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Clinical Chronic Diseases Management

Clinical Chronic Diseases Management
  • Cardiometabolic
    Endocrinology and metabolism
  • Diabetes
CME Tour by Excemed
Saturday, Nov 1 2014
Dar es Salaam, Tanzania



Event format

Workshop session


The official language of the course will be English.

Registration status

Target audiences

undergraduate students
Healthcare professionals



EXCEMED organises a long-term focused educational project consisting of training workshops for healthcare professionals and undergraduate students in the final year of their medical education at local universities of selected hosting countries.


Diabetes and hypertension are growing epidemics in much of the African continent which is rapidly adopting western lifestyles. EXCEMED – Excellence in Medical Education has an ongoing, long-term educational project to provide additional focused training workshops for students in the final year of their medical education at local universities in host countries.

EXCEMED hopes that by prioritising diabetes and hypertension it will be possible to increase awareness in order to prevent these conditions.  Hypertension and its sequelae will be explored in detail, including diagnosis, potential end-organ damage such as CHD, stroke and peripheral vascular disease, and the possible treatment modalities and their effects.

Diabetes will also be a major focus and teaching will include aetiology, complications (both macrovascular and microvascular) and treatment options. Acute metabolic presentations of diabetes and their inpatient treatment will also be covered. Students will then be able to learn more about the interaction between diabetes, dyslipidemia and hypertension and the importance of multiple interventions in their management.

The current state of detection and prevention of these conditions in the local economy will be examined and students will explore models of the future development of services, together with the potential impact on their own medical careers.

The CME tour will provide a mixture of taught and interactive sessions. The taught lectures will be presented by a speaker supported by slides, but will include ample opportunity for students to ask questions.  The interactive sessions will centre on discussions of individual cases, and each will be presented by a student with a faculty member who will discuss the case interactively with the students by eliciting the ideas on differential diagnosis, investigations and management strategies. Sessions will be taught not only by visiting faculty but also by teaching staff from the host universities. Students will have the opportunity during the course to reflect on the factual knowledge that has been provided and will be able to deepen and extend their knowledge through direct contact with faculty.

Learning objectives

After attending the CME tour, attendees will be able to:

  • Describe the developing epidemic of obesity, hypertension and diabetes and their sequelae.
  • Interpret the nature, aetiology, diagnosis and cardiovascular complications and treatment of (i) hypertension and (ii) diabetes.
  • Identify the specific chronic complications of diabetes that will contribute to its major health burden. 
  • Differentiate acute metabolic presentations of diabetes and their inpatient treatment
  • Identify the current state of detection and prevention of hypertention and diabetes in the local economy and models  of future development of services, together with the potential impact on their medical careers

Accreditation details

EXCEMED ( is accredited by the European Accreditation Council for Continuing Medical Education (EACCME ® ) to provide  the  following  CME  activity  for  medical  specialists.  The  EACCME ® is  an  institution  of  the European  Union  of  Medical Specialists (UEMS), The CME course: “Clinical Chronic Diseases Management - Diabetes and Hypertension” to be held on 1 November 2014 in Dar es Salaam, Tanzania, is designated for a maximum of 5 (eight) hour of European external CME credits. Each medical specialist should claim only those hours of credit that he/she actually spent in the educational activity. Through an agreement between the European Union of Medical Specialists and the American Medical Association, physicians may convert  EACCME ® credits  to  an  equivalentnumber  of  AMA  PRA  Category  1  Credits™.  Information  on  the  process  to convert EACCME ® credit to AMA credit can be found at Live educational activities, occurring outside of Canada, recognized by the UEMS-EACCME ® for ECMEC credits are deemed to be Accredited Group Learning Activities (Section 1) as defined by the Maintenance of Certification Program of The Royal College of Physicians and Surgeons of Canada.

EXCEMED adheres to the principles of the Good CME Practice Group (gCMEp).

Additional information

EXCEMED designed this programme in partnership with: Muhimbili University of Health and Allied Sciences - Dar es Salaam, Tanzania

Scientific programme

09.00 Introduction by local faculty member
Janet Lutale


Session I


09.05 Learning effectiveness assessment (Completion of the initial questionnaire)

09.20 L1 The global drivers of diabetes, hypertension and dyslipidaemia: clinical physiology
Jonathan Levy

09.50 L2 Diabetes: symptoms and complications
Jonathan Levy

10.20 L3 Diabetes: treatments for hyperglycaemia
Jonathan Levy

10.40 D1 Discussion

10.50 Coffee break


Session II


11.10 L4 Pathways in the treatment of hyperglycaemia
Jonathan Levy

11.30 L5 Hypertension, its sequelae and treatment
Pilly Chillo

12.00 L6 Prevention of cardiovascular complications: dyslipidaemia and the combined effects of treating hyperglycaemia, hypertension, and dyslipidaemia
Jonathan Levy

12.20 D2 Discussion

12.35 Lunch


Session III


14.15 L7 Diabetes (2): acute metabolic complications and their treatment
Jonathan Levy

14.45 D3 Case presentations by students and discussion: acute diabetes (2)

15.30 Coffee break

15.50 L8 Detection and prevention in the local health economy
Bernard Wolfgang

16.10 D4 Discussion

16:20 Concluding remarks

16:35 Learning effectiveness assessment ( completion of the exit questionnaire and evaluation form)

16.50 End of the course

CME provider

Salita di San Nicola da Tolentino, 1/b

00187 Rome, Italy

Associate Programme Manager: Simona Pantaleoni

Specialist Medical Advisor: Jonathan Levy

Tel.: +39-06-420 413 569

Fax: +39-06-420 413 677


EXCEMED is a Swiss Foundation with headquarters in 14, rue du Rhône, 1204 Geneva, Switzerland



Jonathan Levy
Oxford Centre for Diabetes, Endocrinology and Metabolism

Churchill Hospital

Oxford, United Kingdom

Janet Lutale
Muhimbili University of Health and Allied Sciences

Dar es Salaam, Tanzania

Pilly Chillo
Muhimbili University of Health and Allied Sciences

Dar es Salaam, Tanzania

Bernard Wolfgang
Muhimbili University of Health and Allied Sciences

Dar es Salaam, Tanzania