguistic Competency

California Assembly Bill 1195 requires continuing medical education activities with patient care components to include curriculum in the subjects of cultural and linguistic competency. It is the intent of the bill, which went into effect July 1, 2006, to encourage physicians and surgeons, CME providers in the State of California and the Accreditation Council for Continuing Medical Education to meet the cultural and linguistic concerns of a diverse patient population through appropriate professional development. The planners and speakers of this CME activity have been encouraged to address cultural issues relevant to their topic area. The Stanford University School of Medicine Multicultural Health Portal also contains many useful cultural and linguistic competency tools including culture guides, language access information and pertinent state and federal laws. You are encouraged to visit the portal: http://lane.stanford.edu/portals/cultural.html

CME Privacy Policy

Contact Information

If you are having technical problems (video freezes or is unplayable, can't print your certificate, etc.) you can submit a Help Request to the OpenEdX Team. If you have questions related to CME credit, requirements (Pre-test, Post-test, Evaluation, Attestation) or course content, you can contact the CME Online support team at cmeonline@stanford.edu

Bibliography

Antibiotic Resistance Threats in the United States. Centers for Disease Control and Prevention Website. http://www.cdc.gov/drugresistance/pdf/ar-threats-2013-508.pdf. Published September, 16, 2013. Accessed July 17, 2014.

Linder JA, Doctor JN, Friedberg MW, Reyes Nieva H, et al. Time of day and the decision to prescribe antibiotics. JAMA Intern Med. 2014 Dec;174(12):2029-31.

Suda KJ, Hicks LA, Roberts RM, Hunkler RJ, Danziger LH. A national evaluation of antibiotic expenditures by healthcare setting in the United States, 2009. J Antimicrob Chemother. 2013 Mar;68(3):715–8.

For a complete list, please view the Resources/References module in the Course.

©2016 Stanford University School of Medicine

Course Details

  • Ongoing registration for this self-paced course is available until October 21, 2019 
  • Release Date: October 21 2016
  • Estimated Time to Complete: 1.75 hours
  • CME Credits Offered: 1.75
  • Registration Fee: FREE

Contact Information

If you are having technical problems (video freezes or is unplayable, can't print your certificate, etc.) you can submit a Help Request to the OpenEdX Team.

If you have questions related to CME credit, requirements (Pre-test, Post-test, Evaluation, Attestation) or course content, click the link below to contact the CME Online support team.