Diploma of Tropical Medicine and Hygiene Examination

1
Diploma of Tropical Medicine and Hygiene
Examination
2
Please check RCP Website for

• Date
• Venue
• Entrance Date
• Entrance Fee
• Certificate of Attendance
• Apply early for exam!

3
MCQ paper

• MCQ paper
• 1 hour 20 mins
• Venue RCP London
• Negatively marked
• Followed immediately by short notes
• Examples on RCP webpage
• Last years examples include

4
2004 MCQs

• Syphilis is an important cause of blindness in
  the third world?
• Loa loa is a zoonosis?
• Most people with neurocysticercosis have taenia
  in their gut?
• Streptomycin causes deafness?
• Polio causes a painless paralysis?

5
http//rob.skelly.com/

• The website above has lots of MCQ examples for
  the DTMH (including answers!)

6
Short Notes Paper 1

• 50 minutes
• Venue RCP London
• Answer five out of ten questions
• Topics include
• Public health
• Global health initiatives

7
Short Notes Paper 2

• 2004 paper
• Discuss how you would control LoaLoa?
• What is 3 x 5?
• How would you manage a measles outbreak?
• What advice would you give a British family
  moving to West Africa?

8
Short Notes Paper 3

• How would you prevent Trachoma in a community?
• You are responsible for managing a newly formed
  refugee camp in the wake of a volcano eruption.
  Discuss your approach
• How would you manage urethral discharge in a
  young man attending a rural African clinic?

9
Practical Examination

• Duration about 2 hours
• Venue LSHTM
• Includes
• Blood films for malaria/filaria/trypanosomiasis
• Fresh stool examination
• Histopathology, e.g. of liver or gut
• medical entomology

10
Preparation for Practical Exam

• Laboratory sessions at Stobhill
• Laboratory sessions at Glasgow univ.
• Laboratory sessions at LSHTM
• Mr John Williams at LSHTM

11
Examples of histopathology

• Enterobius in cross section in gut
• Liver fluke in liver
• Leishmaniasis in cells
• Malaria in brain
• Trichinella in muscle
• Schistosomiasis fibrosis in the liver

12
Examples of Entomology

• Wing of Tsetse fly
• Pupa of Tsetse fly
• Kissing bugs
• Aedes mosquitoes
• Simulium flies
• Chrysops flies
• Jigger flea (pregnant!)
• Plague flea

13
Materials for Preparation

• Books
• DVDs
• Past papers
• DTMH file
• Websites
• Tropical Health Technology Learning Bench Aids

14
Curriculum

• There is no formal curriculum, however, we advise
  students that the most recent copy of Lecture
  Notes on Tropical Medicine covers all necessary
  topics.

15
Books 1

• Lecture Notes on Tropical Medicine
• 1995 edition is also very practical and good
  section of clinical questions with answers
• Tropical Medicine and Parasitology (Peters and
  Gilles)
• Oxford Handbook of Tropical Medicine
• Clinical Problems in Tropical Medicine (Harries,
  Harries and Cook, 1998)

16
Books 2

• Desowitz, R.S.
• New Guinea Tapeworms and Jewish Grandmothers.
  Tales of Parasites and People.
• The Malaria Capers. More tales of Parasites and
  People, Research and Reality.
• Who Gave Pinta to the Santa Maria. Tropical
  Disease in a Temperate Climate.

17
Bigger Books!

• Principles of Medicine in Africa (Parry, Godfrey,
  Maybey and Gill, 2004)
• Mansons Tropical Medicine
• Medical Entomology for Students (Service, M,
  2000)

18
DVDs and Websites

• Wellcome Trust DVDs
• http//www.rph.wa.gov.au/labs/haem/malaria/index.h
  tml
• www.rob.skelly.com
• http//myweb.tiscali.co.uk/tropring/ringform.html

19
Other issues for DTMH 1

• Public health
• Health promotion
• Immunisation
• Poverty
• War
• Refugees, including in Europe

20
Other issues 2

• Zoonoses
• Engineering, eg. VIP toilets
• Traditional medicine
• Malnutrition, especially for children
• Maternal morbidity and mortality in tropics
• Epidemiology sensitivity and specificity
• Cardiac disease in tropics

21
Other issues 3

• Venomous bites and stings
• Screening the returned traveller
• Family planning
• Sexually transmitted infections
• Visual loss in the tropics

22
Reminder

• The exam is very broad and cannot be covered
  completely in a part time course
• Malaria is a very important component of the
  London course and exam
• The practical examination is large part of the
  DTMH. Prepare early!
• Apply asap for exam in London