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Course description
 

Antimicrobial Risk Analysis:
A guide for the animal health pharmaceutical industry

Risk Managers: 3 days
Risk Analysts: 9 days
Whole course: 10 days

Course overview

Federal decisions that impact and dictate industry operations, profits and livelihood are being progressively determined by risk analysis based on industrial guidelines like those of the World Health Organization (WHO), the Food and Agricultural Organization (FAO), the International Office of Epizooties (OIE) and the US FDA-CVM (for example Guidance for Industry 152). If industry is to present arguments and properly critique risk analysis, it needs to develop the appropriate risk analysis skills.

This course gives participants the necessary knowledge and understanding of microbial and antimicrobial risk analysis to effectively conduct , present and critique risk analysis studies using the latest methods that impact industry activities.

To reach this goal, the course balances basic principles of risk assessment and where it fits in to the risk analysis process, with a more applied and in-depth knowledge of the modeling methods and techniques necessary for risk assessment in the pharmaceutical industry - all aimed to help the course participants to understand (rather than "learn") microbial and antimicrobial risk analysis.

See the section on course content for a detailed description of the course and the specific topics covered.

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Training material

All lecture notes are provided as PowerPoint files. A CD of these files is provided to each participant. Printed handouts are also provided. The CD contains all model files produced for the course. Any extra models developed during the course are downloadable from a private page on this web site dedicated to the course.

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Course format

The course runs from 9 am to 5 pm each day. Morning and afternoon coffee and tea, and lunch are provided. Optional evening workshops on the second and fourth days of each of the two weeks allow extra time for running through example models and exercises.

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Who should attend

This course is intended for individuals who are involved in the animal health pharmaceutical industry who need to be able to understand, conduct, present or critique risk analysis studies using the latest methods that impact industry activities. The material is appropriate for both those with little exposure to risk analysis as well as those with an extensive risk analysis background. The course provides a hands-on approach to teaching the most up-to-date and relevant risk analysis skills, presented by the most dynamic and influential lecturer in this field. Please consult the course content or contact us directly to help you decide between participating the first part (day 1-3), the second part (day 2-10) or all 10 days of the course.

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Prerequisites

All models are developed using Excel and Crystal Ball or @RISK. It is essential that all participants are reasonably proficient in Excel (see prerequisites). Both courses are very intensive. So to save time, for @RISK users it is important to make themselves familiar with the basic principles of @RISK by going through the on-line tutorial. Crystal Ball users can take the Crystal ball on-line tutorial that is available here.

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Laptops

Participants are required to bring laptops loaded with Microsoft Word, Microsoft PowerPoint and Microsoft Excel and Decisioneering's Crystal Ball 7 or Palisade's @RISK 4.5 Professional installed, and with a CD drive. Trial copies of Crystal Ball and @RISK are available free of charge from Decisioneering and Palisade web-sites but these should not be installed too early as trial versions run out after 7 days for Crystal Ball and 10 days for @RISK. We can arrange copies of @RISK at a 20% discount should you wish to purchase.

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ModelAssist

ModelAssist from Vose Consulting is a comprehensive risk analysis training and reference software tool. ModelAssist provides an in-depth explanation of all of the risk analysis concepts, techniques and methods introduced in this course and greatly complements the course material. It is particularly helpful as a reference for participants of the material that has been presented during the course.

ModelAssist will be available to participants at a reduced price.

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Teaching philosophy

All of Vose Consulting's courses aim to help the participants understand (rather than 'learn') risk analysis, which can only be achieved through a relaxed, informal and interactive environment, through plenty of examples and hands-on exercises where course participants apply and adapt what they have learned. We believe that:

"When you hear something, you forget it.
When you see something, you remember it.
But not until you do something will you understand it"

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Course content

Day 1 - Monday (Risk Managers)

  • Introduction to risk analysis
    • Valuing risk, and determining objectives
    • Seeing risk management as a whole
    • Identifying risk mitigation strategies
    • The roles of risk managers and risk assessors
    • Risk communication
    • Evaluating risk management strategies: the views of regulators and industry
  • FDA-CVM's guidance 152 and how to respond to it
  • Types of risk assessments
    • The history and application of international guidelines
    • Review of past microbial and antimicrobial risk assessments
  • Debate

Day 2 - Tuesday (Risk Managers and Risk Analysts)

  • Introduction to risk assessment:
    • Defining the problem and scope
    • Moving from an intellectual exercise to a useful decision tool
    • Identifying the hazard(s) and mitigations
    • Establishing risk assessment objectives
    • Creating and managing a risk assessment team
  • Introduction to microbial and antimicrobial risk analysis
    • Critically reviewing available data and methods
    • Planning an appropriate risk assessment
    • Quality controls for a risk assessment
    • Critiquing a risk assessment within the context of the defined objectives

Day 3 - Wednesday (Risk Managers and Risk Analysts)

  • Risk attribution
    • The meaning of attributing risk
    • Data to support risk attribution
    • Methods of analysis to determine risk attribution
    • Errors and invalid arguments

Day 4 - Thursday (Risk Analysts)

  • Risk modeling basics
    • Monte Carlo simulation, Crystal Ball or @RISK and Excel
    • Calculation vs. simulation
    • Monte Carlo vs. Latin Hypercube sampling
    • Uncertainty, variability and inter-individual variability
  • Probability theory
    • Probability concepts
    • Graphical representations of risk events: Venn diagrams, fault trees and event trees
    • Probability vs. population distributions, relative vs. cumulative, discrete vs. continuous
  • Stochastic processes
    • Introduction to stochastic processes and their use in antimicrobial risk analysis
    • Binomial process
    • Problems to solve

Day 5 - Friday (Risk Analysts)

  • Stochastic processes continued
    • Poisson process
    • Hypergeometric process
    • Central Limit Theorem
    • Problems to solve

Day 6 - Monday (Risk Analysts) Quantifying statistical uncertainty

  • Meaning of uncertainty, randomness and variability
    • The value of their distinction, modeling techniques
    • Types of uncertainty
    • Structures of two-dimensional (second order) risk analysis models
  • Classical statistics
    • Estimation of population mean and standard deviation
    • Estimation of population prevalence and Poisson mean
  • Bayesian Theorem
    • Theory and derivation
    • Simple examples
    • Algebraic and simulation solutions
  • Problems related to microbial and antimicrobial risk analysis to solve

Day 7 - Tuesday (Risk Analysts)

  • Bayesian inference with Markov Chain models
    • WinBUGS
    • Applications and problems to solve
  • The Bootstrap
    • Non-parametric and parametric Bootstrap techniques
    • Applications and problems to solve
  • Comparison of Bootstrap, Bayesian and classical statistics results

Day 8 - Wednesday (Risk Analysts)

  • Analyzing and using data:
    • Difficulties with microbiological data and their reporting
    • Checking quality and appropriateness
    • How to accept and reject different data sets
    • Spotting the traps and filling the gaps in reported data
  • Fitting distributions to data
    • What it means to fit a distribution
    • Assessing validity of data
    • First and second order distribution fitting
    • Parametric and non-parametric distributions
    • Likelihood estimating, Bootstrapping, other methods
    • Problems to solve
    • Past mistakes

Day 9 - Thursday (Risk Analysts)

  • Farm-to-fork (F2F) risk assessments
    • The history and application of international guidelines
    • Review of past farm-to-fork guidelines
    • The mathematical and data needs of a F2F risk assessment
  • Predictive microbiology
    • Probability models used
    • Strength and weaknesses
  • Dose-response modeling
    • Probability models used
    • Strength and weaknesses
  • Alternatives to a farm-to-fork approach
    • Strengths and weaknesses

Day 10 - Friday (Risk Analysts)

  • Presenting risk analysis results to address decision question
  • Addressing model uncertainty
  • Identifying errors in risk analyses
  • Review of material and debate
  • Address participants modeling issues
  • Spill-over time

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