Education Dutch Antimicrobial Stewardship

Program

The combined education/implementation program consists of a pre-course, a 4-day course and a post-course expert consultancy support for implementation of your project developed during the course.
Depending on availability of data for your hospital, the program can be expanded with pre-course (baseline) and post-course (follow-up) measurement of antibiotic use.

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Learning objectives of the course

Learning objectives

• 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 this course?

We offer 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.

Participants in 2019 awarded the masterclass a 9.2 (on a scale from 1 to 10).

Tutors of the masterclass

Marlies Hulscher PhD, professor of Quality of Care for infectious diseases

Marlies 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.

Heiman Wertheim, professor in clinical microbiology

Heiman 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.

Jaap ten Oever MD PhD, infectious disease physician

Jaap’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.

Jeroen Schouten MD PhD, intensivist and senior researcher

Jeroen 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.

The Netherlands Berg en Dal

• Who?

  The masterclass aims to teach senior staff hospital doctors, pharmacists and policy makers. For most optimal course uptake, it is recommended to sign-up as a team of diverse specialties from the same hospital setting.

  • Senior medical hospital staff (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;
  • Ideally (but not exclusively) oriented at teams of diverse specialties from the same hospital setting, responsible for the implementation of an Antimicrobial Stewardship Program, including both clinicians (microbiology, ID, clinical pharmacy) and policymakers.

• When?

  TBD (May-June 2023)

• Where?

  Fletcher Hotel Holthurnsche Hof

  Zevenheuvelenweg 48a 

  6571 CK Berg en Dal

  The Netherlands

  Nearby airports:

  • Weeze, Germany (45 km)
  • Eindhoven, NL (77 km)
  • Dusseldorf, Germany (112 km)
  • Rotterdam, NL (128 km)
  • Amsterdam, NL (141 km)

• Program

  Coming soon

• Acceptance criteria

  Main prerequisite for participants is to have experience and interest in development of an AMS program in their hospital setting. 

  To ensure successful learning and implementation experience, the acceptance criteria for participants include:

  • Experience and interest in development of an Antimicrobial Stewardship in their hospital setting
  • Be trained in one of the specialties relevant for the course (ID, microbiology, clinical pharmacy, ICU, paediatrics etc.)

• Accreditation

  The course is part of the ESCMID 2-year AMS Master Certificate program (2023-2025) and is accredited with 28 EACCME credits.

• Registration

  Registration for the course only: ESCMID: Basic module

  This course is part of the ESCMID AMS Certificate 2023-2025. To learn more about the certificate programme and register, click here.

• Price

  We apply four price categories:                    

  1. Participant high income countries - full price - €2,500.00   
  2. Participant high income countries - young specialists (age <35) 50% discount - €1,250.00   
  3. Participant middle income countries - 50% discount - €1,250.00   
  4. Participant low income countries - 100% discount and eligible for travel reimbursement   

Suriname Paramaribo

• Who?

  The masterclass aims to teach senior staff hospital doctors, pharmacists and policy makers. For most optimal course uptake, it is recommended to sign-up as a team of diverse specialties from the same hospital setting. It is open to:

  • Senior medical hospital staff (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;
  • Ideally (but not exclusively) oriented at teams of diverse specialties from the same hospital setting, responsible for the implementation of an Antimicrobial Stewardship Program, including both clinicians (microbiology, ID, clinical pharmacy) and policymakers.
     

• When?

  To be determined

• Where?

  Hotel Torarica, Paramaribo

• Program

  Coming soon

• Acceptance criteria

  Main prerequisite for participants is to have experience and interest in development of an Antimicrobial Stewardship programme in their hospital setting.
  To ensure successful learning and implementation experience, the acceptance criteria for participants include:

  • Experience and interest in development of an Antimicrobial Stewardship in their hospital setting
  • Be trained in one of the specialties relevant for the course (ID, microbiology, clinical pharmacy, ICU, paediatrics etc.)
  • Preferably, come with a team of diverse specialties from the same hospital setting
     

• Accreditation

  The course is endorsed by ESGAP, the Antimicrobial Stewardship study group of the European Society for Clinical Microbiology and Infectious Diseases (ESCMID) and pending EACCME accreditation.

• Registration

  Registration is by invitation only.

Tanzania Dar es Salaam

• Who?

  The masterclass aims to teach senior staff hospital doctors, pharmacists and policy makers. For most optimal course uptake, it is recommended to sign-up as a team of diverse specialties from the same hospital setting. It is open to:

  • Senior medical hospital staff (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;
  • Ideally (but not exclusively) oriented at teams of diverse specialties from the same hospital setting, responsible for the implementation of an Antimicrobial Stewardship Program, including both clinicians (microbiology, ID, clinical pharmacy) and policymakers.

• When?

  October 2022

• Where?

  TBD

• Program

  Coming soon

• Acceptance criteria

  Main prerequisite for participants is to have experience and interest in development of an Antimicrobial Stewardship programme in their hospital setting.

  To ensure successful learning and implementation experience, the acceptance criteria for participants include:

  • Experience and interest in development of an Antimicrobial Stewardship in their hospital setting
  • Be trained in one of the specialties relevant for the course (ID, microbiology, clinical pharmacy, ICU, paediatrics etc.)
  • Preferably, come with a team of diverse specialties from the same hospital setting

• Accreditation

  The course is endorsed by ESGAP, the Antimicrobial Stewardship study group of the European Society for Clinical Microbiology and Infectious Diseases (ESCMID) and pending EACCME accreditation.

• Registration

  Coming soon

Nijmegen, Netherlands - 2019 course

• Who?

  40 participants from more than 20 countries from across the globe, gathered to learn from very experienced tutors, lecturers and speakers, to share experience and develop projects for implementing AMS in their own setting.

• When and where?

  Nijmegen, The Netherlands, 23-28 May 2019

• Participants' reflections

  Some reflections of the participants in 2019 on their learnings:

  • "This course was probably the most valuable professional experience in the field of AMS that I have had so far."
  • “The essence of AMS, tools to implement it, measure it, make behavioral changes, use strategies to make it work. In total this course made our vision more clear and gave us directions where to focus in order to achieve small steps but certain ones.”
  • “The course materials (theoretical backgrounds, methods, experiences, success stories, and motivations, etc..) are very helpful to start with a small AS project which will grow to be a national program.”
  • “I don't need to have enormous resources to initiate different antimicrobial activities. In most of lower income countries, we lack some of the basics to tackle the development of resistance or to prevent irrational use of antibiotics. This course opens your eyes and show you alternatives in your real context.”
  • “This course was probably the most valuable professional experience in the field of AMS that I have had so far.”
  • “Great insight into different challenges facing different countries are facing with respect to resistance and implementing AMS programs. Some great contacts made and a useful resource to share content across countries.”

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Cairo, Egypt - 2021 course

• Who?

  Over 25 participants from Egypt, Ethiopia and Zambia gathered to learn from very experienced tutors, lecturers and speakers, to share experience and develop projects for implementing AMS in their own setting.

• When and where?

  Cairo, Egypt, 6-9 October 2021

• Participants' reflections

  Some reflections of the participants in the Cairo course on their learnings:

  • “I would like to thank everyone who contributed and participated in the success of this course,  it exceeded my expectations I was really  happy that even with having experience in ASP, I learned a lot from the course, thanks again”
  • “My experience was great because I was able to interact with different cultures and learnt how others do it in their country”
  • “This session gave me the opportunity to learn how to assess the barriers and facilitators so that an intervention can be deduced”
  • “Take home is that AMS is an essential thing to establish in my country and hospital.”
  • “I learned how to analayze any problem in a systemetic way, identifying the barriers & how to overcome them. This was also the 1st time an ASP focuses on implementation science and how to address behaviour.”

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Kochi, India – 2021 course

• Who?

  28 participants from different parts of India gathered to learn from very experienced tutors, lecturers and speakers, to share experience and develop projects for implementing AMS in their own setting.

• When and where?

  Kochi, India, 25-28 November 2021

• Participants' reflections

  Some reflections of the participants in the Kochi course on their learnings:

  • “It was a great experience. Got a lot of clarity on how to go about on an AMS program. Thank you so much to the MIDAS team and Aster faculty for such a wonderful platform of learning, discussion and interaction.”
  • “This should not be a one off thing ... the group who attended this workshop should be involved in further activities, so that it's not all lost especially for people who do not have a robust system...”
  • “Quality analysis of AMS was new to me, something I need to explore more”
  • “We already know our problems.. but to systematically analyse it was a new experience”
  • "The method of helping us to identify a problem and then teaching through it was extremely useful to help us to relate to the teaching materials”
  • “We were motivated by the passion you all share for such a social cause. The methodology of the course was excellent and the whole atmosphere was friendly and cordial. Thank you”

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