DTM & H

Preamble
The Diploma in Tropical Medicine and Hygiene (DTM&H) is an international post-graduate course organized and run by the London school of Hygiene and Tropical Medicine (LSHTM), University of Washington, Makerere University College of Health Sci

How to Apply
Applications are invited from medical applicants from both industrialized and developing countries. Visit the LSHTM for application procedures.

2011 East African DTM&H Accreditation and Draft Curriculum v1

On February 9th the LSHTM Learning and Teaching Committee approved the first stage of a new DTM&H delivered wholly in East Africa.

Syllabus:  75% tropical infectious diseases
25%  general healthcare in Africa

Content:   75% core modules
25% student-selected modules

Form:        25%  expert seminars
25% direct clinical contact
25%  practical work including critical appraisal and teaching skills
25%  independent study

Bare bones structure

Tanzania            Week theme                                   Practical components

Week 1                Clinical epidemiology                      Clinical and teaching rounds
Week 2                Special topics in medicine  
Week 3                Malaria                                             Clinical and teaching rounds
Week 4                Rural placement                              4 pairs of groups
Week 5                Parasitology                                     Clinical and teaching rounds
Week 6                Dermatology                         

Break                   Wednesday afternoon 26th to Monday 31st October inclusive

Week 7                Paediatric assessment                  Nairobi (in transit)

Uganda              Week theme                         Practical components

Week 8                HIV & TB                                Clinical and teaching rounds
Week 9                HIV & TB                                Clinical and teaching rounds
Week 10              Population health                  Clinical and teaching rounds
Week 11              Options 1                                4 pairs of groups
Week 12              Options 2                                4 pairs of groups
Week 13              Revision                                 Examination and award ceremony

Notes

Rural placement

  • Groups of 5 students dispersed to district hospitals and community centres throughout Tanzania
  • One week placement
  • Tutor with local knowledge split between two adjacent groups
  • Preceded by long weekend for travel and sightseeing

Suggestions include

  • 4 coastal groups
  • 2 lake groups
  • 2 inland groups

Options 1 & 2

  • Modules last for one week and are repeated in the second week (so responsibility is for 2 wks)
  • 4 – 6 students per group
  • Led by a specialist tutor
  • Focus on experiential learning
  • Preceded by long weekend for travel and sightseeing

Lots of possibilities based on existing expertise and staff on the ground; suggestions so far include

  • Cancer and palliative care
  • Cardiovascular disease
  • Helminth infections and nutrition
  • Leprosy and leishmaniasis
  • Maternal and perinatal health
  • Mental health and substance misuse
  • Refugee and migrant health
  • Schistosomiasis control
  • Trypanosomiasis control

Devolution of responsibilities

Oversight and coordination of curriculum development: Course Director

25 module-leads required

7 main group themes
6 main group clinical and teaching rounds
4 rural placement pairs
8 small group options run for 2 weeks

Northern allocations suggested at Seattle Summit

London 2/3         = 16 modules
Hopkins 1/6        = 4 modules
Seattle 1/6          = 4 modules


module no

week no

country

arrival

departure

main curriculum theme

module lead

institution

allocation

M1

week 1

Tanzania

18-Sep

24-Sep

Clinical Epidemiology

Alison Grant

LSHTM

L1

M2

week 1

Tanzania

18-Sep

24-Sep

Bedside teaching and training to teach

Cordelia Coltart

LSHTM

L2

M3

week 2

Tanzania

25-Sep

1-Oct

Special Topics in Medicine

David Mabey

LSHTM

L3

M4

week 2

Tanzania

25-Sep

1-Oct

Bedside teaching and training to teach

Doug Parkin

LSHTM

L4

M5

week 3

Tanzania

2-Oct

8-Oct

Malaria

Baz Nadjm

LSHTM

L5

M6

week 3

Tanzania

2-Oct

8-Oct

Bedside teaching and training to teach

Tom Doherty

LSHTM

L6

M7

week 4

Tanzania

7-Oct

17-Oct

Rural placement 1&2

Fiona Cresswell

NWPH

L7

M8

week 4

Tanzania

7-Oct

17-Oct

Rural placement 3&4

Baz Nadjm

LSHTM

L8

M9

week 4

Tanzania

7-Oct

17-Oct

Rural placements 5&6

Anthony Solomon

LSHTM

L9

M10

week 4

Tanzania

7-Oct

17-Oct

Rural placements 7&8

Debby Watson-Jones

LSHTM

L10

M11

week 4

Tanzania

7-Oct

17-Oct

Rural placements 9&10

 ?

JHU

JHU1

M12

week 5

Tanzania

16-Oct

22-Oct

Parasitology Lab

Steve Morris-Jones

LSHTM

L11

M13

week 5

Tanzania

16-Oct

22-Oct

Clinical tropical medicine

Paul Pottinger?

UW

UW1

M14

week 6

Tanzania

23-Oct

26-Oct

Dermatology

Rachael Morris-Jones

Kings

L12

M15

week 7

Kenya

1-Nov

5-Nov

Paediatric simulation training

Natalie Prevatt

KEMRI

KEMRI

M16

week 8

Uganda

6-Nov

12-Nov

TB

Moses Joloba/Yuka Manabe

MUJHU

JHU2

M17

week 8

Uganda

6-Nov

12-Nov

Bedside teaching and training to teach

Robin McKensie/Moses Kamya

MUJHU

JHU3

M18

week 9

Uganda

13-Nov

18-Nov

HIV

Alex Coutinho/Steve Reynolds

MUJHU

JHU4

M19

week 9

Uganda

13-Nov

18-Nov

Bedside teaching and training to teach

David Roesel?

UW

UW2

M20

week 10

Uganda

18-Nov

28-Nov

SSM 1 Trypanosomaisis & Schistosomiasis

Stephen Wright

LSHTM

L13

M21

week 10

Uganda

18-Nov

28-Nov

SSM 2 Leprosy & Leishmaniasis

Steve Walker

LSHTM

L14

M22

week 10

Uganda

18-Nov

28-Nov

SSM 3 Refugee Health & Nutrition

David Roesel?

UW

UW3

M23

week 10

Uganda

18-Nov

28-Nov

SSM 4 VHF & Outbreak Control

Steve Cose

LSHTM

L15

M24

week 10

Uganda

18-Nov

28-Nov

SSM5 Maternal Child and Reproductive Health

MaryGlenn Fowler/Philippa Musuke

MUJHU

JHU5

M25

week 11

Uganda

27-Nov

3-Dec

SSM 6 Non Communicable Diseases

Gavin Dreyer

UMCM

L16

M26

week 11

Uganda

27-Nov

3-Dec

SSM 7 Emergency Trauma and Surgery

Moses Joloba

MUJHU

JHU6

M27

week 11

Uganda

27-Nov

3-Dec

SSM 8 Traveler's Health & Disaster Medicine

Chris Sanford?

UW

UW4

M28

week 11

Uganda

27-Nov

3-Dec

SSM 9 Cancer & Palliative Care

Corey Casper??

UW

UW5

M29

week 11

Uganda

27-Nov

3-Dec

SSM 10 Humanitarian Medicine & Mental Health

Alexander van Tulleken

UCL

L17

M30

week 12

Uganda

4-Dec

10-Dec

Zoonotic Infections

Moses Joloba/Noreen Hynes

MUJHU

UW6

M31

week 12

Uganda

4-Dec

10-Dec

Special Topics in Medicine

Chi Eziefula

LSHTM

L18