In some schools, a fourth part consisting of a clinical bedside examination may be required.
The University of Glasgow in conjunction with the Royal College of Physicians offer a part-time course taught both online and in house which leads to DTM&H qualification.
[5] Sheffield Teaching Hospitals offer a similar service leading to the DTM&H qualification.
[6] A similar course is offered at the University of Pretoria, leading to the award of the Diploma in Tropical Medicine and Health which is also abbreviated DTM&H.
[7] There is also an online course offered over 1 year at the University of the Witwatersrand in Johannesburg, where the abbreviation is also styled DTM&H.