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One month training program for Japanese medial residents of Nagasaki University in San Lazaro Hospital in the Philippines (Goal) To be a specialist of infection disease in the future, residents have to study the basic knowledge and skills through the various cases that cannot be seen in Japan. However tropical infectious diseases such as Dengue fever, Typhoid fever are rarely observed and difficult to see the cases in developed countries. Also, they have to learn the difference between Japan and Philippines such as history, weather ,health care system, thinking…,etc. This clinical training course can provide great opportunities to learn tropical infectious diseases and health care system in Philippines to medical residents in Japan (About San Lazaro Hospital) San Lazaro Hospital, is an urban 500-bed hospital serving as the national referral center in the Philippines for infectious diseases. This is one of the largest hospital in the world treating tropical infectious disease. (Method) Through this extensive course including text book learning, clinical bedside trainings and English discussion with local doctors, the Japanese residents can learn the pathogenesis of common pathogen, the clinical managements and basic skill of treating the patients Knowledge Before going to the Philippines, Residents have to learn basic knowledge of common infectious diseases (Dengue fever, Rabies, Tetanus, Leptospirosis, Typhoid fever and TB/HIV). Textbook recommendation “Lecture note: Tropical Medicine 7th edition” Residents should take two month training in the department of Clinical Medicine, Institute of Tropical Medicine for learning basic infectious diseases. 2: Should collect information in San Lazaro hospital (see: http://www.tm.nagasaki-u.ac.jp/internal/philippine.htm or https://www.facebook.com/SLH.nagasaki.Labo/) In Philippines, Residents have to do 1: Daily ward with local doctors every day. Daily discussion in English must be done. 2: Formal case presentation in English should be done in the general meeting in San Lazaro Hospital 3: Residents also should join the SLH-Nagasaki research team and learn clinical research and some basic laboratory skills 4: should write the condition and managements of the patients in medical chart in English Skill 1: Give a formal presentation in English 2: Discuss about the clinical cases in English 3: Perform clinical research and basic laboratory works (PCR, bacterial identification, serology tests) with SLH-Nagasaki research team 4: Write daily medical chart in English ( Weekly Schedule) Every morning 8:00 am ~ 10:00am Monday: weekly ground round with senior local staff Tuesday: Attend the general meeting in San Lazaro Hospital Wednesday: Case discussion with senior doctors Thursday: Journal club Friday: Laboratory work (Evaluation) Residents have to 1: write a report that they learn and submit Dr. Saito and Prof. Hamada. 2:give a presentation for Japanese residents They will be evaluated by their repot and presentation.