Costa Rican Healthcare and Tropical Medicine

Universidad Veritas

Course Description

  • Course Name

    Costa Rican Healthcare and Tropical Medicine

  • Host University

    Universidad Veritas

  • Location

    San José, Costa Rica

  • Area of Study

    Biology, Biomedical Sciences, Global Health, Health Administration, Health Science, International Health, Nursing, Pharmacy, Pre-Dental, Pre-Medicine, Pre-Nursing, Pre-Pharmacy, Pre-Physical Therapy, Public Health

  • Language Level

    Taught In English

  • Course Level Recommendations

    Upper

    ISA offers course level recommendations in an effort to facilitate the determination of course levels by credential evaluators.We advice each institution to have their own credentials evaluator make the final decision regrading course levels.

    Hours & Credits

  • Recommended U.S. Semester Credits
    4
  • Recommended U.S. Quarter Units
    6
  • Overview

    CENTER FOR INTERNATIONAL PROGRAMS
    Course name: Costa Rican Health Care and Tropical Medicine
    Course code: HIS-3293
    Total contact hours: 60 hours
    Pre-requisite: Must be a Health Sciences student

    COURSE DESCRIPTION
    Costa Rica´s health care system is unique due to the fact that it´s socialized and has achieved excellent health indicators. The course focuses on the history and development of the public health care system within the context of the Costa Rican sociopolitical and economical situation. It also gives a strong emphasis on how the system actually works and points out not only the strongholds of the systems, but also it´s weak points. A third objective, of fundamental importance in order to understand this system, is the study of Costa Rica as a tropical country. Students will learn about the prevention and transmission of relevant tropical diseases.

    OBJECTIVES
    1. To study the fundamental aspects of the health in a Latin American country
    2. To analyze the structure of the Health System of Costa Rica
    3. To recognize the main characteristics of the tropical pathology
    4. To develop abilities to understand the binomial health and society within the Latin American culture

    CONTENTS
    Work Schedule:
    Part I
    Activity
    Special Work
    Section 1
    - Course introduction
    - Costa Rica epidemiology, demography and anthropology.
    - Costa Rica?s Health Indicators
    Speech topics assignment
    Section 2
    - Costa Rica?s Health System History
    - Habitants from the original nation
    Costa Rica?s Private Medicine System
    Section 3
    - Debate: Costa Rica and USA Health Systems
    - Movie: ?Sicko? by Michael Moore
    Movie analysis
    Visit to the CIMA hospital
    Part II
    Activity Special Work
    Section 4 - Physical Examination and
    Patient?s interview
    - Test #1 (including health
    indicators)
    - Parasite Generalities
    Review on physical
    examination
    Part III
    Activity Special Work
    Section 5 - Protozoaries and diseases
    - Helminths and diseases
    Case #1
    Section 6 - Tuberculosis
    - Malaria
    - Filariasis
    Case #2
    Part IV
    Activity Special Work
    Section 7 - Test #2 (including Malaria and
    Filariasis)
    - Leishmaniasis
    Case #3
    Section 8 - Ectoparasites
    - Chagas Disease
    - Larva Migrans
    Case #4
    Field trip: depending on the number of students and availability on the different health areas
    Part V
    Activity Special Work
    Section 9 - Ophidic accident
    - Dengue
    - Paragonimiasis
    Case #5
    Section 10 Oral Presentations
    Final Test

    METHODOLOGY
    We intend to achieve the above objectives by a series of theoretical and
    practical exercises. Students will attend participatory lectures about the history
    and development of the social health care system and will also learn about the
    private health sector. Sessions will also include a debate that compares the
    health system in Costa Rica and in the United States. Discussions and debates
    will serve as tools, for students to gain some insight in to the differences in
    these two societies and their concepts of health. Lectures and discussion will
    be complemented with a visit to one of the main private hospitals in San José,
    and contrasted with a visit to one of the primary health care clinics of the public
    system.

    The course develops a series of participatory lectures about tropical medicine. In order to build a common background, students will learn the most important concepts on clinical history and exploration, relevant to tropical medicine, as well as demographic, epidemiological and environmental concepts.
    There are several units that focus on the study of patho-physiological concepts and specific diseases, all this, in order to understand the fundamentals of prevention and promotion of health in the context of tropical diseases.
    Audience

    This course is structured for International Students attending the Study Abroad program at Universidad Veritas. However, courses are not exclusive to foreigners so a few native student could enroll in this course.

    Attendance
    Students are only allowed 2 absences (justified or not). The student will fail the course if he/she has more than 2 absences. Students will have a 0 on any assignment evaluated in class (presentations, evaluations, field trips, etc.) if he/she is absent in this class, unless an official document is presented to justify the absence the class after the absence. In this case the assignment will be done this day. An unjustified absence to a fieldtrip will immediately mean failing the course. You can only have two total absences in your elective courses HOWEVER, if you miss more than one day of class in a given month, YOU WILL NOT RECEIVE CREDIT for that particular course.

    Electronic devices:
    The use of cell phones, smart phones, or other mobile communication devices is disruptive, and is therefore prohibited during class. Please turn all devices OFF and put them away when class begins. Devices may be used ONLY when the professor assigns a specific activity and allows the use of devices for internet search or recording. Those who fail to comply with the rule must leave the classroom for the remainder of the class period.

    Behavior
    Professors have the right to expel a student from the classroom should he / she:
    1) be disruptive in the classroom
    2) be under the influence of alcohol or even smell like alcohol
    3) Behave in a disrespectful way.
    If you tend to be late for class, you will lose 25% of your total grade

    EVALUATION SYSTEM
    60% Practical work
    - Debate about health care systems 20%
    - Presentation (Subject will be assigned on the first day) 25%
    - Participation and discussion in seminars 5%
    - Homework and reading assignments 10%
    30% Written Examinations
    10% Participatory attendance

    Final Exam
    Evaluation of the ability of the student to face a health problem and be able to incorporate elements of public health and tropical medicine in the context of the Costa Rican health care system.

    BIBLIOGRAPHY (REFERENCE)
    1. Valerio L, Fabregat A, Martínez O. Unidades de salud internacional centradas en atención primaria. Cuadernos de Gestión 2001; 7: 100-105.
    2. Hardling R, Crook P, Lewthwite P. Burden and cost of imported infections admitted to infectious diseases units in England and Walles in 1998 and 1999. J Infect 2004; 48: 139-144.
    3. Cetron M, Jeyston J, Shlim D, Steffen R. Traveller?s Health. Emerg Infect Dis 1998; 4: 405-407.
    4. Fortney JC, Steffick DE, Burgués JF, Maciejewshi ML, Petersen LA. Are primary care services a substitute or a complement for specialty and inpatient services? Health Serv Res 2005; 40: 1422-1442.
    5. Valerio L, Martinez O, Sabrià M, Esteve M, Urbiztondo L, Roca C. High-risk travel abroad overtook low-risk travel from 1999 to 2004: characterization and trends in 2622 Spanish travellers. J Travel Med 2004; 12; 371-331.
    6. DOGC nº 3726-25/09/2002. Resolució sss/2619/2002, de 2 de setembre, sobre la revisió de preus públics corresponents als serveis que presta l?Institut Català de la Salut; p. 16.696.
    7. Porter JF, Knill-Jones RP. Quality of travel health advice in higher-education establishments in the United Kingdom and its relationship with the demographic background of the provider. J Travel Med 2004; 11: 347-353.
    8. Mora Alvarado, Darner A, Portuguez Barquero, Carlos F and Sáenz Aguilar, Ignacio Saneamiento,educación y su relación con los indicadores básicos de salud en el contexto mundial 2002. Rev. costarric. salud pública, Dic 2005, vol.14, no.27, p.35-45. ISSN 1409-1429
    9. Mora Alvarado, Darner A and Portuguez Barquero, Carlos F Propuesta del índice sanitario educacional para pronosticar los indicadores básicos de salud en las américas con respecto a las metas del milenio. Rev. costarric. salud pública, Jul 2005, vol.14, no.26, p.41-59. ISSN 1409-1429
    10. Chaudet H, Pellegrin L, Boureau C, Delmont J. Evaluating he use of comprehensive pre-travel database by travel medicine experts and novices for advice building. J Travel Med 2004; 11; 148-154.
    11. Behrens RH, Roberts JA. Is travel prophylaxis worth while? Economic appraisal of prophylactic measures against malaria, hepatitis A, and typhoid in travellers. BMJ 1994; 309: 918-922.
    12. Packham CJ. A survey of notified travel-associated infections: implications for travel health advice. J Public Health Med 1996; 18: 123-125.
    13. Keystone JS, Korzasky PE, Freedman DO. Internet and computer-based resources for travel medicine practitioners. Clin Infect Dis 2001; 32: 757-765.

Course Disclaimer

Courses and course hours of instruction are subject to change.

Eligibility for courses may be subject to a placement exam and/or pre-requisites.

Credits earned vary according to the policies of the students' home institutions. According to ISA policy and possible visa requirements, students must maintain full-time enrollment status, as determined by their home institutions, for the duration of the program.

Availability of courses is based on enrollment numbers. All students should seek pre-approval for alternate courses in the event of last minute class cancellations