Skip to 0 minutes and 5 secondsWelcome to week four. On behalf of Jose and Benedict, this is an important part of our MOOC and it deals with emerging strategies with particular emphasis on the role of diagnostics. As a clinician, we will all appreciate the critical role of diagnostic uncertainty, which will often lead to inappropriate or overuse of prescribing. In a culture, how we manage the uncertainty of a diagnosis will be covered in week five. I hope that this very important and sometimes challenging part of our MOOC is of value to you and is of interest to you. It will explore the role of existing as well as new diagnostic strategies in managing this diagnostic uncertainty. I really hope you enjoy it and you find it valuable.

Welcome to Week 4

In this video Professor Nathwani welcomes you to Week 4 on behalf of our lead educators for this week Dr Paño and Dr Huttner. He goes on to explain the importance of this week’s learning.

Optimal antimicrobial use requires that prescribers obtain and integrate relevant clinical, laboratory, microbiological and pharmacological data in the antimicrobial prescribing decision process.

Uncertainty when facing clinical decisions is one of the most relevant barriers to optimal antimicrobial prescribing. Novel strategies that reduce diagnostic uncertainty and may facilitate individualised therapy are therefore urgently needed.

The focus this week is on certain novel and emerging key strategies that assist prescribers to obtain and integrate useful information in order to minimise uncertainty. While all of the strategies presented in this week are promising, they also face significant obstacles.

We will discuss etiological (causative) diagnosis, the role of biomarkers, Pharmacokinetics/Pharmacodynamic (PK/PD) optimisation and computerised decision support in assisting antimicrobial stewardship.

After completing this week’s activities, you will be able to:

  • Understand the usefulness, limitations and applicability of causative diagnosis, biomarkers, PK/PD principles and computerised decision support as key strategies to improve antimicrobial use.
  • Understand the difficulties to implement these strategies in the hospital setting, and the need to carefully plan their implementation
  • Begin to integrate these strategies when prescribing antimicrobials.

Prove what you’ve learned with a certificate

If you want a record of your course, you can buy a Certificate of Achievement from FutureLearn.

Certificate of Achievement

The Certificate of Achievement is a great way to prove what you have learned on the course and as evidence of your Continuing Professional Development (where appropriate). This is a personalised certificate and transcript, detailing the syllabus and learning outcomes from the course. It comes as a printed certificate as well as a digital version which you can add to your LinkedIn profile. To qualify, you must have marked at least 90% of the steps in the course complete.

There is also the option to purchase a personalised Statement of Participation, to celebrate taking part. To be eligible for the Statement of Participation, you must mark at least 50% of the steps on the course as complete. This also comes in a printed and digital format and you can add it to your LinkedIn profile.

You can then see how much of the course you’ve completed on your progress page.

There is also an opportunity to take a formal exam (optional) on completion of the six-week course. If you pass the exam you will receive a Statement of Attainment showing your exam score. You can take an exam which contains questions from all six weeks of the course. The exam can be taken between 25 July and 14 August 2016. Find out more and book your exam.

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This video is from the free online course:

Antimicrobial Stewardship: Managing Antibiotic Resistance

University of Dundee