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South Africa

Church of Scotland Hospital (COSH), Philanjalo


  • Church of Scotland Hospital in Tugela Ferry, KwaZuluNatal, 2 hour drive from Durban
  • Affiliated with Nelson R. Mandela School of Medicine
  • 355 beds
  • Approx 8 full-time physicians including 2-4 intern equivalent community service doctors doing preliminary-year equivalent rotations throughout the hospital

Disease Spectrum

  • A range of infectious diseases but most prominently HIV/AIDS and TB

Clinical Responsibilities

  • Inpatient: pediatric, medical, and tuberculosis wards
  • Outpatient: antiretroviral clinic (most physician-scholars spend bulk of time at this location,) and hospice which serves as step-down like facility for patients with HIV/TB co-infection and multi-system disease
  • ER/Casualty: Optional rotation with possibility of overnight call
  • Community outreach: home visits to rural countryside as well as mobile-clinic on department of health van
  • Lectures: opportunity to present at weekly case conference
  • Opportunity to participate in ongoing clinical research related to TB and HIV co infection

Personnel Needed

  • Internal Medicine, Pediatrics, Emergency Medicine

Length of Rotation

  • Minimum of 6 weeks, including travel time from US


  • Reimbursement Award amount: $3000
  • Transportation from Durban to Tugela Ferry is provided
  • Available housing: onsite in park homes with kitchen/bathroom. May share with other hospital workers
  • Language requirements: English. Local language is Zulu
  • Paperwork: allow several months for the processing of the Foreign Workforce Management Programme and the Health Professions Council of South Africa applications

Photos from Scholars

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