As an RWJF Safety Net Value Champions Fellow, I am being supported to engage providers in reducing overuse in healthcare here at University of New Mexico Hospital. In a state with high rates of diabetes, I have chosen to focus on decreasing antibiotic use for diabetic foot wounds. Diabetic foot wounds are common in our state and are often unnecessarily treated with antibiotics. This can result in antibiotic resistance and potential harm, such as a prolonged hospital admission and financial distress, for people who are economically disadvantaged. My team is taking a step-wise de-implementation process that includes creating a report of antibiotic resistance within our clinical setting and the dissemination of antibiotic stewardship guidelines. I will track measures of antibiotic prescribing, common side effects of antibiotic use, and admission data.
Leslie Dunlap is a board-certified physician assistant at the University of New Mexico (UNM) Hospital, the only Level I Trauma Center and Academic Medical Institution in the state. She practices inpatient, outpatient and surgical limb salvage in the Center for Healing In the Lower Extremity. She was previously an internal medicine primary care provider and began in a support staff role at UNM Hospital in 2003. Ms. Dunlap holds BAs in Chemistry and Spanish, and an MS degree in physician assistant studies from UNM. She is the president of the UNM PA Alumni Leadership and a committee member for the New Mexico Academy of Physician Assistants. She was awarded the 2017 PA/MD Team of the Year Award and the 2015 Student Community Service Award and nominated for Albuquerque Top Docs, Ambulatory Advanced Provider Clinical Excellence, and Distinguished Alumni Awards.