PROGRAMME

WEEK 1

DAY 1

Activity, Topic Venue / Department Time Content
ORIENTATION

Mini-Lecture Hall 1, FMS, USJ
9.00 am - 11.00 am
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
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.
2. Child with diarrhea
9.30 am - 10.15 am
Common infective aetiological factors, clinical presentations and management of diarrhean
Lecture

Helminthiasis in children
10.30 am - 11.00 am
Aetiology, clinical features, management and preventive strategies.
Lecture

Paediatric tuberculosis
11.00 am - 11.30 am
Clinical presentations, structured investigations, paediatric tuberculosis management, contact screening and prophylaxis
Lecture

Vaccination in tropical paediatrics
11.45 am - 12.15 pm
National immunization programme, travel vaccination in tropes
Lecture

Paediatric encephalitis in tropics
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)
Prof. Ruwanthi Perera (Head, Department of Paediatrics & Consultant Paediatrician)
Prof. Neelika Malavige (Professor of Immunology and Molecular Medicine)
Prof. Shalindra Ranasinghe (Professor in Parasitology)