AMS Observership

As part of the AMS Certificate Programme, trainees can choose to take part in one Observership programme instead of one Elective module. To get more information on the Observership application process, please contact amscert(at) 

Discover the full list of centres as well as detailed training information below.

List of Centres

Location and Institution




Kochi, India
Aster Medcity Hospital

Arun Wilson

The antimicrobial stewardship program at Aster Medcity has been a unique and pioneering effort with the vital activity being an actively run daily prospective audit and feedback rounds by the AMS team. The scope of the program involves all IP patients including wards both medical, surgical as well as critical care units handling a wide variety of specialities from daycare procedures to transplant surgeries. The AMS team also oversees the implementation of Standard treatment guidelines for candidemia, staphylococcal bacteremia, Clostridium Difficile Infections and Carbapenem-Resistant Infections along with the review of reserve antimicrobial use. AMS related training , research and also publications has been key activities of this team. The AMS program has been evaluated and been given the status of Antimicrobial Stewardship Centre of Excellence by Infectious Diseases Society of America in 2021

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Manchester, UK
Manchester University NHS Hospitals

Riina Richardson

The MRCM has lead the development of our hospitals antifungal stewardship programme and contributed broadly to its implementation. The major innovations are: pyrosequencing for azole resistance from culture-negative but Aspergillus PCR positive samples, beta-D-glucan testing in antifungal stewardship, and establishment of the Mould Surveillance Service assessing houses, hospital environments and workplaces for moulds as part of source control measures.

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Ljubljana, Slovenia
University Medical Centre Ljubljana

Simona Rojs

AMS programme covers 2000-bed teaching hospitals. It is steered by a multidisciplinary Antibiotic Committee that adopts local guidelines and surveys antimicrobial use and resistance. The team consists of ID physicians, pharmacists are involved in the management of restricted antimicrobials and occasionally bed-side consultations.

Regular AMS rounds are in place in neurosurgery, traumatology, orthopedics, thoracic surgery, cardiovascular surgery, abdominal surgery, neurology, nefrology, medical and surgical ICU. Phone and bed-side consultations are also available for other units for the authorisation of restricted antimicrobials and other AMS and ID consultations.

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Bali, Indonesia
RSUD Bali Mandara

I Wayan Agus Gede Manik Saputra

The AMS program in Bali Mandara Hospital started since 2018. As a new hospital in Bali, this hospital has 210 beds and has potential support from local Government. At the beginning of AMS Program being developed, it consist of multidisciplinary element like Clinical Microbiologist (as a leader), Intensivist, Pharmacist, Nurse and other related specialists. We started our Antimicrobial Stewardship round since January 2019, we assess the antimicrobial usage in some kinds of wards like intensive care unit and non intensive wards. We restrict the use of some antimicrobials like Meropenem, Cefepime, Vancomycin and other kinds of reserve antimicrobial based on WHO classification through the system that we call “Penatagunaan Antimikroba / PGA” (Indonesian version of Antimicrobial Stewardship Program). The lack of IT system somehow make the implementation of this program become more difficult especially to resrict the use of Prophylactic antibiotic. We need to develop better system of AMS Program in my hospital by enhancing our team capabilities to conduct the use of prudent use of antibiotics.

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Cologne, Germany
University and University Hospital Clinic of Cologne

Charlotte Leisse

Our interdisciplinary AMS team consists of 8 members from Infectious Diseases, Microbiology, Pharmacy, Hygiene as well Pediatrics. Moreover, in nearly every department of the university clinic one doctor is in charge for the AMS Programm within their department. The AMS Programm covers regular rounds, department specific interventions as well as the development of guidelines to optimize treatment of infections and prevent antibiotic resistance.

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Alessandria, Italy
Azienda Ospedaliera - SS Antonio e Biagio e Cesare Arrigo

Cristina Cabiati

AST meets every month to share activities, problems, and proposals. Yearly a new AS programme of interventions and timings is scheduled. Our current programme includes: daily round/telephone contact for consultations in the wards by ID consultants (some of AST members belong to ID Dpt); daily review of the main antibiotic prescriptions for revision, de-escalation, etc; electronic antibiotic consumption monitoring (all the prescriptions in the wards are recorded electronically in the Pharmacy, and in particular 8 antibiotics are subject to a tight control with a pre-authorization form), quarterly analysis of antibiotic consumption (computerized recording, statistical and trend analysis, feedback); auditing activities with the wards exceeding antibiotic use; weekly meeting in IC Units about clinical cases discussion, antibiotic use, microbiology result interpretation, and AS principles; implementation of the fast microbiology in order to reduce the time of empiric antibiotic treatment; auditing in Paediatrics about LRTI management according to the local flowchart; tight collaboration with IC Units for the management of MDR bacteria; Implementation of local guidelines on empirical antibiotic therapy and control of adherence; training on antibiotic and diagnostic stewardship in Hospital and in the field in collaboration with the GPs.

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Seville, Spain
Hospital Universitario Virgen Macarena

Pilar Retamar-Gentil

We have an online empiric and tageted treatment guideline that we renew every time a need or new evidence come out. We are a multidisciplinary team (infectious diseases, pharmacist, microbiologists, surgeons, pediatricians, intensive care physicians, allergologist..) We have a daily audit and advisor program in all hospitals ward regarding antimicrobial use and prophylaxis. We have also a Bacteremia an OPAT program.

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Porto, Portugal
Centro Hospitalar Universitário São João

Nuno Rocha & Pereira Francisco Almeida

Our core stewardship team is composed by three infectious diseases physicians. We perform daily post-prescription review of restricted antibiotics (such as carbapenems, fluoroquinolones, broad-spectrum cephalosporins and others) prescribed over the last working day anywhere in the hospital, which we validate according to the prescriber’s written justification.

Our audit and feedback interventions currently include nine departments (two medical departments: renal transplant unit and hematology unit; seven surgical departments: Neurosurgery, Hepatobiliary surgery, Orthopedic surgery, Cardiothoracic surgery, Plastic surgery/Burns unit, Vascular surgery and Urology). We have weekly meetings with each department’s clinicians for discussion of all inpatients currently under antibiotics.

In parallel with these regular programmes, we try to address specific problems regarding antimicrobial prescription with audits and interventions such as elaboration of clinical protocols. We have a weekly journal club with presentation and discussion of papers on infection control, antimicrobial stewardship, antimicrobial therapy and complex infections. Also, we are often consulted on the approach of complex surgical infections or infections in immunosuppressed patients. We are currently designing a Bloodstream Infection programme, which will include bedside consultation of selected patients, expected to start functioning in 2023

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