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• SPICE Infection Prevention Training Part 1 and 2
• Monthly didactics with IP leaders
• Day-to-day training through active participation in Hospital Epidemiology/Infection Prevention activities

Sample Activities:

1. Develop, update, and implement evidence-based infection prevention policies and protocols to ensure the safety of our staff, patients, and visitors
2. Monitor and disseminate infection-related data
3. Promote continuous quality improvement by leveraging multidisciplinary workgroups to develop, implement, and share strategies to prevent HAIs
4. Provide education to strengthen the healthcare workforce and patients to prevent healthcare-associated infections and protect themselves from communicable disease
5. Conduct routine infection prevention compliance rounding
6. Conduct communicable disease exposure and outbreak investigations
7. Provide consultation to external departments regarding infection risk assessment, prevention, and control strategies

Knowledge items/goals/objectives:

1. 1. Explain the role of surveillance for healthcare-associated infections.
   2. Perform surveillance for healthcare-associated infections and understand/use surveillance data.
   3. Identify the key types of healthcare-associated infections and pathogens and describe their prevention strategies.
   4. Understand the role of quality improvement activities in developing infection prevention strategies.
   5. Discuss the steps, key considerations, and partners for undertaking exposure evaluations and/or outbreak investigations.
   6. Understand the structure and responsibilities of hospital epidemiology programs and their position in the hospital administration structure and interaction with regulatory entities.
   7. Conduct a quality improvement or research project.
   8. Demonstrate/develop leadership skills, including effective time management, conflict management, effective negotiation skills, ability to lead inter-professional teams, and use of effective communication skills.

• Lecture series using the advanced IDSA Antimicrobial Stewardship curriculum
• Monthly didactics with ASP leaders in months without IDSA sessions
• Day-to-day training through active participation in ASP activities

Sample Activities:

1. Daily reviews (prospective audit and feedback)
2. ASP and microbiology rounds
3. Monitor restricted antibiotics
4. Actively participate and/or present in meetings/committees/workgroups
5. Deliver resident and other trainee education on ASP
6. Journal club presentation/participation
7. Planning/executing/evaluating stewardship projects/strategies
8. Participation in quality improvement/research projects
9. Develop/review policies and guidelines
10. Appropriately document activities

Knowledge items/goals/objectives:

1. Understand the structure of antimicrobial stewardship programs (core elements, key personnel). Identify members necessary for the success of a stewardship program. Demonstrate understanding of the inter-relationship among infection control and prevention, microbiology, and antimicrobial stewardship programs.
2. Know, understand, and be able to use/perform tools, activities, interventions, and day-to-day work of antimicrobial stewardship program (antimicrobial restriction, prospective audit and feedback, etc.).
3. Be able to plan, implement, and assess stewardship strategies. Summarize the advantages and disadvantages of each core and elective stewardship strategy.
4. Demonstrate understanding of effective methodologies for measuring anti-infective use and participate in measuring anti-infective use at ºÚÁÏÍø. Understand antimicrobial stewardship metrics, including the difference between process and outcomes metrics.
5. Effectively evaluate the stewardship program’s impact on anti-infective use, patient outcomes, and healthcare costs. Use best practices/evidence to identify problems and opportunities for improvement in stewardship activities.
6. Be able to apply epidemiologic, infection prevention and control, and susceptibility surveillance methods, including the use of electronic data capture software, to assist in the analysis and interpretation of data reflecting anti-infective use, stewardship programs/interventions, and antimicrobial resistance.
7. Understand antimicrobial resistance (epidemiology, mechanisms)
8. Know and be able to use approaches for appropriate prescribing and narrowing of antimicrobials without loss of efficacy (including motivational interviewing/coaching techniques and guideline development).
9. Understand and apply advances in antimicrobial therapeutics, including new agents, new vaccines, and pharmacodynamics principles to patient care at the patient and system levels.
10. Understand and be able to perform/use diagnostic stewardship/advances in diagnostic techniques.
11. Understand the unique challenges and strategies for outpatient antimicrobial stewardship.
12. Know the position/relationship of antimicrobial stewardship programs in the hospital administration structure. Be able to have effective communication with hospital leadership. Demonstrate a command of regulatory requirements around antimicrobial stewardship.
13. Demonstrate ability to conduct a quality improvement or research project.
14. Demonstrate/develop leadership skills, including effective time management, conflict management, effective negotiation skills, ability to lead inter-professional teams, and use of effective communication skills.