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Variability in orientation and training among Texas infection preventionists and its impact on CIC preparedness
Kayla E Ruch1, Anabel Rodriguez2, Luis Ostrosky-Zeichner3
1School of Public Health, University of Texas Health Science Center at Houston, Houston, TX; Department of Epidemiology, and Texas Epidemic Public Health Institute, Houston, TX.
Background:
Infection preventionists (IPs) are critical to reducing healthcare-associated infections, yet orientation and training remain inconsistent. CIC is the professional standard, but variability in training may affect exam preparedness and certification outcomes.
Methods:
A cross-sectional survey of 128 Texas IPs (October 2023-January 2024) evaluated training experiences, CIC certification status, and resource utilization. Logistic regression identified predictors of exam preparedness and certification.
Results:
Of respondents, 60.3% were CIC certified, although 58.5% reported feeling unprepared for the exam. On-the-job training was the primary method across most competency areas. Rural IPs were significantly less likely to be certified compared with urban peers (OR, 2.99; 95% CI, 1.14-7.82; P = .026). Inadequate training predicted failure to achieve certification (OR, 0.21; 95% CI, 0.06-0.67; P = .008). Use of the APIC and Epidemiology Roadmap and APIC and Epidemiology Text was associated with greater perceived preparedness.
Conclusions:
Training gaps, particularly in rural settings, limit CIC readiness. Expanding access to structured educational programs and standardized resources may improve certification success and strengthen the infection prevention workforce.
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