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Micro-Sim: Advancing antimicrobial Stewardship education through interprofessional simulation.

Miguel Vella1, Li Ling Choo1, Iram Lodhi1

  • 1Frimley Health NHS Foundation Trust, Berkshire, Slough, United Kingdom.

Medical Teacher
|October 29, 2025
PubMed
Summary

Inappropriate antibiotic prescribing is a major issue. A simulation-based training program significantly improved healthcare professionals' knowledge and confidence in safe antibiotic use, demonstrating potential for global impact.

Keywords:
Simulationantimicrobial Stewardshipinfectious diseasesmicrobiologyproblem-based learning

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Area of Science:

  • Medical Education
  • Infectious Diseases
  • Pharmacology

Background:

  • Inappropriate antibiotic prescribing is a persistent global health challenge.
  • Significant knowledge gaps exist among healthcare professionals regarding antibiotic guidelines.
  • This leads to suboptimal patient outcomes and contributes to antimicrobial resistance.

Purpose of the Study:

  • To evaluate the effectiveness of a novel simulation-based educational intervention for improving antibiotic prescribing practices.
  • To assess changes in knowledge, confidence, and adherence to guidelines among participants.
  • To determine the adaptability and scalability of the intervention for diverse healthcare settings.

Main Methods:

  • A week-long educational program incorporating interactive sessions and the Micro-Sim simulation was implemented.
  • Participants managed simulated clinical cases, including assessing a septic patient.
  • Pre- and post-intervention questionnaires assessed knowledge and confidence, supplemented by qualitative feedback and prescription audits.

Main Results:

  • Questionnaire scores improved by 42% (p < 0.0005), and self-reported knowledge increased by 74% (p < 0.0001).
  • Participants reported increased confidence in safe prescribing, with audit data indicating improved adherence to antimicrobial policies.
  • The Micro-Sim simulation was adaptable across doctors, nurses, pharmacists, and students.

Conclusions:

  • Simulation-based training, like Micro-Sim, is an effective strategy to address knowledge gaps in antibiotic prescribing.
  • The intervention demonstrates potential for significant, scalable, and clinically meaningful impact on antimicrobial stewardship globally.
  • Further development and dissemination, including a virtual version, are planned to facilitate international reach.