The Gorgas Expert Course
Course Curriculum
  Teaching Formats   Course Schedule   Faculty Biosketches  

Description of Teaching Formats

Duration:  Monday - Friday of 2 consecutive weeks.

Rounds:  5 participants and 1 senior sub-specialty certified faculty per group

Patients:  Many illustrative patients to be called in to coincide with the course

  • 3 hours/day seeing inpatients
  • 3 hours/day seeing outpatients
  • Parasitology demonstrations
  • Case conference/CPC every lunch hour
  • Late afternoon case presentations by enrolled participants and faculty

Saturday Excursion to The Andes:
Verruga Bridge and villages in the inter-Andean valleys endemic for bartonellosis and leishmaniasis (see photos); ascent to 15,800 feet .

**Ward rounds to include for each group, one session each in tropical neurology, tropical opthalmology, tropical pediatrics, and tropical gastroenterology.

Out-Patient Clinics and Ward Rounds: (see participants & faculty on rounds)
Clinical exposure is not merely observational. Unlike in many other on-site tropical training settings, the patients seen by Gorgas physicians have full access to advanced diagnostic microbiology, immunology, pathology, and radiology, so that diagnoses are in most cases confirmed and not merely presumptive. Intensive interactive clinical teaching by one of the listed course clinical faculty is done in small groups of five. In addition to the 36-bed tropical/infectious disease ward, participants will round on the most interesting patients gathered from other sub-specialty services of the 400-bed Cayetano Heredia Hospital. Each participant will attend at least one clinic in each of the tropical subspecialties listed, and highly illustrative patients will be arranged for those days.

Case Conferences (30 minutes/day):
Most of these sessions are in CPC format. 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.

Didactic Lectures (1 hour/day):
Traditional lecture format covering uniquely Peruvian experiences with specific diseases.

Independent Study: (see participants in our Study Center)
Participants can utilize the Educational Resource Facility during off hours and weekends. PC's, reference texts, atlases, teaching slides, WHO/PAHO videos & manuals, Epi-Info, and travel medicine software are all available.


Typical Daily Schedule

The Monday-Friday Daily Schedule:

Time Activity I Activity II
8:30 AM -
11:30 AM
Tropical Medicine Institute
Ward Rounds

or

Tropical Medicine Institute
Out-Patient Clinic

Specialty Rounds & Clinics

1) Cayetano Heredia Hospital
Unique Tropical Problems in Pediatrics, Gastroenterology, Neurology, and Opthalmology

2) Loayza Hospital
Tropical Disease Rounds

11:30 AM -
12:30 PM
Lunch break Internet demonstrations, Gideon, Travel Medicine software, Wellcome Trust CD Modules
12:30 PM -
3:00 PM
Tropical Medicine Institute
Ward Rounds

or

Tropical Medicine Institute
Out-Patient Clinic

Specialty Rounds & Clinics

Cayetano Heredia Hospital
Unique Tropical Problems in Pediatrics, Gastroenterology, Neurology, and Opthalmology

3:15 PM -
4:15 PM
Lecture - Peruvian experiences with common endemic diseases
(malaria, typhoid, leishmaniasis, leprosy, STD's cholera, HTLV-1 bartonellosis)
4:15 PM -
5:30 PM
Formal Case Presentations by Enrolled Participants with Group Discussion

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This page was last updated: Monday, January 8, 2007
The Gorgas Courses in Clinical Tropical Medicine   http://www.gorgas.org