Page 15 - Poster presentation KVAC 22
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The 22nd Khon Kaen Veterinary Annual International Conference 2021










                Academic Achievements                                                                                                                                                                                   of








                INTER-PROFESSIONAL LEARING                                                                                                                                                                                                                                                                                   on












                 Antimicrobial Resistance & Stewardship










                for Thai Future Workforces from









                Veterinary and Health Sciences, Chiang Mai University                                                                                                                                                                                                                                                                                                            Raktham Mektrirat                                                     1,2, *





                                                                                                                                                                                                                                                                                                                                                                                            Tongkorn Meeyam                                                    1





              1  Department of Veterinary Biosciences and Veterinary Public Health, Faculty of Veterinary Medicine, Chiang Mai University, Chiang Mai, Thailand                                                                                                                                                                                                                         Penkarn Kanjanarat                                                     2


              2  Epidemiology Research Group of Infectious Disease, Chiang Mai University, Chiang Mai, Thailand                                                                                                                                                                                                                                                                                             Wasan Katip                                   2, 3



              3  Department of Pharmaceutical Care, Faculty of Pharmacy, Chiang Mai University, Chiang Mai, Thailand











              Introduction                                                                                                                                                                                                                                                                                                                    Objective




              An  expanding  amount  of  data  is  being  documented  on  antimicrobial  resistance  (AMR) worldwide,  with  consequent  economic                                                                                                                                                                                              The  present  study  aims  to  develop  the  IPE



              impact and public health concerns [1]. AMR is a comprehensive problem related to the humans, the animals, and the environment.                                                                                                                                                                                                   curriculum  using  team-based  approach  to


              The environmental contamination of antimicrobial-resistant bacteria creates a consensual concern in the scientific community and                                                                                                                                                                                                 address  challenges  of  AMR for training  of


              the One Health (OH) approach [2]. The interdisciplinary skills and competences are necessary for in-service current workforces who                                                                                                                                                                                               undergraduate veterinary  and  health  science



              work in a collaborative health team environment for AMR prevention and control [3]. To efficiently combat AMR problem, the pre-                                                                                                                                                                                                  students,                    Chiang                    Mai              University (CMU),


              service students of health sciences need to be prepared through the interprofessional education (IPE).                                                                                                                                                                                                                           Thailand.







              Methodology                                                                                                                                                                                                                                                                                                                                                Data were categorized and analyzed




                                                                          A working group of academic                                                                                                         The concepts and structure of                                                                                                                              by           using               descriptive                      statistics.


                                                                          instructors conducted a short-                                                                                                      one-day course includes the                                                                                                                                The Wilcoxon matched pairs signed


                                                                          course training to initiate a                                                                                                       impacts of antimicrobial use in                                                                                                                            rank test was used to assess the


                                                                          curriculum & the activities on                                                                                                      human                   and               animals,                   the                                                                                   differences between the pre- and



                                                                          multidisciplinary managements                                                                                                       community acquired AMR, the                                                                                                                                post-lesson test on the knowledge.


                                                                          for human and animal health                                                                                                         managements of AMR using OH                                                                                                                                The Mann-Whitney U test was used


                                                                          by combining the One Health                                                                                                         approach,                     and             the           system                                                                                         to compare on the awareness and


                                                                          Core Competency (OHCC).                                                                                                             mapping for AMR solutions..                                                                                                                                the IPE competency results.














                 Use of ongoing IPE learning activities to                                                                                                                                                The results demonstrated that an understanding of AMR and stewardship on the median score


                 manage the active-learning modules for                                                                                                                                                   before  and after learning were 60.00%  (IQR  50.00-70.00) and  90.00%  (IQR  70.00-100.00),  respectively


                 65 participants                                                                                                                                                                          (p < 0.01, Wilcoxon signed rank). The average relative gain score of the knowledge was 23.04±4.78%.



                 including


                 15 veterinary students.                                                                                                                                                                  The  participants  had moderately  high  awareness with  regards  to  providing  responsible  use  of


                 15 pharmacy students.                                                                                                                                                                    antibiotics.


                 10 dentistry students.



                 10 nursing students.                                                                                                                                                                     Self-assessment according to IPE competencies among participants responded from the pre-lesson


                 15 associated medical science students.                                                                                                                                                  (Mdn 4, IQR 3.00-4.00) to the post-lesson (Mdn 5, IQR 4.00-5.00) (p < 0.01, Mann-Whitney).





































































                                                                                                                                                                                               Awareness score







                         The IPE competency score (0-5) among participants                                                                                                  The awareness score (0-5) on AMR and RUA                                                                                          The percentage of knowledge on AMR and RUA among


                            responded from the pre-lesson to the post-lesson                                                                                               among participants after short-course training                                                                               participants responded from the pre-lesson to the post-lesson

















           Discussion







          The             health                science                 students                  will                   Moreover, an understanding of One                                                                             However, the development of the AMR                                                                             Furthermore, the sustainable adaptation


          potentially act on antibiotic stewardship,                                                                     Health                concept                   on           the            students                          training program requires consultation                                                                          of the IPE learning activities on the AMR


          rationally prescribe antibiotics in human                                                                      moderately good responded of the                                                                              and partnership with major stakeholders,                                                                        and stewardship as an elective course



          and animals, promote health and reduce                                                                         knowledge                           assessment                           questions                            including the Ministry of Public Health,                                                                        should be accomplished within near


          risks of infection, and leading to reduce                                                                      correctly. This outcome could positively                                                                      the             Ministry                  of           Agriculture                       and                    future


          problems of AMR in Thailand. These                                                                             impact in improving the capacities of                                                                         Cooperatives, the Food and Agriculture


          findings are in agreement with previous                                                                        Thai respective future workforce [5,6].                                                                       Organization (FAO), and the World


          study on a different group of CMU                                                                                                                                                                                            Organization for Animal Health (OIE).



          students during academic year 2017 [4].



                                                                                                                                                                                                                                         Acknowledgments


          Conclusion                                                                                                                                                                                                                     This research work was partially supported by Faculty of Veterinary Medicine, Chiang






           This  study  confirms  that  outcome  of IPE  learning  activities  could  positively                                                                                                                                         Mai  University. The  authors  are  grateful  for  Thailand  One  Health  University  Network
                                                                                                                                                                                                                                         (THOHUN) for the course encouragement. We would like to thank the staff and students

           impact  in  improving  the  knowledge  and  awareness  on  AMR  as  well  as                                                                                                                                                  from  the  six  health  science  faculty  including  Associated  Medical  Science, Dentistry,



           achieving  the  interdisciplinary  capacities  of  undergraduate  veterinary  and                                                                                                                                             Medicine,  Nursing,  Pharmacy  and  Veterinary  Medicine  for  supporting  in  course



           health science students.                                                                                                                                                                                                      participation.






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