Advanced Antimicrobial Stewardship Training Program

An “Advanced Antimicrobial Stewardship Program” was launched at the Annual MAD-ID Meeting, in 2011. This program is designed to meet the ongoing educational needs for those practitioners who have stewardship practice experience and/or basic education and skills training in this area of practice. Formerly delivered via a combination of live programming  and online lessons, plus a practical component, the entire didactic component is presented at the Annual Meeting (to view the entire Annual Meeting agenda and to register, click here). A practical component (completed at the participant’s place of practice) is still required. This Advanced Program will satisfy all ACPE requirements for “practice-based activities” (formerly referred to as “certificate programs”) and will address such topics as stewardship application in specific settings and patient populations, collecting and analyzing stewardship metrics, and novel approaches to promote stewardship programs and initiatives. In addition to the opportunity to earn a certificate of completion, participants will earn up to 16 hours of continuing pharmacy education (1.6 CEU).

Program Process and Content

Global Learning Objectives
The overall or Global Learning Objectives for the Advances Program do not change from year-to-year. While content for the live portion of the program varies from year-to-year, each year’s learning objectives serve to address the global objectives. The Global Objectives for the program are to:

  • List and apply advances in antimicrobial stewardship at the participant’s home institution/health system.
  • Describe the latest changes in antimicrobial resistance of clinical relevance to therapeutics both nationally and internationally.
  • Understand and apply advances in antimicrobial therapeutics, including such things as new agents, new vaccines and pharmacodynamics principles to patient care at the patient and system levels.
  • Describe changes in the regulatory landscape relevant to the management of patients with infectious diseases and their implications for antimicrobial stewardship programs.
  • Apply both epidemiologic and infection control and susceptibility surveillance methods, including the use of electronic data capture software, to assist in the analysis and interpretation of data reflecting anti-infective use, stewardship programs/interventions, and antimicrobial resistance
  • Prepare a plan to measure both patient outcome and economic impact of stewardship programs/initiatives at the institutional level
  • Propose methods for assessing quality improvement through local national and international benchmarking techniques
  • Prepare and implement an ongoing plan to successfully cost-justify new and established stewardship programs
  • Describe advances in diagnostic techniques (e.g., rapid molecular tests, biomarkers) and propose methods to incorporate their use/application to stewardship initiatives
  • Describe and defend how clinical pathways and other system-based approaches help influence appropriate antibiotic selection and use
  • Describe various methods to collaborate locally, regionally, nationally and internationally in advancing the science and practice of antimicrobial stewardship

2017 Program Learning Objectives

Note: these objectives will be specifically addressed at our 2017 live program and relate back to the Global Learning Objectives listed above.

After completion of the 2017 Iteration of the Advanced Antimicrobial Stewardship Training Program the participant should be able to:

Depending on which four classroom/workshop sessions the participant attends, four of the following six learning objectives should be achieved:

  1. List three ways in which “smart” data retrieval/management systems can be used to facilitate stewardship programs and prioritize them for your own institution/program.
  2. Propose and defend a behavioral modification technique aimed at optimizing antimicrobial use and that would be appropriate to your practice area.
  3. Explain the basic tenets of antibiogram construction and dissemination and list two ways antibiogram data can be analyzed and used to optimize empiric therapy.
  4. List three examples of readily achievable stewardship goals (“low hanging fruit”) and explain how to best organize and present such results in a manner that justifies the costs of a stewardship program.
  5. List three or more criteria that must be judged in assessing the quality of a published article addressing an infectious disease therapeutic or stewardship topic.
  6. List three or more well-described and effective stewardship initiatives that can be implemented with limited financial and/or personnel resources.

The following learning objective relate to the remaining educational sessions:

  1. Summarize current therapeutic recommendations, based on current national or international guidelines, for empiric and definitive treatment of community- and hospital-acquired pneumonia.
  2. Provide an overview of the natural state and function of the microbiome and how antibiotic therapy changes and compromises its natural beneficial properties.
  3. Discuss the nature and extent of the burden of antimicrobial adverse events and methods for minimizing their occurrence using pharmacodynamic principles.
  4. Describe those issues of basic susceptibility testing and interpretation of break points that would enhance our understanding and application of these basic concepts to selection, dosing and use of antimicrobials.
  5. Apply current knowledge to develop dosing recommendations for antibiotic use in patients who are obese and/or critically ill.
  6. Explain the nuances of antimicrobial stewardship in regard to use of antifungal agents, especially in the context of antifungal resistance.
  7. List and summarize the application stewardship principles and initiatives in the setting of long-term care facilities.

Part 1: Live Component
The Live Component (updated annually with new topics and speakers) is provided at the Annual MAD-ID Meeting normally held in Orlando Florida, in May of each year. Beginning in 2014, all didactic content for the program (formerly parts 1 & 2) was delivered at the Annual Meeting and attendees registered for this component when registering to attend the meeting. The Live Component consists of 4 interactive classroom sessions and 6 didactic sessions, comprising 13 hours of CE:

  • Planning for or Updating a Stewardship Program(classroom)
  • Daily Priority Planning for the ASP Practitioner (classroom)
  • Newer Stewardship Venues and Partnerships
  • New Horizons in Antifungal Therapy
  • Challenging Cases (classroom)
  • Meeting the Presidential Commission’s priorities in addressing resistance – where do you go from here? (classroom)
  • Update on Gram-Negative Resistance
  • Stewardship Outside the Academic Medical Center
  • Outpatient Parenteral Antimicrobial Therapy (OPAT)
  • The Polymyxins

Part 2: Practical Component
The Practical Component was referred to as Part 3 of early iterations of the Advanced Antimicrobial Stewardship Program but with the 2014 version, becomes Part 2. Completion of this component represents a demonstration of application of acquired knowledge and skills, and is completed at the applicant’s site of practice. It entails 3 CE hours but no additional fees.

*The practical component should be completed within 12 months of the date of completion of Part 1 of the live sessions. For more detailed information, specific instructions on completing the practical component, and examples of acceptable projects click here

To download a practicum cover sheet, click here.


Certificate of Completion
A certificate of completion will be awarded upon satisfactory completion of the program, which MAD-ID will then mail to the successful participant.

Continuing Education Credit
MAD-ID is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. Continuing education credit will be award for all successfully completed online lessons and live sessions regardless of whether the full program in completed.

Registration Fees
Regular Registration Fees:
Registration Fee (2017); paid when registering for annual meeting$250.00

Group Registration Fees are available (groups from same institution):
5-9 participants$240.00 per person
10 or more participants$230.00 per person