Teaching Antimicrobial Stewardship Globally with A Massive Online Open Course (MOOC)
Methods: We developed a MOOC entitled “Antimicrobial Stewardship: Optimization of Antibiotic Practices” and made it available at the online learning platform, Coursera (https://www.coursera.org). Full course access is free of charge and 6 continuing medical education (CME) credits are available from Stanford University’s Office of CME for a nominal fee ($20).
The course consists of 26 modules ranging in length form 6-25 minutes. The content is divided into 2 parts: the first deals with the clinical science of antimicrobial use and the second with practical aspects, including stewardship program management. In addition to Stanford faculty, we recruited targeted guest lectures from leading authorities in several content areas, such as the making the business case for AS, measurements and metrics, pediatrics and the role of AS in infection prevention, long-term care and palliative medicine. Data on course use, user demographics and test results were collected.
Results: The cost of producing the course was about $6000, ($5000 CME accreditation fee,$1000 copyright fees), exclusive of faculty and technical labor costs. The course debuted on 22 November 2013 and, over 5 months, amassed 23,950 registered users from 126 countries and including 124 new registrants and 825 active users the week of April 15-22, 2014. Usage data showed 73,320 total streaming views and 77,731 total video downloads, as well as 1171 examination submissions. Of 107 CME candidates (66 MDs/41 AHPs) only 95 (62 MD/33 AHP) successfully passed the CME course post-test. The difference in pass rate between these groups was not statistically significant.
Conclusion: A comprehensive antimicrobial stewardship course was developed for minimal cost and has attracted a large number of users. The MOOC format may offer a way to rapidly disseminate education to a variety of healthcare providers over a vast geographic area. Further investigation is needed into how users best engage with the material and whether this format is effective at addressing knowledge gaps in antimicrobial use best practices.
M. Mcauliffe, None
S. Deresinski, None