About the Dutch Antimicrobial Stewardship masterclass & expert consultancy
"How to improve antibiotic use: a practical introduction to the development and implementation of Antimicrobial Stewardship Programs."read more
About the Dutch Antimicrobial Stewardship masterclass & expert consultancy“How to improve antibiotic use: a practical introduction to the development and implementation of Antimicrobial Stewardship Programs”
Our goal is to guide professionals and policy makers through the process of developing and implementing a successful Antimicrobial Stewardship Program in their hospital, healthcare system, region or even country. We achieve to do so by preparing you through pre-course online courses and project assignments, by teaching you through a 5-day course and helping you to elaborate your project. After the masterclass a dedicated coach will assist you with the evaluation and refinement of the project.
Learning objectives of the course
- To understand the problems of Antimicrobial Resistance (AMR) across global, national and local levels;
- to understand and be able to describe the core elements of antimicrobial stewardship;
- to understand how to develop local/national guidelines for appropriate antibiotic use, based on international guidelines and local/national resistance levels;
- to be aware of the main barriers to the development of an Antimicrobial Stewardship Program, and to be able to apply improvement strategies to address these;
- to be able to convey the knowledge and skills needed for Antimicrobial Stewardship to both clinical and management teams in hospitals;
- to have decided next steps to take to improve antibiotic use/implement antibiotic stewardship in my health care setting/country.
Why Radboudumc?The Radboudumc offers small classes, excellent and reknown clinical and implementation scientists as well as tutors, clear learning goals, modern teaching skills, examination and certification. Furthermore, we cooperate with other Centers of Excellence in Infectious Diseases exchanging guest professors.
We are ideally placed for groups, responsible for the implementation of an Antimicrobial Stewardship Program, including clinicians (micro, ID, clinical pharmacy) and policymakers.
The masterclass aims to teach senior staff hospital doctors, policy makers and is ideally oriented at groups.
- Senior staff hospital doctors (ID, microbiology, clinical pharmacy, ICU, paediatrics etc) who start to develop and / or implement an Antimicrobial Stewardship Program in their hospital / healthcare system /region / country and will train their colleagues;
- Policy makers (partly separate sessions) e.g. hospital directors, healthcare inspectorate and Department of Health officials;
- Ideally (but not exclusively) oriented at groups, responsible for the implementation of an Antimicrobial Stewardship Program, including both clinicians (micro, ID, clinical pharmacy) and policymakers.
22-26 May 2019; max. 40 participants; very suitable for group training (hospital, healthcare system, region or country).
You will be staying in the new and luxurious Landgoed Hotel Holthurnsche Hof which is situated on a beautiful 19th-century estate between the hills of Berg en Dal, only a few kilometers from Nijmegen.
Where?Fletcher Landgoed Hotel Holthurnsche Hof****, nearby Nijmegen.
You will be staying in the new and luxurious Landgoed Hotel Holthurnsche Hof, which is situated on a beautiful 19th-century estate between the hills of Berg en Dal. In addition, the hotel is only a few kilometers from the bustling city of Nijmegen.
Click here for more information.
- Weeze, Germany (45 km)
- Eindhoven, NL (77 km)
- Dusseldorf, Germany (112 km)
- Rotterdam, NL (128 km)
- Amsterdam, NL (141 km)
No limitations. However, this course is a teach-the-teacher, postgraduate course targeted at healthcare professionals with hospital, clinical or management experience.
European CME credits pending.
€ 2.250,- per participant.
Tutors of the masterclass
Bart-Jan Kullberg MD PhD, professor of Internal Medicine and Infectious DiseasesBart-Jan's specific expertise involves the treatment of invasive fungal infections. He was a member of the IDSA, ECCMID and ECIL guideline committees and is chairman of the Dutch guideline committee for invasive mycoses. He is a member of the Board of Directors of the international Mycoses Study Group (MSG-ERC) and was principal investigator of various international clinical trials in the field of antifungal therapy. He was a member of the daily board of the Dutch Working Party on Antibiotic Policy (SWAB) from 2002-2015, was one of the initiators of the national antimicrobial stewardship program and the A-teams in the Netherlands, and is chairman of the national antimicrobial stewardship working group.
Read more about Bart-Jan or visit the Dutch Antimicrobial Stewardship team page.
Marlies Hulscher PhD, professor of Quality of Care for infectious diseasesMarlies is a senior researcher at the Scientific Institute for Quality of Healthcare (IQ healthcare) of the Radboud University Medical Center, Nijmegen. IQ healthcare has a multi-disciplinary health services research staff with a background in e.g. sociology, social psychology, humanities, (bio)medical sciences, and economics and management. Marlies has more than 25 years experience in implementation research and behavioral science. Implementation scientists seek to understand the behavior of healthcare professionals and other stakeholders as a key variable in the uptake of evidence-based interventions into routine practice. Such insight into factors that underpin behaviors is crucial so that theories on behavioral change can be selected to generate ideas for the planning of effective interventions to change professional and stakeholder behavior and improve patient health.
As a Principal Investigator Marlies has performed numerous studies on defining, measuring, understanding and improving appropriate hospital antibiotic use and infection prevention. She is experienced in qualitative and quantitative research and in effect, process and economic evaluations.
Read more about Marlies or visit the Dutch Antimicrobial Stewardship team page.
Jeroen Schouten MD PhD, intensivist and senior researcherJeroen is an intensivist at Radboud University Medical Center in Nijmegen and is a senior researcher at IQ healthcare. Jeroen earned a PhD in Infectious Diseases and Implementation Science and has been involved in qualitative research with a focus on antimicrobial stewardship ever since, focusing on its application in Intensive care medicine. As senior researcher, Jeroen has performed numerous studies on understanding and improving hospital antibiotic use. He is experienced in qualitative and quantitative research methods and has been involved in many (inter)national initiatives to improve antibiotic prescribing (e.g. SWAB, ECCMID, ECDC, WHO).
Read more about Jeroen or visit the Dutch Antimicrobial Stewardship team page.
Heiman Wertheim, professor in clinical microbiologyHeiman is clinical microbiologist and heads the clinical microbiology department at Radboud University Medical Center. He is board member for the Nederlandse Vereniging voor Medische Microbiologie (NVMM) and member of the ‘Raad voor Wetenschap en Innovatie’ at the Federatie Medisch Specialisten.
One of his main interests is antibiotic resistance in both resource rich and resource constrained settings and does this through a multidisciplinary approach: health systems, policy development, behavior, surveillance, prevention, genomics, stewardship and clinical trials. Heiman is currently part of a WHO expert panel to develop a priority pathogens list (PPL) for antimicrobial resistant bacteria.
Read more about Heiman or visit the Dutch Antimicrobial Stewardship team page.
Roger Brüggemann PhD, hospital pharmacist and clinical pharmacologistRoger is a hospital pharmacist and clinical pharmacologist at Radboud University Medical Center in Nijmegen. He is responsable for translational farmacological research into anti-infectives (antifungal and antibacterial). His research interests cover three domains: from in vitro and experimental work in animals to research in specific patient populations (ICU, hematology, neonatology and pediatrics, obese patients) in a model of strong national and international collaboration. The focus of his research is to unravel influencing factors on pharmacokinetics and pharmacodynamics of anti-infectives. Roger co-authors treatment guidelines on TDM for antifungals. Clinically, Roger is responsible for pharmacological consultation at the departments of Hematology and Intensive Care medicine. He is a member of Radboudumc A-team.
Read more about Roger or visit the Dutch Antimicrobial Stewardship team page.
Jaap ten Oever MD PhD, infectious disease physicianJaap’s interest are community- and hospital-acquired infections and antimicrobial stewardship, in which he has extensive hands-on experience, is involved in research and policy-making. He was trained as an infectious disease specialist at the Radboud university medical center and obtained his PhD in 2014 with his thesis “Footprints of infections novel diagnostic strategies in infectious diseases”. Besides being a member of the Radboud university medical center antimicrobial stewardship team, he participates in the antibiotic resistance & infection prevention network Gelderland (GAIN), is secretary of the Dutch working Party on Antibiotic Policy (SWAB) working group on antimicrobial stewardship, and a board member of the SWAB. He coordinates the development and implementation of the Dutch antimicrobial stewardship monitor. He is the vice-coordinator of the infectious diseases training program.
Read more about Jaap or visit the Dutch Antimicrobial Stewardship team page.
The course consists of a pre-course and a 5 day course. After the course, you will keep in contact with you dedicated tutor-coach for 6 months.
Pre-course study material is provided. Participants are required to study the suggested material and follow the WHO MOOC on Antimicrobial stewardship. Participants are also required to submit an abstract (format is provided by the organization) for an ongoing or planned antimicrobial stewardship project in their organization (e.g. implementation of guidelines, improving prescribing practice etc.) This project will be used as a thread throughout the course. The required preparation time is approx. 8 hours.
Welcome and introduction to all participants and faculty (J. Schouten)
- Infections and antimicrobial resistance, a global perspective (H. Wertheim) 20 min
- Antimicrobial stewardship: an introduction to the “Dutch” approach (BJ Kullberg) 20 min
Workshop Implementation in practice part I: ‘prepared homework: where do I come from?’ (Marlies Hulscher / Jeroen Schouten / Jaap ten Oever)
Lectures on prerequisites of AMS:
- How to build an infrastructure in hospitals; A-teams; Electronic Medical Record (EMR),.. (Jaap ten Oever)
- From (inter)national to local guideline development (Jaap ten Oever)
- How to collect data (resistance, use and appropriateness) (Stephanie Natsch, Eva Kolwijck Jaap ten Oever)
Workshop Implementation in practice part II: “What is my largest problem?, What is it that I a want to improve in my own hospital?” (Marlies Hulscher / Jeroen Schouten / Jaap ten Oever)
- Quality indicators
Dinner in Hotel
Evening activity “Clinical case studies” (Jos van der Meer)
- The WHAT of antimicrobial stewardship: which stewardship activities lead to better outcomes (J. ten Oever)
- The HOW of antimicrobial stewardship: how do I make sure that stewardship activities are implemented (M. Hulscher)
Workshop implementation in practice part IIIa “How do I evaluate my current practice?” (Marlies Hulscher / Jeroen Schouten / Jaap ten Oever)
Workshop implementation in practice part IIIb “How do I barriers?” (Marlies Hulscher / Jeroen Schouten / Jaap ten Oever)
Visit to Clinical wards and Microbiology laboratory in Radboud UMC, review AMS process in daily care (all)
Dinner in Nijmegen town (historical building)
- ABS in primary care: the cradle of Dutch success? (tba)
- ABS in Long Term Care Facilities: a growing concern needs an appropriate approach (tba)
- ABS in emergency medicine, acute elderly care and ICU (J. Hoogerwerf)
Workshop implementation in practice part IV “How do I choose effective interventions? Intervention mapping “light”” (Marlies Hulscher / Jeroen Schouten / Jaap ten Oever)
Lunch break (on the bus)
Meeting with Dutch expert policy members (visit to Institute for Public health and Environment; lectures op national surveillance and antimicrobial use.
Presentation of succesfull Dutch stewardship projects (several national faculty members).
Dinner in Utrecht.
- (Public) education and campaigns (tba)
- Prospective audit and feedback, use of EMR in Antimicrobial stewardship (Jaap ten Oever)
- Evaluation of Antibiotic Stewardship interventions (Marlies Hulscher)
Workshop implementation in practice part V “How do I evaluate an ASP in my hospital“
(Marlies Hulscher / Jeroen Schouten / Jaap ten Oever)
- monitoring interventions
- regulatory control
- cost effectivity of a stewardship programs
Evening activity: “the Ethics of antimicrobial prescribing” (tba)
“Grande Finale”: presentation of personal / team projects to the group of experts & discussion (all)
After the course, one dedicated tutor-coach will keep I contact with the group until 6 months after the course. In this period a regular Skype meeting (one month and 6 months after the course) and (if so required) a local visit to the participants’ center can be organized.