Table 2.
Strategy | Description | Implementation Examples |
---|---|---|
Challenge and problem-based tasks | Problem-solving and decision-making exercises | • Use card-based blueprint to order processes and procedures in a typical WGS for AMR surveillance pipeline • Use of fictive case scenarios involving training others in genomics aspects |
Case studies | Use of real cases, as published in the literature | • Identify MDR Salmonella enterica subsp. enterica serotype Kentucky lineage expansion [13] • Investigation of a Brazilian epidemic of Mycobacterium abscessus species complex [14] • Klebsiella pneumoniae outbreak investigation [15] |
Historical and chronological presentation of processes | Demonstration of lab procedures, visual tours, lab visits, exhibition tour | • Visit to the sequencing facilities at the Sanger Institute • Visit to the exhibition marking the start of the Human Genome Project • Demonstration of library preparation for WGS • Demonstration of best practices for antimicrobial susceptibility testing |
Comparative analysis of tools and platforms | Presenting alternative ways of achieving the same/similar result | • Comparison of data merging and consolidation techniques—interactively with spreadsheets versus programmatically with R and Python • Comparison of different databases and software tools used to determine AMR phenotype based on genomic data • Comparison of different ways of interpreting bacterial population structures—MLST trees versus phylogenetic trees obtained from WGS data |
Project planning and management techniques | Considering standards and quality control, constraints and limitations, time management; project planning, and constraints (financial, scaling and other) | • Exercise on how to build a computer server that needs to accomplish certain tasks, given a list of hardware components and a fixed budget • Exercise on how to set up a WGS laboratory • QC assessment of libraries and sequencing |
Provision of resources | Provision of links to resources and portals, quality control standards, virtual and cloud tools, toolkits | • Software tools: • AMR prediction tools: ARIBA [16], Pathogenwatch [17], AMRFinder [18] • AMR databases: CARD [19], ResFinder [20] • Nucleotide archives: Genbank [21], European Nucleotide Archive [22] • Data integration tools: dataflo (https://dataflo.io/) • Data visualization: Microreact [11] • Pipelines: Nextflow [23] • Phylogeny: RAxML [24] • Genome Assembly: SPAdes [25] • QC tools: FastQC [26], Quast [27], Bactinspector [28], Qualifyr [29] • Typing tools: PubMed MLST (www.pubmlst.org) • The Training and Learning Toolkit |
Analysis and evaluation | Consideration and evaluation of participants’ specific contexts | • Big-picture exercise where participants evaluate their own circumstances |
Abbreviations: AMR, antimicrobial resistance; MDR, multidrug resistance; MLST, multilocus sequence typing; QC, quality control; WGS, whole genome sequencing.