Step by step guide for the implementation and assessment of Mentoring
Mentoring in the context of AMR/AMS is a dynamic, reciprocal, and sustained developmental partnership where an experienced professional (mentor) with expertise in antimicrobial stewardship, infectious diseases, or related fields, guides, supports, and advises a less experienced individual or team (mentee/mentees) to build their capacity, foster professional growth, and advance AMR/AMS practices and programs. This approach emphasizes tailored guidance, practical problem-solving, and often includes professional networking and career development.
Planning a Mentoring
The following steps should be taken into consideration when planning a mentoring experience on AMR/AMS:
- Program Design and Goal Setting: Clearly define the aims of the mentoring program (e.g., establishing new ASPs, improving existing ones, building surveillance capacity). Co-design personalized learning or action plans with mentees, aligning with individual needs, institutional priorities, and national AMR action plans (Bajracharya et al., 2024, and Goff et al., 2017, describes a multi-step mentoring process including self-assessment and action plans).
- Mentor-Mentee Matching: Carefully pair mentees with mentors possessing relevant expertise and experience. An interprofessional mentor team (e.g., ID physician and ID pharmacist) can be highly effective (Goff et al., 2017).
- Structured Interaction: Establish a schedule for regular interactions (e.g., fortnightly meetings (as in Bajracharya et al., 2024), telephone calls, and potentially onsite visits (Goff et al., 2017). Utilize technology (online meetings, webinars) to facilitate connection, especially for long-distance mentorships (Bajracharya et al., 2024).
- Capacity Building Activities: Employ a multi-modal approach grounded in adult learning theory, incorporating activities such as direct guidance on projects (e.g., AMU surveillance data analysis as in Bajracharya et al., 2024), review of policies/protocols, case discussions, sharing of evidence-based resources, and facilitating problem-solving for local challenges. Mentors can also provide continuing education and help justify resources to administration (Goff et al., 2017).
- Skill Development and Networking: Focus on developing both technical expertise (e.g., data analysis, guideline implementation) and soft skills (e.g., leadership, communication, advocacy). Facilitate networking opportunities for mentees with other experts or peers.
- Monitoring and Feedback: Regularly review progress against the learning/action plan, provide constructive feedback, and adapt the mentorship approach as needed. Incorporate accountability mechanisms (Bajracharya et al., 2024).
- Sustainability and Transition: Encourage mentees to become mentors themselves to build local capacity and ensure sustainability (Bajracharya et al., 2024).
Defining roles in a Mentoring
Facilitator’s role (Program Coordinator/Lead Mentor): Design the overall program structure, recruit/train/match mentors and mentees, provide overarching guidance and resources, monitor program effectiveness, and troubleshoot issues.
Mentor’s role: Provide tailored expert advice, share practical experiences, act as a role model, ask reflective questions, help mentees identify and overcome barriers, foster critical thinking, support goal achievement, facilitate access to resources and networks, and create a trusting and supportive relationship.
Participant’s (Mentee’s) role: Actively engage in the mentoring process, co-develop and commit to a learning/action plan, proactively seek guidance and feedback, openly discuss challenges, apply learnings to their work, complete agreed-upon tasks (e.g., data collection , Goff et al., 2017), and reflect on their professional development.
Assessing a Mentoring
Methods
- Self-assessment by mentees of their progress, skills, and confidence before and after the program (Goff et al., 2017).
- Achievement of specific goals outlined in the action plan.
- Collection of outcome metrics related to ASP improvements or AMU surveillance implementation (Goff et al., 2017; Bajracharya et al., 2024).
- Qualitative feedback from mentors and mentees on the process, relationship, and impact.
- Documentation of changes in practice, policy, or system implementation.
Tools
Self-assessment surveys, structured action plans with measurable outcomes, progress reports, data collection tools for specific metrics (e.g., antibiotic hang times, CDI rates, Goff et al., 2017), case studies of mentee projects, feedback questionnaires.
Suggested Mentoring prototype
Target Audience: Health Managers, Researchers, and other professionals tasked with setting up or improving AMU/AMR surveillance systems in LMICs, as exemplified by the Fleming Fund Fellowship Scheme (Bajracharya et al., 2024). Also suitable for Legislators and Authorities (for policy implementation guidance), Antimicrobial Manufacturers (for developing stewardship within industry), Prescribers, Dispensers, Clinical Profiles, and Educators seeking to deepen their expertise and leadership in AMS.
Learning Objectives (for Mentees):
- Develop comprehensive skills in AMU/AMR data collection, analysis, interpretation, and dissemination according to international standards (e.g., WHO GLASS).
- Strengthen ability to implement and sustain AMU surveillance protocols within their national or institutional context.
- Enhance leadership and advocacy skills to promote evidence-based AMS policies and practices based on surveillance data.
Curriculum/Activities:
- A 12-24 month program.
- Co-designed learning plan focusing on specific country/institutional AMU surveillance needs.
- Regular (e.g., fortnightly) online meetings with experienced international mentors.
- Activities including literature reviews, development of surveillance protocols, data analysis, data visualization, and communication of findings to stakeholders (Bajracharya et al., 2024).
- Completion of relevant online training modules on AMS and surveillance, with mentor-facilitated discussions.
- Potential for in-person site visits (to mentor institutions or exemplary sites) for experiential learning (Bajracharya et al., 2024; Goff et al., 2017).
- Engagement with hospital administration/policymakers, facilitated by mentors, to secure support and resources (Goff et al., 2017).
- Participation in scientific writing workshops/retreats and international conferences to share work (Bajracharya et al., 2024).
Evaluation of the Prototype’s Effectiveness:
- Assessment of mentees’ progress in developing AMR-relevant competencies (Bajracharya et al., 2024).
- Successful implementation or improvement of AMU surveillance systems in mentees’ countries/institutions.
- Quality and impact of surveillance reports or research outputs produced by mentees.
- Feedback from mentees and mentors on the program structure, support, and learning outcomes.
- Assessment of increased funding, resource allocation, or policy changes resulting from mentee efforts supported by the program (Goff et al., 2017).
References
- Bajracharya, K. S., Luu, S., Cheah, R., KC, S., Mushtaq, A., Elijah, M., Poudel, B. K., Cham, C. F. X., Mandal, S., Muhi, S., & Buising, K. (2024). Mentorship advances antimicrobial use surveillance systems in low- and middle-income countries. JAC-Antimicrobial Resistance, 7(1). https://doi.org/10.1093/jacamr/dlae212
- Dik, J.-W. H., Friedrich, A. W., Nathwani, D., & Sinha, B. (2017). Combating the complex global challenge of Antimicrobial Resistance: what can Antimicrobial Stewardship contribute? Infectious Disease Reports, 9(1), 7158. https://doi.org/10.4081/idr.2017.7158
- Goff, D. A., Karam, G. H., & Haines, S. T. (2017). Impact of a national antimicrobial stewardship mentoring program: insights and lessons learned. American Journal of Health-System Pharmacy, 74(4), 224-231. https://doi.org/10.2146/ajhp160379
- Khadse, S. N., Ugemuge, S., & Singh, C. (2023). Impact of Antimicrobial Stewardship on Reducing Antimicrobial Resistance. Cureus, 15(12):e49935. https://doi.org/10.7759/cureus.49935
- Rocha-Pereira, N., Castro Sanchez, E., & Nathwani, D. (2017). How can multi-professional education support better stewardship? Infectious Disease Reports, 9(1), 6917. https://doi.org/10.4081/idr.2017.6917
- Rocha-Pereira, N., Lafferty, N., & Nathwani, D. (2015). Educating healthcare professionals in antimicrobial stewardship: can online-learning solutions help? Journal of Antimicrobial Chemotherapy, 70(12), 3175–3177. https://doi.org/10.1093/jac/dkv336
- Rogers Van Katwyk, S., Jones, S. L., & Hoffman, S. J. (2018). Mapping educational opportunities for healthcare workers on antimicrobial resistance and stewardship around the world. Human Resources for Health, 16(1). https://doi.org/10.1186/s12960-018-0270-3
- Bajracharya, K. S., Luu, S., Cheah, R., KC, S., Mushtaq, A., Elijah, M., Poudel, B. K., Cham, C. F. X., Mandal, S., Muhi, S., & Buising, K. (2024). Mentorship advances antimicrobial use surveillance systems in low- and middle-income countries. JAC-Antimicrobial Resistance, 7(1), dlae212. https://doi.org/10.1093/jacamr/dlae212
- Dik, J.-W. H., Friedrich, A. W., Nathwani, D., & Sinha, B. (2017). Combating the Complex Global Challenge of Antimicrobial Resistance: What Can Antimicrobial Stewardship Contribute? Infectious Disease Reports, 9(1), 7158. https://doi.org/10.4081/idr.2017.7158
- Goff, D. A., Karam, G. H., & Haines, S. T. (2017). Impact of a national antimicrobial stewardship mentoring program: insights and lessons learned. American Journal of Health-System Pharmacy, 74(4), 224-231. https://doi.org/10.2146/ajhp160379
- Khadse, S. N., Ugemuge, S., & Singh, C. (2023). Impact of Antimicrobial Stewardship on Reducing Antimicrobial Resistance. Cureus, 15(12), e49935. https://doi.org/10.7759/cureus.49935
- Rocha-Pereira, N., Castro Sanchez, E., & Nathwani, D. (2017). How Can Multi-Professional Education Support Better Stewardship? Infectious Disease Reports, 9(1), 6917. https://doi.org/10.4081/idr.2017.6917
- Rocha-Pereira, N., Lafferty, N., & Nathwani, D. (2015). Educating healthcare professionals in antimicrobial stewardship: Can online-learning solutions help? Journal of Antimicrobial Chemotherapy, 70(12), 3175–3177. https://doi.org/10.1093/jac/dkv336
- Rogers Van Katwyk, S., Jones, S. L., & Hoffman, S. J. (2018). Mapping educational opportunities for healthcare workers on antimicrobial resistance and stewardshiparound the world. Human Resources for Health, 16(9). https://doi.org/10.1186/s12960-018-0270-3
