Basic Antimicrobial Stewardship Training Program – 2019

New for 2019 – MAD-ID offers a totally new, revamped and updated online stewardship training program for any healthcare practitioner engaged in or preparing to engage in antimicrobial stewardship.
There are four parts to the program, three multi-lesson modules and a practical component or practicum. The first two modules cover basic knowledge and skills central to antimicrobial stewardship. Each lesson is 45 to 75 minutes in length; they deliver 8 and 5 hours of continuing education, respectively. The third module comprises seven elective lessons. Three electives are automatically included with basic registration for the program, delivering 2.5 to 3 hours of continuing education credit, depending on lessons selected. Additional electives may be completed for continuing education credit for a nominal fee. Each lesson involves a quiz on which the participant must achieve a score of 80% or better to receive credit. In addition, quarterly teleconferences with select faculty are conducted quarterly offering learners an opportunity to interact live with select faculty and others engaged as learners in the program. These are optional and are not associated with specific learning objectives or content; they are meant to be a forum for Q&A and relevant sharing. Upon successful completion of the first three components, the learner moves on to the practical component in which they develop, implement and document a stewardship initiative at their place of practice in which participants demonstrate that they can apply what they’ve learned in the online lessons to clinical practice. This component awards 6 continuing education hours. A certificate of completion is awarded upon successful program completion. Continuing education credit is awarded as each module/part is completed and one does not need to complete the entire program to receive credit for modules completed. This program satisfies all ACPE requirements for “practice-based activities” (formerly referred to as “certificate programs”).
MAD-ID gratefully acknowledges the generous financial support of the following companies which helped to create this program:
bioMérieux, Inc
Accelerate Diagnostics, Inc
Achaogen

Program Learning Objectives
After completion of the Basic Antimicrobial Stewardship Training Program – 2019 the participant should be able to:

  • List those individuals/disciplines that should be included/involved in an antimicrobial stewardship program and explain the rationale for their inclusion
  • State the basic mechanisms of antimicrobial resistance and describe their relative frequencies
  • List those pathogenic microorganisms that currently present major treatment challenges due to antimicrobial resistance
  • List and compare common methods for isolation, identification and antimicrobial susceptibility testing of microorganisms
  • Describe basic stewardship philosophies and processes and compare and contrast based upon advantages and disadvantages including effective communication techniques
  • Propose three or more general methods/approaches to optimize antimicrobial agents and relate them to possible stewardship initiatives
  • Outline one or more approaches to align and prioritize potential stewardship initiatives with institutional characteristics and needs
  • Identify resources necessary to mount a stewardship program and/or individual stewardship initiatives
  • List guidelines for assembly of institutional antibiograms and describe potential pitfalls in interpretation of these reports
  • Describe and list procedures utilizing antibiogram information to identify and track resistance problems, make appropriate antimicrobial formulary decisions, and to prepare optimal clinical pathways at a given institution
  • List and compare methods for prospectively measuring stewardship outcome metrics in an organized healthcare setting
  • Discuss basic infection control processes and explain their inter-relationship with antimicrobial stewardship programs, and
  • Prepare and defend a proposal that cost-justifies the funding of a stewardship program/team

Program Process and Content
The first module provides basic information and must be successfully completed prior to participating in the second and third modules. After successfully completing modules 1-3, the participant must then complete the practical component to complete the full program.

Module 1: Setting the Stage to Become a Steward
This module consists of 7 lessons:

  • Introduction and Background reading – 2 articles
  • Six additional lessons:
    1. A. Pathogenic Microbiology; Organisms of Interest
    2. B. Clinical Pearls for Optimizing Antimicrobial Use
    3. C. Antimicrobial resistance 1: Why it matters, terminology & mechanisms
    4. D. Antimicrobial resistance 2: Know thy enemy
    5. E. Talking to the Microbiology Lab: Understanding common microbiological tests and methodologies
    6. F. Determination of Susceptibility and Antibiograms

After reviewing the learning objectives and completing the lessons, the applicant will take a multiple-choice quiz regarding the material to document learning and must achieve a score of 80% or more in order to move on into the next lesson. If a score of less than 80% is achieved, the applicant will be asked to repeat the lesson until they are able to obtain the minimal passing score. After satisfactory completion of all 7 lessons, the applicant will move on to the second module. Confirmation of completion for this module will be supplied instantly as the participant clicks on the “Completion Notification” after successfully passing all quizzes and report of CE credit earned will be reported. Participants may also participate in optional/live teleconferences during which participants will have the opportunity to interact live with faculty. Teleconferences are scheduled throughout the year to accommodate the schedules of participants. (*PLEASE NOTE: neither this phase of the training program nor the live teleconferences constitute “live continuing education” and no LIVE continuing education credit is awarded*).


Module 2: The Stewardship Roadmap: Critical Steps in Developing, Implementing and Monitoring Antimicrobial Stewardship Activities
  • This module consists of 6 lessons:
    1. A. Communicating with your team and selling stewardship to front line clinicians
    2. B. Infection Control and AMS: Linkages between Infection Control and Antibiotic Stewardship
    3. C. AMS Strategies Supporting Optimal Antibiotic Use
    4. D. Measuring success at your institution Using PK/PD as a stewardship tool to optimize patient outcomes
    5. E. Getting in the weeds: How to make day to day stewardship work
    6. F. Using PK/PD as a stewardship tool to optimize patient outcomes

Participants will complete this module via the online lessons coupled with post-lesson quizzes (again, minimum passing grades of 80% are required) and optional/live teleconferences during which participants will have the opportunity to interact live with faculty. Confirmation of completion for this module will be supplied instantly as the participant clicks on the “Completion Notification” after successfully passing all quizzes and report of CE credit earned will be reported. Teleconferences are scheduled throughout the year to accommodate the schedules of participants. (*PLEASE NOTE: neither this phase of the training program nor the live teleconferences constitute “live continuing education” and no LIVE continuing education credit is awarded*).


Module 3: Electives
Participants may select three electives as part of their learning program (a minimum of three is required for completion of program requirements). Additional lessons may be taken for continuing education credit for a nominal fee. The participant should choose electives based upon their interests and needs. The antimicrobial lessons review basic clinical pharmacology and appropriate usage.

Available electives (CE credit hours):

  • A. Nurses as Champions in AMS (1)
  • B. Antimicrobial Stewardship in Pediatrics (1)
  • C. Becoming a Steward in Long Term Care Facilities (1)
  • D. Antibacterial Agents – 1: The beta-lactams (1.25)
  • E. Antibacterial Agents – 2: Miscellaneous antibiotics (1.25)
  • F. Antiviral Agents (1)
  • G. Antifungal Agents (0.5)

Practical Component

In order to participate in the practical component, applicants must have satisfactorily completed the all lessons in the first two modules plus three electives. Applicants choose a stewardship initiative to assess skills acquisitions, which is completed at the participant’s home institution. Documentation of ability to apply knowledge and skills learning in the didactic components of the program will be submitted to MAD-ID Scientific Committee for assessment and feedback.

It is highly recommended that the practical component be completed within 12 months of the date of completion of Module 3. For more detailed information, specific instructions on completing, documenting and submitting the practicum, and examples of acceptable initiatives  click here

To download a practicum cover sheet, click here.


Registration Fees
Regular Registration Fees:

Regular Registration Fee (entire program)$500.00

Trainee Registration Fees:
A discounted registration fee is available for residents and fellows in recognized training programs who have at least 3 months remaining in the program at the time of registration.

Resident or Fellow in Training$350.00

Group rates are available:

5-9 participants
(entire program)
$450.00
10 or more participants:
(entire program)
$400.00

Discount fees for participants in developing nations:
In keeping with its mission and to make formal stewardship training more affordable to registrants in developing nations (click here for eligible nations), a discounted registration fee is available.

Developing Nation Fee$300.00 (US$)



Basic Antimicrobial Stewardship Training Program-2014

There are three components to the program: an internet learning module which covers basic concepts (9 hours), live programming consisting of further online lessons with associated teleconferences with faculty (7 hours) addressing more advanced concepts and principles, application and implementation issues, and finally, a practical component/exercise (3 hours). Each online lesson involves a quiz on which the participant must achieve a score of 80% or better to receive credit. Upon completion of the three components a certificate of completion is awarded, and applicants will receive 19 hours of ACPE continuing education credit (1.9 CEU) reported sequentially as each component is completed. This program satisfies all ACPE requirements for “practice-based activities” (formerly referred to as “certificate programs”). All online lessons were last updated in 2013-14. These lessons are scheduled to updated and expanded in 2018.

Program Learning Objectives
After completion of the Basic Antimicrobial Stewardship Training Program the participant should be able to:

  • Describe the basic classification/nomenclature system(s) of microorganisms
  • List and compare common methods for isolation, identification and antimicrobial susceptibility testing of microorganisms
  • State the basic mechanisms of antimicrobial resistance
  • List those pathogenic microorganisms that currently present major treatment challenges due to antimicrobial resistance
  • Describe strategies to identify problematic pathogens in a given institution and propose actions to address those challenges to patient care
  • List guidelines for assembly of institutional antibiograms and describe potential pitfalls in interpretation of these reports
  • Describe and list procedures utilizing antibiogram information to identify and track resistance problems, make appropriate antimicrobial formulary decisions, and to prepare optimal clinical pathways at a given institution
  • List and compare methods for prospectively measuring antimicrobial use in an organized healthcare setting
  • List those individuals/disciplines that should be included/involved in an antimicrobial stewardship program and explain the rationale for their inclusion
  • Discuss basic infection control processes and explain their inter-relationship with antimicrobial stewardship programs
  • Describe basic stewardship philosophies and processes and compare and contrast based upon advantages and disadvantages
  • Prepare and defend a proposal that cost-justifies the funding of a stewardship program/team
  • Describe methods to objectively measure the impact of a stewardship program on both patient outcomes and health care costs
  • Provide a plan for ongoing cost justification of a stewardship program
  • Document a stewardship intervention and assess/evaluate effect
  • Present in-service education regarding purposes and methods of a stewardship program to other health care providers who are participants/stakeholders in a health care organization

Program Process and Content
The first/online component provides basic information and must be successfully completed prior to participating in the second online/live component. After successfully completing second online/live component, the participant must then complete the skills acquisition or practical component to complete the full program.

First Internet Component Description
This component consists of 5 modules:

  • Background reading – 3 articles
  • Four online lessons:
    1. Antimicrobial Stewardship Overview
    2. Basic microbiology and PK/PD principles
    3. Mechanism(s) of antimicrobial resistance
    4. Antimicrobial resistance surveillance/antibiograms

After reviewing the learning objectives and completing the lessons, the applicant will take a multiple-choice quiz regarding the material to document learning, and must achieve a score of 80% in order to move on into the next module. If a score of less than 80% is achieved, the applicant will be asked to repeat the module until they are able to obtain the minimal passing score. After satisfactory completion of all 5 modules, the applicant will be eligible to participate in the live portion of the training program. Confirmation of completion for this internet component will be supplied instantly as the participant clicks on the “Completion Notification” after successfully passing all quizzes and report of CE credit earned will be reported to CPE Monitor.


Second Internet/Live Programming*
Participants will complete this component via online lessons coupled with post-lesson quizzes (again, minimum passing grades of 80% are required) and optional/live teleconferences during which participants will have the opportunity to interact live with faculty. Teleconferences are scheduled throughout the year to accommodate the schedules of participants. (*PLEASE NOTE: neither this phase of the training program nor the live teleconferences constitute “live continuing education” and no LIVE continuing education credit is awarded).

  • Eight online lessons:
    1. Epidemiology, parts 1 & 2
    2. Antimicrobial Stewardship – Beyond the Basics
    3. Making Antimicrobial Stewardship Work
    4. Antimicrobial Stewardship and Public Health
    5. Infection Control
    6. PK-PD At the Bedside
    7. De-escalating and Streamlining

Practical Component
In order to participate in the practical component, applicants must have satisfactorily completed the first online and second online/live components. Applicants choose a stewardship initiative to assess skills acquisitions, which is completed at the participant’s home institution. Documentation of skills activity will be submitted to MAD-ID Scientific Committee for assessment and feedback.

*The practical component should be completed within 12 months of the date of completion of Part 2 of the internet online 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 training 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:

Parts 2 and 3 (2nd online and practical components only); only available to those already registered for part 1$250.00


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