Roles of Internal Medicine Physicians in Antimicrobial Stewardship

Antimicrobial resistance (AMR) is a global health concern. Antimicrobial stewardship programs (ASPs) are essential for combating AMR. However, the implementation of an ASP in Korea is still in the early stages. Internal medicine (IM) physicians are crucial as both prescribers and ASP leaders within healthcare institutions given the lack of infectious disease (ID) physicians. This review explores the key roles of IM physicians in ASPs, drawing from various successful international cases in which IM physicians engaged in ASPs with and without ID physician involvement. Targeted and detailed education is vital to widen the roles of IM physicians in ASPs and foster appropriate antibiotic prescribing behaviors. Furthermore, ID-physician-guided networks can facilitate the nationwide expansion of ASPs. Finally, reforming the reimbursement system and introducing incentives are necessary to promote ASP adoption and sustainability in Korea.