1 Start 2 Complete

Please complete each of the following questions

What type of program are you currently in? *

SelectPharmacy SchoolPharmacy residency programMedical SchoolInternal Medicine residency programPediatric residency programFamily Medicine residency programInternal Medicine/Pediatrics residency programInfectious Diseases fellowship program (medicine)Infectious Diseases fellowship program (pediatrics)Infectious Diseases fellowship program (medicine/pediatrics)Other

What type of program are you currently in? Other

Years in practice (post training)? *

1 - 5

5- 10

10- 15

> 15

Other

Years in practice (post training)? Other

What is your gender? *

SelectFemaleMalePrefer not to answerPrefer to self describe

What is your gender? Prefer to self describe

I have previously learned about antimicrobial stewardship *

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

For the following statements, indicate how confident you are in your ability to: *

	Not at all	Somewhat	Moderately	Very	Extremely
Define overall goals for an antimicrobial stewardship program	Define overall goals for an antimicrobial stewardship program - Not at all	Define overall goals for an antimicrobial stewardship program - Somewhat	Define overall goals for an antimicrobial stewardship program - Moderately	Define overall goals for an antimicrobial stewardship program - Very	Define overall goals for an antimicrobial stewardship program - Extremely
Optimize team structure within an antimicrobial stewardship program	Optimize team structure within an antimicrobial stewardship program - Not at all	Optimize team structure within an antimicrobial stewardship program - Somewhat	Optimize team structure within an antimicrobial stewardship program - Moderately	Optimize team structure within an antimicrobial stewardship program - Very	Optimize team structure within an antimicrobial stewardship program - Extremely
Complete regulatory and reporting requirements for antimicrobial stewardship programs	Complete regulatory and reporting requirements for antimicrobial stewardship programs - Not at all	Complete regulatory and reporting requirements for antimicrobial stewardship programs - Somewhat	Complete regulatory and reporting requirements for antimicrobial stewardship programs - Moderately	Complete regulatory and reporting requirements for antimicrobial stewardship programs - Very	Complete regulatory and reporting requirements for antimicrobial stewardship programs - Extremely
Use local microbiology and antimicrobial data to identify impactful antimicrobial stewardship interventions	Use local microbiology and antimicrobial data to identify impactful antimicrobial stewardship interventions - Not at all	Use local microbiology and antimicrobial data to identify impactful antimicrobial stewardship interventions - Somewhat	Use local microbiology and antimicrobial data to identify impactful antimicrobial stewardship interventions - Moderately	Use local microbiology and antimicrobial data to identify impactful antimicrobial stewardship interventions - Very	Use local microbiology and antimicrobial data to identify impactful antimicrobial stewardship interventions - Extremely
Plan and implement antimicrobial stewardship initiatives based on local microbiology and antimicrobial data	Plan and implement antimicrobial stewardship initiatives based on local microbiology and antimicrobial data - Not at all	Plan and implement antimicrobial stewardship initiatives based on local microbiology and antimicrobial data - Somewhat	Plan and implement antimicrobial stewardship initiatives based on local microbiology and antimicrobial data - Moderately	Plan and implement antimicrobial stewardship initiatives based on local microbiology and antimicrobial data - Very	Plan and implement antimicrobial stewardship initiatives based on local microbiology and antimicrobial data - Extremely
Apply behavioral psychology and business principles to increase resources for antimicrobial stewardship programs	Apply behavioral psychology and business principles to increase resources for antimicrobial stewardship programs - Not at all	Apply behavioral psychology and business principles to increase resources for antimicrobial stewardship programs - Somewhat	Apply behavioral psychology and business principles to increase resources for antimicrobial stewardship programs - Moderately	Apply behavioral psychology and business principles to increase resources for antimicrobial stewardship programs - Very	Apply behavioral psychology and business principles to increase resources for antimicrobial stewardship programs - Extremely
Influence culture change by creating effective programmatic antimicrobial stewardship communication approaches	Influence culture change by creating effective programmatic antimicrobial stewardship communication approaches - Not at all	Influence culture change by creating effective programmatic antimicrobial stewardship communication approaches - Somewhat	Influence culture change by creating effective programmatic antimicrobial stewardship communication approaches - Moderately	Influence culture change by creating effective programmatic antimicrobial stewardship communication approaches - Very	Influence culture change by creating effective programmatic antimicrobial stewardship communication approaches - Extremely
Tailor diagnostic and antimicrobial stewardship interventions for unique populations or settings (specifically the emergency department, immunocompromised populations, long-term care facilities, and outpatient sites)	Tailor diagnostic and antimicrobial stewardship interventions for unique populations or settings (specifically the emergency department, immunocompromised populations, long-term care facilities, and outpatient sites) - Not at all	Tailor diagnostic and antimicrobial stewardship interventions for unique populations or settings (specifically the emergency department, immunocompromised populations, long-term care facilities, and outpatient sites) - Somewhat	Tailor diagnostic and antimicrobial stewardship interventions for unique populations or settings (specifically the emergency department, immunocompromised populations, long-term care facilities, and outpatient sites) - Moderately	Tailor diagnostic and antimicrobial stewardship interventions for unique populations or settings (specifically the emergency department, immunocompromised populations, long-term care facilities, and outpatient sites) - Very	Tailor diagnostic and antimicrobial stewardship interventions for unique populations or settings (specifically the emergency department, immunocompromised populations, long-term care facilities, and outpatient sites) - Extremely
Identify resources for professional development in antimicrobial stewardship	Identify resources for professional development in antimicrobial stewardship - Not at all	Identify resources for professional development in antimicrobial stewardship - Somewhat	Identify resources for professional development in antimicrobial stewardship - Moderately	Identify resources for professional development in antimicrobial stewardship - Very	Identify resources for professional development in antimicrobial stewardship - Extremely
Approach the job search for antimicrobial stewardship positions	Approach the job search for antimicrobial stewardship positions - Not at all	Approach the job search for antimicrobial stewardship positions - Somewhat	Approach the job search for antimicrobial stewardship positions - Moderately	Approach the job search for antimicrobial stewardship positions - Very	Approach the job search for antimicrobial stewardship positions - Extremely
Develop a plan to expand the reach of a stewardship program into the outpatient setting	Develop a plan to expand the reach of a stewardship program into the outpatient setting - Not at all	Develop a plan to expand the reach of a stewardship program into the outpatient setting - Somewhat	Develop a plan to expand the reach of a stewardship program into the outpatient setting - Moderately	Develop a plan to expand the reach of a stewardship program into the outpatient setting - Very	Develop a plan to expand the reach of a stewardship program into the outpatient setting - Extremely
Collaborate with OPAT programs to optimize stewardship efforts	Collaborate with OPAT programs to optimize stewardship efforts - Not at all	Collaborate with OPAT programs to optimize stewardship efforts - Somewhat	Collaborate with OPAT programs to optimize stewardship efforts - Moderately	Collaborate with OPAT programs to optimize stewardship efforts - Very	Collaborate with OPAT programs to optimize stewardship efforts - Extremely

Additional Comments:

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