open access learning in tropical medicine? rob davidson · neonatorum (b) how do you prevent this?...
TRANSCRIPT
When did you last photocopy a journal article?
When did you sit in a medical library to read a paper journal?
When did you last buy a textbook?
How do you study now?
e.g.
Polio
Guinea worm
Filariasis
Onchocerciasis
Schistosomiasis
Even malaria!
Classical tropical diseases are on the wane
GHHM Overview
MSF UK collaborating with academics and experts
AIM: Global access to high quality teaching materials
In order to improve patient and programmatic care in low and middle income countries
Why MSF?
• Many existing courses that focus on tropical
medicine and global health:
- Are based in Western locations
- Have high-cost tuition fees
- Require a full-time commitment of at least
three months to complete
- Are outdated and not in touch with field
realities
DTM&H Exam
• Royal college of Physicians has ‘pre-approved’ the course for the next two years – as a trial
• The course will be piloted to a group of trainee doctors
• Weekly face-to-face seminars that will support their learning for the DTM&H examination
• They will sit the exam in April 2016 or 2017
Seminar structure
18:00 – 18:20 Self assessment quiz
18:20 – 19:00 Talk 1 (Field talk)
19:00 – 19:45 Talk 2 (Lecture)
19:45 – 20:00 Group discussion
Overview of Course Content
Core content is loosely based on the requirements for the
DTMH exam:
PUBLIC HEALTH
WATER AND SANITATION
BACTERIAL INFECTIONS
HIV
MALARIA
STIs
NCDs
VIRAL INFECTIONS
TB
CLINICAL PARISITOLOGY
TROPICAL DERMATOLOGY
LEPROSY
SURGERY
DIARRHOEA
MATERNAL AND CHILD HEALTH
TROPICAL
OPTHAMOLOGYTRAVEL
MEDICINE
PAEDIATRICS
TRAVEL MEDICINE
NUTRITION
PUBLIC HEALTH
OUTBREAKS
SURGERY
TECHNOLOGY and HUMANITARIAN MEDICINE
FIELD TALKS
Lectures for non-medical key players in Humanitarian Medicine? Project Co-ordination in Emergency SettingsPolicy and advocacy Mental Health
Also topics from an MSF Field Perspective
• Course materials are currently aimed at clinicians
• The structure is loosely based on the Oxford Handbook of Tropical Medicine, and the syllabus for the DTM&H exam in the UK
PUBLIC HEALTH
What is Global Public
Health?Primary Health Care and
Global Health
Global burden of disease
The Global Fund for AIDS,
TB and Malaria
Global disease
surveillanceElimination of Neglected
Tropical Diseases
But the internet is mainly cluttered with junk
and it is hard to sift through it...
We intend our course to be free of charge to study, but it will
require registration
- not “open access” like YouTube etc.
Many online resources already exist
-Could the Royal College of Physicians run DTM&H exams
simultaneously and cheaply in other countries?
- can the South African DTM&H course join with our course?
-can South African DTM&H exam be run in other countries?
For the future:
Fresh graves in a refugee camp
(a) How do you calculate the Crude Mortality rate?
(b) What does a CMR of >2 mean?
Fresh graves in a refugee camp
(a) How do you calculate the Crude Mortality rate?
Deaths per 10,000 persons per day
(b) What does a CMR of >2 mean? Out of control
This 1 week old child has purulent discharge from both eyes
(a) What is the diagnosis?
(b) How would you prevent this?
Source: CDC
This 1 week old child has purulent discharge from both eyes
(a) What is the diagnosis? Gonococcal ophthalmia
neonatorum
(b) How do you prevent this? Povidone iodine 1 drop in each
eye at delivery, repeat x1 at 1 day of age; treat mum before
delivery
Source: CDC
Thin blood film in a patient from with fever.
(a) What is the diagnosis?
(b) What is the treatment?
Q6
Thin blood film in a patient from with fever.
(a) What is the diagnosis?
Severe P falciparum malaria with >50% parasitaemia
(b) What is the treatment?
ITU; IV artesunate; consider exchange transfusion
A6
A wet preparation of stool from a Nepalese patient with 2 months of non-bloody diarrhoea
(a) What is this organism?
(b) What has the specimen been stained with?
10 M
A wet preparation of stool from a Nepalese patient with 2 months of non-bloody diarrhoea
(a) What is this organism? Cyst of Giardia intestinalis (G lamblia)
(b) What has the specimen been stained with? Iodine
10 M
A woman has been sexually assaulted by armed men 24 hrs
ago. Which of these interventions are appropriate?
Post exposure HIV prophylaxis; treatment with ceftriaxone and
doxycycline; Hepatitis B vaccine; Tetanus vaccine; emergency
contraception; examine and treat physical injuries;
psychological support; help with police
A woman has been sexually assaulted by armed men 24 hrs
ago. Which of these interventions are appropriate?
Post exposure HIV prophylaxis; treatment with ceftriaxone and
doxycycline; Hepatitis B vaccine; Tetanus vaccine; emergency
contraception; examine and treat physical injuries;
psychological support; help with police - offer all of these