• Request form for elective rotation at Thai Travel Clinic, Hospital for Tropical Diseases, Mahidol University

  • How to apply for an elective rotation at Thai Travel Clinic,

    Hospital for Tropical Diseases, Mahidol University

     

    Each year we receive many requests from medical students/doctors/residents and research volunteers from all around the world for the opportunity to join us. Although we try to accommodate you all, we have some limitations. Only a limited number of requests will be successful. 

    The medical elective is meant to give additional clinical experiences in Travel Medicine and Tropical Medicine to the qualified applicants. The applicants will take part in travel clinic and hospital activities together with our travel medicine residents, such as OPD sessions, ward rounds, seminars, and conferences.

    1. Qualification

    • Undergraduate applicants: 5th – 6th year medical students with clinical experience at the time of their elective period
    • Postgraduate applicants: A resident, fellow, or physician at the time of their elective period

    2. Application

    • Applicants may send a request and submit the documents for the elective
    • All documents submitted for the application must be in Thai or English.
    • Required documents for applying.
      1. Curriculum Vitae (CV)
      2. Immunization record form
      3. Letter of Recommendation/Endorsement from your school/ university/ college/ institution/ hospital
      4. Scanned copy of your Passport, or Thai National ID Card
      5. Cover letter which at least included all of these information:
        • Your background and your expectation/objectives during the elective period
        • State whether this elective is part of the formal curriculum or extracurricular
        • Why are you interested in tropical/travel medicine?
        • Why are you interested to do your elective with us? 
        • สำหรับแพทย์ และนักศึกษาแพทย์ไทย ไม่ต้องส่งเอกสาร II

    3. Application Process Overview

    • Submit a request with ALL documents indicated in section 2
    • Our staff will inform you whether you are accepted into an elective program or not via your provided email
    • The review process will take 3-4 weeks. So if you plan to apply for an elective with us, please plan at least 2-3 months ahead.

    4. Tuition fee

    • Undergraduate applicants – 3,500 THB per week
    • Postgraduate applicants- 5,000 THB per week
    • You will have to pay only if your request is accepted. You will pay by cash upon your arrival at the office of the Department of Clinical Tropical Medicine.
    • ไม่มีค่าใช้จ่ายสำหรับแพทย์ และนักศึกษาแพทย์ไทย

    5. Further inquiries

    • For further questions, please do not hesitate to contact us.
    • Please send an email to info@thaitravelclinic.com
    • For email subject line, please write “Elective enquiry _ your full name”
  • Sex*
  •  - -
  • Country*
  • Is this elective a part of your cirricurum*
  • Start Date*
     - -
    2 digit day, 2 digit month, 4 digit year
  • End Date*
     - -
    2 digit day, 2 digit month, 4 digit year
  • October 2026
  • November 2026
  • January 2027
  • May 2027
  • August 2027
  • October 2027
  • November 2027
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  • Emergency contact:   *   *     *   *   *

  • Immunization Requirement for Elective

    This form must be completed & signed by candicate prior to attend the elctive placement at the Hospital for Tropical Diseases
    • MMR immunity (Measles, Mumps, Rubella) 
    • MMR Immunity (Measles, Mumps, Rubella)

      - 2 doses of the MMR vaccine, given at least 28 days after the 1st dose OR

      - Positivity for Measles, Mumps, and Rubella IgG

      ***Please attache the supported document***

    • MMR 1st Dose (Date)
       - -
      2 digit day, 2 digit month, 4 digit year
    • MMR 2nd Dose (Date)
       - -
      2 digit day, 2 digit month, 4 digit year
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    • Varicella (Chickenpox) Immunity 
    • Varicella (Chickenpox)

      - 2 doses of the Varicella vaccine, given at least 28 days after the 1st dose OR

      - Positivity for Varicella IgG

      ***Please attache the supported document***

    • Varicella vaccine #1st Dose
       - -
      2 digit day, 2 digit month, 4 digit year
    • Varicella vaccine #2nd Dose
       - -
      2 digit day, 2 digit month, 4 digit year
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    • Hepatits B Immunity 
    • Hepatitis B immunity

      - 3 doses of the Hepatitis B vaccine, given at Month 0, 1 and 6 month OR

      - 4 doses of the Hepatits B vaccine, given at Day 0, 7, 21 and 1 year

      - Positivity for Anti-HBS

      ***Please attache the supported document***

    • Hepatitis B vaccine #1st Dose
       - -
      2 digit day, 2 digit month, 4 digit year
    • Hepatitis B vaccine vaccine #2nd Dose
       - -
      2 digit day, 2 digit month, 4 digit year
    • Hepatitis B vaccine vaccine #3rd Dose
       - -
      2 digit day, 2 digit month, 4 digit year
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    • Tdap (Tetanus -Diphtheria-Pertussis) 
    • Type of vaccine (within 10 years)*
    • Date of vaccination (Tdap)
       - -
      2 digit day, 2 digit month, 4 digit year
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    • Influenza vaccine 
    • Date of vaccination (Influenza vaccine)*
       - -
      2 digit day, 2 digit month, 4 digit year
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    • Japanese encephalitis (recommended) 
    • Type of vaccine*
    • Date of vaccination #1st JE
       - -
      2 digit day, 2 digit month, 4 digit year
    • Date of vaccination #2nd JE
       - -
      2 digit day, 2 digit month, 4 digit year
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    • Today Date*
       - -
      2 digit day, 2 digit month, 4 digit year
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