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Research Group Heussler (Malaria I) - Bernhard-Nocht-Institut für ...

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Education and Teaching<br />

The objective of the Course is to prepare physicians for<br />

professional tasks in tropical and subtropical countries<br />

and to enable them to preventively care for visitors of<br />

warm climates, to diagnose and to treat imported tropical<br />

diseases and perform the relevant consultations.<br />

Teaching concentrates on the pathogenesis, diagnosis,<br />

clinical entities, treatment, epidemiology, and prophylaxis<br />

of the parasitic, bacterial, viral and non-transmissible<br />

diseases of tropical countries. Addressed are the biology,<br />

epidemiology, and control of the causative agents,<br />

vectors and reservoirs. Additional topics include the<br />

characteristics of the various clinical disciplines in the<br />

tropical environment, problems of private and public<br />

health care in poor countries as well as structures and<br />

performance of developmental cooperation and disaster<br />

missions in medicine.<br />

The central topics of the Course are human diseases<br />

characteristic for tropical climates. The curriculum is divided<br />

into twelve sections of one week each. Clinical<br />

differential diagnosis is the major guideline for the curriculum<br />

because most of the participants are practising<br />

physicians. Taxonomy is the second criterion in order<br />

to facilitate systematic learning. Entomology is considered<br />

in its relation to the etiology and transmission of<br />

disease and therefore follows clinical classifications.<br />

<strong>Malaria</strong> because of its outstanding relevance is regarded<br />

a separate topic.<br />

Courses on Tropical Medicine<br />

2002 and 2003<br />

Course on Tropical Medicine 2002 Photographer: Klaus Jürries<br />

120<br />

The following curriculum is accepted by the German<br />

Federal Board of Physicians to be part of the official<br />

training programme for physicians to specialize in tropical<br />

medicine, and also by the American Society of Tropical<br />

Medicine and Hygiene. The Course starts out with<br />

one week of introductions reaching from the techniques<br />

of microscopy to fundamental immunology and<br />

the use of the Internet in medicine. In week 2, basic epidemiology<br />

and malaria and in weeks 3 and 4, systemic<br />

febrile infections are dealt with. The diseases are put in<br />

order according to relevance, clinical similarities and<br />

taxonomic aspects. They are followed by intestinal diseases<br />

in week 5, and in weeks 6 and 7 by helminth infections,<br />

which often share the hallmark of eosinophilia<br />

and primarily affect the intestine or the skin. Tropical<br />

dermatology including cutaneous leishmaniasis and<br />

leprosy are presented in week 8. The main topic of<br />

week 9 is HIV infection and AIDS addressing in detail<br />

the management of tuberculosis and opportunistic infections<br />

in tropical countries. Week 10 is dedicated to<br />

travel medicine, simple laboratory techniques and tropical<br />

peculiarities of the established medical disciplines,<br />

e.g. in neurology, surgery, and gynaecology, and in<br />

weeks 10 and 11 specific problems in public health and<br />

developmental cooperation are being discussed. Week<br />

12 contains summaries of clinical entities and exercises,<br />

and in week 13 including paedicatrics, haemato-

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