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HIV & TB Clinical Training: Advanced Level Off site.

Project Description

Place of training: Cape Town

Duration: 10 days (2 weeks)

Date: 09th to 20th of May 2016

03rd to 14th of October 2016

Nber of participants: 12 maximum

Language: English

Application: To SAMU training administrator:

By offering an off-site training in a centralised venue:

  • We can draw on the large patient base in several hospitals and clinics for bedside and clinic-based learning.

  • We benefit from easy access to many experts in the field of HIV/TB to contribute to the trainings.

  • We are able to offer trainings to participants from a wide range of contexts who might not otherwise have access to an on-site training.

  • We provide a higher level of training to a selected group of participants who will benefit most from this access to a greater body of HIV/TB experts.

  • Exclusively for doctors and clinical officers, not nurses, MSF and MoH (if approved by the mission because of close collaboration with the MSF project).
  • This is a clinical not a programmatic course, so the primary focus is updating or up-skilling participants in clinical knowledge and skills in HIV and TB management. Whilst the course content is adapted to a degree to the needs of each group, the primary learning level of this course is the non-specialist doctor or clinical officer with existing experience in HIV and TB and not the internal medicine and infectious diseases specialist
  • At least four months current clinical experience in HIV management (not just TB) is required.
  • English fluency is essential (at least level B2 according to the standard MSF fluency guide).
  • Since learning is an ongoing process rather than just a one or two week injection of information in a classroom, we encourage participants to attend these trainings only when they are already working in the post where they will apply it. Under these circumstances real learning happens, namely the application of acquired knowledge that impacts performance in the workplace.

This HIV & TB clinical training, in Cape Town, contributes to provide quality HIV and TB care within a resource limited context

At the end of the training, participants will have increased their clinical competencies and skills to consult across a wide range of conditions commonly encountered in HIV/TB Primary Health care/district hospital settings

This is primarily a clinical not a programmatic course. However, where appropriate to the clinical learning, programmatic elements can be incorporated.

Drawing from a large database of training materials, a default package has been designed, based on the current needs and training experiences in the MSF HIV projects. Based on post-course feedbacks and ongoing communication with the SAMU HIV/TB advisors in the field the course content is adapted to meet the changing needs.

The course covers many of the topics below and if not covered in either the theoretical or practical weeks, much literature is made available on a memory stick as well as by access to the SAMU website

Opportunistic infections (including TB)

To be able to diagnose and manage:

      • Smear negative TB
      • Drug resistant TB
      • Complications of combined HIV & TB treatment
      • Non tuberculous mycobacteria (MAC etc.)
      • Advanced Kaposi’s sarcoma
      • Cryptococcal meningitis and it’s complications

Systems HIV disease

To be able to manage common HIV clinical presentations in:

      • Neurology(Space occupying lesions, meningitis, leg weakness)
      • Respiratory(PCP, Bacterial pneumonia)
      • Hepatology(Hepatitis B, drug induced hepatitis)
      • Gastroenterology(acute vs chronic diarrhoea)
      • Nephrology (including HIVAN)
      • Haematology(cytopaenias, lymphoma)
      • Dermatology
      • Ophthalmology(Common presentations including ophthalmic zoster and CMV retinitis)
Antiretroviral therapy (ART)

To be able to:

      • Recognize and manage serious ART toxicities (especially nevirapine-related)
      • Recognize and manage immune reconstitution inflammatory syndrome (IRIS)
      • Tailor a salvage regimen based on principles of drug resistance
      • Manage complex adherence issues


To be able to:

      • Diagnose and treat TB in an HIV positive child
      • Manage acute respiratory conditions in HIV positive child
      • Appropriately initiate and manage ART in a child
      • Manage adherence challenges in paediatric ART


    • To recognize chest X-ray features of TB, PCP, LIP, KS and pneumonia in HIV positive adults and children.

The course is overseen by the SAMU clinical training coordinator who draws on the expertise of the many local TB/HIV experts to facilitate learning.

The two weeks course consists of an integrated mix of classroom trainings and hospital- or clinic-based hands-on learning opportunities. Participants have the opportunity interact with HIV/TB experts in the field and to do hands-on learning with a variety of actual patients with TB/HIV conditions. Using interactive methodologies, clinical case history review, group and individual work, the group as a peer-to-peer source of learning, and the presenters as learning facilitators are considered as important pillars of the proposed teaching method.

Project Details

  • Date February 1, 2016
  • Tags HIV/TB, Off-site, Training
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