Antimicrobial Stewardship: Improving Clinical Outcomes by Optimization of Antibiotic Practices

ONLINE CME COURSE

Internet Enduring Material Jointly Provided by Stanford University School of Medicine (CME) and University of Rhode Island College of Pharmacy. Presented by the Division of Infectious Diseases and Geographic Medicine at Stanford University School of Medicine. Sponsored by the Stanford University School of Medicine.

Course Description

Antibiotics are among the most frequently prescribed classes of drugs and it is estimated that approximately 50% of antibiotic use, in both the outpatient and inpatient settings, is inappropriate. At the same time, in contrast to any other class of drugs, every antibiotic use has a potential public health consequence – inappropriate use may not harm only the individual patient, but contributes to societal harm by exerting an unnecessary selective pressure that may lead to antibiotic resistance among bacteria. This video based course will introduce learners to the basic principles of appropriate antibiotic use, demonstrate how to apply these principles to the management of common infections, and outline how to develop and maintain an antimicrobial stewardship program. We will offer a number of illustrative cases, recognizable to the practicing physician in his or her practice to engage learners in the thought processes that lead to optimal decision making, improved outcomes of individual patients, and harm reduction vis-a-vis the bacterial ecology. The course will also explore strategies to implement principles of antimicrobial stewardship both in your practice and also at a program level.

Intended Audience

This course will offer a practical approach to prescribing antibiotic therapy and development of antimicrobial stewardship to physicians and pharmacists across all specialties and settings.

Dates, Duration and Fee

  • Release Date: April 16, 2018
  • Expiration Date: April 16, 2021
  • Estimated Time to Complete: 7.00 hours
  • CME Credits Offered: 7.00
  • Registration Fee: FREE

To Obtain CME Credits or Certificate of Participation

  • Review the information below and complete the entire activity.
  • Complete the Post-test, Evaluation Survey, and Activity Completion Statement at the end of the activity.
  • You must receive a score of 75% or higher on the post-test in order to receive a certificate. You will have two attempts to answer each multiple-choice question (or one attempt for questions with only two options) to pass the post-test.
  • Once you attest to completing the entire online activity and have scored 75% or higher on the post-test, your certificate will be generated automatically and will be available on your Dashboard page.
  • Physicians will be awarded AMA PRA Category 1 Credits™. All other participants will receive a Certificate of Participation.
  • NOTE: Pharmacists must use the procedure outlined below to claim ACPE credit.

TO OBTAIN ACPE CREDITS

  • Review the information below and complete the entire activity.

  • Complete the Post-test, Evaluation Survey, and Activity Completion Statement at the end of the activity.

  • You must receive a score of 75% or higher on the post-test in order to pass. You will have two attempts to answer each multiple-choice question (or one attempt for questions with only two options) to pass the post-test.

  • All participants will have the opportunity to evaluate the educational session and speaker and to identify future educational needs.

  • A program evaluation must be completed at www.uripharmacycpd.org within 60 days of completing the program in order to receive CE credit.  CE credit will be transferred to the CPE Monitor upon successful completion of the program evaluation. Transfer of CE credit should be verified at mycpemonitor.net where CE statements are available to print. Please refer to the evaluation instructions that follow for completing program evaluations and reporting CE credit.

  • After you attest to completing the entire online activity, you will be provided a link to the URI Continuing Professional Development (CPD) Management System at: www.uripharmacycpd.org to complete a program evaluation, claim your ACPE credit, and report your CE participation in the activity.

Learning Objectives

  • Apply IDSA guidelines in treating infections such as acute rhino-sinusitis, cystitis and acute bronchitis.
  • Incorporate guidelines/standardized protocols to diagnose and prescribe antibiotic therapy for treating sepsis.
  • Develop strategies to implement evidence based practices for antimicrobial stewardship in your practice setting.
  • Develop a plan to lead an antimicrobial stewardship program.

TABLE OF CONTENTS

  • Introduction
  • Module 1. Principles of Antimicrobial Use
  • Module 2. Optimal Management of Common Infections
  • Module 3. Essential Functions of ASP
  • Module 4. Advanced ASP Activities
  • Course Wrap-up
  • Resources and References
  • Help!

Disclosures

  • The following planners, speakers, and reviewers have indicated that they have no relationships with industry to disclose relative to the content of this activity.

  • Stan Deresinski, MD, FIDSA 
    Clinical Professor of Infectious Diseases
    Director of Antimicrobial Stewardship Program
    Stanford University School of Medicine
    Course Director
    Speaker
  • Marisa Holubar, MD, MS
    Clinical Assistant Professor of Infectious Diseases
    Associate Director of Stanford Antimicrobial Safety and Sustainability Program
    Stanford University School of Medicine
    Course Director
    Speaker
    Reviewer
  • Emily Mui, PharmD, BCPS
    Infectious Disease Pharmacist, Antimicrobial Stewardship Program
    Stanford University School of Medicine
    Course Director
    Speaker
  • Elizabeth Robilotti, MD, MPH
    Associate Director, Infection Control Program
    Memorial Sloan Kettering Cancer Center, New York, NY
    Course Director
    Speaker
  • Niaz Banaei, MD
    Associate Professor of Pathology and Medicine (Infectious Diseases)
    Stanford University School of Medicine
    Speaker
  • Raj Behal, MD, MPH 
    Chief Quality Officer
    One Medical Group, San Francisco 
    Speaker
  • Kristi Kuper, PharmD, BCPS
    Senior Clinical Manager of Infectious Disease
    Vizient Inc., Irving, TX 
    Speaker
  • Anne Liu, MD
    Clinical Assistant Professor of Pediatrics - Immunology and Allergy
    Clinical Assistant Professor of Infectious Diseases
    Pediatric Allergy & Immunology Clinic
    Stanford University School of Medicine
    Speaker
  • Preeti N. Malani, MD, MSJ, MS
    Professor of Infectious Diseases 
    University of Michigan Health System, Ann Arbor, MI
    Speaker
  • Jason Newland, MD, MEd, FPIDS 
    Associate Professor of Pediatrics
    Washington University in St. Louis 
    Director of Antimicrobial Stewardship Program
    St. Louis Children’s Hospital, St. Louis, MO 
    Speaker
  • Susan Seo, MD 
    Associate Professor of Clinical Medicine
    Weill Cornell Medical College 
    Director of Antibiotic Management Program
    Memorial Sloan Kettering Cancer Center, New York, NY 
    Speaker
  • Edward A. Stenehjem, MD, MSc 
    Associate Professor of Medicine in the Division of Infectious Diseases
    Medical Director of Antimicrobial Stewardship
    Intermountain Medical Center, Salt Lake City, Utah 
    Speaker
  • Kavita Trivedi, MD 
    Adjunct Clinical Assistant Professor
    Stanford University School of Medicine
    Founder
    Trivedi Consults LLC, Berkeley, CA
    Speaker
  • Danilo Lo Fo Wong, PhD 
    Programme Manager Control of Antimicrobial Resistance Communicable Disease and Health Security 
    WHO Regional Office for Europe, Copenhagen, Denmark 
    Speaker
  • The following planner and speakers have indicated that they have relationships with industry to disclose relative to the content of this activity.
  • Thomas M File Jr., MD, MSc, MACP, FIDSA, FCCP
    Professor of Internal Medicine
    Northeastern Ohio Universities College of Medicine 
    Chief of the Infectious Disease Service and Director of HIV Research
    Summa Health System, Akron, OH 
    Speaker 
    Advisory Board Member: Allergan, Pfizer Inc., GlaxoSmithKline, The Medicine's Co., Merck, MotifBio 
    Consulting: Paratek, Shionogi Inc. 
  • Conan MacDougall, PharmD, MAS, BCPS
    Professor of Clinical Pharmacy
    University of California San Francisco School of Pharmacy, SF, CA
    Speaker 
    Consulting: Shionogi Inc.
  • Lina Meng, PharmD, BCPS, BCCP
    Antimicrobial Stewardship Pharmacist
    Stanford Hospital and Clinics
    Course Director
    Speaker 
    Ownership Interest: Gilead

Technical Design and Development

  • Michael McAuliffe
    Stanford EdTech

Hardware/Software Requirements

  • Computer with Internet connection
  • Current version of Chrome or Safari browser. You must have javascript enabled.

Accreditation and Designation of CME Credits

The Stanford University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Stanford University School of Medicine designates this enduring material for a maximum of 7.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

ACCREDITATION AND DESIGNATION OF ACPE CREDITS

The University of Rhode Island College of Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.  This is an application-based educational activity. Pharmacists will receive 7.0 contact hours (0.70 ceus) for the educational activity.
                     No partial credit is available. Universal Activity Number (UAN):  0060-9999-18-054-H01-P

Commercial Support Acknowledgement

Stanford University School of Medicine has received and has used undesignated program funding from Pfizer, Inc. to facilitate the development of innovative CME activities designed to enhance physician competence and performance and to implement advanced technology. A portion of this funding supports this activity.

Cultural and Linguistic Competency

California Assembly Bill 1195 requires continuing medical education activities with patient care components to include curriculum in the subjects of cultural and linguistic competency. It is the intent of the bill, which went into effect July 1, 2006, to encourage physicians and surgeons, CME providers in the State of California and the Accreditation Council for Continuing Medical Education to meet the cultural and linguistic concerns of a diverse patient population through appropriate professional development. The planners and speakers of this CME activity have been encouraged to address cultural issues relevant to their topic area. The Stanford University School of Medicine Multicultural Health Portal also contains many useful cultural and linguistic competency tools including culture guides, language access information and pertinent state and federal laws.

You are encouraged to visit the Multicultural Health Portal: http:/ /lane.stanford.edu/portals/cultural.html.

CME Privacy Policy

CONTACT INFORMATION

If you are having technical problems or have questions related to CME credit, requirements (Pre-test, Post-test, Evaluation, Attestation) or course content, please contact the CME Online support team at cmeonline@stanford.edu

Bibliography

  • CDC. Antibiotic Resistance Threats in the United States, 2013. http://www.cdc.gov/drugresistance/threat-report-2013/
  • BarlamTF, Cosgrove SE, AbboLM, et al. Implementing an Antibiotic Stewardship Program: Guidelines by the Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America. ClinInfect Dis. 2016; 62:e51-77
  • CDC. Core Elements of Hospital Antibiotic Stewardship Programs. http://www.cdc.gov/getsmart/healthcare/implementation/core-elements.html

For a complete list, please view the References/Bibliography page of the Course.

Course Details

  • Original Release Date:  04/16/18
  • Expiration Date: 04/16/21
  • Estimated Time to Complete: 7 hours
  • CME Credits Offered: 7.00
  • Registration Fee: FREE

Additional Offerings

Optimizing Antimicrobial Therapy with Timeouts

This CME/CPE activity provides a practical approach to performing “Antibiotic Timeouts” in the inpatient setting. Using short, didactic sessions, we will provide examples on how to reassess antibiotic therapy started empirically using clinical, laboratory, and microbiological data.

To Prescribe or Not To Prescribe? Antibiotics and Outpatient Infections

This CME activity provides a practical approach to the management of common outpatient infections by the primary care provider through the use of didactic videos, patient role plays and interactive case based video.

Contact Information

For further information regarding the content, CME credit, or if you experience any technical difficulties with this enduring material please send us an email. 

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