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: 2020-02-17
Date end: 2020-03-04
About duration and dates: 2 weeks, full-time, With OMIH supplement: 2.5 weeks, full-time.
Classification: advanced optional
Mode of delivery: Face to face
Course location: Charité – Universitätsmedizin Berlin
Campus Virchow-Klinikum
Augustenburger Platz 1
ECTS credit points: 3 ECTS credits
Without OMIH supplement:
2 weeks, full-time
With OMIH supplement:
2.5 weeks, full-time

Without OMIH supplement:
3 ECTS credit points
With OMIH supplement:
3.5 ECTS credit points

Without OMIH supplement:
Total SIT: 90 hours
• Contact-time: 55 hours,
• Self-directed learning time: 35 hours
With OMIH supplement:
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:
1,5 - 2 hour written exam (100%).
The overall pass mark is 60%.
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 analyse potential causes and management options.

I. Major infections in resource poor settings:
1. Bacterial infections: tuberculosis, leprosy, typhoid fever, paratyphoid, cholera, meningococcal disease, rickettsial diseases, relapsing fevers, Q-fever, leptospirosis, melioidosis and brucellosis;
2. Viral Infections: HIV/AIDS, Dengue-fever and DHF, Yellow-fever, Japanese encephalitis, viral haemorrhagic fevers and arthropod-borne viral infections, rabies;
3. Protozoal infections:
malaria, leishmaniosis, 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 guided 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, alumni, and short course participants. Places are then allocated on a “first-come, first-served” basis.
CMTD module:
Deadline for application: 10 weeks before module start (17 Dec 2018).
Deadline for payment: 6 weeks before module start (14 Jan 2019).
We shall confirm the module 6 weeks before module start latest (14 Jan 2019), subject to a sufficient number of applications.
OMIH supplement:
Deadline for application: 10 weeks before supplement start (31 Dec 2018).
Deadline for payment: 6 weeks before supplement start (28 Jan 2019).
We shall confirm the supplement 6 weeks before supplement start latest (28 Jan 2019), subject to a sufficient number of applications.
Late applications will be considered as long as places are available.
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.
We realized that the assessment procedure of the CMTD module with written and oral examinations is too extensive for a 2-weeks course. We thus decided to omit the oral examination but to extend the written examination for a case discussion including pictures.
tropEd accreditation:
Accredited in March 2010, re-accredited in February 2015. This accreditation is valid until February 2020. Re-accreditation in January 2019, in Lisbon. This accreditation is valid until January 2024.
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.
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: 2018-06-27 (W3C-DTF)
Date Last Modified: 2019-07-15 14:29:47 (W3C-DTF)

Report a Problem with this Resource Record

Log In: