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CURRICULUM |  |
| General
information Kenya 2009 Uganda 2009 |
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General information |  |
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A CME certificate (60 contact hours on applied clinical tropical medicine and travelers’ health) is given at the end of the course.
Ward rounds Ward rounds with individual on-site bedside teaching and visits to out-patient clinics are organized in various teaching hospitals and health centers. Participants get hands-on-experience on patients with tropical infectious diseases and discuss the history, signs and symptoms, diagnosis and treatment with experienced physicians from East Africa and Germany. Patients seen by the participants have normally full access to diagnostic microbiology and parasitology, so that diagnosis in most cases is confirmed and not merely presumptive.. |
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Field
excursions Field excursions are carried out to rural areas and research projects, where the entomology, epidemiology, prevention and control of the most important tropical infectious diseases are covered (see itinerary). During ethno-botanical bush walks (e.g. cultivation of Artemisia annua for malaria therapy) and visits to national parks (e.g.antilopes are a reservoir for African trypanosomiasis) the participants explore the rich flora and fauna of East Africa. |
Laboratory
manuals Didactic presentation of diagnostic helminthology, protozoology and bacteriology followed by hands-on microscopy of blood (e.g. malaria, lymphatic filariasis, African trypanos- omiasis), stool (e.g. schistosomiasis mansoni, amoebiasis, giardia), urine (e.g. schistosomiasis haematobium) and skin (e.g. onchocerciasis, leprosy). |
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Lectures Powerpoint-presentations in English are given prior to ward rounds, out-patient clinics and laboratory manuals (a CD with all lectures in English is given at the end of the course). |
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Kenya 2009 | |
Medical program
Malaria, Visceral Leishmaniasis, Lymphatic Filariasis, Schistosomiasis, Dengue fever and new emerging arboviral infections, HIV/AIDS and related opportunistic infections, Burkitt-lymphoma, ophtalmology in the tropics, radiology in the tropics, DD of fever and diarrhoea in the tropics, WHO-vaccination guidelines for travelers, medical botany. At the end of the course the participants visit the “Flying Doctors” (AMREF) headquarter in Nairobi.
Timetable
| 1st Feb. 09
Sunday |
Transfer from Jomo Kenyatta International Airport to Heron Hotel, Nairobi (20 km) | |
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19.00 |
Introduction to the medical program at Heron Hotel Meeting point: Reception (Dr. Schaefer) |
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| 2nd Feb. 09
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08.00-09.00 |
Lecture: Epidemiology, clinical manifestations, diagnosis and treatment of HIV/AIDS and related opportunistic infections in East Africa (Dr. Schaefer) |
| 10.15-12.15 | Ward rounds: Presentation of AIDS patients with related opportunistic infectons at Kikuyu Hospital, Nairobi (Dr. Kilonzo) | |
| 12.30-14.30 | Laboratory manuals: Diagnosis of HIV/AIDS and related opportunistic infection at Kikuyu Hospital, Nairobi (Mrs. Jedidah) | |
| 15.00-17.00 |
Ward rounds: in the Kikuyu Eye Unit. Ophtalmology in the tropics (Dr. Walia) | |
| Drive to Lake Baringo via Nakuru (270 km) | ||
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| 3rd Feb. 09
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09.30-11.30 | Lecture: Epidemiology, clinical manifestations, diagnosis and treatment of visceral leishmaniasis (Dr. Schaefer) |
| 14.00-16.00 |
Field excursion: Patients with visceral leishmaniasis in a rural area in Baringo District (Mr. Chirchir) | |
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| 4th Feb. 09
Wednesday |
09.00-10.00 |
Lecture: Differential diagnosis of diarrhoea in the tropics (Dr. Schaefer) |
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Drive to Marigat Sub-District Hospital (20 km) | |
| 11.00-14.00 | Ward rounds: Presentation of patients with diarrhoea at Marigat Sub-District Hospital (Dr. Rabah) | |
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15.00-17.00 |
Laboratory manuals: Diagnosis of diarrhoeal infections in Marigat Subdivision Hosital (Mr. Rotich) |
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Drive to Lake Baringo (20 km) | |
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| 5th Feb. 09
Thursday |
08.00-10.00 | Lecture:
Differential diagnosis of fever in the tropics (Dr. Schaefer)
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| Drive to Kakamega (230 km) | ||
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14.00-16.00 |
Field excursion: Bush-walk through Kakamega rainforest: Fever and the use of traditional medicine in the indigenous population (Mr. Georg) | |
| 16.15-19.15 | Ward rounds: Presentation of patients with fever at Mukono Hospital (Dr. Simani) | |
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| 6th Feb. 09 Friday |
10.00-11.00 |
Lecture: Epidemiology, clinical manifestations, diagnosis and treament of schistosomiasis (Dr. Schaefer) |
| Drive to Kisumu (60 km) | ||
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14.00-16.00 | Field excursion to the shoreline of Lake Victoria. Schistosomiasis: prevention and control strategies in a fishing village and inspection of the habitat of fresh water snails (Dr. Schaefer) |
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Drive to Kakamega (60 km) | |
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| 7th Feb. 09 Saturday |
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Drive to Lake Naivasha (280 km) |
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09.30-11.30 |
Field excursion: Prevention and control strategies of Rift Valley Fever in the Rift Valley Province, Naivasha (Dr. Schaefer) | |
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| 8th Feb. 09 Sunday |
Drive to Nairobi (70 km). Flight to Mombasa (600 km) followed by transfer to Diani Beach, South Coast (40 km) | |
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| 9th Feb. 09 Monday |
09.00-10.00 | Lecture: Epidemiology, clinical manifestations, diagnosis and treatment of lymphatic filariasis (Dr. Schaefer) |
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Drive to Msambweni (30 km) |
| 11.00-14.00 | Ward rounds: Presentation of patients with lymphatic filariasis at Msambweni Hospital (Dr. Mwaura) | |
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14.00-16.00 | Laboratory manuals: Diagnosis of lymphatic filariasis (Dr. Mwaura) |
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16.30-18.30 |
Field excursion: Entomological control strategies of lymphatic filariasis near Msambweni (Dr. Schaefer) | |
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Drive to Diani Beach (30 km) | |
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| 10th Feb. 09 Tuesday |
08.00-10.00 |
Lecture: Epidemiology, clinical manifestations, diagnosis and treatment of malaria (Dr. Schaefer) |
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Drive to Kwale (30 km) | |
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11.00-13.00 |
Ward rounds: Presentation of patients with malaria and Burkitt lymphoma at Kwale Sub-District Hospital (Dr. Bagha) |
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14.00-16.00 |
Laboratory manuals: Diagnosis of malaria at Kwale Sub-District Hospital (Dr. Bagha) | |
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16.30-18.30 |
Field excursion: Prevention (the use of impregnated bednets) and control strategies (destruction of Anopheles mosquitos breeding sites) for malaria in the hinterland of Diani Beach (Dr. Schaefer) |
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Drive to Diani Beach (30 km) | |
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| 11th Feb. 09
Wednesday |
09.00-11.00 | Lecture: WHO vaccination guidelinesfor travelers (Dr. Schaefer) |
| 13.00-16.00 | Ward rounds: Presentation of patients with travel related illnesses at Diani Beach Hospital (Dr. Rheki) | |
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| 12th Feb. 09 Thursday |
08.00-10.00 | Lecture: Epidemiology, clinical manifestations, diagnosis and Thursday treatment of Dengue fever and new emerging arboviral infections (Dr. Schaefer) |
| Drive to Mombasa (60 km) | ||
| 12.00-15.00 | Field excursion: Distribution of Dengue fever on the Kenyan Coast: Inspection of a sero-epidemiological study near Mombasa (Dr. Schaefer) | |
| 16.00-18.00 | Lecture: Tropical radiology: presentation of ultrasounds and x-rays from patients with tropical infectious diseases at Pandya Memorial Hospital, Mombasa (Dr. Nyamu) | |
| Flight to Nairobi (600 km) | ||
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| 13th Feb. 09 Friday |
08.30-10.30 | Ward rounds: Emergency medicine in the “Flying Doctors” headquarter Friday of the African Medical and Research Foundation (AMREF) in Nairobi (Dr. Vadera) |
| 11.00-13.00 | Laboratory manuals at AMREF headquarter, Nairobi: hands-on microscopy of parasites in the blood, stool and urine (Dr. Carter) | |
| Transfer from Heron Hotel to Jomo Kenyatta International Airport (20 km) | ||
Changes may occur without prior notice!
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Uganda 2009 | |
Medical program
Malaria, African Trypanosomiasis, Lymphatic Filariasis, Onchocerciasis, Schistosomiasis, Dengue Fever and new emerging arboviral infections, Leprosy, HIV/AIDS and related opportunistic infections, dermatology in the tropics, ophtalmology in the tropics, radiology in the tropics, DD of fever and diarrhoea in the tropics, WHO-vaccination guidelines for travelers, medical botany. At the beginning of the course particpants visit the Joint Clinical Research Center (JCRC) in Kampala, where new HIV-vaccine trials are carried out.
Timetable
| 22nd Feb. 09
Sunday |
Transfer from Entebbe International Airport to Hotel Africana (40 km) | |
| 19.00 | Introduction to the medical program at Hotel Africana, Meeting point: Reception (Dr. Schaefer) | |
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| 23rd Feb. 09
Monday |
08.00-10.00 | Lecture: Epidemiology, clinical manifestations, diagnosis and treatment of HIV/AIDS in Africa (Dr. Schaefer) |
| 10.15-13.15 | Ward rounds: AIDS patients at the Joint Clinical Research Center (JCRC) in Kampala (Dr. Kabanda) | |
| 13.45-14.45 | Lecture: Update on the latest HIV vaccine trials at JCRC (Dr. Ssali) | |
| 15.00-16.00 | Laboratory manuals: Diagnosis of HIV/AIDS and related opportunistic infections at JCRC (Dr. Lubwama) | |
| Drive to Mabira (20 km) | ||
| 17.30-18.30 | Field excursion: Guided bush-walk in Mabira Rain Forest. Habitat of antelopes – reservoir of African trypanosomiasis (Mr. Kungujje) | |
| Drive to Jinja (80 km) | ||
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| 24th Feb. 09
Tuesday |
Drive to St. Francis Hospital – Buluba (40 km) | |
| 09.00-10.00 | Lecture: Epidemiology, clinical manifestations, diagnosis and treatment of leprosy (Dr. Godfrey and Dr. Kawuma) | |
| 10.15-13.15 | Ward rounds: Patients with leprosy and other skin conditions, St. Francis Hospital - Buluba (Dr. Godfrey and Dr. Kawuma) | |
| 14.00-16.00 | Laboratory manuals: Diagnosis of leprosy and other skin conditions, St. Francis Hospital - Buluba (Dr. Godfrey) | |
| Drive to Jinja (40 km) | ||
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| 25th Feb. 09
Wednesday |
08.00-09.00 | Lecture: Differential diagnosis of fever in the tropics (Dr. Schaefer) |
| 09.15-10.15 | Ward rounds: Patients with fever on the Infectious Diseases Ward in Nyenga Mission Hospital (Dr. Ziwa and Dr. Boroa) | |
| Drive to Buikwe (20 km) | ||
| 11.00-12.00 | Lecture: Epidemiology, clinical manifestations, diagnosis and treatment of African trypanosomiasis (Dr. Schaefer) | |
| 12.00-14.00 | Ward rounds: Patients
with African trypanosomiasis, Buikwe Health Center (Dr. Muzaya) |
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| 14.30-16.30 | Laboratory manuals: Diagnosis of African trypanosomiasis, Buikwe Health Center (Dr. Muzaya) | |
| 17.00-19.00 | Field excursion: Prevention and control strategies (trapping of Tse-Tse flies) of African trypanosomiasis in a rural area in Buikwe (Dr. Muzaya) | |
| Drive to Jinja (20 km) | ||
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| 26th Feb. 09 Thursday |
08.00-10.00 | Lecture: Epidemiology, clinical manifestations, diagnosis and treatment of schistosomiasis (Dr. Schaefer) |
| Drive to Kakira (40 km) | ||
| 11.00-13.00 | Ward rounds: Patients with schistosomiasis at Kakira Hospital (Dr. Katende and Dr. Tamale) | |
| 14.00-15.00 | Laboratory manuals: Diagnosis of schistosomiasis at Kakira Hospital (Dr. Katende and Dr. Tamale) | |
| Drive to Mbarara via Kampala (320 km) | ||
| 17.00-19.00 | Field excursion: Guided ethno-botanic bush-walk in Lake Mburo National Park. The application of traditional medicine for diarrhoea in the African population (Mr. Abu) | |
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| 27th Feb. 09 Friday |
09.00-10.00 | Lecture: Differential diagnosis of diarrhoea in the tropics (Dr. Schaefer) |
| 10.15-12.15 | Ward rounds: Patients with diarrhoeal infections at the University Hospital, Mbarara (Prof. Wilson) | |
| 13.30-15.30 | Ward rounds: Tropical dermatology at the Skin Clinic, University Hospital Mbarara (Dr. Kitunzi) | |
| 17.00-19.00 | Field excursion: Prevention and control strategies in a malaria project: Distribution of impregnated bednets and eradication of Anopheles mosquito breeding sites in a rural area in Bushenyi (Dr. Schaefer) | |
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| 28th Feb. 09 Saturday |
Drive to Queen Elisabeth National Park (170 km) | |
| Game drives | ||
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| 1st Mar. 09
Sunday |
10.00-12.00 | Field excursion: Guided ornithological bush-walk in Queen Elisabeth National Park. Bird flu – the risk of transmission within the human population (Dr. Schaefer) |
| Game drives | ||
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| 2nd Mar. 09 Monday |
10.00-12.00 | Field excursion: Boat-trip on the Kazinga Channel. Schistosomiasis - Prevention and control in a fishing-village and inspection of the habitat of fresh water snails (Dr. Schaefer) |
| Drive to Fort Portal via Kasese (150 km) | ||
| 16.00-18.00 | Lecture: Clinical manifestations, diagnosis, treatment, prevention and control of malaria (Dr. Schaefer) | |
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| 3rd Mar. 09 Tuesday |
10.00-13.00 | Ward rounds: Patients with malaria, Virika Hospital, Fort Portal (Dr. Munube) |
| 14.00-16.00 | Laboratory manuals:
Diagnosis of malaria, Virika Hospital, Fort Portal (Dr. Moses) |
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| 4th Mar. 09 Wednesday |
08.00-09.00 | Lecture: Epidemiology, clinical manifestations, diagnosis and treatment of onchocerciasis (Dr. Bamuhiga & Dr. Schaefer) |
| 11.00-14.00 | Field excursion: After visit to the onchocerciasis headquarter in Fort Portal, field trip to an endemic area of onchocerciasis in Bigodi Forest, where prevention and control strategies are carried out (Mr. Tukesiga) | |
| 16.00-17.00 | Field excursion: Guided visit to the Tooro Botanical Gardens, where Artemisia annua (for malaria treatment) and other herbal plants are cultivated and harvested (Dr. George) | |
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| 5th Mar. 09 Thursday |
09.00-10.00 | Lecture: Ophtalmology in the tropics, Fort Portal Hospital (Dr. Bamuhiga) |
| 10.30-12.30 | Ward rounds: Presentation of patients with onchocerciasis in the Eye Clinic, Fort Portal Hospital (Dr. Bamuhiga) | |
| Drive to Kampala via Mubende (320 km) | ||
| 18.00-19.00 | Lecture: WHO-vaccination guidelines for travelers (Dr. Schaefer) | |
| 19.30-20.30 | Lecture: Dengue fever and new emerging arboviral infections (Dr. Schaefer) | |
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| 6th Mar. 09 Friday |
08.30-10.30 | Lecture: Radiology in the tropics: presentation of ultrasounds and x-rays from patients with tropical infectious diseases at Mengo Hospital (Prof. Kawooya) |
| 11.30-13.30 | Laboratory manuals: Hands-on microscopy of parasites in the blood, stool and urine at the Joint Cinical Reserach Center, Kampala (Dr. Lubwama) | |
| Transfer to Entebbe International Airport (40 km) | ||
Changes may occur without prior notice!
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