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IASSTD & AIDS
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  STIs First Course  
   
   
   
   
   
   
   
   
   
   








 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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INDIAN ASSOCIATION FOR THE STUDY OF
        SEXUALLY TRANSMITTED DISEASES & AIDS
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Prospectus 2006 Table of contents
  1. Background
  2. Objectives of the STIs Certificate Course
  3. Teaching Methods Used
  4. End of Course Assessment
  5. Course Duration
  6. Eligibility Criteria
  7. Selection of Candidates
  8. Course Fees
  9. Requirements for Course Completion
  10. Outcomes of the Course
  11. About IASSTD & AIDS
  12. About COTTISA
  13. About RCSHA
  14. Course Faculty
  15. Topics to be covered in the Course
  16. Instructions for filling application form
  17. Download the STI application form

Background

The STI Certificate Course brings together some of the most experienced experts in STIs and HIV/AIDS in India, working alongside Overseas faculty who have been running the successful Consortium of Thai Training Institutes Course in Thailand. It is orientated towards the practical application of STI and HIV / AIDS management and relates directly to managing cases within primary care. It uses a variety of interactive training techniques, with an emphasis on developing good communication skills and being able to interact with both National and International faculty
The importance of STIs in the context of the HIV epidemic cannot be overstated and the need for well trained professionals to be the ‘first port of call’ for patients is great.

Objectives of the STIs Certificate Course

The course covers a syllabus with a strong emphasis on hands-on clinical training and some laboratory correlation. There will be additional input from overseas faculty.

It is not aimed at specialists in STIs but rather at any doctor who sees STIs as part of their work and would like to gain a more in-depth understanding or develop a special interest in STI patients.

The aims are:

  • to provide medical practitioners with an opportunity to gain a sound in-depth knowledge of STIs and HIV.
  • to achieve a high level of competence in STIs and HIV/AIDS management through both theoretical and hands-on practical training.
  • to promote holistic quality STI care with special emphasis on physical examination, counselling, prevention methods and partner treatment.

What are STIs? :
STIs are a group of diseases transmitted essentially through sexual contact. The causative agents are several viruses, bacteria, protozoa and fungal agents. All STIs, can be prevented and most can be cured. Many, however, have no symptoms.

Complications of STIs :
The consequences of most STIs can be devastating on both men and women, mainly resulting from structural damage that arises from the infection spreading to another part of the body from the point of infection. This impact is likely to be more on women compared to men.

STIs & HIV:
Ulcerative or non-ulcerative Sexually Transmissible Infections (STIs) both enhance HIV transmission among carriers and increase the risk of acquiring HIV. This has been shown in a number of International trials, the most famous of which was carried out in Mwanza, Tanzania
(a randomized community trial – Lancet 1995; 346:530-536)). This trial clearly illustrated the impact of effective STI management on reducing the HIV epidemic. The risk of HIV infection among STD clinic attendees is thought to be around 10% per year in India. This increase is not confined to people with high risk behaviour but is also spreading into the population at large.

Therefore, the correct diagnosis and treatment of Sexually Transmitted Infections (STIs) can not only prevent serious long-term morbidities but has also long been acknowledged to be an essential pillar of HIV prevention. Most people suffering from a STI will, however, first visit a primary practitioner who may not be trained in STI diagnosis and management, leading to incorrect treatment of STIs or, indeed, no treatment for STIs at all.

Treatment seeking in India is determined by a number of variables, among which are: perceived seriousness and causality of symptoms; availability and accessibility of Health Care; costs (including opportunity costs) of treatment; perceived and actual quality of care; and beliefs about the appropriate provider to consult.

Health Care Provider surveys (done by Family Health International in a number of States in India – 1999-2000) have revealed gaps in practice especially in: a) Sexual history taking, b) physical examination, c) low levels of knowledge regarding syndromic management and prescription of effective drugs as per NACO guidelines d) counselling, e) practice of advising STI patients on consistent usage of condoms, f) partner notification and g) treatment.

In addition, a recent small rapid assessment of private practitioners (RCSHA & Mode. A`Rapid Assessment of STI practices among private practitioners. 2006) showed that nearly 90% of the practitioners showed their willingness to have further training on effective treatment of STI, going beyond the syndromic management model. Furthermore, the study showed that a large number of practitioners were already using laboratory diagnosis of STIs to some extent and were not relying solely on syndromic management.

There is therefore a strong case for providing basic training to doctors on syndromic management, history taking, examination and counselling along with further training on laboratory techniques and the individual STIs in detail.

Finally, practitioners need to have a clear idea of when onward referral to the specialists is required for both STIs and HIV, as these practitioners are the first port of call for many patients.

This course is designed to address all the needs sited above.

Teaching Methods Used

Numerous modes of teaching will be used in this course:

  • Lectures
  • On-site clinic training with patients
  • On-site lab training
  • Practical sessions to practice skills on plastic models
  • Group discussion
  • Interactive role play
  • More informal question and answer sessions with faculty, both national and international.

End of Course Assessment

Participants will end the course with an informal Objective Structured Clinical Examination (OSCE) and Multiple Choice Question examination.

Course Duration

It is a nine-day residential course starting from Saturday 24th February to Sunday March 4th 2007

Venue: Hotel Shan Royal, 85, Poonamallee High Road, Koyambedu, Chennai 600 107 (Tel: 044-26221212 email: contact@hotelshanroyal.com )

Eligibility Criteria

  • Basic qualification should be M.B.B.S.,
  • Any physician working in the government, private or NGO sector that is seeing or has an interest in seeing STI patients.

Number of Participants per Course:
The number of participants has been restricted to a maximum of only 30 participants per course. Numbers are restricted to ensure small groups for the more practical sessions.


Selection of Candidates

Completed application forms from candidates will be scrutinised by a Special committee nominated for this purpose using specific criteria. The decision of the committee is final.

Course Fees

Course fee of Rs. 2,500.00/= to be paid as A/C Payee Draft in favour of ‘IASSTD & AIDS” payable at Chennai, on receipt of selection intimation by the participant and send to the Course Coordinators on or before 15th February 2007

The course fees includes accommodation, food , course- material , visits to selected NGO clinics for hands –on training, welcome dinner, participation certificate.

Important Dates for the Third STIs Certificate Course:
Last date of receipt of filled-in application form : 5th February 2007
Date of intimation of selection for the Course   : 10th February 2007
to the participant
Last date for sending acceptance and
payment of course fees by the participant       : 15th February 2007

Requirements for Course Completion

  • 100% attendance for the 9-day course
  • Hands on experience in relevance to the Course Programme
  • Satisfactory performance in the Objective Structured Clinical Examination and MCQs examination at the end of the Course.

Outcomes of the Course

  • The participants who fulfill the requirements of Course completion will be awarded the STIs (including HIV) Course Certificate from the IASSTD & AIDS.
  • Each participant will be given an Interactive DVD for further study around STIs and HIV management
  • The participants will have the knowledge and skills to identify, diagnose and treat the STIs in the course of their practice, thereby reducing the complications of untreated or inadequately treated STIs which eventually lead to prevention of HIV.
  • They would become part of a mutually supportive STIs/ HIV care network as a result of contacts developed through the faculty members and members of IASSTD & AIDS.

About IASSTD & AIDS

Indian Association for the Study of Sexually Transmitted Diseases & AIDS ( IASSTD & AIDS) is in existence for more than 3 decades and there are about 850 members, both National and Overseas. These include Professors in teaching, training and treating STIs in most of the Medical Colleges, members in advisory committees to suggest guidelines for the treatment schedules etc.

IASSTD & AIDS co-ordinates and assists the activities not only of physicians practicing in the subject and other related subjects but also of epidemiologists, psychiatrists, psychologists, public health nurses, social workers and all concerned with human behaviour and its effects on the spread of STDs and HIV /AIDS by conducting several training programmes / workshops for the above disciplines.

IASSTD & AIDS holds Annual National Conference, consisting of several Orations, Guest Lectures, Scientific Sessions, Award Papers, Poster sessions and scientific quiz programmes.

The Association publishes an indexed Journal biannually entitled the ‘The Indian Journal of Sexually Transmitted Diseases’ (IJSTD).

About COTTISA

The Confederation of Thai Training Institutes for Sexual Health and AIDS is a collaborative project involving 6 Thai Medical schools, which in collaboration with Thai Ministry of Public Health have developed a Diploma Course in Sexual Health (STI and HIV). This course was developed in collaboration with senior Genitourinary Physicians from the UK and initially funded by the British Council. The current course co-ordinators are Dr Chavalit Mangkalaviraj, Department of Disease Control, Thai Ministry of Public Health and Dr Verapol Chandeying (Head of Dept of Obs and Gynae, Prince of Songkla University, Hat Yai, Thailand.

COTTISA has conducted 4-weekly courses for the past 16 years, with close collaboration from senior GUM physicians from the UK (currently Dr Ratish Basu Roy, Dr Hari Harindra and Dr Imtyaz Ahmed-Jushuf) who also participate in curriculum development, teaching and examination for the diploma course. The course regularly attracts 25-35 clinicians from over 11 South East Asian countries (including India) and has been consistently evaluated very highly by the course participants.

COTTISA has pledged to support IASSTD & AIDS in their efforts to develop a certificate course for Sexually Transmitted Infections and conduct the same with the support of the Resource Centre for Sexual Health and HIV/AIDS (RCSHA), together with support from senior UK based Genitourinary physicians with extensive experience of conducting teaching programmes in South East Asia

About RCSHA

The Resource Centre for Sexual Health and HIV/AIDS has been set up by the Department for International Development (India) with the objectives of strengthening the capacity within India to fight the HIV/AIDS epidemic. RCSHA works through partners both in the governmental and non governmental sectors as well as some of the large teaching institutions in the country.

Course Faculty

  • The Faculty members are predominantly members of IASSTD & AIDS who have worked at the planning or implementing STIs / HIV interventions at their State levels.
  • All the faculty members have competence in areas such as development communication, social research, clinical management, training etc.
  • Some have provided inputs to the National AIDS Control Programmes.
  • Together, they have an extensive experience of research, strategic planning, programme management, clinical medicine and public health.

Faculty Members

Dr.N.Usman - Former Prof & Director, Institute of Venereology, Madras Medical College, Chennai President - Elect (2006-2007), IASSTD & AIDS

Dr.Bhushan Kumar - Former Prof., Dept. of Dermato-venereology, Chandigarh
Past President, IASSTD & AIDS

Dr.Yogesh S Marfatia - Prof. & HOD, Dept. of Dermato-venereology, Vadodara
Past President, IASSTD & AIDS

Dr.D.M.Thappa - Prof. & HOD, Dept. of Dermato-venereology, JIPMER,Pondichery
President (2006-2007), IASSTD & AIDS

Dr.M.Balasubramanian - Former Deputy Director (STD), Tamilnadu State AIDS Control Society, Chennai

Dr.R.Ganesh - Former Prof. & HOD, Dept. of Venereology, Madurai Medical College, Madurai

Dr.Mukul Sharma - Prof. & HOD, Dept. of Dermato-venereology, Govt. Medical College, Kota

Dr.K.Venkateswaran - Asst.Prof., Institute of Venereology, Madras Medical College, Chennai Secretary, IASSTD & AIDS

Dr.K.Mahadevan - HOD, Dept of Venereology, Coimbatore Medical College, Coimbatore

Dr.(Lt Col)Anup Singh Gurung – Army Medical Corps (Retd.), Consultant HIV / AIDS RCSHA


Overseas Faculty:

Dr. Imtyaz Ahmed - Consultant in GUM /HIV, Dept. of GU Medicine, Nottingham City Hospital, U.K. Vice President, BASHH

Dr.Verapol Chandeying - Dept. of OB-GYN, Faculty of Medicine, Prince of Songkia University, Thailand Secretary, Consortium of Thai Training Institutes for STDs and AIDS (COTTISA)

Dr.Veerakanthy Harindra - Clinical Director, Dept. of G U medicine, St.Mary’s Hospital, Portsmouth, UK

Dr.Shailendra - Research Registrar, STI Research Centre, Weastmead Hospital, Sydney

Dr.Ratish Basu Roy - Hony. Consultant in GU/HIV Medicine, Royal Bournemouth Hospital, Bournemouth, U.K

RCSHA Staff:

Dr Thomas Philip, Dr (Lt Col) Anup Singh Gurung, Dr Meena Gandhi and Ms Sucheta Rawat

Course Coordinators:

Dr.T.Ram Manohar Rao - Consultant in STD/HIV, Chennai
Past President, IASSTD & AIDS

Dr.G.Chandrasekhara Rao - Consultant in STD/HIV, Chennai
Treasurer, IASSTD & AIDS

Address for all correspondences:
5 / A2, Fifth Street
Nandanam Extension
Chennai 600 035 (Tamilnadu)
Tel: 044-24355645 / 044-24332466
Mobile: 0-98410 02435 / 0-98840 70611
FAX: 044-24332466
email: drgcrao@gmail.com / rmlprao@gmail.com

TOPICS TO BE COVERED IN THE COURSE

  Session Titles Learning Objectives
Day 1

Practical aspects of the National AIDS Control Programme.
Sexual History Taking.
Attitudes and counselling within an STI consultation.
Anatomy of the Male and Female Genital tracts.
Overview of STIs and STIs syndromes.

Practical session 1: Male and female examination (mannequin practice) and informal question and answers to the faculty

  1. To get a broad overview of the epidemiology of STIs and HIV in India and the National response to the epidemics in all its' stages. The practitioner should be clear about 'where they are positioned' in relation to the other supporting services available to them in the country.
  2. To feel comfortable in initiating and taking a comprehensive sexual history and in carrying out a genital examination.
  3. To understand the principles of counselling STI patients, including contact tracing, safe sex etc.
  4. To gain a broad overview of the common STIs and the common STI syndromes
Day 2

Herpes Simplex Virus, other genital ulcer diseases, syphilis.
Attitudes and counseling in HIV

Practical session 2: Attitudes and communication skills (role play and ice breakers)
Practical session 3: Sexual History Taking (interactive role play)
Informal question and answers with faculty

  1. To know about genital ulcer diseases, including HSV and syphilis and be competent in their management based on etiological diagnosis (if laboratory facilities are available.)
  2. To allow physicians to examine some of their own attitudes towards HIV patients, to break down some myths and misconceptions and to include the key features of voluntary counselling and testing and breaking bad news.
Day 3

 


Candida, Trichomonas Vaginalis, Bacterial Vaginosis, Gonorrhoea, Chlamydia, Human Papilloma Virus.
Laboratory sessions: VDRL tests and their implications; laboratory techniques

Practical session 4: Practical specimen collection and microscopy

Film Show

  1. To know about the common sexually transmitted infections and be competent in their management based on etiological diagnosis (if laboratory facilities are available)
  2. To understand the principles of the common laboratory tests for STIs, to be able to take the relevant swabs to test for STIs and to be able to take a cervical smear test.
Day 4

Consequences of Untreated STIs including the relationship between STIs and HIV
Prevention of STIs with special emphasis on role of condoms.
The syndromic management of STIs
Natural history and diagnosis of HIV infection

Practical session 5: Syndromic management of STIs (interactive role plays and case discussion)

Practical session 6: Syndromic management of STIs and Etiological management of STIs (case discussion)

 

  1. To be clear about the consequences of STIs and their relationship to HIV.
  2. To be comfortable and competent in counselling on preventing STIs including demonstrating how to use a condom.
  3. To know about all the STI syndromes and be competent in their management.
  4. To be familiar with natural history and pathology associated with HIV infection as well as diagnostic methods.
Day 5

Universal precautions in HIV and post exposure prophylaxis.
Overview of opportunistic infections in HIV.
HIV and TB
Counselling in HIV with an emphasis on nutrition and adherence

Clinic Visit 1

Practical session 7: HIV pre and post test counseling and breaking bad news (interactive role play)

  1. To be familiar with the use of universal precautions as a practitioner, including principles of waste disposal.
  2. To get an overview of the common opportunistic infections in HIV
  3. To understand the relationship between HIV and TB and the management issues.
  4. To be familiar with holistic approach to the management of HIV patients.
  5. To be comfortable and competent in all aspects of counselling on pre and post test HIV.
Day 6

HAART
Stigma and discrimination in HIV
Psychological disorders in STI practice

Clinic Visit 2

Practical session 8: Interactive session with People living with HIV/AIDS

  1. To be familiar with the principles of ART
  2. To understand the issues around the stigma and discrimination of people living with HIV
  3. To know about common psychological sexual disorders and be able to begin management of these.
Day 7

CSWs
Ethical, Social and Legal issues
Global Challenges in STI/HIV
What’s new in STIs/HIV ?

ART toxicity

STIs and other sexual practices
Sexual minorities/Men who have sex with Men
Clinical aspects of dealing with MSMs

Practical session 10: ART/STI

Clinic Visit 3

Practical session 9: Informal interaction with MSM groups and informal question and answers to faculty

  1. To sensitise the attitude and values of health care professional towards issues of the sexual minorities, especially MSM.
  2. To enable the practitioner to elicit a relevant sexual history in this group and to carry out a competent clinical examination.
Day 8

Clinical prescription writing

Optional revision session

MCQ Exam
Objective Structured Clinical Examination 1 (Slide OSCEs)

  1. To provide some background into working with commercial sex workers
  2. To understand the legal, social and ethical issues around HIV management in relation to the primary practitioner.
  3. To be aware of the new developments in STIs/HIV and the global challenges.
  4. To be comfortable in writing prescriptions for 1st line ART and for STIs.
Day 9 Objective Structured Clinical Examination 2

Valedictory and Distribution of Certificates

 

Interactive role play on

  • simulated consultation- sexual history taking
  • HIV pre-post test counselling
  • simulated consultation- Breaking bad news
    partner notification

Role Play / STI case scenarios with overseas faculty
In addition, there will be special sessions on ‘how to deal with high risk groups’ and ‘sex and sexuality’.

INSTRUCTIONS FOR FILLING APPLICATION FORM

Complete, typed or neatly filled (In Capital Letters) and signed applications, along with the following supporting documents, must reach the coordinators at the address mentioned below, by 15th February 2007

The completed application should include:

  1. Curriculum Vitae of the Applicant
  2. Two Passport size Photographs of the applicant
  3. One copy to be affixed in the application form / One copy to be sent in a separate cover
  4. Photocopy of Degree Certificate
  5. Photocopy of Medical Council Registration Certificate
  6. Course fee of Rs.2,500.00/= to be paid as A/C Payee Draft in favour of ‘IASSTD & AIDS” payable at Chennai, on receipt of selection intimation by the participant and send to the Course Coordinators on or before
    15th February 2007

Submit materials by registered post / courier to Course Coordinators:
Dr.G.Chandrasekhara Rao
Dr.T.Ram Manohar Rao
5 / A2, Fifth Street
Nandanam Extension
Chennai 600 035 (Tamilnadu)

Tel: 044-24355645 / 044-24332466 Mobile: 98410 02435 / 98840 70611 FAX: 044-24332466
email: drgcrao@gamil.com / rmlprao@gmail.com

(Submission through email is encouraged, followed by completed application through registered post)

Last date of receipt of filled-in application form : 5th February 2007

Date of intimation of selection for the Course to the applicant
:10
th February 2007

Last Date for acceptance and payment of course fees by the participant
:
15th February 2007

If DD and acceptance letter are not received by 15th February by Course Coordinators, the candidate forfeits his/her selection

Dates of the STIs Certificate Course : 24th February to 4th March 2007

 

 
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