Initial Validation of a Survey Instrument to Evaluate Veterinary Student Self-Efficacy for Antimicrobial Selection in...

Antimicrobial resistance (AMR) is a major threat to human and animal health, and antimicrobial use selects for AMR. Appropriate selection of antimicrobial drugs is an important part of veterinary education, but many veterinary students report that they have knowledge gaps in this area. Students with greater self-efficacy, the belief that one can perform the individual steps that comprise a task, tend to expend more effort and motivation in learning new skills. Educational activities that improve self-efficacy can increase student motivation, but appropriate assessment tools tailored for specific educational domains are necessary to support these efforts. The purpose of this study was to validate an online survey instrument to measure veterinary student self-efficacy for antimicrobial selection. The secondary goal was to determine if clinical training increases veterinary students' self-efficacy for antimicrobial selection. A total of 380 students from seven veterinary colleges in the United States completed an online survey instrument that asked students to self-assess their abilities to perform 13 tasks associated with antimicrobial selection on a 10-point Likert-type scale. A principal components analysis identified three factors associated with self-efficacy for antimicrobial selection: (a) empirical selection and dosing of antimicrobials, (b) identification of trustworthy resources and resistance to pressure to prescribe, and (c) knowledge of when antimicrobials are needed. Self-efficacy for antimicrobial selection increases the most in the fourth year of veterinary training. However, exposure to at least one clinical rotation was not associated with higher self-efficacy for selection of antimicrobials.