A detailed overview of this prestigious trichology course


As confirmed 01-07-2018

The College warmly welcomes English speaking candidates world-wide who seek to undertake a
high academic level Diploma course in Trichology.

The College (a not-for-profit academic body) has been providing high academic level distance learning courses in Trichology (the science of Human Scalp & Hair in Health, Disease and Distress) for 17 years to determined tenacious students worldwide who possess a command of the English language.  The College is managed by a Committee.  

The following academic diploma courses + the essential practical element are demanding for every candidate. Gaining the coveted TTS Diploma (LTTS Licentiate of The Trichological Society) will require determination and tenacity.  Each candidate will be assigned a College appointed Mentor to whom any problems, difficulties or other questions may be addressed.

The courses are  ‘Research  Learning’  which involves reading up from various sources but primarily the recommended text books (which albeit expensive are an essential purchase for a trichologist’s current and future reference), writing up (in candidates own words) and submitting academic standard essays for each topic in the syllabus.  There is also a strong practical element to these courses which is overviewed elsewhere herein.   

These part-time courses are expected to take 2 or 3 years depending upon choice and individual circumstances. It must be accepted that  courses will be extended if:
a)  topics are added to the syllabus.
b)  essays are not submitted.
c)  essays are submitted late.
d)  essays are rejected by our independent external examiners and require rewriting (unusual).

The courses are essentially academic but  with a practical element. 

2 and 3 year course options 

The 2 year course (for candidates who hold a scientific degree – interview required) 
Each of the 60 + essays in the syllabus must have attracted a credit from the independent external examiners to entitle the candidate to enter the end of course examination (May in London).   
During each academic year (10 months) the candidate to expected to research, write up and submit 30 essays at the steady rate of 3 per month (not December or August) The deadlines for submissions are 7th and 21st days of the month (no exceptions can be made). Backfilling is not permitted so shortfalls will extend the course.
Fees include the costs of marking / correcting the candidate’s essays by independent external medical and scientific consultants.  Additional charges for clinical tutorials/experience at £100 per day (we recommend 10 days per year).
The annual fee charged by the College =  £3600 per 10 month year.  This may be paid monthly (£300) by Bankers Order or Paypal. Payments must be received by the College on the 16th day of the month in advance.
Other expenses include the purchase of textbooks (listed below). These are a reference necessity for any worthy trichologist in practice.

The 3 year course (recommended for those who have limited time to devote to this high profile course of study).
Each of the 60 + essays in the syllabus must have attracted a credit from the independent external examiners to entitle the candidate to enter the end of course examination (May in London).   
During each academic year (10 months) the candidate to expected to research, write up and submit 20 essays at the steady rate of 2 per month. The deadlines for essay submissions are 7th and 21st days of the month (no exceptions can be made). Backfilling is not permitted so shortfalls will extend the course.
Academic Fees include the costs of marking / correcting the candidate’s essays by independent external medical and scientific consultants.
Additional charges for clinical tutorials/experience at £100 per day (we recommend up to 10 days per year).
The College allows annual fees to be paid by 12 monthly Bankers Standing Order or PayPal payments of £200.00 each.
The fee charged by the College =  £2400 per 10 month year.  This may be paid monthly (£200) by Bankers Order or Paypal.
Payments must be received by the College on the 16th day of the month in advance.
Other expenses include the purchase of textbooks (listed below). These are a reference necessity for any worthy trichologist in practice.

General information applicable to either 2 or 3 year courses.
The College is required to transmit student essays to its independent external examiners (dermatologists and other scientists of substance) on given dates so it is essential that all essays are received by the College by 6pm on the 7th and 21st days of each academic month. Essays received late will have lost that examining slot and will be held over until the next dispatch date (approx.14 days thereafter).  Backfilling is not possible therefore the loss of an irreplaceable examining slot in this way will extend the course by 2 weeks.
The re-presentation of an essay which has been rejected by the College examiners will also extend the course. 

Where a course overruns its anticipated duration due to candidates taking time out without prior consent or failing to keep up with the  course momentum, additional monthly fees will be incurred until the course is completed.

The usual essay return time is 10 days, however delays may occur for reasons outside the control of the College.

This overview includes the curriculum and current syllabus, but as hair science is an area of continuing research and development, updates, additions and changes may occur at any time which may inadvertently extend the course nominally and therefore inculcate modest additional costs. The student is therefore urged to visit these pages regularly.

The coursework (published below) if rigorously adhered to should lead to graduation as a trichologist within the parameters of TTS (The Trichological Society) within the time frame given herein.  Graduates will be elected to Licentiateship and be entitled to use the post-nominal letters LTTS.  Graduates can pay reasonable annual subscriptions to TTS to gain a listing on its portal (www.hairscientists.org).

Course Notes

The courses are distance learning from a home computer + some clinical experience days and annual one-to-one tutorials in London. 

The course may commence on the first day of any month (excluding December and August).

UK Candidates are expected to attend a London clinical practice on a regular basis (ideally 10 visits each year at a cost of £100 per visit).
Students are urged to attend one-to-one sessions with Prof Stevens at his Gidea Park practice for tutorials, assessments and mock viva examinations (cost; £200 per visit). 

Non-UK Candidates are expected to visit UK for periods of at least 4 days per year of their course (cost £400) + a day with Prof. Stevens for tutorials, assessments and mock viva examinations (cost: £200).  

A Candidate wishing to drop out of a course can do so at any time by advising the College immediately.
A Candidate desiring a study break must send a written request in advance to the College and thereafter take responsibility for cancelling future payments to the College (no reimbursements or allowances will otherwise be considered).
Any request for re-admission to the course will be considered on application.


Presentation of Essays
Each of the topics within the syllabus should be researched using carefully chosen Internet resources and the recommended textbooks (listed below), written up as academic standard essays in the student’s own words and submitted via e-mail to his/her Mentor on the 7th and 21st days of each academic month (not August or December).

All medical or scientific words / phrases / abbreviations must be explained as the work progresses in order to convince the examiners that the content is fully understood. If after the initial essays have been received it is felt that guidance is required, the College may send a sample essay.
Opinions, graphics, photographs or any material sourced from texts or internet pages must be referenced in the obligatory bibliography. Too much well presented information is never criticised. ‘A diagram or picture can paint a thousand words.’ Accurate hand drawings are highly regarded.
If an examiner’s comment (in red type) indicates that an essay should be supplemented or re-written, it should be expedited as a matter of priority and the essay submitted at the next appropriate marking slot.
As examiners charge the College for re-submitted essays, each will add to the number of essays submitted and therefore extend the course.  Any course extension is charged for at the usual monthly rate.

Starred (*) topics in the syllabus generally attract short answers, therefore two or three starred (*) topics may be combined into one essay and submitted as one of the candidate’s agreed monthly entitlement.
All essays must include the candidates name, page number, date.

Work is always examined for plagiarism which is illegal and therefore regarded seriously by examiners.  Repeat offenders will be dismissed from the course.

Words guides are not generally given because written material will vary in length according to the individual student’s vocabulary and composition style. However the importance of including all relevant data and points of interest cannot be overstated.  Omissions may result in the examiner requesting additional work which should be presented without delay.

The accepted essays will collectively create the student’s own personal ‘workbook’ which should be constantly reviewed as the content will be the basis for the Viva/Voce part of the examination which follows the course completion. The Graduation Day is in early May.

During the course Prof B Stevens (current Head of College) will request occasional one-to-one meetings with the candidate to introduce the student to report writing and assess the candidate’s progress and potential for the final end of course examinations.

End of course examinations
The end of course examinations consists of:
i)    Demonstrating ability with consultation, diagnosis, prognosis and treatments (where applicable).
ii)   A viva/voce – live answers to questions posed by an experienced examiner.    

It is the examiner’s responsibility to establish the candidate’s integrity and knowledge of the subject and whether or not he/she is capable of conducting a practice in a manner which will attract patient satisfaction and reflect the integrity of The Trichological Society.
The questions addressed at examination will be chosen by the examiner (s) – they are not pre-established by the College.

For the avoidance of doubt – It is the student’s responsibility to maintain the momentum of the course in order to complete it on time. In the unlikely event of failure to do this, the course duration will be extended subject to the additional cost for each extra month (currently £200).

Your future success as a professional in this discipline will depend on a thorough understanding of the subject gained by dedicated tenacious study throughout the course.  Please remember that researching and writing an essay is just the first step,  memorising and understanding the content sufficiently to answer an examiner’s questions on it with accuracy and confidence must remain the principle objective as it will dictate success or failure.



Clinical observation / practical experience is obtained at clinical centres (currently in UK) either by a number of one-day per month attendances or less-frequent multi-day visits.   Practitioners offering such opportunities to candidates will charge students £100 per day.
Each visit will also provide an ongoing assessment of the candidate’s aptitude and progress. This will include:
 Punctuality, Appearance, Attitude, Knowledge, Patient Care, Hygiene, Communication, Professionalism, Team work etc.  UK Students should attend as many of these clinical experience days as possible.
Candidates should however take special note of the paragraph on Clinical Experience Etiquette (herein).

Overseas candidates are required to visit the UK for at least one week’s practical experience plus other tutorials each year of their course. The Registrar is available to advise.


A prospective student seeking enrolment should email The Registrar for an Application for Enrolment Form which will be sent by email. On completion this should be returned to The Registrar by email. The College will review the application and inform the applicant accordingly.
Successful applicants will be offered a place on the course to commence on a mutually agreed month of the year (not August or December).
Having accepted the place, the student is required to pay a non-returnable registration fee of £200 within 10 days to secure it and guarantee that he/she will honour the reservation. This sum will be deducted from the first course fee paid.
Course fees are to be received by The College not less than 14 days prior to the commencement date.


It is to be understood that no refunds of academic fees will be considered where a student pays for and thereafter drops-out of or otherwise fails to complete any intended aspect / part of the course.


 The Academic part of the course has 3 sections 


Usually 6 months duration as topics 8 & 9 are extensive.

Each  must be presented and accepted by examiners.

1.  Heart – the physiology and function of the heart together with a convincing overview of the cardiovascular system.

2.  The Skeletal system – a detailed overview of the skeletal structure.

3.  A detailed description of the bones and muscles of the face and cranium. Mention the numerous fontanelle and their origins.

4.  The Muscular system – a description of muscle types with detailed description of the muscles of the face and head.

5.   The Renal System.

6.   The Endocrine system. This will be an extensive work detailing the numerous hormones their function and effect. Mention any known      affect on hair.

7.   The Lymphatic System.  This work will include a detailed explanation of the location, physiology and function of the respective organs.

8 .  The Skin. This work will include a detailed explanation of its structure and function but will exclude any detailed description of the pilo-sebaceous follicle, nails and hair/skin diseases/deformities, which will each be the focus of future individual assignments.

9.   The Hair. This extensive work will include a detailed morphology from conception, in-depth accounts of hair type (Afroid, Caucasoid Mongoloid) physical/ chemical structure, development, growth cycles (anagen, catagen, telogen and exogen) and follicular re-genesis, post puberty development, pigmentation, genetic factors, natural curl, density and other specific characteristics but exclude diseases which will each be the focus of future individual assignments.

10.   The Nails include a detailed account of physical structure, growth cycles. Mention pigmentation and diseases (with photographs were possible).



Expected duration 24 months
(this may of necessity be extended if topics are added to the syllabus or essays require re-submission)

Many topics in this section will constitute major essays, which will take time to research effectively to satisfy TTS academic standards.

To reiterate:  Each must be researched appropriately, written up in the candidate’s own words and include a bibliography. Each must then be submitted (email) to his/her assigned Mentor for marking by external examiners.  Their return will usually be  within 10 days but this cannot be guaranteed. Plagiarism is forbidden in accordance with academic protocol.

Whereas the major component of this course is academic learning, candidate’s also require clinical experience days arranged directly with your Mentor. There will be a daily charge of £100 for such attendances which will include the opportunity of observing consultation procedures and participating in some treatment regimes under the control of the presiding Consultant.
Private tutorials are available with Prof B Stevens (head of College) at a charge of £50 per hour.
As stated elsewhere herein a strict code of etiquette must be observed during all such visits.
As many of the conditions listed within the syllabus are rare, it is unlikely that students will see live examples of them during practical sessions. The recommendation is therefore that the candidate researches and collects an extensive personal photographic library from which to become acquainted with the visual symptoms of all conditions/diseases. Dermatology textbooks which include clear photographs of hair / scalp disease are a necessary investment (see recommended textbooks herein).


Each essay must be presented and accepted by examiners.

Topics suffixed with a star (*) indicate that short essays are to be expected – two or three such topics should be included as one of the expected monthly submissions.  

11. Acne Necrotica Miliaris & Varioliformis

12. Acne Keloid

13. Acquired progressive kinking.

14. Alopecia areata, totalis and universalis.

15. Androgenetic alopecia in males –include details and discussion regarding modern drug therapies, surgical hair replacement techniques, and non-surgical hair replacement.

16. Androgenic alopecia in females – include details and opinion on currently used drug therapies and suitability to surgical hair replacement. Discuss non-surgical replacement methods.

17. Bubble Hair Syndrome*

18. Canities* Leucotrichia* Poliosis*

19. Eczema’s – with special reference to scalp and effect on hair.

20. Effluvium’s (anagen, telogen, loose anagen syndrome)

21. Favus

22. Folliculitis Decalvans

23. Frontal Fibrosing Alopecia*

24. Hair Pigmentation Chemistry – Mention the chemistry, function and source of melanin, its distribution and the consequences of its absence.

25. Hair fall associated with fever

26. Hair fall associated with eating disorders (erratic dieting, bulimia, anorexia nervosa)

27. Herpes (Shingles)

28. Hirsutism (include differential diagnosis with hypertrichosis)

29. Hypertrichosis (include reference to congenital hypertrichosis, congenital syndromes and metabolic disorders, prepubertal and X-linked hypertrichosis).

30. Idiopathic Trichoclasia*

31. Impetigo – with special reference to scalp and effect on hair

32. Lichen Planus (Planopilaris)

33. Lupus Erythematosus (discoid and systemic)

34. Malignant Melanomas – with special reference to scalp

35. Non-Melanoma skin cancers – with special reference to scalp

36. Monilethrix*

37. Neurodermatitis*

38. Nutrition and hair health.

39. Pediculus capitis – mention the body and pubic louse and discuss the treatments available

40. Pemphigus – with special reference to scalp.

41. Pityriasis (‘Seborrhoeic dermatitis’) with special reference to scalp and effect on hair. (Include graphic descriptions of each together with recommendations as to treatment regimes – include photos where possible.

42. Plica Polonica.

43. Porphria (congenital or erythropoietic) and hypertrichosis

44. Post-natal alopecia

45. Pseudo-pelade (Brocq)

46. Psoriasis of the scalp

47. Dermatophytosis Capitis (Ringworm of scalp) with special reference to effect on hair. Include details of anthropophilic and zoophilic fungi, microspora, trichophyta, epidermophyta

48. Serum Ferritin, Serum Iron, Vitamin B12 and hair status

49. Thyroid functions and hair status – mention hair loss and changes in characteristics

50. Traction Alopecia

51. Trichokinesis*

52. Trichorrhexis Nodosa

53. Trichomycosis Nodosa*

54. Trichothiodystrophy

55, Trichoptilosis*

56. Trichonodosis*

57. Trichosporosis*

58. Trichotillomania

59. Trichoteiromania*

60. Trichotemnomania*

61. Trichophagy*

62. Uncombable hair syndrome*

63. Urticaria with special reference to scalp and effect on hair

64. Vitiligo with special reference to scalp and hair

65. Woolly Hair Syndrome



Each extensive essay must be presented and accepted by examiners.

66. Medicines:   An overview of OTC BTC POM medicines.  Include an in-depth description of the families of drugs (e.g. antibiotics, steroids, homeopathic, chemotherapeutic etc) together with details of any known responses relative or potentially relative to hair / scalp.

67. Biochemistry: (explaining briefly the structure and function of cellular components in living organisms). The work should include an overview of the structure of amino-acids, carbohydrates, fungi and other micro-organisms, lipids, monomers, nucleic acids, polymers, proteins and vitamins (the latter should also emphasise any recognised correlation with hair in health disease or distress).

68. Bacilli: Demonstrate a clear understanding of staphylococci and streptococci. Mention other members of the Kingdom ‘Bacteria’.  Give examples of disease (especially to scalp follicles) associated with any of these and suggest appropriate action.

69. Surfactants Chemistry: Demonstrate a clear understanding of the chemicals used in the manufacture of shampoos the labelling nomenclature describing content and the national laws governing their formulation and manufacture. Mention adverse reactions with hair or scalp. 

70. Hair Processing:   Demonstrate a clear understanding of the chemical and physical procedures viz bleaching, dying, permanent waving, hair relaxing, extensions, braiding corn-rowing etc involved in current hairdressing procedures. This to include detailed explanations of the formulation and use of hair bleaches, tints (oxidative and non-oxidative), relaxers (hydroxides), straighteners (reducing agents), permanent waving chemicals (thioglycollates) and oxidative products e.g. hydrogen peroxide, ammonium persulphate etc.
Trichologists need to thoroughly understand the potentially damaging / injurious / even life threatening / attributes of some products which have been known to include;  allergic contact dermatitis, allergic irritant dermatitis, oxidative cleavage, trichorrhexis nodosa, bubble hair syndrome, anaphylaxis, full depth scalp burns.  The essay should mention the importance of routine testing for allergic reactions (which may present at any time in anyone), for hair-shaft intolerance. Mention the potentially adverse affects of high temperature thermal styling (irons and driers), of cornrowing, braiding, plaiting etc.

71. Hairdressing ObservationThe student is required to spend a minimum of 10 certified hours within a reputable hair salon observing chemical procedures (relaxing, straightening, permanent-waving, colouring, blanching, highlighting, corn rowing, plaiting, hair-extensions etc). The follow up essay to provide detailed accounts + a potential damage assessment for each. Please note this must be arranged by the student personally. 

72. Hair Restoration SurgeryObservation time with a TTS Registered Doctor who specialises in these procedures – followed by a fully descriptive essay. Overseas students who can only visit UK for the pre-examination week tutorials will not be required to present this essay prior to the examination.


Gray’s Anatomy (Barnes & Noble)

SUGGESTED BOOKS (confer with your Mentor)

Diseases of the Hair and Scalp (Ed. R Dawber, Published by Blackwell Science) – If available.


Disorders of Hair Growth Diagnosis and Treatment by Elise A Olsen (2nd Edition)


Blume-Peytavi, U. at all. Hair Growth and Disorders. Springer-Verlag Berlin Heidelberg. 2008


Skin Disease Diagnosis and Treatment  (Thomas P. Habif  and James G.H. Dinulos)  Published by Elsevier.

(one to be assigned to each student)

Each will be appropriately qualified and experienced.

 STUDY ASSISTANCE (via e-mail): Any reasonable time with the assigned Mentor – or with TTS Office.



Clinical protocol lectures:  Clinical management, Consultation procedures, Principles of diagnosis, Treatment regimes and other matters applicable to pure-trichologists in professional practice.
This part of the training involves clinical experience with actual patients and assisting with the day to day running of a successful clinical practice under the guidance of a qualified experienced Fellow of The Trichological Society.  Students residing in UK are expected to attend a clinical practice occasionally throughout the course. Practitioners who offer these clinical experience opportunities to students in UK are well qualified and willing to assist the student in their objective.  –  daily charges of £100 apply.

Professor B Stevens offers small group seminar’s at his 19 Balgores Square, Gidea Park RM2 6U practice. The charge of £50 per hour can be split between 2 attendees if desired.

Overseas students will be expected (where possible) to attend a dermatology department in their locality, or attend UK trichology practices for periods of 5 working days per year of study.  Well illustrated dermatology textbooks are very helpful. The Registrar will be happy to discuss any problems you may have (UK 07742 336 337 or email).


Whereas clinical experience is a requirement there are certain matters which must be understood by the student attending a practice:

The clinic will be privately operated and therefore the student must respect the etiquette imposed by the owner who will be a qualified respected practitioner.

Students must reflect the dignity of the practice by adopting a conservative, smartly dressed demeanour (Jeans, unwashed or untidy hair, dirty finger nails or chipped varnish, obvious facial piercings etc are taboo).  The student may be required to bring a smart laundered white lab coat.

Students are there to observe and learn, but are invitees only, the practice is essentially the Consultant’s domain – therefore his / her requirements must be respected absolutely.

Students must not under any circumstances offer advice or opinions to patients.  Speak if spoken to is the motto.

Students must never discuss a patient’s diagnosis, condition or treatment other than in private with the Consultant.

There will be occasions during the day for one-to-one short conferences with the Consultant.  At all other times the student must be unobtrusive and aware that patients generally do not welcome ‘being gazed at’.


Subject to the candidate’s successful progression during the course the College Committee will invite a candidate to attend this examination.

This examination will include:

An extensive Viva / Voce Examination (live verbal questions and answers) based on the individual student’s coursework. Photographs of conditions will be shown and students asked to provide diagnoses, recommendations as to treatments (where appropriate), and prognoses.

The execution of real-life trichology procedures (consultation, diagnosis, prognosis and discussion regarding treatment options
and the performance of any recommended treatment with new patients in the presence of examiners.

Examinations are usually conducted in London during May, prior to the Graduation Day ceremony, but may in extenuating circumstances  be conducted at certain other times by special arrangement with the College Governors.

Examinees are hereby informed that whereas the initial examination is paid for by The Society, any re-examinations are student funded.

THE PRESIDENT’S DAY (annually in May)

This prestigious event offers an opportunity to meet with colleagues and other inspiring academics (old and new) and to attend the lectures presented. The lunch and dinner is good too.

All UK students are expected to attend these events.


Graduands will have presented and gained the examiners acceptance of all essays listed in the syllabus and satisfied the requirements of the end of course examination held annually in London during late April / early May prior to the Graduation Ceremony.


The President’s Day & Graduation Ceremony is held annually at Hunton Park (Hertfordshire) – a delightful Queen Anne Mansion set in parkland.
Graduands wearing academic robes with the TTS Hood (Red, White and Black) receive their well-earned Diplomas from the President in the presence of Family and Friends.

    Robert D Olding  BOOK AWARD (at the Graduation Ceremony)

A volume may be presented where one student has demonstrated an outstanding performance throughout the course.
Such awards are occasional. Where there is more than one contender citations are given instead.

 JOHN A HARWOOD CITATION (at the Graduation Ceremony) 

This Citation is  awarded annually in memory of the illustrious Founder and Past President
to the student who has made outstanding progress during the course.


MENTORS will be appropriately qualified and experienced persons

 STUDY ASSISTANCE (via e-mail): Anytime with the assigned Mentor – or with TTS Office

This overview represents the updated syllabus (as at 01-01-2018)
As the science of pure trichology advances the College reserves the right to implement changes to the curriculum as appropriate
which may inevitably extend the period of study.
Students are therefore required to make regular reference to this page throughout their period of study.



N.B.  The Trichological Society reserves the right to make changes / revisions to any aspect of its published trichology courses and hair transplant technician’s course at any time. For the avoidance of doubt Candidates / Students should  make regular visits to the respective course overviews to acquaint themselves with any changes to the courses – this  may include the actual number of essays listed on the syllabus being undertaken and other matters as directed by the Governing Councillors.
London Office:
97 Gray's Inn Road
The Trichological Society
The Registrar:
19 Balgores Square
Gidea Park