Dear Participants,
Please find below the timetable for the course.
Kindly note that progression to the next module is contingent upon the completion of the preceding module’s assessment questions and the approval of the submitted reflective write-ups. The deadline for the completion of each module is as indicated on a weekly basis.
Please also be advised that different assessors are assigned to different participants; therefore, notifications regarding weekly assignments may vary. However, please be assured that all notifications will be issued within the week indicated on the timetable.
The timetable will be strictly adhered to.
We wish you every success in your studies.
Warm regards,
The Academic Team

By the end of this course, participants will be able to:

1. Understand the Scope and Importance of Travel Medicine
2. Recognize Travel-Related Health Risks
3. Conduct Comprehensive Pre-Travel Consultations
4. Advise on Vaccination and Preventive Measures
5. Promote Safe Travel Practices
6. Guide In-Travel and Post-Travel Health Management
7. Apply Ethical and Culturally Sensitive Communication
8. Utilize Case-Based Reasoning in Clinical Scenarios

 This lecture will examine the key components of the regulatory landscape for travel medicine in Nigeria, including the roles of various health authorities and the implications for travelers and healthcare providers. 

This module provides an in-depth overview of the most relevant medications in travel medicine, best practices in travel prescribing, and legal and ethical considerations around traveling with controlled substances.

Yakkan Shoumei" (薬監証明) is a Japanese import certificate required for bringing certain medications into Japan for personal use, particularly when the quantity exceeds a specified limit or when dealing with controlled substances. It's essentially a pre-approval process to ensure compliance with Japanese regulations regarding medication importation

Learning Objectives

By the end of this session, you will be equipped to:

• Deconstruct Core Ethical Principles: Evaluate the application of beneficence, non-maleficence, and distributive justice within the specific context of international population mobility.
• Execute Professional Standards: Apply rigorous conduct standards to complex, real-world scenarios, ensuring that clinical advice remains objective and evidence-based.
• Navigate Specialty-Specific Dilemmas: Recognize and resolve ethical conflicts unique to travel medicine, such as the tension between mandatory reporting and patient confidentiality.

Synthesize Legal and Global Best Practices: Uphold patient autonomy and data privacy in strict alignment with the Nigerian National Health Act, the NDPR, and WHO International Health Regulations

In the high-acuity transition from a ground facility to a flight team, the SBAR (Situation, Background, Assessment, Recommendation) framework is the international gold standard. It strips away the noise and ensures that the flight physician or nurse receives a clinical "snapshot" that is actionable at 30,000 feet.

Medevac Clinical Handover (SBAR)

S: Situation

·       Patient Name/Age/Sex: "We are transferring Mr [Name], 64 years old."

·       Primary Diagnosis: "Acute Myocardial Infarction with cardiogenic shock."

·       Current Status: "Patient is currently intubated, sedated, and stabilized on dual vasopressors. We are transferring for urgent percutaneous coronary intervention (PCI)."

B: Background

·       Admission Timeline: "Admitted 6 hours ago following sudden onset chest pain."

·       Critical Interventions: "Thrombolysed at 0800hrs with partial resolution of ST-segment elevation. Intubated at 1000hrs due to respiratory failure."

·       Comorbidities: "Known Type 2 Diabetic and hypertensive. No known drug allergies."

·       Access/Lines: "Right internal jugular central line and left radial arterial line are in situ."

A: Assessment

·       Vitals: "Last BP 95/60 (on Norepinephrine), HR 110 (Sinus Tach), SpO2 96% on FiO2 60%."

·       Recent Changes: "Urine output has been declining over the last 2 hours (<0.5ml/kg/hr)."

·       Concerns: "The patient is extremely sensitive to movement; we observed a BP drop of 20mmHg during the last repositioning."

R: Recommendation

·       Transport Goals: "Maintain MAP > 65mmHg. Keep sedation deep to prevent 'fighting' the ventilator during ascent."

·       Contingencies: "If BP drops further, increase Norepinephrine by [X] increments. We have provided 2 extra bags of pressors and 1 unit of packed red cells for the flight."

·       Receiving Contact: "Dr. [Name] at [Hospital] is expecting the patient. The direct line is in the packet."

The "Golden Minute" of Handover

When the flight team arrives, the physical handover should be a choreographed event.

1.     Stop and Listen: Once the SBAR is delivered, give the transport team one minute to ask clarifying questions before moving the patient.

2.     Monitor Swap: Always overlap monitoring. Do not disconnect the patient from your bedside monitor until they are fully visualized on the transport monitor.

3.     The "Paper" Handover: Physically hand over the Clinical Passport (the USB/CD of imaging, the medication log, and the signed consent forms).

In aviation and maritime medicine, the Standard of Care is defined by the environment. You cannot apply "land-based" clinical assumptions to a patient who is three weeks away from the nearest surgical theater or a pilot navigating a transcontinental flight. This module will equip you with the specialized "Environmental Intelligence" required to manage health in these isolated, high-stakes corridors of global mobility.