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Course Details

Tropical, Travel and Expedition Medical Skills Course (TTEMS)

This five day course provides medical skills and didactic learning for the deployed and operational medical practitioner.

Course Description

Click here for up to date information about the course.

The aim of the Tropical, Travel & Expedition Medical Skills (TTEMS) Course is to provide innovative and expert medical skills for the operational, deployed and offshore practitioners to become better and more proficient in their professional career.


Online TrainingIntro to Tropical Medicine

Prior to arrival for the five day classroom training each student will have access to 40 guided online learning hours. This includes videos, powerpoint lectures and downloadable handouts covering the topics taught during the classroom training.


Classroom Training

The TTEMS course will expand on the topics covered during the online learning. It will be hands on with scenario based patient assessments and casualty simulation with Hollywood trained special effects artists. The course is based in the stunning Pretty Bay beach on the southern coast of Malta. The course will be both lecture and hands on. Merit Training faculty aims to present these operational skills in a logical and progressive manner culminating in scenario based training with realistic moulage using Hollywood trained special effects artists with live casualty simulation.

Day One:
Course Overview
Intro to Tropical and Expedition Medicine
Remote and Offshore Medical Planning
History Taking for the Remote Practitioner
Head and EENT Emergencies
Feet and Skin Issues
Dental Emergencies
Medical Emergencies: The six main medical problems in remote areas

Day Two:
Orthopaedic Injuries Assessment and Management
Critical Care and Aviation Medicine
Acid-Base theory, ABGs and lab values
Respiratory Emergenciestwo altimeters
Abdo and GI Emergencies

Day Three:
Dive Medicine
Advanced Pharmacology: Analgesics & Antibiotics
Genitourinary Issues and sexual health
Environmental Issues
Snakebites, Stings and Wee Beasties

Expedition Health & Hygiene
Joint Reductions
Expedition/Remote Site Medical Kits
Long Term Wound Care, Steri Strips and Suturing

Day Four and Five:
Intro to Tropical Medicine and Entrance Exammicroscopes
Emerging Infectious Diseases
Infectious Skin Diseases
Influenza, Ebola & Avian Flu
Tropical Water Supply & Sanitation
Top 10 Tropical Diseases and treatments

Diarrhoea & the Management of Acute Dehydration
Tropical Pharmacology
Lab Diagnosis for Tropical Diseases
Tropical Medicine Cases
Exam Review
TTEMS Certificate Exam



The TTEMS course is accredited by the College of Remote and Offshore Medicine and the Wilderness Medical Society for up to 29.75 hours of continuing medical education. These hours can also be used to meet some of the requirements for the Fellowship for the Academy of Wilderness Medicine (FAWM).

Click here to see what FAWM credit you get for this course.


Additional Online Courses

All TTEMS students can choose to sit for the Health & Safety and the Food Safety exams whilst on the course in Malta. These exams and certification are free to all TTEMS students.



Frequently Asked Questions

If you are looking for general facts and figures about this course, click the “+” symbol (below, right) to expand all sections to show full answers.

If you are looking for one particular topic, try the search box.

  • During the course, all medical kit needed will be available to you.
  • There will also be an opportunity to purchase items to add to your own personal med kit.


Airport transfers are not included in the course package. Taxis can easily be picked up outside Malta International Airport.

We do not provide physical textbooks or PDF copies of textbooks (eBooks). If you choose to purchase the physical textbook, you may do so at your own expense.

The deposit of ‎€ 250 is non-refundable.

Any payments made can be refunded (minus ‎‎€ 250) on cancellation in writing (by email) no less than one month in advance of the classroom training phase dates.

Refunds will be made by bank transfer, within one month from date of cancellation.

  • Yes, payment plans are available. We try to accommodate students where we can.
  • A deposit of  Eur250 is required to secure your place and to gain access to our online learning environment.  These are not refundable however may be transferable to another course date.
  • The balance is then paid 1-month prior to the start of the classroom training phase.

€ 950


  • Access to our online learning environment and monitored online training
  • Five days of classroom training in Malta taught by Tropical Medicine Specialists, Anesthetic Doctors, Offshore Paramedics, Rig Medics and Military Medics
  • Accommodation in shared (facilities), self-catering apartments (excluding transfers)
  • As the online content of this course is not mandatory (but highly recommended to complete), you may register up to as little as a few days before start of class.

As this is a popular class and places fill up quickly, it is recommended to secure your place earlier rather than later.

Merit Training's Tropical and Expedition Medical Skills course consists of two components:

  • DISTANCE LEARNING (40 hours)
  • Access to the distance learning phase of the course is provided upon receipt of a deposit or payment in full.
  • Completion of this distance learning phase however is not mandatory to complete.

The prerequisite requirement for this course is medical training to the level of

Paramedic or Nurse or Doctor.

  • Accommodation is included in the course package.
  • This course will be held at Seabreeze Hotel which is located in the seaside town of Birzebbuga. Your accommodation will be here as well. The classroom is located on the first floor of the hotel. Enter the building by the side entrance (hotel reception) and make your way upstairs. There, the classroom is located to your left.
  • Students will share spacious three-bedroom apartments at Seabreeze Hotel. Facilities there are simple but adequate. Each student will have a room to themselves. They will share kitchen, bathroom and lounge area. All apartments have WIFI, which is free. Towels are provided and usually changed once a week along with sheets on cleaning day. However, if guests require clean towels more often, they can ask at reception and these will be provided at no extra cost.
  • Accommodation is available for you for the night prior to commencement of the course up to and including the night following the end of the course.
  • Check-in time at Seabreeze Hotel is 14:00hrs. If you arrive early, you may still check in at reception and leave your bags at the hotel. On occasion, your room may be available for an early check-in.
  • Students will have a kitchen available in their apartment for preparing meals.
  • A washing machine is available for your use and this is located on the ground floor of each block. There is a charge of €2 per hour. Keys can be collected from the reception desk.
  • Online orders can be made conveniently at
    (Delivery for orders of over €75 is free.)

CoROM (College of Remote and Offshore Medics)

Questions and persons whom to contact directly at Merit Training:

  • Registrations/Finance:
  • Course content:
  • Clinical Placements:

General Payment Terms:

  • An electronic invoice is issued and this enables you to make payments by credit card or PayPal.
  • Alternatively, it allows you to conveniently send us a message about payment by bank transfer.

Making a payment:

  • Locate the ‘Pay Now’ button at the top right of the invoice page.
  • When clicking on it, you will be given three different options: with card Pay with Card: Secure credit card payment through STRIPE.

2. PayPal PayPal: You will be redirected to PayPal’s website for payment.

3.other Bank transfer, wire transfer, BACS or EURO cheques: Our preferred method of payment, especially for amounts over € 500.

  • How it works:
    Use your online banking facility to make a payment. Alternatively, you go to your bank and organise a bank transfer or wire transfer. You can also send a cheque or postal order, but these need to be in EURO.
  • Include your name or your invoice number when making payment.
  • When that is done, go back to the notification email for this invoice and re-open it in your browser.
  • Select this payment option and enter the amount and the date. (No need to enter Check/PO or Reference Number.) - Submit this note. -This will let us know to expect your payment.
  • When the payment shows up on our end, we will send you a notification message.

General Notes and Bank Details:

  • Bank transfer (also known as wire transfer or BACS) is our preferred method for receiving payment.
  • All payment charges for international bank transfers should be shared equally between sender and receiver (choose appropriate setting when setting up bank transfer)

    Merit Training Ltd. Bank Details

    Bank: BOV


    IBAN: MT08VALL22013000000040022908454

    Account Number: 40022908454

    Bank address: Bank of Valletta plc, 58, Zachary Street, Valletta, Malta

All our invoices are in EURO and only payment in this currency can be accepted.

  • No refunds are given, however exceptions can be made, at our discretion, if cancellation occurs six weeks before the course is due to begin.
  • As part of the preparations for attendance of any Merit Training course, students are required to ensure that they have the necessary visas to enter Malta if they they hold a passport that makes this necessary.
  • The visa application process and the inherent risk of not being able to obtain a visa and therefore not being in a position to attend a course are solely the responsibility of the student.
  • Unless course attendance is cancelled six weeks in advance of the course dates, Merit Training cannot return any course fees in the case of a student's not being in a position to obtain a visa.
  • We are not in a position to offer advice on visa issues - Please check with the relevant embassy or consulate.
  • As part of the visa application process, applicants may require certain documents. The document most often requested from us is a Letter of Invitation.
  • On request, we can provide a scanned copy of a signed and stamped ‘Letter of Invitation’. This letter will include details of course, dates, course location and location of accommodation. (Whichever is applicable.)

It is Merit Training's strict policy to supply a "Letter of Invitation" only when the booking process has been completed.

           The booking process is complete when:

  • The application form has been filled out,
  • An invoice has been issued,
  • Payment in full received,
  • All prerequisite documents (such as proof of level of medical training) have been received.

Generally, a scanned copy of this letter is acceptable for the purpose of supporting a visa application.

Should applicants wish to receive the original copy of this letter by post, Merit Training can do so, at no extra charge.

It can also be sent by courier, for a charge of €40. (Payable in advance, by credit card or by PayPal.)

Request a letter of invitation here.

  • Textbook (if one was purchased) Notebook/ Paper / Pens / Laptop (according to preference) Professional-looking, casual clothing (collared shirts) should be worn during class.
  • During the course, all medical kit needed will be available to you.
  • There will also be an opportunity to purchase items to add to your own personal med kit.
  • Lectures will begin at 8 am sharp. Lectures will end around 5 pm. Each day there will be a one-hour lunch break. Lunch is not provided, but can easily be sourced nearby.
  • WIFI is available free of charge.
  • Shops and restaurants are located nearby. There is a restaurant located on the ground floor of the hotel that serves breakfast, lunch and dinner or you may choose to stay at a cafe or restaurant located right on the seaside which is only a 2 minute walk away!
  • One the first day of class you will be required to sign a liability waiver form. You may spend some time out of doors in scenario-based learning. During the entire course our instructors will be monitoring the events and providing a safe and effective learning environment. Practice scenarios will consist of students responding to fictional injuries and incidents. Participants will be asked to take turns being casualties as well as responders. Fake blood and moulage sets as well as sound effects may be used to make the experience more engaging. Please inform a member of staff if you are concerned that these simulations may raise any seriously uncomfortable or stressful emotions. It is our intention to provide the absolute best medical training available and this will, at times, challenge your comfort zone and your medical knowledge. Merit Training will support you through the process of gaining excellent medical knowledge and experience. We are also there to support you throughout the journey of becoming a medic, which will bring up some emotional as well as physical challenges. We are proud to provide a learning environment where students support each other through all challenges. Staff will always be available to give additional individual support whenever needed.
  • Students will arrive into Malta International Airport (MLA). This is Malta's only airport.
  • Journey time to the Seabreeze Hotel is approximately ten minutes.
  • Taxi stands can be found directly as you exit departures.
  • Here is a map of the location that shows details of local amenities.


Duration of Course Online

40 hours

Duration of Course Classroom

40 hours


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Registered Medical Practitioner

Upcoming Dates

More information can be found by clicking here.

March and November of each year