The Antimicrobial Management Team (AMT) at Tufts Medical Center is staffed by
Infectious Diseases attending physicians (Dr. Shira Doron and Dr. Lisa Davidson) and an
Infectious Diseases-trained PharmD (Dr. Kenneth Lawrence).
The AMT is a teaching service, providing point of care education to residents, PAs and
NPs as they make decisions about which antibiotics to initiate or continue in the course of
the care of patients. The AMT conducts teaching conferences for the Internal Medicine
residents, Surgery residents, Infectious Disease fellows, and medical students, and gives
educational talks at a variety of divisional meetings throughout the institution.
Training in antibiotic stewardship is a required element of an Infectious Disease
fellowship program. Fellows in the later stages of their clinical year will take AMT calls
from 8 a.m. to 9 p.m. during weekends when on-call. These AMT calls will then be
reviewed with AMT staff to hone the stewardship skills of the fellow.
Fellows are not expected to answer any calls about restricted antibiotics during the
regular work week or after 9 p.m.
Unique services provided by the Tufts Medical Center AMT include an institution-
specific pocket “Antimicrobial Treatment and Dosing Guide” which contains empiric
antimicrobial choices for common infections along with dosing for normal and impaired
renal function, “AMT question of the week” e-mails and opportunity to conduct research
projects that lead to presentations at national meetings and publication in major journals.