FACULTY OF MEDICAL SCIENCES

PROGRAMME

WEEK 1

DAY 1
Activity, Topic Venue / Department	Time	Content
ORIENTATION Mini-Lecture Hall 1, FMS, USJ	9.00 am - 11.00 noon	Registration Distribution of Course timetable, course content and other important information
Lecture Trypanosomiasis Department of Parasitology, FMS, USJ	11.00 am - 12.00 noon	Epidemiology, pathogenesis, clinical features, management, control
Lunch Break
Lecture Malaria Department of Parasitology, FMS, USJ	1.00 am - 2.30 pm	Epidemiology, pathogenesis, clinical features, management, control
Practical Malaria & Trypanosomiasis Department of Parasitology, FMS, USJ	2.45 pm - 4.30 pm	Preparation of thick & thin blood films Staining: thin blood film Observing malaria infected mounted slides under the microscope Observing Trypanosoma infected mounted slides

DAY 2
Activity, Topic Venue / Department	Time	Content
Field Visit National Anti-Malaria Campaign	9.00 pm - 12.00 noon	Observe how a National Tropical Disease Control programme functions
Lunch Break
Lecture Filariasis Department of Parasitology, USJ	1.00 pm - 2.30 pm	Epidemiology, pathogenesis, clinical features, management, control
Practical Filariasis Department of Parasitology, USJ	2.45 pm - 4.30 pm	Staining - Thick blood film Concentration techniques: Membrane filtration method, Knott's concentration method Observing microfilaraemic slides under the microscope

DAY 3
Activity, Topic Venue / Department	Time	Content
Field Visit Antifilariasis - clinic	9.00 pm - 12.00 noon	History taking and examination of filarial limbs. Learn about medical management and home based limb care.
Lunch Break
Lecture Leishmaniasis Department of Parasitology, USJ	1.00 pm - 2.00 pm	Epidemiology, pathogenesis, clinical features, management, control
Lecture Helminth infections Department of Parasitology, USJ	2.00 pm - 3.00 pm	Epidemiology, pathogenesis, clinical features, management, control
Practical Leishmaniasis & helminths	3.15 pm - 4.30 pm	Observing leishmaniasis infected mounted slides under the microscope Sample collection methods and tools Helminths-Preparation of a saline & iodine smears (0bservation) Examination of both wet and mounted faecal samples with helminth eggs

DAY 4
Activity, Topic Venue / Department	Time	Content
Visit Dermatology clinic/ward CSTH	9.00 am - 12.00 noon	History taking and examination of tropical infectious skin lesions (scabies, fungal lesions etc). Learn about medical management.
Lunch Break
Lecture Control of vector borne diseases and integrated vector control measures	1.00 am - 3.00 pm	Medically important vectors, their bionomics and control measures
Practical Mosquitoes and flies	3.15 am - 4.30 pm	Observe preserved samples of mosquitoes and flies
Self- directed learning on Helminth infections	4.30 pm onwards	Lecture notes. Web sites (URL provided), research articles etc.

DAY 5
Activity, Topic Venue / Department	Time	Content
Tropical Paediatrics Case based discussions 1. Febrile child in tropics 2. Child with diarrhea	8.30 am - 9.15.00 am	Covers a wide range of Tropical Diseases causing febrile illness in a child including pathogenesis, clinical features and management. Main emphasis will be on dengue fever.
	9.30 am - 10.15 am	Common infective aetiological factors, clinical presentations and management of diarrhea
Lecture Helminthiasis in children Lecture Paediatric tuberculosis Lecture Vaccination in tropical paediatrics Lecture Paediatric encephalitis in tropics	10.30 am - 11.00 am	Aetiology, clinical features, management and preventive strategies.
	11.00 am - 11.30 am	Clinical presentations, structured investigations, paediatric tuberculosis management, contact screening and prophylaxis
	11.45 am - 12.15 pm	National immunization programme, travel vaccination in tropes
	12.15 pm - 12.45 pm	Clinical presentations, management and prevention of arbo viral encephalitis
Lunch Break
Tropical Paediatrics	1.00 pm onward	Introduction to bedside investigations in Tropical Disease and self-directed learning in the wards

WEEK 2

DAY 1
Activity, Topic Venue / Department	Time	Content
Lecture Tuberculosis Department of Microbiology, FMS, USJ	9.00 am - 10.30 am	Epidemiology, pathogenesis, laboratory diagnosis, treatment and prevention
Lecture Leprosy Department of Microbiology, FMS, USJ	10.45 am - 12.00 noon	Epidemiology, pathogenesis, laboratory diagnosis, treatment and prevention
Lunch Break
Lecture Leptospirosis Department of Microbiology, FMS, USJ	1.00 pm - 2.00 pm	Epidemiology, pathogenesis, laboratory diagnosis, treatment and prevention
Lecture Melioidosis Department of Microbiology, FMS, USJ	2.00 pm - 3.00 pm	Epidemiology, pathogenesis, laboratory diagnosis, treatment and prevention
Lecture Cholera and other bacterial diarrhoeal illnesses Department of Microbiology, FMS, USJ	3.00 pm - 4.00 pm	Epidemiology, pathogenesis, laboratory diagnosis, treatment and prevention

DAY 2
Activity, Topic Venue / Department	Time	Content
Clinical bedside teaching/ Self learning Central Chest Clinic (CCC)/ National Hospital for Respiratory Diseases (NHRD)/Chest Clinic CSTH	8.00 am - 12.00 noon	History taking and examination of patients with (clinics/ wards) Pulmonary TB
Practical Tuberculosis Chest clinic NHSL	1.00 pm - 4.00 pm	Observe the procedures - Sputum AFB, TB culture, GeneXpert

DAY 3
Activity, Topic Venue / Department	Time	Content
Clinical bedside teaching/ Self learning CCC/NHRD/Chest clinic CSTH	8.00 am - 12.00 noon	History taking and examination of patients with (clinics/ wards) - Extra pulmonary TB - TB pleural effusion - TB lymphadenitis - Post TB complications
Lunch Break
Practical Leprosy, Leptospira, Cholera and other bacterial diarrhoeal illnesses Department of Microbiology, FMS, USJ	2.00 pm - 4.00 pm	Leprosy- Acid fact stain, Leptospira - Special stains & PCR Cholera and Diarrhoeal illnesses - Observation of Gram stained slides and cultures

DAY 4
Activity, Topic Venue / Department	Time	Content
Clinical bedside teaching Chest clinic NHSL/Welisara	8.00 am - 12.00 noon	Management of pulmonary TB - Anti TB therapy CAT 1 and CAT 2, common side effects and management Overview of the TB notification process in Sri Lanka Overview of the TB control programme
Lunch Break
Lecture Viral encephalitis and zika Department of Department of Immunology and Molecular Medicine FMS, USJ	2.00 pm - 3.00 pm	Epidemiology, pathogenesis, laboratory diagnosis, treatment and prevention
Practical Melioidosis Department of Microbiology, FMS, USJ	3.00 pm - 4.00 pm	Observation of Gram stained slides and cultures

DAY 5
Activity, Topic Venue / Department	Time	Content
Clinical bedside teaching at leprosy clinic NHSL	8.00 am - 12.00 noon	Epidemiology, pathogenesis, laboratory diagnosis, treatment and prevention
Lunch Break
Self-directed learning	1.00 pm onwards	Lecture notes & Research articles on Dengue

WEEK 3

DAY 1
Activity, Topic Venue / Department	Time	Content
Case-based discussion 1 A patient with an acute febrile illness in the tropics Professorial Unit CSTH	8.30 am - 12.00 noon	8.30 am - 9:30 am familiarization to the ward setting 9:30 am - 11.00 am: Fixed learning module on "Approach to a patient with an acute febrile illness" (Covers clinical features, Investigations and management of dengue, leptospirosis, rickettsial infections) 11.00 am - 12.00 noon Face-face discussion
Lunch Break
Lecture Dengue, chikungunya Department of Immunology and Molecular Medicine	1.30 pm - 2.30 pm	Epidemiology, pathogenesis, laboratory diagnosis, treatment and prevention & Control
Practical Department of Immunology and Molecular Medicine	2.45 pm - 4.00 pm	NS1Ag, PCR, ELISA etc

DAY 2
Activity, Topic Venue / Department	Time	Content
Case-based discussion 2 Patient with self-ingestion of a toxin Professorial Unit CSTH	8.30 am - 12.00 noon	8:30 am - 10:30 am: Fixed learning module on different plant toxins encountered in SL, clinical presentations and challenges in management 11.00 am - 12.00 noon: Face-face discussion (Case histories-3)
Lunch Break
Practical Department of immunology and molecular medicine	1.00 pm - 4.00 pm	Continuation of laboratory diagnosis of dengue

DAY 3
Activity, Topic Venue / Department	Time	Content
Case-based discussion 3 Patient with an unknown snake bite Professorial Unit - CSTH	8.30 am - 12.00 noon	8:30 am -10:30 am: Fixed learning module on common venomous snake bites, clinical presentations, management and challenges 11.00 am - 12.00 noon: Face-face discussion
Lunch Break
Practical snakes Department of Parasitology, FMS, USJ	2.00 pm - 4.00 pm	Morphological features of snakes with preserved specimens

DAY 4
Activity, Topic Venue / Department	Time	Content
Clinical bedside teaching at IDH	8.00 am - 12.00 noon	History taking, examination and case-based discussions during clinical ward- rounds
Lunch Break
Q & A sessions	1.00 pm onwards	Wards

DAY 5
Activity, Topic Venue / Department	Time	Content
Clinical bedside teaching at IDH	8.00 am - 12.00 noon	History taking, examination and case-based discussions during clinical ward- rounds
Lunch Break
Winding up Mini-Examination Hall, FMS, USJ	1.00 pm - 2.00 pm	Awarding of participation certificate

Abbreviations

FMS - Faculty of Medical Sciences
USJ - University of Sri Jayewardenepura
CCC - Central Chest Clinic
CSTH Colombo South Teaching Hospital
IDH - Infectious Disease Hospital
NHRD - National Hospital for Respiratory Diseases
NHSL - National Hospital Sri Lanka

Prepared and confirmed by

Dr. Thushari Dissanayake (Head, Department of Microbiology & Consultant Microbiologist)
Dr. Nilanka Perera (Senior Lecturer in Medicine & Consultant Physician)
Dr. Chandimani Undugodage (Senior Lecturer in Physiology & Consultant Pulmonologist)
Dr. Ruwanthi Perera (Head, Department of Paediatrics & Consultant Paediatrician)
Prof. Neelika Malavige (Professor of Immunology and Molecular Medicine)
Prof. Shalindra Ranasinghe (Professor in Parasitology)

FACULTY OF MEDICAL SCIENCES, UNIVERSITY OF SRI JAYEWARDENEPURA