Antibiotic resistant micrococcus species isolated from cattle egrets and its implications

Medical curricula have shifted to problem based learning and from “know all” to “know how” with an emphasis on active learning and the transmission of information in a context-based manner. Post-graduate tropical medicine training on-site in the tropics is now available on 4 continents. The Gorgas Diploma Course given annually in Lima, Peru will be used to highlight the experience over the last 20 years with over 700 participants in developing an effective learning environment for its participants, using increasingly recognized principles of adult learning. An analysis of participant profiles, pedagogic approaches, and outcome measures will be provided. The benefit of this approach will be illustrated with several clinical case studies highlighting unique pedagogic benefits of an on-site patient-based approach. The frameworks of other courses given in East Africa, South Africa, and Southeast Asia will be summarized as well.