travel medicine ppt

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Travel Medicine Clinics Overview

A visit to a Mayo Clinic travel medicine clinic before you depart on an international trip can help ensure a safer, smoother experience.

If you're planning a trip overseas, make one of your first stops a consultation with specialists in the travel medicine clinics at Mayo's campuses in Arizona, Florida and Minnesota. Availability of services may vary among locations. Please confirm when you request an appointment.

You meet with a travel medicine specialist who is knowledgeable about current health risks worldwide and who will promote safe and healthy travels by offering counseling, recommendations, vaccinations, prescriptions and, if needed, a referral to another expert for complex medical conditions.

Virtual visits

You might be eligible for virtual pretravel consultations. If you're interested in this option, talk with the patient appointment specialist when you contact us to schedule an appointment.

COVID-19 and international travel

International travel has become more complex due to the COVID-19 pandemic, and some countries have exit and entry requirements. Your travel medicine specialist will be able to help you prepare for these requirements so that you have a smoother travel experience.

Before your trip

Schedule an appointment for a pretravel consultation with a Mayo Clinic travel medicine clinic well before you depart so the travel medicine specialist can help you prepare. Ideally, this appointment would occur as soon as travel plans are established and at least two weeks — and preferably 4-8 weeks — before departure. When requesting an appointment for pretravel consultation, be prepared to inform the patient appointment specialist of the following:

• All countries being visited
• Dates and duration of travel
• Any unusual circumstances

At or preferably before the appointment, you will want to provide copies of all available immunization records (including the International Certificate of Vaccination, commonly referred to as the yellow card). Doing so will expedite your clinic visit and may decrease the number of vaccines you are advised to receive.

Your in-depth pre-travel consultation may include:

• A country-by-country assessment of all health risks specific for your travel itinerary, such as exotic infectious agents, altitude sickness and heat exhaustion
• A review of your medical and immunization history profile with advice for health promotion and illness prevention
• Advice for the high-risk traveler
• Immunization recommendations, counseling and administration of vaccines to prevent illnesses
• Vector precautions counseling
• Malaria prevention counseling, with prescriptions if needed
• Traveler's diarrhea counseling for prevention and self-treatment, with antibiotic prescription if needed
• Identification of health resources in the countries you'll be visiting
• Counseling on travel-related risks such as altitude sickness, with preventive prescriptions if needed
• An opportunity to ask questions about the unique health and safety concerns for your travel itinerary

You will leave your travel medicine clinic appointment with much helpful and up-to-date information.

After your trip

• Depending on where you're going and for how long, the travel clinic may recommend a routine follow-up evaluation after your return.
• If you return sick, the travel clinic staff members are Mayo Clinic infectious diseases experts who provide comprehensive post-travel consultations for evaluation and treatment of travel-related illness, including parasitic and other diseases common to tropical regions but uncommon in the United States.
• Mayo Clinic Travel Medicine Clinic
• 5881 E. Mayo Blvd. Phoenix, AZ 85054
• Phone: 480-342-0115
• 4500 San Pablo Road Jacksonville, FL 32224
• Phone: 904-953-0774
• Mayo Clinic Travel and Geographic Medicine Clinic
• 200 First St. SW East 6A, Mayo Building Rochester, MN 55905
• Phone: 507-255-7763 (toll-fee)
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Travel Medicine and International Health

Travel medicine and international health is a specialized branch of medicine that focuses on the prevention, diagnosis, and management of health issues related to international travel and global health. It aims to promote the well-being of travelers by providing pre-travel consultations, vaccinations, prophylactic medications, and post-travel care for various travel-related illnesses and conditions.

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Global health and travel-related maladies, outdoor emergencies and injuries, related news.

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Travel medicine

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• Peer review
• Jane N Zuckerman , senior lecturer. ( j.zuckerman{at}rfc.ucl.ac.uk )
• Academic Centre for Travel Medicine and Vaccines, Royal Free and University College Medical School, London NW3 2PF
• Accepted 23 May 2002

Travel medicine is an exciting interdisciplinary specialty that has developed rapidly in response to the needs of the travelling population worldwide. International arrivals worldwide by any form of transport were around 664 million in 2000 (fig 1 ), and the World Tourist Organisation has predicted an 80% increase in travel to long haul destinations between 1995 and 2010. 1 2 Specialists in travel medicine consider diverse aspects of travel related health, including fitness to travel and the health risks of travelling in itself, as well as the implications of exposure to a variety of infectious diseases. This review highlights current topical issues in this evolving specialty.

Sources and search criteria

This article is based on information from several sources, including a review of the literature obtained from the PubMed database, clinical experience, and textbooks on the subject of travel medicine.

The development of travel medicine as a distinct discipline

The development of travel medicine as a discipline is a recent advance in itself. 4 This has been recognised in the United Kingdom by the Department of Health in its new strategy for combating infectious disease, which confirms the need for specialists in travel medicine. 5

An important organisational development has been the establishment of dedicated specialist travel health clinics in teaching hospitals and primary care (in addition to clinics operated by independent commercial groups). These provide individual pretravel risk assessments (box 1 ) and should improve services for patients, many of whom seldom seek health advice before travel. 6 The importance of providing services for patients is increasingly being recognised in relation to an increased incidence of travel related disease (box 2 )and importation of infection (fig 2 ). 7

Recent developments

Travel medicine is developing as a new specialty providing specialist travel services to meet the health needs of vastly increasing numbers of travellers

A pretravel risk assessment allows travel health related risk factors to be identified

The public health implications of the growing number of refugees and migrants from less developed to developed countries need to be fully assessed, and appropriate services need to be provided

Vector borne diseases, in particular malaria, remain an important health risk

The appropriate use of malaria standby treatment may become an option for experienced travellers

New combination vaccines that can be administered by an accelerated schedule are a welcome advance in combating infectious disease

Assessment of fitness to fly and awareness of the possible physiological and psychological impacts of air travel should be considered

The International Society of Travel Medicine and the British Travel Health Association (UK) provide information and support to health professionals who are offering travel advisory services to patients. Information from the International Society of Travel Medicine is available on the internet and includes a comprehensive and international listing of travel medicine specialists and travel health clinics. Guidelines and information relating to the discipline of travel medicine are also available from the World Health Organization, the Department of Health, and the Centers for Disease Control and Prevention, as well as from the recently formed European Travel Health Advisory Board (see additional educational resources). 8

Training in the discipline is available both nationally and internationally through certification, diploma, or masters degrees (see bmj.com). A new initiative from the International Society of Travel Medicine includes a certificate in travel medicine that encompasses a body of knowledge in travel medicine developed by an international group of travel medicine physicians.

Refugees and migrants

International migration, usually from poor countries to rich countries, is a worldwide phenomenon. Estimates put the number of migrants worldwide in 1990 in excess of 120 million, with an annual growth rate of 1.9%. 9 Net international migration contributed to 45% of the population growth in the developed world and almost 88% of the population growth in Europe in 1990-5. The number of refugees worldwide, including asylum seekers, in 2001 totalled 19.8 million. 10 Trafficking in migrants has become a lucrative illegal market.

The migration process has important health implications. Migrants often have a higher rate than other travellers of conditions such as tuberculosis, hepatitis B and C, schistosomiasis, malaria, and sexually transmitted infections (including syphilis and HIV). They also have a higher rate of non-infectious conditions such as diabetes, cardiovascular disease, malignant diseases, asthma, respiratory diseases linked to smoking, occupational diseases, and injuries, as well as psychological disorders. 11 Stress related health problems are exacerbated by changes in lifestyle, food habits, culture, and religious life. As the number of refugees and migrants grows, medical providers and travel medicine physicians need to understand and respond to the wide range of health problems they have.

Percentage increase in international arrivals between 1993 and 1997 3

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Pretravel risk assessment

• Detailed itinerary:

Countries and regions

Urban, rural, or jungle

Purpose of travel

Mode of travel

Type of accommodation

Duration of stay and travel

Special activities

Special needs

Special high risks

Previous travel

Available medical facilities

Detailed medical history

Concurrent medications

Personal immunisation history

Appropriate immunisations and malaria prophylaxis

Key travel related health problems

Travellers' diarrhoea

Respiratory tract infections

Hepatitis A and B

Skin infections

Sexually transmitted infections

Cases of falciparum malaria in the United Kingdom, 1990-9 5

Vector borne disease

Up to 8 in 1000 travellers in developed countries become infected with malaria, resulting in more than 10 000 cases of malaria being imported into Europe each year (fig 2 ). 12 13 Other vector borne diseases, such as dengue and yellow fever, are also increasingly important. 14

Since December 2001, following the report of six deaths possibly associated with the administration of yellow fever vaccine in elderly travellers, health professionals have expressed concern about the use of yellow fever vaccine. 15 – 17 Millions of doses of vaccine have been administered over many years, however, with a minimum risk of morbidity or mortality, and experts agree that the benefits of yellow fever vaccination outweigh the risks.

Malaria remains the single most important disease hazard facing travellers. Adherence to antimalarial chemoprophylaxis, in addition to adopting measures to avoid being bitten, is essential. Chloroquine resistant falciparum malaria is an increasing problem in Central and South America, South East Asia, Oceania, and sub-Saharan Africa. 18 Recommended prophylaxis for chloroquine resistant areas, to be discussed with the individual traveller, include mefloquine, doxycycline, and atovaquone plus proguanil (Malarone). Chloroquine continues to be recommended as prophylaxis for malaria in areas where there is no chloroquine resistance.

It is advisable for people taking mefloquine for the first time to start three weeks before departure so that if they experience side effects such as anxiety or nightmares alternative prophylactic drugs can be considered. Alternatives include Malarone one tablet daily, doxycycline 100 mg daily, dapsone plus pyrimethamine (Maloprim) one tablet weekly or chloroquine and proguanil. Malarone consists of 250 mg atovaquone and 100 mg proguanil and is of particular value for people travelling to chloroquine resistant areas. 19 Prophylaxis should be started one day before entry into an endemic area and continued for seven days after leaving it.

Guidance on antimalarial chemoprophylaxis has recently been issued by the Advisory Committee on Malaria Prevention for UK Travellers (box 3 ). Malarone, doxycycline, and mefloquine are recommended in chloroquine resistant areas. Mefloquine is recommended for travel of longer than two weeks' duration to West, Central, and East Africa and specific areas of South East Asia. Chloroquine and proguanil are recommended for travel to other areas. 20

Malaria chemoprophylaxis by continent (depending on season and area visited

The advisory committee on malaria prevention for uk travellers recommends.

North Africa and Middle East—chloroquine alone or chloroquine plus proguanil

Sub-Saharan Africa—mefloquine, doxycycline, or atovaquone plus proguanil

South Asia—chloroquine plus proguanil

South East Asia—mefloquine, doxycycline, or atovaquone plus proguanil (Indonesia and forests of Malaysia and Sarawak—chloroquine plus proguanil)

Oceania—mefloquine, doxycycline, or atovaquone plus proguanil

Latin America—mefloquine, doxycycline, or atovaquone plus proguanil

Caribbean—chloroquine plus proguanil or chloroquine alone

Malaria chemoprophylaxis regimens

Chloroquine—two tablets taken weekly starting a week before travel to endemic area and continuing for four weeks after leaving malarious area

Proguanil—one tablet daily starting a week before travel to endemic area and continuing for four weeks after leaving malarious area

Doxycycline—one tablet daily starting one day before travel to endemic area and continuing for four weeks after leaving malarious area

Atovaquone plus proguanil (Malarone)—one tablet daily starting one day before travel to endemic area and continuing for seven days after leaving malarious area

Mefloquine—one tablet weekly starting trial dose three weeks before departure if appropriate and continuing for four weeks after leaving malarious area

Standby treatment in defined circumstances may become of increasing value to travellers. Standby treatment consists of a course of antimalarial drugs that travellers to malaria endemic areas can use for self treatment if they are unable to gain access to medical advice within 24 hours of becoming unwell. The treatment kits are supplied with written instructions, and travellers must seek medical advice as soon as possible. Recently licensed agents indicated for use as standby treatment include Malarone and Riamet, which is a new fixed dose antimalarial drug containing 20 mg artemether and 120 mg lumefantrine. 21

Prevention of infectious disea

The prevention of infectious disease in travellers continues to receive substantial consideration, as an appreciable number of such diseases are now considered to be “vaccine preventable.” 22 Vaccines usually recommended for general travel include tetanus, poliomyelitis, and hepatitis A. As destinations become more diverse, with people increasingly travelling outside Europe, additions to this list include typhoid, hepatitis B, diphtheria, and rabies (box 4 ). Mandatory vaccines, for which certification is often necessary, include yellow fever and meningoccocal meningitis, as appropriate to the destination. Travellers at high risk, such as those with chronic medical problems, would benefit from vaccination against diseases such as influenza, whose seasonal prevalence differs in temperate and tropical climates, as well as pneumococcal vaccine and hepatitis B vaccine.

Vaccines for travellers

Poliomyelitis

Childhood immunisations (in date

Recommended for travel outside northwest Europe, North America, Australia, and New Zealand:

Diphtheria (travellers in close contact with the indigenous population)

Hepatitis A

Hepatitis B

Special risk

Influenza (travellers with underlying medical problems)

Japanese encephalitis (travel for more than four weeks in rural area

Meningoccocal meningitis (travellers in close contact with the indigenous population)

Pneumococcus (travellers with underlying medical problems)

Rabies (rural travel and travel more than 24 hours away from medical help)

Tick borne encephalitis (travel to forested areas of Eastern Europe)

Certificate required

Meningoccocal meningitis (travel to Saudi Arabia for purposes of a pilgrimage)

Yellow fever (travel to parts of sub-Saharan Africa and parts of Central and South America)

Rapid schedules of vaccination

Hepatitis B (Engerix B)—days 0, 7, and 21; booster at 12 months

Hepatitis A and B (Twinrix)—days 0, 7, and 21; booster at 12 months

Combination vaccines

Hepatitis A and B (Twinrix)

Hepatitis A and typhoid (Hepatyrix; ViATIM)

Diphtheria and tetanus (DT, d, Td)

Additional educational resources

Bradley DJ, Bannister B. Guidelines for malaria prevention in travellers from the United Kingdom for 2001. Commun Dis Public Health 2001;4:84-101

Department of Health. Health information for overseas travel 2001 . London: Department of Health, 2001

World Health Organization. International travel and health 2002 . Geneva: WHO, 2002

Zuckerman JN, ed. The principles and practice of travel medicine . Chichester: John Wiley & Sons, 2001

Foreign and Commonwealth Office—general travel health and safety advice www.fco.gov.uk/travel/

World Health Organization, International Travel and Health—vaccination requirements and health www.who.int/ith/ and disease outbreak reports www.who.int/disease-outbreak-news/

Centers for Disease Control and Prevention—US health information for international travel www.cdc.gov/travel

International Society of Travel Medicine—information resource for both travel medicine practitioners and travellers http://www.istm.org/

NHS resource for healthcare professionals advising travellers about how to avoid illness when travelling abroad— http://www.travax.scot.nhs.uk/

Fit for Travel—public access website provided by the NHS, which gives travel health information for people travelling abroad from the UK http://www.fitfortravel.scot.nhs.uk/

Medical care before, during, and after air travel— http://www.britishairways.com/

BMJ archive

Mortimer P. Yellow fever vaccine. BMJ 2002;324:439

Goodwin T. In-flight medical emergencies: an overview. BMJ 2000;321:1338-41

Webster G, Barnes E, Dusheiko G, Franklin I. Protecting travellers from hepatitis A. BMJ 2001;322:1194-5

Hepatitis B vaccine should also be considered for a wider range of travellers, including those who may travel to areas endemic for hepatitis B, may be exposed by virtue of their sexual practices, or may be exposed to unscreened or inadequately screened blood or blood products or inadequately sterilised medical and surgical equipment. 23

People are increasingly travelling at short notice, and the ability to provide good levels of protection within a period of four weeks is an important development. Newer combination vaccines, such as hepatitis A plus typhoid and hepatitis A plus B, provide dual protection by a single injection (box 5). This increases uptake and convenience (particularly for people with a fear of needles) and by using only one site makes another injection site available when time is short and multiple immunisations need to be considered. Rapid schedules of vaccination include monovalent hepatitis B vaccine, which can be administered according to three different schedules, and combined hepatitis A and B vaccine, which can be administered as a primary course within three weeks. 24

Other recent developments include the introduction of a quadrivalent meningoccocal meningitis vaccine to protect against the W135 strain, which has been associated with several outbreaks of disease in Saudi Arabia as well as in parts of sub-Saharan Africa. 25 Other new vaccines licensed in the United States include a vaccine against varicella. 26

The increase in air travel has led to increases in the incidence of travel related disease and the importation of infection

Credit: PETER MACDIARMID/REX

As part of the expanded programme on immunisation, under the auspices of the WHO, worldwide eradication of poliomyelitis remains a goal. The report of outbreaks of vaccine associated poliomyelitis in countries where wild poliovirus has been eliminated is, however, of concern. 27 In view of this, it would seem prudent for those travellers at particular risk—for example, those in contact with the local population, such as aid workers—to maintain levels of protection against poliomyelitis.

Aviation medicine

Health practitioners need to be aware of the health effects of reduced atmospheric pressure, transmeridian travel (causing jetlag), and motion sickness and to consider passengers' fitness to travel by air. Guidelines for medical clearance, in-flight medical emergencies, and aircraft emergency medical equipment have been reviewed. 28

The risk of transmission of respiratory diseases in association with air travel should also be considered. No case of active tuberculosis as a result of exposure during travel by air has yet been identified, but transmission of Mycobacterium tuberculosis may occur during flights of more than eight hours, as the risk of infection is related to the proximity and duration of exposure to the source patient. 29

Considerable attention has been given to travel related deep vein thrombosis. 30 31 The estimated risk of developing deep vein thrombosis after a long distance flight is between 0.1 and 0.4 per thousand of the general population. 32 Methods of preventing deep vein thrombosis, including identification of travellers with predisposing risk factors, 32 are important. All passengers, regardless of their risk, should move around in their seats and in the aircraft cabin as much as possible during the journey. Drinks containing alcohol or caffeine should be avoided before and during the flight, and water or soft drinks should be taken to reduce the effects of dehydration. Exercising the calf muscles every half hour while seated by spending a few minutes flexing and rotating the ankles is also recommended to reduce the effects of stasis.

The prophylactic use of aspirin, and in some cases subcutaneous heparin, to prevent deep vein thrombosis is under discussion. Under the auspices of the WHO, studies are planned to evaluate the risk of deep vein thrombosis associated with travelling by air. The aims of the research programme are to determine the frequency and cause of travellers' thrombosis through epidemiological studies, to identify who is at greatest risk through pathophysiological studies, and to undertake clinical studies that will focus on the effectiveness of possible preventive strategies. 33

Competing interests JNZ has been reimbursed by several manufacturers of vaccines and antimalarial prophylaxis for attending conferences and running educational programmes and has received unrestricted educational grants. JNZ is also a consultant in travel medicine to British Airways travel clinics

Details of courses in travel medicine appear on bmj.com

• World Tourist Organisation
• Lederberg J
• Department of Health
• Stringer C ,
• Chiodini J ,
• Zuckerman JN
• ↵ Travellers Omnibus Survey. London : Ipsos RSL , 1999 .
• World Health Organization
• United Nations High Commissioners for Refugees.
• Carballo M ,
• Divino JJ ,
• Steffen R ,
• Heymann D ,
• Chang G-JJ ,
• Holmes DA ,
• Penney DJ ,
• Carter IW ,
• Roberts JA ,
• Rawlinson WD
• World Health Organization 2000(b)
• Bradley DJ ,
• Bannister B
• Schlagenhauf P ,
• Zuckerman JN ,
• Dietrich M ,
• Nothdurft HD ,
• Knotloch J ,
• Vollmar J ,
• ↵ Meningococcal disease serogroup W135 WER 2001 ; 19 : 141 – 142 .
• Varicella, measles, mumps, rubella vaccine
• ↵ Progress toward global eradication of poliomyelitis, 2001. MMWR Morb Mortal Wkly Rep 2002 ; 51 : 253 – 256 . OpenUrl PubMed
• Geroulakos G
• Machin SJ ,
• Bailey-King S ,
• Mackie IJ ,
• McDonald S ,
• House of Lords
• ↵ WHO study of venous thrombosis and air travel. Weekly Epidemiological Record 2002 ; 77 : 197 – 199 . OpenUrl PubMed

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A new era for travel medicine education

The COVID-19 pandemic has had significant impact on travel medicine practice and practitioners alike with many individuals leaving the field altogether. Yet, when travellers return for advice in abundance, good care will be more important than ever. The standard of care and the quality of travel medicine trainers is vital as the Faculty of Travel Medicine highlighted in their Good Practice Guidelines for Providing a Travel Medicine Service in October 2020 found at https://rcpsg.ac.uk/travel-medicine/good-practice-guidance-for-providing-a-travel-health-service .

In the UK, formal education in travel medicine began at the University of Glasgow in 1995 with a Postgraduate Diploma in Travel Medicine, which subsequently led onto a Master of Science degree in the subject – I was one of the students in this cohort to progress through the courses. It was the first course of its type in the world. I recall the experience was hard and given we had no internet access at that time or use of e mail, course work was returned for marking by postal service; for me, a 50 mile train journey to London to the Bristish Library and the London School of Hygiene and Tropical Medicine to gather any required references; there were few text books on the subject and I had to learn how to use a computer to develop the many assignments! On reflection the course was possibly overassessed, but the programme rigorous, work thorough, very comprehensive and provided me with an excellent base from which I have subsequently developed my full time career in travel medicine since! Many specialists in the field were involved and the inaugural meeting had a keynote speech from the late and dear Prof. Jay Keystone, who travelled over from Canada to deliver his lecture – the first time I had ever heard him and was blown away. Those who recall Jay speak will understand that emotion. Specialists in the field who have since taken the training include Dr. Dipti Patel, Director of the National Travel Health Network and Centre (NaTHNaC) and Prof. Gerard Flaherty, President Elect of the International Society of Travel Medicine (ISTM), but there are many former diplomates around the world who undertook this ground breaking training – the initial idea created by the late Dr Cameron Lockie MBE.

But time moves on, the Diploma moved to Health Protection Scotland and then to the Royal College of Physicians of Surgeons where it now still resides. Many other courses have been developed over time including ones in the UK in Sheffield (no longer available), Liverpool and abroad for example in South Africa, but of shorter duration.

Today one similar selection of courses is available from the University Otago in New Zealand at Certificate, Diploma and Masters level in Travel Medicine studied within the Department of Health Care and General Practice. The courses are led by the well known travel medicine specialist Dr Jenny Visser and Claire Wong (herself a student of the Diploma in Travel Medicine at the Royal Free and University College London, then the Masters at Sheffield Hallam University). These opportunities have been runing for a while as online courses, but with some compulsory residential attendance. However due to COVID restrictions, online or hybrid options have been offered. For more details see https://www.otago.ac.nz/courses/qualifications/mtravmed.html .

A Graduate Certificate of Travel Medicine is also available from the James Cook Univeristy in Australia with current President of the ISTM, Prof. Peter Leggat a lecturer. Studied over one year, this part time 12 month course is accredited as an approved qualification by The Faculty of Travel Medicine of the Australasian College of Tropical Medicine (ACTM) for their fellowship program. To see details of the course go to https://www.jcu.edu.au/courses/graduate-certificate-of-travel-medicine and https://secure.jcu.edu.au/app/studyfinder/?subject=TM5512 . Details of progression through the ACTM can be found at https://www.tropmed.org/faculty-of-travel-medicine/

Progressing the concept of this key document, Good Practice Guidance for Providing a Travel Health Service , and taking the opportunity to completely reconsider the provision of training in the new digital era with the progress we've all made in 2020/2021, the Faculty of Travel Medicine have launched two new courses to prepare practitioners, with a third course at Masters level in the pipeline.

The Professional Development Certificate in Travel Medicine is a course completely online with four modules studies on a modern e learning platform. Modular tutorials are provided over Teams and the support of a personal adviser to each student helps to create the missing elements a face to face course may offer, whilst making the study far more accessible for students around the world. Assessments within the course are deliberately pitched not only to demonstrate understanding and knowledge in the subject, but to also develop some practical tools for the students to use in future practice. A certificate of the Royal College of Physicians and Surgeons of Glasgow is awarded to successful students. The course is designed to be one of enjoyment and ideal preparation to progress onto the more academically demanding RCPSG Postgraduate Diploma in Travel Medicine.

This course has eight modules with two residential components – with the possibility to attend these as a hybrid option although face to face is recommended. The course commences in January 2022 with the first residential being held online on this occasion due to the pandemic. This course has a credit rating from Glasgow Caledonian Univeristy (GCU) for 120 credits at Masters level 11 on the Scottish Credit Qualification Framework (SCQF), and the Diploma is awarded by the Royal College of Physicians and Surgeons of Glasgow. Assessment is through stimulating academic pieces of work submitted at the end of each module and although there are no written exams required, there will be Objective Structured Clinical Examaminations (OSCEs) towards the end of the study to assess practitioners’ clinical skills and knowledge. The course covers a broad range of subjects designed to cover all areas of travel medicine practice as highlighted in the brochure at https://rcpsg.ac.uk/documents/etpd/1786-postgrad-tm-a4-0621/file . Students will be supported by advisers, attend monthly online seminars and have access to an extensive range of interactive materials on a modern e learning platform. Successful students will also be eligible to be admitted to the College as Members of the Faculty of Travel Medicine and able to use post nominals MFTM RCPS(Glasg). Work is also in progress for successful students to progress onto a Masters degree in the subject at GCU if they so wish, where they would undertake a dissertation, but would also have a supervisor from the Faculty of Travel Medicine as well.

Travel Medicine is a fascinating and important subject, little understood by the travelling public or indeed by many of our professional colleagues in the medical world. Having just demitted from a three year term as Dean of the Faculty of Travel Medicine at the Royal College of Physicians and Surgeons of Glasgow, I hope the courses and opportunities we've developed through my term in office, inspire some potential students to study this exciting subject, just as it did me at the start of my career 26 years ago!

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Travel and Tourism 101 Workshop

If you love traveling, sightseeing, tourism and, in short, going on an adventure, then you'll most likely know not only the ABC of travel and tourism, but the equivalent to a C2 certification. Jokes aside, there are many things to take into account when traveling, so for the initiated, here's...

Travel Itinerary Blog Social Media Strategy

Travel influencers are very trendy - who wouldn't love to see people traveling all over the world (even if it makes you a little envious at times)? Back on topic, it's a very successful social media theme - we've got something to tell you about it! Related to this theme,...

Travel Infographics

Which country do you want to visit next? If you work in a travel agency, you can benefit from these infographics in your presentations, since all of them incorporate elements such as suitcases, airplanes, famous monuments, backpacks, maps and other related elements. You'll find calendars, timelines, graphs and much more...

Elementary Geography Lesson

How many continents and oceans are there? What causes rain and earthquakes? It’s important for children to learn about the beautiful natural world they live in and there’s no better way to do that than through Geography classes. This educational presentation will help you do just that!

Cream Paper Scrapbook - South Korea Travel Planning

Kept in the soft, creamy style of a scrapbook with cute, travel-related illustration stickers, this is the perfect template to get you in the mood for a nice long trip! Whether you want to use it as a checklist for travel planning, a travel diary or to tell your friends...

Travel Guide: Paris Infographics

Oh, là là, Paris, je t'aime ! If you are also in love with the French capital and want to create your own travel guide, this infographics template inspired by the city of light will be of great help. It has different resources, such as diagrams, timelines, graphs, lists, etc....

Colombia Travel Tour

Did you know that Colombia is one of the countries with the most biodiversity? Yeah, and it’s also the only country in South America with beaches in both the Pacific Ocean and the Caribbean Sea. Have we convinced you to visit this amazing country already? Then plan your trip with...

Respectful Tourism in National Parks Workshop

Download the Respectful Tourism in National Parks Workshop presentation for PowerPoint or Google Slides. If you are planning your next workshop and looking for ways to make it memorable for your audience, don’t go anywhere. Because this creative template is just what you need! With its visually stunning design, you...

Rural Holidays Agency

A good presentation meant for agencies that offer rural holiday packages needs to have some nature-related visuals, right? Use our template filled to the brim with illustrations and edit the layouts to include all about your company. Maps, customer reviews, your services, your team… Everything needed is here!

Discover United Kingdom (UK)

Download the Discover United Kingdom (UK) presentation for PowerPoint or Google Slides and start impressing your audience with a creative and original design. Slidesgo templates like this one here offer the possibility to convey a concept, idea or topic in a clear, concise and visual way, by using different graphic...

Tourist Attractions Social Media Strategy

In today's world, social media is everything. And if you're running a tourist attraction, you're expected to have a strong social media presence. It's not just about getting likes and shares, but also about improving the overall customer experience. With visually stunning slides (for example, the pictures are "fixed" to...

Travel and Transportation Vocabulary - French - 6th Grade

Download the "Travel and Transportation Vocabulary - French - 6th Grade" presentation for PowerPoint or Google Slides. If you’re looking for a way to motivate and engage students who are undergoing significant physical, social, and emotional development, then you can’t go wrong with an educational template designed for Middle School...

Happy Winter Holidays! Infographics

Railroads Project Proposal

Download the Railroads Project Proposal presentation for PowerPoint or Google Slides. A well-crafted proposal can be the key factor in determining the success of your project. It's an opportunity to showcase your ideas, objectives, and plans in a clear and concise manner, and to convince others to invest their time,...

Travel Agency Brochure

Pack your bags! We're leaving! Where to? To begin with, to discover the latest design by Slidesgo. It's a template to present travel agencies, but with a very special format. It comes ready for you to print (if you need to) and create amazing brochures that you can hand out...

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