The Gorgas Advanced Course in Clinical Tropical Medicine is a 2-week course taught in English in the Alexander von Humboldt Tropical Medicine Institute in Lima, Peru for a maximum of 20 participants. It is directed to experienced clinicians in the field of Tropical Medicine wanting to solidify their clinical skills and knowledge through an intensive hands-on exposure to large numbers of patients in a short period of time and constant exchange of clinical experience with colleagues and faculty.

Objectives


General Objectives

  • To provide those experienced in clinical tropical medicine or infectious diseases intensive hands-on exposure to large numbers of patients in a short period of time in order to maintain clinical skills.
  • To facilitate the exchange of clinical acumen by assembling experienced clinicians together on a busy tropical disease unit in an endemic area.
  • To create a network of experts committed to address the gaps of tropical medicine in global health aiming to improve healthcare services for underserved populations around the globe.


Activities


Course Activities

Our curriculum is focused in providing the broadest clinical exposure to our participants, through intensive clinical interaction during clinical rounds. Although it is mainly focused in clinical experience, lectures on selected topics in tropical medicine are included daily. In addition, case discussion sessions are programmed to share diverse expertise on clinical problems brought by the participants.

The course’s curriculum activities includes:

   Activity    Programmed hours
   1. Clinical Rounds    50 hours
   2. Lecture    10 hours
   3. Case discussion sessions    10 hours
   4. Case conferences    2 hours
   5. Field Trip     12 hours
   TOTAL    84 hours

Description of activities

Clinical Rounds

Clinical rounds are done on a rotating basis in groups of 5 participants with one senior sub-specialty certified faculty. These are held daily at the Cayetano Heredia Hospital wards and outpatient clinic, Arzobispo Loayza hospital and Children’s Hospital in Lima for a total of 50 hours. At every single round, highly illustrative patients with tropical diseases are seen and discussed by the participants.

Clinical exposure is not merely observational. Intensive interactive clinical teaching by the faculty is done in every group, often including visits to the microbiology or pathology lab for final confirmation of diagnoses. Unlike in many other on-site tropical training settings, the patients seen by Gorgas participants have access to extensive microbiological, immunological, pathological and radiological (CT Scan, MRI) testing so that diagnoses are in most cases confirmed and not merely presumptive.

Didactic Lectures

Traditional lecture format given in 1-hour blocks.

Case discussions

Every participant is asked to present 2 or 3 challenging cases in a rotating basis and lead the discussion. A faculty member will contribute at the end of each session.

Case conferences

A written case protocol is presented by a faculty member who then leads an interactive discussion of differential diagnosis and diagnostic workup. Other case conferences will involve teaching cases in a specific subject area collected over time by a faculty member.

Field teaching trips

We also program a Saturday excursion to Ticlio, a mountain pass of the Andes located 15 800 feet above sea level and 750 miles away from Lima. During the ascent, students will familiarize with the inter-Andean valley's geography endemic for diseases like leishmaniasis and bartonellosis.

Typical Daily Schedule

Typical Daily Schedule
(Monday to Friday)
7:00   Bus departure from Miraflores to the Tropical Medicine Institute
7:45 - 10:45   Clinical rounds I
10:45 - 12:00
11:30 - 12:00
  Lunch break
  WEDNESDAY / FRIDAY Case Conferences
12:00 - 14:00   Clinical rounds II
14:00 - 15:00    Lecture
15:00 - 16:00   Case discussion
16:00   Bus departure from the Tropical Medicine Institute to Miraflores

Other resources

- Access to WIFI connection in the classroom.
- Access to an electronic library in tropical medicine.
- Access to hard copies of most important tropical medicine textbooks at the Tropical Medicine Institute Alexander von Humboldt.

Accreditation


Accreditation

The University of Alabama School of Medicine designates this live activity for an 80 AMA PRA Category 1 credits™.

Application and Logistics


Application and Logistics

The 2018 Gorgas Advanced Course in Clinical Tropical Medicine

will be held between August 6th and August 17th, 2018.

Eligibility

Applicants are required to hold a Medical Degree plus at least one of the following:
● Diploma or Masters in Clinical Tropical Medicine or equivalent.
● 2 years cumulative experience in the developing world in a setting where patients with tropical and parasitic disease constitute the majority of the workload.
● Substantial practice experience in the field of clinical tropical medicine since completion of training. Should include care of patients for the evaluation, diagnosis, or treatment of tropical and parasitic disease.
● Certification as an Infectious Disease Specialist after completion of a recognized training program.

Application process

The registration process for the Gorgas Advanced Course is on a first-come basis and starts November 1st, 2017.

Participants

Maximum of 20 participants.

Tuition

Tuition for the 2018 Advanced Course is 3,550 USD and includes daily transportation to the course location.

To apply for the 2018 Gorgas Advanced Course, click here.

Accommodation

A block of rooms is being held at the Hotel Jose Antonio Executive at a special rate of US $115. Participants may choose to stay at a different place, however, we strongly suggest to stay in the district of Miraflores and within walking distance from this hotel.

Transportation

Daily transportation to the course location daily activities is covered by the course organizers while in Lima. Buses will depart every day at 7 o’clock from the Hotel Jose Antonio Executive in Miraflores and come back from the Tropical Medicine Institute after finishing the afternoon sessions.

Travel

Participants are responsible for their own international flight arrangements. Pre and post-course excursions can be easily arranged with local operators.