Scottish Antimicrobial Prescribing Group, Healthcare Improvement Scotland, 50 West Nile Street, Glasgow, Scotland.
Department of Infection, Hull & East Yorkshire Hospitals NHS Trust, Anlaby Road, Hull, England.
J Antimicrob Chemother. 2018 Apr 1;73(4):1091-1097. doi: 10.1093/jac/dkx493.
The University of Dundee and the BSAC developed a massive open online course (MOOC) to address the global need for education to support antimicrobial stewardship in low- and middle-income countries.
An interactive course, Antimicrobial Stewardship: Managing Antibiotic Resistance, was developed and delivered via the FutureLearn© platform. The course ran over four 6 week periods during 2015 and 2016 supported by educators and was evaluated via data on uptake and feedback from learners on impact on clinical practice.
In total, 32 944 people, 70% of them healthcare professionals, from 163 countries joined the course from Europe (49%), Asia (16%), Africa (13%), North America (9%), Australia (8%) and South America (5%). Between 33% and 37% of joiners in each run completed at least one step in any week of the course and 219 participants responded to a post-course survey. The course was rated good or excellent by 208 (95%) of the participants, and 83 (38%) intended to implement stewardship interventions in their own setting. A follow-up survey 6 months later suggested that 49% had implemented such interventions.
The MOOC has addressed a global learning need by providing education free at the point of access, and learning from its development will help others embarking upon similar educational solutions. Initial quantitative and qualitative feedback suggests it has engaged participants and complements traditional educational methods. Measuring its real impact on clinical practice remains a challenge. The FutureLearn© platform offers flexibility for MOOCs to be sustainable through modification to remove educator facilitation but maintain active participant discussion.
邓迪大学和英联邦潜水和高海拔医学会合作开发了一门大规模在线开放课程（MOOC），以满足全球对支持中低收入国家抗菌药物管理教育的需求。
一门名为“抗菌药物管理：应对抗生素耐药性”的互动课程通过 FutureLearn© 平台开发并提供。该课程在 2015 年至 2016 年期间分四个 6 周的阶段进行，由教育工作者提供支持，并通过学习者对课程的参与和反馈数据评估对临床实践的影响。
共有 32944 人，其中 70%为医疗保健专业人员，来自 163 个国家，他们来自欧洲（49%）、亚洲（16%）、非洲（13%）、北美（9%）、澳大利亚（8%）和南美（5%）。在每一轮课程中，至少有一个步骤完成的参与者比例在 33%至 37%之间，219 名参与者对课程结束后的调查做出了回应。208 名（95%）参与者对课程的评价为良好或优秀，83 名（38%）参与者计划在自己的环境中实施管理干预措施。6 个月后的后续调查显示，49%的人已经实施了此类干预措施。
该 MOOC 通过免费提供学习机会满足了全球的学习需求，从其发展中吸取的经验将帮助其他机构开展类似的教育解决方案。初步的定量和定性反馈表明，它吸引了参与者，并补充了传统的教育方法。衡量其对临床实践的实际影响仍然是一个挑战。FutureLearn© 平台为 MOOC 提供了灵活性，可以通过修改去除教育者的支持，但保持参与者的积极讨论，从而实现可持续性。
