Antimicrobial Stewardship (AS)/Infection Control (IC) Track

Our goal is to train leaders in the fields of antimicrobial stewardship (AS) and infection control (IC) through formal coursework, hands-on clinical training, leadership training, and scholarly projects. Our hospitals regularly collaborate on AS and IC initiatives, and fellows have an opportunity to learn from and work with AS and IC leaders at each site. In addition, the opportunity to collaborate with colleagues at the world famous Chan Zuckerberg Biohub enriches fellows’ scholarly experiences and adds another dimension to their AS/IC training.

We offer either a 2-year Clinician Educator Track or a 3-year Research Track to prepare fellows to assume leadership roles in these essential areas and to conduct investigations that improve practices in AS or IC.

Fellows in the Clinician Educator Track will spend additional time on the Transplant ID and HIV consult services in the second year of training while pursuing mentored scholarly activities that may include development of educational curricula, clinical research, writing a scholarly review, and/or participating in quality improvement projects.
Fellows in the Research Track pursue advanced training in clinical research methodologies during their second and third years while completing a mentored research project. Additional details about these tracks are outlined below.

	Clinician Educator Track (2 yrs)	Research Track (3 yrs)
Formal Coursework	Fellows’ Course in Healthcare Epidemiology, Infection Control, and Antimicrobial Stewardship AAIM/ACP High Value Care Curriculum for Subspecialty Fellows À la carte coursework in UCSF Training in Clinical Research (TICR) Program (optional)	Online Certificate in Implementation Science (10 months) or Advanced Training in Clinical Research Certificate (10 months) or Master’s Degree in Clinical Research (2 years)
Hands-On Clinical and Leadership Training	Antimicrobial Stewardship Participate in hospital AS meetings Prospective audit and feedback, prior authorization of restricted antibiotics Coordination of interventions to ensure appropriate use of antibiotics Development of clinical guidelines for antibiotic use Tracking antibiotic use and outcomes related to AS interventions Infection Control Participate in hospital IC meetings Co-lead medical center initiatives Assist with cluster/contact investigations Draft/revise infection control policies Work with medical center unit-based leadership teams on IC-related projects Mentored literature review of key papers in AS and IC
Medical Education	Health Professions Education Pathway (optional)	N/A
Scholarly Work	Participate in a mentored AS/IC scholarly project that may include clinical research, quality improvement, or curriculum design. Dissemination is aspirational.	Complete a mentored AS/IC research project while pursuing rigorous training in research techniques (see above). Dissemination is expected and hopefully will serve as a starting point for a career in AS/IC research.

Examples of Recent Fellow-Led Hospital-Based Projects:

Empiric antimicrobial therapy guideline for patients with end-stage liver disease
Guideline for management of skin and soft tissue infections
Guideline for management of febrile neutropenia
Guideline for beta-lactam allergy evaluation by the inpatient ID consult service
Mandatory ID consults for Staph aureus bacteremia

Examples of Recent Fellow-Led Research Projects:

Machine learning for the prediction of antimicrobial stewardship intervention in hospitalized patients receiving broad-spectrum agents
Microbiome-informed antibiotic choice in trauma patients