Title: Clinical Management of Tropical Diseases (CMTD)
with optional supplement:
Occupational Medicine in International Health (OMIH)
Keywords: Tropical medicine
Medical & Clinical sciences (EBM incl..)
Disease prevention & control
Communicable diseases (in general)
Country: Germany
Institution: Germany - Institute of Tropical Medicine and International Health, Berlin
Course coordinator: Dr Camilla Rothe (CMTD)
Dr Henning Thiele (OMIH supplement)
Date start: 2018-02-26
Date end: 2018-03-09
About duration and dates: 2 weeks, full-time, With OMIH supplement: 2.5 weeks, full-time. OMIH supplement: 12.03.2018-15.03.2018
Classification: advanced optional
Mode of delivery: Face to face
Course location: Charité – Universitätsmedizin Berlin Campus Virchow-Klinikum Augustenburger Platz 1 Berlin-Wedding Germany
ECTS credit points: 3 ECTS credits
90 hours
Contact-time: 55 hours,
Self-directed learning time: 35 hours

With OMIH supplement:
3.5 ECTS credit points, Total SIT: 105 hours
Contact-time: 70 hours,
Self-directed learning time: 35 hours
Language: English
By the end of the CMTD course, students should be able to:
• analyse and differentiate the clinical presentations of major infectious diseases
• critically differentiate potential diagnoses of common infectious diseases
• identify sensitive and realistic therapeutic approaches with regard to locally varying demands and possibilities
• apply evidence-based algorithms for diagnostic work-up and treatment in resource-poor settings

By the end of the OMIH supplement, students should be able to:
• appraise the health hazards expatriates may face when working in LMIC
• appraise the legal basis of occupational health in the context of working in LMIC
Assessment Procedures:
CMTD Module:
One hour written exam (60% of total grade), 20 minutes oral exam (40% of total grade)
The overall pass mark is 60%; for each of the two components of the exam, a minimum of 50% is required.

OMIH Supplement:
One hour written exam (100%). The overall pass mark is 60%.
Students who fail will be offered one re-sit examination of the failed part, which should take place by the beginning of the following semester. A second re-sit is allowed but may be linked to conditions set by the Committee of Admissions and Degrees.
Based on the knowledge provided in the core course, the CMTD advanced module focuses on the applied differential diagnosis and case management of important diseases in resource-poor settings. The concept is to focus on the syndrome rather than on the pathogen/specific disease and to analyze potential causes and management options.

I. Major infections in resource poor settings:
1. Bacterial infections: tuberculosis, leprosy, typhoid fever, paratyphoid, cholera, meningococcal disease, rickettsial diseses, relapsing fevers, Q-fever, leptospirosis, melioidosis and brucellosis;
2. Viral Infections: HIV/AIDS, Dengue-fever and DHF, Yellow-fever, Japanese encephalitis, viral hemorrhagic fevers and arthropode-borne viral infections, rabies;
3. Protozoal infections:
malaria, leishmaniasis, African and American trypanosomiasis, toxoplasmosis, amoebiasis, giardiasis and other gut protozoal infections;
4. Helminth infections: Nematode, trematode and cestode infections and Filariases.

II. Differential diagnoses: Case studies and group exercises, following an inclusive syndrome-wise work-up, and applying pre-formed diagnostic algorithms: DDs of fever, hepatosplenomegaly, lymphadenopathy, skin changes and neurological presentations are discussed;

III. Treatment options: Case studies, group discussions, syndrome-wise work-up, and pre-formed therapeutic algorithms are used to appraise the treatment options for infectious diseases in respect to costs and settings.

In addition, the OMIH supplement offers knowledge and understanding of occupational health issues for expatriates working in LMIC settings. These issues include but are not limited to:
1. The legal basis of occupational health in the context of German employees working in LMIC
2. General principles of occupational health working methods
3. Major occupational health hazards in LMIC
4. Health promotion and prevention of occupational diseases in LMIC
5. Occupational health issues for special professions (health professionals, disaster relief workers) or individuals with pre-existing morbidity
6. Mental health of expatriates working in LMIC
This module and its supplement use active participatory learning methods. They are a mixture of lectures, interactive differential diagnosis training-sessions, case discussions in small seminar groups (five to seven students each) and patient consultancies.
Medical degree (qualification as physician) and successful completion of the Charité core course of the MScIH programme, or medical degree and professional experience in the field of infectious diseases and tropical medicine. Registered nurses, clinical officers etc. with experience in providing curative patient care may apply for a special permission to be admitted.

If not a native speaker: Internationally recognised English proficiency certificate equivalent to a TOEFL score of 550 paper/213 internet/80 online, or IELTS score 6, or DAAD (A or B in all categories). tropEd students need to provide proof of registration as tropEd student at their home institution only. For further exemptions see http://internationalhealth.charite.de/en/admission/application/
25 students
CMTD: Students and participants must attend 80% of the teaching time.
OMIH: Students and participants must attend 80% of the teaching time.
DTMPH participants who apply by the deadline for application have priority over MScIH students and alumni and short course participants. Places are then allocated on a “first-come, first-served” basis.
Deadline for application: 6 weeks before module start (14 Jan 2018)
We shall confirm the module 4 weeks before module start latest subject to a sufficient number of applications.
CMTD module:
750.00 € for tropEd MScIH students and alumni
937.50 € for DTMPH participants
1125.00 € for short course participants

OMIH supplement:
125.00 € for tropEd MScIH students and alumni
156.25 € for DTMPH participants
187.50 € for short course participants
Major changes since initial accreditation:
Overall, the module has remained faithful to its successful concept and its highly appreciated faculty. Major changes:
1. CMTD now focuses entirely on differential diagnosis and therapeutic aspects of tropical medicine, at the expense of diagnostic and parasitological aspects that were moved to the module “Parasitology in International Health” in 2013.
2. The optional OMIH supplement is offered to those who expect to work in occupational health in the context of LMIC, and to those who aim at obtaining the Diploma in Tropical Medicine and Public Health, for which the supplement is required by the German Society of Tropical Medicine.
Student evaluation:
Student evaluations of the CMTD module have been overwhelmingly positive. They appreciated the profound clinical expertise of the lecturers, and the geographic diversity they represented. The single most important criticism related to the entomological and parasitological sessions that were initially included and not of interest for all CMTD participants. These sessions have been moved to the separate module “Parasitology in International Health”, which runs since 2013.
The OMIH supplement will be offered in 2015 for the first time, so no student evaluations are available yet.
Lessons learned:
Students interests and priorities change over time, and it is important to take this into account when revising the module. For the CMTD module we decided to follow students preference to focus entirely on clinical and therapeutic aspects of tropical medicine, and to move diagnostic and parasitological aspects to another module.
tropEd accreditation:
Accredited in March 2010, re-accredited in February 2015. This accreditation is valid until February 2020.

We recommend the following textbooks:
Gill GV, Beeching N, 2009. Lecture Notes Tropical Medicine: Blackwell Publishing/John Wiley & Sons, 416 pp.

Rothe C. (Ed). Clinical Cases in Tropical Medicine. Elsevier 2014, 291pp.

Course application form
Email Address: mscih-student@charite.de
Date Of Record Creation: 2012-01-09 09:14:24 (W3C-DTF)
Date Of Record Release: 2012-01-09 15:58:03 (W3C-DTF)
Date Record Checked: 2017-11-19 (W3C-DTF)
Date Last Modified: 2017-11-19 16:05:17 (W3C-DTF)

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