451. The Components of an Advanced Fellowship Training Program in Pediatric Antimicrobial Stewardship
Session: Poster Abstract Session: Innovations in Medical Education
Thursday, October 8, 2015
Room: Poster Hall
  • ID Week Poster Advanced Training JVV FINAL.pdf (1.2 MB)
  • Background: Training opportunities which focus on Pediatric Antimicrobial Stewardship (PAS) are limited. To our knowledge no formal advanced fellowship training programs in this area exist in North America. We sought to outline the components of a PAS Advanced Fellowship Training Program. 

    Methods: The training program was developed at a tertiary care children’s hospital. We identified key competencies required by an infectious diseases physician taking a leadership role in PAS program development and identified local experts/educational resources that could assist in the attainment of those competencies by the trainee. 

    Results: A 1 year advanced fellowship training program was designed with the following components: research (50%), education (20%), program planning/development (20%), and database management/utilization (10%). Key competencies identified included: 1) expertise in the design, implementation and evaluation of research and quality improvement initiatives 2) ability to use data from pharmacy and hospital relational databases to calculate and analyze antimicrobial utilization metrics within the pediatric and neonatal populations and 3) experience performing common antimicrobial stewardship program (ASP) activities including prospective audit and feedback reviews, guideline development, and development of educational initiatives for hospital staff.  CanMeds objectives were defined as per the framework set by the Royal College of Physicians and Surgeons of Canada. The advanced fellowship training program emphasized the importance of multidisciplinary collaboration in ASPs and to date has involved collaborative projects with pediatric surgeons, hospitalists, residents, community pediatricians, and pediatric/adult pharmacists. 

    Conclusion: The competencies required by a physician taking a leadership role in an ASP were incorporated into the design of a PAS Advanced Fellowship Training Program. This program could serve as a prototype for a formally recognized educational initiative at other institutions.

    Nipunie Rajapakse, MD1, Joseph Vayalumkal, MD1, Lauren Bresee, BScPharm, ACPR, MSc, PhD2, Bruce Dalton, BScPharm, PharmD2, Taj Jadavji, MD1, Clara Tsang, BScPharm, ACPR2, Otto Vanderkooi, MD3 and John Conly, MD4, (1)Pediatric Infectious Diseases, Alberta Children's Hospital, Calgary, AB, Canada, (2)Pharmacy, Alberta Health Services, Calgary Zone, Calgary, AB, Canada, (3)Pediatrics, Microbiology and Infectious Diseases and Pathology and Laboratory Medicine, University of Calgary, Calgary, AB, Canada, (4)Medicine and Microbiology, Immunology & Infectious Diseases, University of Calgary and Alberta Health Services, Calgary and Area, Calgary, AB, Canada


    N. Rajapakse, None

    J. Vayalumkal, None

    L. Bresee, None

    B. Dalton, None

    T. Jadavji, None

    C. Tsang, None

    O. Vanderkooi, None

    J. Conly, None

    Findings in the abstracts are embargoed until 12:01 a.m. PDT, Wednesday Oct. 7th with the exception of research findings presented at the IDWeek press conferences.