Basic Antimicrobial Stewardship Program
To complement the live, in-person education, MAD-ID has developed an online stewardship training program for any healthcare practitioner engaged in or preparing to engage in antimicrobial stewardship on their own schedule.
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, teleconferences with select faculty are conducted quarterly offering learners an opportunity to interact 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 discussion.
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 to demonstrate a real-world, clinical application of the material presented in the online lessons. 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 learners do not need to complete the entire program to receive credit for modules completed. This program satisfies all ACPE requirements for certificate programs.
Program Learning Objectives After completion of the Basic Antimicrobial Stewardship Training Program 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: 1. Introduction and Background reading – 2 articles 2. Pathogenic Microbiology; Organisms of Interest 3. Clinical Pearls for Optimizing Antimicrobial Use 4. Antimicrobial resistance 1: Why it matters, terminology & mechanisms 5. Antimicrobial resistance 2: Know thy enemy 6. Talking to the Microbiology Lab: Understanding common microbiological tests and methodologies 7. 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. Communicating with your team and selling stewardship to front line clinicians 2. Infection Control and AMS: Linkages between Infection Control and Antibiotic Stewardship 3. AMS Strategies Supporting Optimal Antibiotic Use 4. Measuring success at your institution 5. Getting in the weeds: How to make day to day stewardship work 6. 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 (CPD credit hours): 1. Nurses as Champions in AMS (1) 2. Antimicrobial Stewardship in Pediatrics (1) 3. Becoming a Steward in Long Term Care Facilities (1) 4. Antibacterial Agents – 1: The beta-lactams (1.25) 5. Antibacterial Agents – 2: Miscellaneous antibiotics (1.25) 6. Antiviral Agents (1) 7. 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 projects see "Practicum Guidelines" page
Accreditation MAD-ID is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education. This activity has been approved for maximum of 26.00 contact hours. Continuing education credit will be award for all successfully completed online lessons and live sessions regardless of whether the full program in completed. This activity has been planned and implemented in accordance with the accreditation requirement and policies of the Accreditation Council for Continuing Medical Education (ACCME). MAD-ID is accredited by the ACCME to provide continuing medical education (CME) for physicians. MAD-ID designates this internet enduring material activity (online lessons) for a maximum of 20.00 AMA PRA Category 1 Credits™. MAD-ID does not accredit the practical component (practicum) for AMA PRA Category 1 Credits™. Learners should claim only the credit commensurate with the extent of their participation in the activity. Nurse Practitioners and Registered Nurses For the purpose of recertification, the American Academy of Nurse Practitioners Certification Board and American Nurses Credentialing Center accept AMA PRA Category 1 Credit™ issued by organizations accredited by the ACCME (Accreditation Council for Continuing Medical Education). We would also suggest that learners check with their state licensing board to ensure they accept reciprocity with AMA PRA Category 1 Credit™ for re-licensure. Physician Assistants The National Commission on Certification of Physician Assistants (NCCPA) states that AMA PRA Category 1 Credits™ are acceptable for continuing medical education requirements for recertification. We would also suggest that learners check with their state licensing board to ensure they accept reciprocity with AMA PRA Category 1 Credit™ for re-licensure. Canadian Accreditation The Royal College of Physicians and Surgeons of Canada recognizes conferences and workshops held outside of Canada that are developed by a university, academy, hospital, specialty society or college as accredited group learning activities. European Accreditation Through an agreement between the American Medical Association and the European Union of Medical Specialists, physicians may convert AMA PRA Category 1 Credits™ to an equivalent number of European CME Credits® (ECMEC®s). Information on the process of converting AMA PRA Category 1 Credits™ to ECMEC®s can be found at: www.eaccme.eu.
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 low-income and low-middle income nations (click here for eligible nations), a discounted registration fee is available. Developing Nation Fee$300.00 (US$)