I work in a 30ish bed level II trauma center in the Midwest and have always felt that some of our docs are more Gung go about giving abx for what they tell me they think is a viral infection. It's always made me feel a touch annoyed, but I also totally understand the whole I came to the ER, so I better walk away with something attitude that patients come in with. I'm currently in school and would like to practice in a manner that takes abx stewardship into account while still providing compitent care. I grew up in Norway for a few years when I was very young and I remember my mum always commented (with reverence, not disdaine) on how th Norwegians never used antibiotics unless they absolutely had to.
Current med students/PA/NP students: do you receive any sort of formalized training on handling patient expectations against prudent use of abx?
Current practitioners, how do you walk the line between patients expectations and long term effects of overuse of abx? I'm particularly interested in non US medical staff.
Final question. Some of our doctors will use a wait and see prescription for otitis media viral vs bacterial in peds. Are there other situations where this can be done?
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