WCS list

As of June 30, 2011

1. WHOLE CLASS SESSIONS (WCSs)

1.1 Introduction

Format and Venue

The WCSs are problem-based and multi-disciplinary. Two to three sessions on Mondays or Saturdays. Each session lasts for about 55 minutes

(except WCS No.86 which lasts for 3 consecutive hours). Venue: Underground Lecture Theatre I, New Clinical Building, QMH (except the sessions

on July 16, 2011 which will be held in Room 134, Pathology Lecture Theatre, University Pathology Building, QMH; the session on September 17, 2011 will be held at Cheung Kung Hai Lecture Theatre 4, William MW Mong Block, FMB).

Content

The sessions are grouped mainly according to specialties. The programme emphasizes COMMOM clinical problems, and focuses on principles and

concepts rather than details of factual knowledge.

Participation

More than one department may contribute to each session. A teacher is nominated from each contributing department. One of the teachers involved whose names are bolded in the schedule acts as the coordinator

for the session and is responsible for the planning and running of that session. The Learning Outcomes for each session are provided. Notes for each session will be put on the HKU Portal System at

https://hkuportal.hku.hk/login.html around one week before the delivery of the session. Students could log in the system by using their HKU account name and the PIN.

© The University of Hong Kong, Li Ka Shing Faculty of MedicineAll rights reserved.

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https://hkuportal.hku.hk/login.html

As of June 30, 20111.2 Schedule

Venue: All sessions will be held at the Underground Lecture Theatre I, New Clinical Building, QMH (except the sessions on July 16, 2011 which will be held in Room 134, Pathology Lecture Theatre, University Pathology Building, QMH; the session on September 17, 2011 will be held at Cheung Kung Hai Lecture Theatre 4, William MW Mong Block, FMB).

Session No.

Titles and Contents Dates TimeDepartments/

Teachers-in-charge

Orientation - First Rotation (Please refer to the schedules of the respective blocks as listed in the Handbooks)

1 Is he fit for surgery?Pre-operative assessment

4-7-11 (Mon) 8:30am Anaesthesiology(M Irwin)Surgery (CM Lo)

39 Protect yourself and your patients:Infection control

4-7-11 (Mon) 9:30am Microbiology (V Cheng)Infection Control Unit(Ms J Tai)

2 The patient is critically ill:Intensive care medicineUnstable vital organ function

9-7-11 (Sat) 8:30am Anaesthesiology(WM Chan)Surgery (S Law)

3 The patient is very ill after the operation:Post-operative management

9-7-11 (Sat) 9:30am Anaesthesiology (Z Xia)Surgery (CM Lo)Medicine (J Chan)

48 My granny broke her hip: Management of osteoporotic fractures

9.7.11 (Sat) 10:30am Ortho & Trauma (TW Lau)

59 The pain is intolerable:Pain control

11-7-11 (Mon) 8:30am Anaesthesiology (CW Cheung)Surgery (KN Hung)

5 How can interventional radiology help patient management?

11-7-11 (Mon) 9:30am Diagnostic Radiology (Elaine Lee)

6 Emergency radiology 16-7-11 (Sat)PLT, QMH

8:30am Diagnostic Radiology(PL Khong)

7 Trauma & Ocular emergency 16-7-11 (Sat)PLT, QMH

9:30am Eye Institute (J Lai)

9 Eye Problems in Children 18-7-11 (Mon) 8:30am Eye Institute (Ian Wong)

8 Red eyes 18-7-11 (Mon) 9:30am Eye Institute (R Gangwani)

10 Gradual Visual Loss 23-7-11 (Sat) 8:30am Eye Institute (Marcus Marcet)

11 Acute Visual Loss 23-7-11 (Sat) 9:30am Eye Institute (Ian Wong)

12 Flashing Photopsia 25-7-11 (Mon) 8:30am Eye Institute


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As of June 30, 2011

Session No.


Teachers-in-charge(Ian Wong)

34 A bus hit a train:Multiple traumaDisaster management

25-7-11 (Mon) 9:30am Surgery (WK Yuen)Ortho & Trauma (F Leung)Anaesthesiology (KF Ng)

14 The patient has cancer:Cancer diagnosis and stagingTumour markers

30-7-11 (Sat) 8:30am Clinical Oncology (V Lee)Surgery (WL Law)Diagnostic Radiology (C Ooi)

15 Radiotherapy may cure your cancer:Radiation oncology

30-7-11 (Sat) 9:30am Clinical Oncology(D Kwong)

16 Are the incidences of cancer rising?Cancer epidemiologyEtiology and pathogenesis of cancer

30-7-11 (Sat) 10:30am Clinical Oncology(D Kwong)Community Medicine (TH Lam)

Clinicopathological Conference 1 (CPC) (Groups 14, 15)

30-7-11 (Sat) 11:45am

22 I have a swelling in the neck:Neck mass

1-8-11 (Mon) 8:30am Surgery (W Wei)

20 I want the best treatment for my cancer:Multidisciplinary team management

1-8-11 (Mon) 9:30am Clinical Oncology (J Tsang)Surgery (W Wei)Medicine (Prof Liang Raymond Hin Suen)Obs & Gyn (H Ngan)

21 I want the last few months of my life to live better:Palliative and hospice care

6-8-11 (Sat) 8:30am Clinical Oncology(D Kwong)Anaesthesiology (KF Ng)

82 Many members of the family have anaemia

6-8-11 (Sat) 9:30am Medicine (Prof Kwong Yok Lam)Pathology (J So)

60 A painful shoulder: Shoulder problems

6-8-11 (Sat) 10:30am Ortho & Trauma(WP Yau)

19 You have many options for the treatment of your cancer

8-8-11 (Mon) 8:30am Medicine (Dr Tse Eric Wai Choi)

18 Abnormal electrolytes in a cancer patientParaneoplastic syndromes

8-8-11 (Mon) 9:30am Medicine (Prof Chim James Chor Sang)Clinical Oncology (J Tsang)

MEL-1 Medical Professionalism 13-8-11 (Sat)LT 1, FMB

9:00am Dr Danny Leung

MEL-2 Organ Transplant & Allocation 13-8-11 (Sat) 11:00am Dr Chan See Ching


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As of June 30, 2011

Session No.


Teachers-in-chargeof Scarce Medical Resources LT 1, FMB

17 Many of my family members have cancers?Cancer genetics and cytogenetics

15-8-11 (Mon) 8:30am Pathology (SY Leung)Pathology (US Khoo)Medicine (Prof Kwong Yok Lam)

23 Head and neck cancer problems: Function and shape

15-8-11 (Mon) 9:30am Surgery (YW Chan)Clinical Oncology (J Tsang)

24 Imaging of the head and neck 20-8-11 (Sat) 8:30am Diagnostic Radiology (H Ma)

26 I have an ulcer, I am itchy but no rash

20-8-11 (Sat) 9:30am Medicine (Prof Chan Henry Hin Lee)

27 Skin rash:Acne, eczema, vascular lesions, psoriasis

20-8-11 (Sat) 10:30am Medicine (Prof Chan Henry Hin Lee)Medicine (Dr Wu Adrian Young Yuen)

Clinicopathological Conference 2 (CPCs) (Groups 12, 13 )

20-8-11 (Sat) 11:45am

28 It is red, swollen and painful:Infections of skin

22-8-11 (Mon) 8:30am Medicine (Prof Chan Henry Hin Lee)Surgery (KH Li)Microbiology (PL Ho)

29 It is very troublesome:Treatments for skin diseases

22-8-11 (Mon) 9:30am Medicine (Prof Chan Henry Hin Lee)

36 Hit by a van, in shock with internal bleeding: Abdominal injury

27-8-11 (Sat) 8:30am Surgery (WK Yuen)

37 Fall from height with open chest wound:Thoracic trauma

27-8-11 (Sat) 9:30am Surgery (A Sihoe)Pathology (P Beh)

25 I want to look better:Plastic and reconstructive surgery

27-8-11 (Sat) 10:30am Surgery (HP Chung)

Orientation - Second Rotation (Please refer to the schedules of the respective blocks as listed in the Handbooks)

44 The newborn baby is vomiting repeatedly:Neonatal intestinal obstruction and other GI emergencies

29-8-11 (Mon) 8:30am Surgery (K Wong)Paed & Adol Med (PT Cheung)Obs & Gyn (SF Ngu)

50 My grandmother looks unwell:Vague complaints in the elderly

29-8-11 (Mon) 9:30am Medicine (Prof Chu Leung Wing)

51 My grandfather is unable to look after himself:Multi-disciplinary geriatric assessment and rehabilitation

3-9-11 (Sat) 8:30am Medicine (Prof Chu Leung Wing)Psychiatry (A Law)


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As of June 30, 2011

Session No.


Teachers-in-charge52 The old lady has frequent falls:

Fall assessment and prevention 3-9-11 (Sat) 9:30am Medicine (Prof Chu

Leung Wing)Surgery (G Leung)Ortho & Trauma (TL Poon)

53 The old lady eats very little:Physiology of agingMalnutrition in elderly

3-9-11 (Sat) 10:30am Medicine (Dr Chung Chun Pong)Surgery (KKC Ng)


3-9-11 (Sat) 11:45am

54 Am I too old for that drug?Uses of drugs in elderly

5-9-11 (Mon) 8:30am Medicine (Dr Chung Chun Pong)

49 The child is uncontrollable:Child and adolescent psychiatry

5-9-11 (Mon) 9:30am Psychiatry (KL Chan)Paed & Adol Med (A Tsang)

MEL-3 Patient Safety & Risk Management

10-9-11 (Sat)LT 1, FMB

9:00am Dr Tony Ko (HA)

MEL-4 Child Abuse, Children’s Rights and Medical Decision-making by Adolescent Patients

10-9-11 (Sat)LT 1, FMB

11:00am Dr Anita Tsang

45 The newborn baby cannot breathe:Oesophageal atresia, diaphragmatic hernia, and other surgery of lung

12-9-11 (Mon) 8:30am Surgery (P Tam)Paed & Adol Med (PT Cheung)Obs & Gyn (B Chan)

32 An ugly wound:Wound healingWound infectionAnti-septic technique

12-9-11 (Mon) 9:30am Surgery (YW Chan)Microbiology (PL Ho)

33 Chopped and stabbed wound in gang fight:Nerves and vascular injuryClassification of injuries

17-9-11 (Sat)LT4, FMB

8:30am Surgery (WK Yuen)Ortho & Trauma (SP Chow)

HRP Presentation 17-9-11 (Sat)(Seminar

Rooms, FMB)

10:00am –

1:00pm

13 Surgery may cure your cancer:Surgical oncology

19-9-11 (Mon) 8:30am Surgery (ST Fan)

35 Unconscious after an accident:Head injury

19-9-11 (Mon) 9:30am Surgery (G Leung)Physiology (YS Chan)

86 Trauma Evaluation and Management (TEAM)

24-9-11 (Sat) 8:30am (3 hours)

Surgery (KH Tong /WK Yuen)


24-9-11 (Sat) 11:45am

40 Do I really need that antibiotic? Clinical use of antibiotics

26-9-11 (Mon) 8:30am Microbiology (PL Ho)Medicine (Prof Kumana


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As of June 30, 2011

Session No.


Teachers-in-chargePharmacology of antibiotics revisited

Cyrus Rustam)Surgery (J Ho)Medicine (C Lam)

41 Antibiotic prophylaxisIs it really necessary?Abuse of antibiotics

26-9-11 (Mon) 9:30am Microbiology (PL Ho)Medicine (Prof Kumana Cyrus Rustam/Prof Cheung Bernard Man Yung)Surgery (J Ho)Medicine (C Lam)

66 I am allergic to it:Allergy to drug, food, insect, etc.Stevens-Johnson syndrome

3-10-11 (Mon) 8:30am Medicine (Dr Wu Adrian Young Yuen)

67 I cannot tolerate the drug:Common side effects of drugs Drug anaphylaxisStevens-Johnson syndrome

3-10-11 (Mon) 9:30am Medicine (Dr Wu Adrian Young Yuen)Medicine (Prof Chan Henry Hin Lee) Dermatology (Dr Lo Kuen Kong)

MEL-5 Medical Law(a) Law, Legal System(b) Legal responsibilities of doctors(c) The HK Medical Council – Roles & Function(d) Professional Misconduct

8-10-11 (Sat)LT 1, FMB

9:00am Dr Philip Beh

70 Are these drugs good for my kidneys? Drugs in renal failure

10-10-11 (Mon) 8:30am Medicine (Prof Chan Daniel Tak Moa)

71 The woman needs that drug:Oral contraceptivesDrug affecting uterine motility

10-10-11 (Mon) 9:30am Pharmacology (R Man)Obs & Gyn (E Ng)

38 - Urethral discharge:Urethritis and other sexually related diseases

- Is it curable?Treatments for STD

15-10-11 (Sat) 8:30am Medicine (Dr Ho King Man)

46 Why do you wet your bed all the time? Paediatric urology

15-10-11 (Sat) 9:30am Surgery (P Tam)Paed & Adol Med (S Chim) Psychiatry (TP Ho)

43 The child needs an operation:Common emergencies and surgery in childhood

15-10-11 (Sat) 10:30am Surgery (K Wong)Ortho & Trauma (D Yip)Paed & Adol Med (PT Cheung)

Clinicopathological Conference 5 (CPC) (Group 8)

15-10-11 (Sat) 11:45am


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Session No.


Teachers-in-charge30 I want to donate my organs:

Brain deathOrgan donationPsychosocial issues

17-10-11 (Mon) 8:30am Surgery (CM Lo)Medicine (Dr Choy Bo Ying, Cindy)Pathology (P Beh)Psychiatry (J Wong)

55 My grandmother keeps forgetting things:Geriatric psychiatryDementia

17-10-11 (Mon) 9:30am Psychiatry (A Law)Medicine (Prof Chu Leung Wing)Pathology (SY Leung)

42 Feed him up before surgery:Surgical nutritionEnteral and parenteral feeding

22-10-11 (Sat) 8:30am Surgery (ST Fan)Medicine (Dr Hu Wayne Hsing Cheng James)

47 A child with deformed spine:Congenital deformities and other orthopaedic problems

22-10-11 (Sat) 9:30am Ortho & Trauma (J Leong)Paed & Adol Med (PT Cheung)Biochemistry (K Cheah)

Orientation - Third Rotation (Please refer to the schedules of the respective blocks as listed in the Handbooks)

31 I have a scald:Burn

24-10-11 (Mon) 8:30am Surgery (KH Li)Anaesthesiology (CW Cheung)

61 Painful knee after football:Sport injury

29-10-11 (Sat) 8:30am Ortho & Trauma (CH Yan)

57 My foot hurts:Foot problems

29-10-11 (Sat) 9:30am Ortho & Trauma(KH Ng)Surgery (CW Ting)

58 Back pain:Problems of neck and spine

29-10-11 (Sat) 10:30am Ortho & Trauma(YK Chan)Anaesthesiology (KF Ng)

Clinicopathological Conference 6 (CPC) (Groups 6,7)

29-10-11 (Sat) 11:45am

4 How would you anaesthetize me?Pharmacology of anaesthetic drugs

31-10-11 (Mon) 8:30am Anaesthesiology (G Wong)

MEL-6 Medical LawCommon Medical PitfallsMedical Protection

5-11-11 (Sat)LT 1, FMB

9:00am Dr David Kan

56 A painful hip:Hip problems

7-11-11 (Mon) 8:30am Ortho & Trauma (KY Chiu)

76 I am depressed:Mood disorders

7-11-11 (Mon) 9:30am Psychiatry (A Law)Biochemistry (J Chan)

73 I cannot cope and want to die: 12-11-11 (Sat) 8:30am Psychiatry (R Chen)


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Session No.


Teachers-in-chargeSuicide and drug overdose Medicine (Prof Kumana

Cyrus Rustam/Prof Cheung Bernard Man Yung)

77 I feel very nervous:Anxiety disorders

12-11-11 (Sat) 9:30am Psychiatry (R Chen)Physiology (S Shiu)

75 They are spying on me:Psychotic disorders

14-11-11 (Mon) 8:30am Psychiatry (E Chen)

74 I can’t fall asleep:Sleep physiology and Sleep disorders

14-11-11 (Mon) 9:30am Psychiatry (KF Chung)Physiology (S Shiu)

72 Does alcohol drive people nuts?Alcohol and the Brain

19-11-11 (Sat) 8:30am Psychiatry (TC Lam)

62 Story of an amputee:Limb amputation and rehabilitation

19-11-11 (Sat) 9:30am Ortho & Trauma (HY Kwok)

63 I hurt my arm:Dislocations and fractures

19-11-11 (Sat) 10:30am Ortho & Trauma (F Leung)

Clinicopathological Conference 7 (CPC) (Groups 2,3 )

19-11-11 (Sat) 11:45am

64 Cannot move my limbs after a dive:Paraplegia after spinal injuryCervical spine injury

21-11-11 (Mon) 8:30am Ortho & Trauma (K Cheung)

65 I cut my finger:Hand injury, industrial safety and compensation

21-11-11 (Mon) 9:30am Ortho & Trauma(WY Ip)Community Medicine (TH Lam)

MEL Medical Ethics & Law Test 26-11-11 (Sat)UGLT I& II

10:00 am – 12:00nn

81 Doc, should I be treated by latest technology? Biomedical Science and Engineering in Clinical Orthopaedics

28-11-11 (Mon) 8:30am Ortho & Trauma (K Yeung)

68 Clinical pharmacokinetics 28-11-11 (Mon) 9:30am Medicine (Prof Kumana Cyrus Rustam)

69 Am I prescribing the right drug? 3-12-11 (Sat) 8:30am Medicine (Prof Kumana Cyrus Rustam)Microbiology (SSY Wong)

87 Introduction to Blood Transfusion Service in Hong Kong

3-12-11 (Sat) 9:30am Pathology (CK Lee)

89 I heard those newer drugs are better than my current psychiatric

3-12-11 (Sat) 10:30am Psychiatry (Dr Albert Chung)


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Session No.


Teachers-in-chargemedications

88 Radiology of Common Medical and Surgical Problems

5-12-11 (Mon) 8:30am Diagnostic Radiology (PL Khong)

83 Is this the best drug for me? 5-12-11 (Mon) 9:30am Medicine (Prof Cheung Bernard Man Yung)Surgery (P Tam)Clinical Trial Centre

80 Why should I be locked up?Ethics in psychiatryConsent and Refusal in Treatment

10-12-11 (Sat) 8:30am Psychiatry (J Wong)Pathology (P Beh)

78 I am a supermanBipolar disorder

10-12-11 (Sat) 9:30am Psychiatry (KF Chung)

79 I cannot help myself, taking these pills just feels good:Substance abuse and addiction

10-12-11 (Sat) 10:30am Psychiatry (KW Chan)


10-12-11 (Sat) 11:45am

84 Confidentiality 12-12-11 (Mon) 8:30am Community Medicine (D Vackova)

85 Research Ethics 12-12-11 (Mon) 9:30am Pathology (JM Nicholls)


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As of June 30, 20111.3 Learning Outcomes

Session 1 Is he fit for surgery?Pre-operative assessment

Prof M Irwin Prof CM Lo

AnaesthesiologySurgery

The objectives of pre-operative assessment. How to conduct proper preoperative assessment. Value of preoperative laboratory investigations.

Session 2 The patient is critically ill:Intensive care medicine; unstable vital organ function

Dr WM ChanProf S Law


ICU and the specialty of critical care Shock: recognition and treatment Sepsis and septic shock ICU triage and limitation of therapy

Session 3 The patient is very ill after the operation:Post-operative management

Dr Z XiaProf CM LoDr J Chan

AnaesthesiologySurgeryMedicine

Introduction to common post-anaesthetic complications. Recognition and management of severe post-anaesthetic complications. Early surgical complications.

Session 4 How would you anaesthetize me?Pharmacology of anaesthetic drugs

Dr G Wong Anaesthesiology

Definition of anaesthesia. Methods – general and regional anaesthesia. Basic anaesthetic pharmacology. Intravenous and inhalational techniques. Anaesthesia and co-existent disease.

Session 5 How can interventional radiology help patient management?

Dr Elaine Lee Diag Radiology

Introduction to the diagnostic and therapeutic roles of interventional radiology. Applications of interventional radiology with examples of clinical scenarios;

- Image-guided fine needle aspiration/biopsy of a soft tissue mass- Image-guided percutaneous drainage of abscess- Embolisation of bleeding tumour/vascular trauma


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As of June 30, 2011

Session 6 Emergency radiology Prof PL Khong Diag Radiology

Approach to various common medical/surgical emergencies where imaging can aid diagnosis. Selection of the appropriate initial imaging modality and the importance of prompt diagnosis. The plain X-ray revisited.

Session 7 Trauma & Ocular Emergency Prof J Lai Eye Institute

To introduce the anatomy, mechanisms of ocular trauma. To introduce the symptoms and signs of ocular trauma. To diagnose, investigate and manage ocular trauma.

Session 8 Red Eyes Dr R Gangwani Eye Institute

To familiarize with a range of common ocular and external eye diseases. The lecture will provide a framework for diagnosis and treatment. Students are expected to learn the skills to promptly recognize and manage the red eye emergencies.

Session 9 Eye problems in Children Dr Ian Wong Eye Institute

Spectrum of common eye problems in children. How to approach these children with eye problems, as compared to adults. Symptoms and signs of common eye problems. Management of common eye problems in children.

Session 10 Gradual Visual Loss Dr M Marcet Eye Institute

To understand the common causes of chronic visual loss. To recognize the clinical features of cataract. To recognize the clinical features of common forms of glaucoma. To recognize the clinical features of age-related macular degeneration.

Session 11 Acute visual loss Dr Ian Wong Eye Institute

To introduce the basic mechanism that leads to sudden loss of vision. To introduce common and relevant vitreoretinal and neurological diseases. To illustrate the importance of eliciting relevant history and physical signs so as to arrive at a logical

management plan.


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Session 12 Flashing Photopsia Dr Ian Wong Eye Institute

To introduce the common diseases causing the symptom of flashing photopsia. To recognize the physiological causes of flashing photopsia. To recognize the common types of migraine and their management. To recognize the common types of retinal detachment and their management.

Session 13 Surgery may cure your cancer:Surgical oncology

Prof ST Fan Surgery

Principle of surgical treatment of cancer. Measures of success of surgery

Hospital mortality Disease free survival Cumulative survival Quality of life.

Factors affecting outcome of surgical treatment of cancer.

Session 14 The patient has cancer:Cancer diagnosis and staging;tumour markers

Dr V LeeProf WL LawDr C Ooi

Clin OncologySurgeryDiag Radiology

To describe different methods to establish the diagnosis of cancer - usually histology or cytology To understand the psychological impact on patient and his/her relatives (significant others)

suspected to have cancer To realize the fact that definitive histological or cytological diagnosis of cancer may not be

established before the commencement of cancer therapy in some clinical situations To understand the staging system and documentation of extent of disease which offer important

information about disease prognosis guiding subsequent management To identify various treatment options of cancer including surgery, radiotherapy, chemotherapy,

hormonal therapy, biological therapy, targeted therapy and other modalities used alone or in combination

To understand the importance of monitoring of response of cancer during and after treatment To realize that palliative treatment can still be beneficial and meaningful to patients and relatives

Session 15 Radiotherapy may cure your cancer: Radiation oncology

Prof D Kwong Clin Oncology

To understand the principles of radiation therapy on cancer cells To realize the indications of radiation therapy for cancers To know the workflow of steps before commencing radiation therapy To identify acute and chronic side effects of radiation therapy To realize the incorporation of radiation therapy with other treatment modalities including surgery,

chemotherapy or targeted therapy in the treatment of cancers


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As of June 30, 2011

Session 16 Are the incidences of cancer rising?Cancer epidemiology; etiology andpathogenesis of cancer

Prof D KwongProf TH Lam

Clin OncologyCom Medicine

To apply epidemiological principles on various common cancers in Hong Kong To describe the epidemiology of various common cancers in Hong Kong To distinguish between different measures of incidence and mortality of cancers To describe the oetiology of cancers: the pathogenesis and their association with causative and risk

factors To recognize causes of common cancer so as to promote and advocate cancer prevention

Session 17 Many of my family members have cancers?Cancer genetics and cytogenetics

Prof SY LeungProf US Khoo Prof Kwong Yok Lam

PathologyPathologyMedicine

To understand the basis of familial clustering of cancers: environmental and genetic. What is Knudson’s hypothesis? To understand the importance of cancer screening. To understand the work involved in genetic counselling.

Session 18 Abnormal electrolytes in a cancer patient: Paraneoplastic syndromes

Prof Chim James Chor SangDr J Tsang

Medicine

Clin Oncology

To appreciate the different types of electrolyte disturbance that occur in a cancer patient. To understand the causes and mechanisms underlying these electrolyte abnormalities.

Session 19 You have many options for the treatment of your cancer

Dr Tse Eric Wai Choi

Medicine

To understand the use of chemotherapy for cancer patients in various settings. To describe the side-effects of chemotherapy. To have basic knowledge and understanding on the use of “targeted” therapies, including

monoclonal antibodies and small molecules in the management of cancers.

Session 20 I want the best treatment for my cancer:Multidisciplinary team management

Dr J TsangProf W WeiProf Liang Raymond Hin SuenProf H Ngan

Clin OncologySurgeryMedicine

Obs & Gyn

To define the concepts of multidisciplinary approach in cancer management To understand the principles of multimodality treatment To define the meaning and purposes of primary definitive treatment, induction therapy, adjuvant

therapy, concomitant therapy and salvage treatment of cancer To understand the concept of evidence-based medicine and the importance of critical appraisal of

clinical trials© The University of Hong Kong, Li Ka Shing Faculty of Medicine

All rights reserved.13

As of June 30, 2011 To be able to explore the need of obtaining information on cancer and its management by the

patients and their relatives

Session 21 I want the last few months of my life tolive better:Palliative and hospice care

Prof D KwongDr KF Ng

Clin OncologyAnaesthesiology

To define and distinguish cure and palliation of cancer To understand the goals of palliative care in cancer management To describe various general and specific treatment modalities in palliative care To understand the clinical significance and pharmacological basis of pain control in cancer To acquire a basic concept of hospice care To realize the provision of palliative and hospice care in Hong Kong

Session 22 I have a swelling in the neck:Neck mass

Prof W Wei Surgery (ENT)

Clinical examination to determine a working diagnosis. Investigatory procedures to confirm the diagnosis and to determine the extent of the mass. Treatment of neck mass depends on the diagnosis arrived. Subsequent management of the patient in relation to the neck mass.

Session 23 Head and neck cancer problems: Function and shape

Dr YW ChanDr J Tsang

SurgeryClin Oncology

Define the extent of involvement in various head and neck cancer. Determine adequate reconstruction to eradicate cancer. Select the appropriate method for reconstruction aiming to restore form and function. Employ alternate treatment methods when curative resection is not possible.

Session 24 Imaging of the head and neck Prof H Ma Diag Radiology

Cross-sectional radiological anatomy of the head and neck including the eyes and ENT. Imaging modalities that are frequently employed to image pathology in these areas. Common imaging features of head and neck pathology.

Session 25 I want to look better:Plastic and reconstructive surgery

Dr HP Chung Surgery

Two categories of Plastic Surgery: reconstructive and aesthetic surgery. Basic skills of reconstructive surgery: use of grafts, flaps and implants. Major fields of reconstructive surgery. Indications of aesthetic surgery. Major fields of aesthetic surgery.

Session 26 I have an ulcer, I am itchy but no rash Prof Chan Henry Hin Lee

Medicine


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As of June 30, 2011

To learn the differential diagnosis and appropriately investigate patient with penile or leg ulcer. To learn the cause and of generalize pruritis without evidence of active inflammatory eruption. To recognize the presentation of different types of psoriasis.

Session 27 Skin rash: Acne, eczema, vascular lesions, psoriasis

Prof Chan Henry Hin LeeDr Wu Adrian Young Yuen

Medicine

Medicine

To understand the basic pathogenesis, treatment goal and management of acne. To be able to recognize and understand the basic aetiology of different types of eczema. To learn the basic of specific types of contact dermatitis that particularly applicable to our locality.

Session 28 It is red, swollen and painful: Infections of skin

Prof Chan Henry Hin LeeDr KH LiDr PL Ho

Medicine

SurgeryMicrobiology

To understand different spectrum of cutaneous infection. To learn different aspects of the management of skin infection.

Session 29 It is very troublesome: Treatments for skin diseases

Prof Chan Henry Hin Lee

Medicine

To learn the basic of emollient. The mechanism of action, side effect of topical steroid and the use of newer topical steroid. The use of anti-fungal agents and the side effects of these drugs. The use of anti-herpes viral agents.

Session 30 I want to donate my organs:Brain death; Organ donation;Psychosocial issues

Prof CM LoDr Choy Bo Ying, CindyDr P BehDr J Wong

SurgeryMedicine

PathologyPsychiatry

Definition of brain death. Criteria for organ donors. Scarcity of organ donors as compared to the need for organ transplantation (global and local). Cultural and social issues. Human Organ Transplant Ordinance.

Session 31 I have a scald: Burn Dr KH LiDr CW Cheung

SurgeryAnaesthesiology

The basic pathophysiology of cutaneous burn. Assessment of the severity of a burn injury. Pathophysiology, diagnosis and management of inhalational injury. Early management of major burn injury.


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As of June 30, 2011Session 32 An ugly wound:

Wound healing; wound infection;anti-septic technique

Dr YW ChanDr PL Ho

SurgeryMicrobiology

Description and aetiology of wounds. Basic physiology of wound healing. Principles of surgical management of wounds.

Session 33 Chopped and stabbed wound in gang fight:Nerves and vascular injury; classification of injuries

Dr WK YuenProf SP Chow

SurgeryOrtho & Trauma

Students should recognize the difference of cut wounds and stabbed wounds. Students should realize the importance of documenting injuries by description, and photograph, and

the deduction of causes of the wound, especially in relation to medico-legal purpose. For maxillo-facial, cervical, thoracic and abdominal wounds, students should understand the

priorities in management. The basic principles of evaluation and initial management of the above injuries should be clear. For injuries to the limbs, the recognition, acute treatment, late reconstruction, and rehabilitation of

involved nerves, arteries, muscles, tendons, and skin would be outlined.

Session 34 A bus hit a train: Multiple trauma; disaster management

Dr WK YuenDr F LeungDr KF Ng

SurgeryOrtho & TraumaAnaesthesiology

Describe the basic principles of disaster management. Describe the basic principles of field triage. Describe the various phases of disaster response in Hong Kong.

Session 35 Unconscious after an accident:Head injury

Dr G LeungProf YS Chan

SurgeryPhysiology

Glasgow Coma Score. Pathophysiology of head trauma. Principles of management of head trauma.

Session 36 Hit by a van, in shock with internal bleeding:Abdominal injury

Dr WK Yuen Surgery

Review the correct sequence of priorities in assessing the multiple injured patient. Describe the significance of the anatomical regions of the abdomen. Identify the physical signs suggesting intraperitoneal, retroperitoneal and pelvic injury. Apply the diagnostic and therapeutic procedures specific to abdominal injury.

Session 37 Fall from height with open chest wound: Thoracic trauma

Dr A SihoeDr P Beh

SurgeryPathology


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As of June 30, 2011 Initial assessment of the thoracic trauma patient Mechanisms of thoracic trauma Forensic issues in penetrating chest trauma Identification of immediately life-threatening thoracic injuries Management of specific injuries in thoracic trauma

Session 38 Urethral discharge:Urethritis and other sexually related diseasesIs it curable?Treatments for STD

Dr Ho King Man Medicine

The importance of sexually transmitted infection (STI) – to the community, and to the individual. The close interaction of STI with HIV infection. The classification of STI – clinically according to presentation. The use of syndromic case management of STI. The commonest group is those of urethral discharge – clinical photos will be shown. Not all STI are curable but all of them will be preventable upon modification of human behaviour. Condom promotion and concept of safer sex. Clinical photos of other common STI.

Session 39 Protect yourself and your patients:Infection control

Dr V ChengMs J Tai

MicrobiologyInfection Control Unit

To prevent themselves through Understanding the rationale for standard precautions. Proper handling and disposal of contaminated sharps. Efficient use of closed blood collection systems. Proper use of protective apparels e.g. mask, gloves, goggles and aprons. Report of percutaneous injuries and mucosal exposures. Understanding the use of vaccines and post exposure prophylaxis.

To protect patient by Appropriate hand hygiene. Use of aseptic technique. Intravascular catheter insertion and care. Practicing appropriate isolation precautions.


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As of June 30, 2011

Session 40 Do I really need that antibiotic?Clinical use of antibiotics; pharmacology of antibiotics revisited

Dr PL HoProf Kumana Cyrus RustamDr J HoDr C Lam

MicrobiologyMedicine

SurgeryMedicine

Principles of judicious use of antibiotics. Rational antibiotics prescribing in the primary care setting. Pharmacology of antibiotics revisited.

Session 41 Antibiotic prophylaxis:Is it really necessary? Abuse of antibiotics

Dr PL HoProf Kumana Cyrus Rustam/ Prof Cheung Bernard Man YungDr J HoDr C Lam

MicrobiologyMedicine

SurgeryMedicine

Scientific basis of antibiotic prophylaxis in surgery. Pharmacology, timing and at risk period considerations. Use and misuse of antibiotics in the perioperative period. Prophylactic use of antibiotic in the primary care settings.

Session 42 Feed him up before surgery:Surgical nutrition, enteral and parenteralfeeding

Prof ST FanDr Hu Wayne Hsing Cheng James

SurgeryMedicine

Impact of malnutrition on outcome. Measures to improve malnutrition perioperatively. Enteral feeding – routes, means, advantages and disadvantages. Parenteral nutrition – routes, means, advantages and disadvantages.

Session 43 The child needs an operation:Common emergencies and surgery in childhood

Dr K WongDr D YipDr PT Cheung

SurgeryOrtho & TraumaPaed & Adol Med

Types of obstruction, infection and bleeding that occur in children. Common causes. Diagnosis. Management of trauma in children. Pre-operative and post-operative care.


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As of June 30, 2011

Session 44 The newborn baby is vomiting repeatedly:Neonatal intestinal obstruction and other GI emergencies

Dr K WongDr PT CheungDr SF Ngu

SurgeryPaed & Adol MedObs & Gyn

Causes of ‘vomiting’ in the newborn in general. Recognise acute surgical illnesses causing ‘vomiting’ in the newborn. Understand the embryological/anatomical basis of congenital anomalies of the gut. Identify the presentations of different structural defects. Know the appropriate investigations. Know the principles of management.

Session 45 The newborn baby cannot breathe:Oesophageal atresia, diaphragmatic hernia, and other surgery of lung

Prof P TamDr PT CheungDr B Chan

SurgeryPaed & Adol MedObs & Gyn

Learn the principles of resuscitation in the newborn. Develop a systematic approach to identify causes of respiratory distress in the newborn. Understand the embryological basis and management of anomalies with emphasis on:

– Oesophageal atresiatracheo-oesophageal fistula.– Congenital diaphragmatic hernia.

Session 46 Why do you wet your bed all the time?Paediatric urology

Prof P TamDr S ChimDr TP Ho

SurgeryPaed & Adol MedPsychiatry

Use enuresis as an example to understand principles involved in the approach of urological problems in children.

Learn to distinguish ‘functional’ from ‘organic’ problems. Recognize and manage common urological anomalies of kidneys, ureters, bladder and urethra. Learn the indications and contraindications of circumcision.

Session 47 A child with deformed spine:Congenital deformities and other orthopaedic problems

Prof J LeongDr PT CheungProf K Cheah

Ortho & TraumaPaed & Adol MedBiochemistry

Broad categories of spinal deformities: scoliosis, kyphosis, kyphoscoliosis. Aetiology of spinal deformities: idiopathic (most common), congenital, neuromuscular, component

of a generalized effectation of the body (special syndromes). Associated deformities: intraspinal abnormalities (spinal dysraphism); cardiovascular abnormality;

renal abnormality. Approach to a child with spinal deformity: history taking; physical examination; investigations. Principles of treatment of spinal deformity: observation; bracing; surgical treatment.


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As of June 30, 2011

Session 48 My granny broke her hip: Management of osteoporotic fracture

Dr TW Lau

Ortho & Trauma

Osteoporotic vs normal bone: Differences in biomechanics and physiology Principles of management of geriatric hip fractures

- Diagnosis and investigations- Pre-operative assessment and timing of surgery- Neck of femur (intra-capsular) fracture management- Trochanteric (extra-capsular) fracture management- Post-operative management and rehabilitation- Common acute and long term complications

Follow-up on osteoporosis and secondary prevention of hip fracture Other common osteoporotic fractures

- Principles of management- Common problems and complications

Session 49 The child is uncontrollable:Child and adolescent psychiatry

Dr KL ChanDr A Tsang

PsychiatryPaed & Adol Med

To aware common presentations of child psychiatric disorders in general practice. To recognize common child psychiatric disorders. To learn the principle of treatments in common child psychiatric disorders.

Session 50 My grandmother looks unwell: Vague complaints in the elderly

Prof Chu Leung Wing

Medicine

To analyze vague complaints in the elderly by a clinical approach. To synthesize our knowledge on the interaction of ageing and diseases on clinical presentations. To deduce clinical diagnosis(es) (or differential diagnoses) by a problem based approach. To formulate a rational investigational and treatment plan.

Session 51 My grandfather is unable to look after himself:Multi-disciplinary geriatric assessment and rehabilitation

Prof Chu Leung WingDr A Law

Medicine

Psychiatry

To analyze the relationship between aging, chronic diseases and disability in old age. To relate multi-disciplinary geriatric assessment/management with rehabilitation outcome. To formulate rehabilitation plans to improve the quality of life of our elderly patients.

Session 52 The old lady has frequent falls:Falls assessment and prevention

Prof Chu Leung WingDr G LeungDr TL Poon

Medicine

SurgeryOrtho & Trauma

To recognise the negative impact of falls on physical and psychological health in older people. To analyze the risk factors for falls. To formulate management plans for the prevention of future falls and fall-related complications. To formulate management plans for fall-related complications.


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As of June 30, 2011

Session 53 The old lady eats very little:Physiology of aging; malnutrition in elderly

Dr Chung Chun PongDr KKC Ng

Medicine

Surgery

To analyze the relationship between aging, disease and malnutrition. To relate nutritional deficiencies with clinical symptoms, signs and morbidity/mortality outcomes. To analyze the various cause(s) of malnutrition in the elderly. To formulate management plan with reference to the multiple causative factors.

Session 54 Am I too old for that drug?Uses of drugs in elderly

Dr Chung Chun Pong

Medicine

To analyze the inter-relationship of aging and pharmacokinetics, analyze/pharmacodynamics of drugs.

To analyze the preventable factors in multiple medications, drugs’ compliance and adverse effects. To formulate a rational plan in drug prescribing for elderly patients.

Session 55 My grandmother keeps forgetting things: Geriatric psychiatryDementia

Dr A LawProf Chu Leung WingProf SY Leung

PsychiatryMedicine

Pathology

To learn the possible causes of memory impairment for the elderly. To learn the medical and psychiatric aspects of dementing illnesses. To learn the pathological bases of common forms of dementia. To learn the multi-disciplinary approach in the management of dementia.

Session 56 A painful hip: Hip problems Prof KY Chiu Ortho & Trauma

Applied anatomy of the hip. Common causes of hip pain in children and adults. What to note in history, physical examination and investigations. Principles of management of common hip problems.

Session 57 My foot hurts: Foot problems Dr KH NgDr CW Ting

Ortho & TraumaSurgery

Understand foot functions. Biomechanical requirement. Circulation requirement. Clinical assessment. Common pathologies. Foot care and treatments. Surgical reconstruction.

Session 58 Back pain: Problems of neck and spine Dr YK ChanDr KF Ng

Ortho & TraumaAnaesthesiology

Common causes of neck and back pain.© The University of Hong Kong, Li Ka Shing Faculty of Medicine

All rights reserved.21

As of June 30, 2011 Acute and chronic forms. Inflammatory and mechanical forms. Red flag signs suggestive of more sinister causes. Clinical and radiological investigations. Conservative and surgical treatment.

Session 59 The pain is intolerable: Pain control

Dr CW CheungDr KN Hung


Pain: definition and features Physiologic consequences of acute pain JCAHO and pain management Characteristics of different types of pain Assessment of pain and pain relief Pain mechanisms Treatment options for acute pain Chronic pain and its management

Session 60 A painful shoulder: Shoulder problems Dr WP Yau Ortho & Trauma

Recognise the anatomy and some common diseases of the shoulder. Master history taking specific to diseases of the shoulder joint. Apply the ‘look, feel, move’ principles in examination of the shoulder joint. Evaluate ‘the painful shoulder’ in some common clinical presentations. Formulate plans of investigation and management of a painful shoulder.

Session 61 Painful knee after football:Sport injury

Dr CH Yan Ortho & Trauma

Level 1– To recognise the features of a football game.– To identify possible painful structures in the knee anatomically.– To classify the mechanisms of injury of the knee.– To recognise specific clinical features of different injuries.

Level 2– To suggest the systems of examination of the patient.– To suggest the sequence of examination of the painful knee.– To relate the physical signs with the pathology inside the knee.

Level 3– To formulate the approach of the investigation of the disorder.– To establish the final diagnosis and plan of management.


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As of June 30, 2011

Session 62 Story of an amputee:Limb amputation and rehabilitation

Dr HY Kwok Ortho & Trauma

Decision of an amputation surgery Types of amputation Complications after amputation Rehabilitation of patients after amputation Multidisciplinary approach to amputee management

Session 63 I hurt my arm: Dislocations and fractures

Dr F Leung Ortho & Trauma

To understand fracture management principles. To know different fracture treatment methods. To understand different fracture types and rationale for treatment.

Session 64 Cannot move my limbs after a dive:Paraplegia after spinal injury; cervical spine injury

Prof K Cheung Ortho & Trauma

Management of spinal cord injuries. Management of fractures of the spine. Relationship between anatomy and common patterns of spinal cord injuries. Rehabilitation of spinal cord injured patients.

Session 65 I cut my finger:Hand injury; industrial safety andcompensation

Dr WY IpProf TH Lam

Ortho & TraumaCom Medicine

Pathology and disease– Relation of anatomy of hand and various hand injury.– Presentation common hand injuries.– Management of common hand injuries.– Hand function and rehabilitation.

Medicine and society– Industrial safety.– Compensation.

Session 66 I am allergic to it:Allergy to drug, food, insect, etc;Stevens-Johnson syndrome

Dr Wu Adrian Young Yuen

Medicine

Urticaria and angioedema. Describe the immunological mechanisms behind contact dermatitis. Insect sting allergy. Be able to describe the different manifestations of food allergies.


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As of June 30, 2011Session 67 I cannot tolerate the drug:

Common side effects of drugsDrug anaphylaxisStevens-Johnson syndrome

Dr Wu Adrian Young YuenProf Chan Henry Hin LeeDr Lo Kuen Kong

Medicine

Medicine

Dermatology

Describe the clinical manifestations of drug allergy. Explain the different immunological mechanisms of drug allergies. Understand the mechanisms of pseudoallergic reactions to drugs such as opiates, Vancomycin and

radiocontrast media, and how they may differ from classic anaphylactic reactions. Be able to diagnose, prevent and treat drug allergies. Describe the correct approach to patients with allergies to several more commonly used agents,

including antibiotics, NSAIDs insulin, local anesthetics and radiocontrast media.

Session 68 Clinical pharmacokinetics Prof Kumana Cyrus Rustam

Medicine

To appreciate important principles applicable to the dosing of different drug categories under a variety of physiological and pathological circumstances.

Session 69 Am I prescribing the right drug? Prof Kumana Cyrus Rustam Dr SSY Wong

Medicine

Microbiology

Prescribe with patient safety in mind Knowledge: How to prescribe properly and safely. Learn about common medication errors.

Understand the process of auditing prescriptions. Skills: Retrieving appropriate drug information. Writing a proper prescription. Attitude: Recognise that mistakes in prescribing may harm the patient and can be mimimised by

adopting better practices.

Session 70 Are these drugs good for my kidneys? Drugs in renal failure

Prof Chan Daniel Tak Mao

Medicine

To understand the interactions between kidney function and drug metabolism. To acquire knowledge on therapeutic or adverse effects for commonly used and/or clinically

important medications under the circumstances of impaired renal function. To acquire knowledge on the principles of drug use and dosage modifications in patients with

impaired renal function. To acquire knowledge on the effect of drugs on renal function.

Session 71 The woman needs that drug:Oral contraceptives; drug affectinguterine motility

Prof R ManDr E Ng

PharmacologyObs & Gyn


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As of June 30, 2011

Understand the mechanisms of action of principal oral contraceptives and drugs affecting uterine motility.

Be aware of major adverse effects of these drugs. Clinical applications of the drugs involved. Patients’ counseling.

Session 72 Does alcohol drive people nuts?Alcohol and the Brain

Dr TC Lam Psychiatry

Know the physical and psychiatric complications of alcohol abuse. Short-term Vs long-term complications of alcohol abuse. Management of such conditions.

Session 73 I cannot cope and want to die:Suicide and drug overdose

Dr R ChenProf Kumana Cyrus Rustam/ Prof Cheung Bernard Man Yung

PsychiatryMedicine

Understand the nature of suicide and deliberate self-harm. Incidence. Method of suicide. Aetiology. Assessment and management. Prevention of suicide.

Session 74 I can’t fall asleep:Sleep physiology and sleep disorders

Dr KF ChungDr S Shiu

PsychiatryPhysiology

Understand the sleep-wakefulness cycle. Know the architecture of human sleep. Know the classification of sleep disorders. Understand the presentation and management of common sleep disorder.

Session 75 They are spying on me:Psychotic disorders

Prof E Chen Psychiatry

To recognize clinical feature of common psychotic disorders. To be able to distinguish between common psychotic disorders. To appreciate current knowledge about aetiological factors in schizophrenia. To understand treatment strategies for common psychotic disorders.

Session 76 I am depressed:Mood disorders

Dr A LawDr J Chan

PsychiatryBiochemistry

Definition of depression


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As of June 30, 2011– Epidemiology and aetiology: genetic, psychosocial deprivation, personality, acute stress/life

events and biochemical. Management

– Diagnosis and investigations– Treatment: biological, psychological, socio-occupational.– By whom CP or Psychiatrist?

Biochemical Theories of Depression and Rationale for Anti-depressant Drugs.

Session 77 I feel very nervous: Anxiety disorders

Dr R ChenDr S Shiu

PsychiatryPhysiology

The biological and psychological basis of emotional response and anxiety disorders. Clinical manifestation of anxiety symptoms. Common anxiety disorders. Management of anxiety disorders.

Session 78 I am a superman:Bipolar disorder

Dr KF Chung Psychiatry

Understand the classification of mood disorder. Understand the clinical features, etiology, assessment and management of bipolar disorder.

Session 79 I cannot help myself, taking these pills just feels good:Substance abuse and addiction

Dr KW Chan Psychiatry

To understand the clinical features of substance misuse and dependence. To examine the neurobiological basis of addictive behavior. To identify the complications of substance addiction. To understand the principle of assessment and management of people with substance abuse

and dependence.

Session 80 Why should I be locked up?Ethics in psychiatry, Consent and Refusal in Treatment

Dr J Wong Psychiatry

To examine the ethical background of detention of a person with a mental disorder. To examine the legal provisions for such detention: Mental Health Ordinance. To recognise the rights of the detained patient. Confidentiality in psychiatry. To analyse the ethical background to the requirement for consent to medical treatment. To examine current law on consent: battery and negligence. To examine the definition of decision-making capacity and its significance. To recognise doctor’s duties in giving information to the patient: standard of information disclosure. To recognise situations where treatment may be given without consent or by proxy consent.

Session 81 Doc, should I be treated by latest technology? Biomedical Science and Engineering in Clinical

Dr K Yeung Ortho & Trauma


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As of June 30, 2011Orthopaedics

To understand biomedical science and engineering in orthopaedic practice. To gain knowledge of new biomaterial development for the treatments of orthopaedic diseases. To gain knowledge of stem cell and gene therapy in dealing with orthopaedic problems. To apply the concepts and methods of biomechanics in dealing with deformity correction and trauma

fixation.

Session 82 Many members of the family have anaemia Prof Kwong Yok LamDr J So

Medicine

Pathology

Understand the concept of haemoglobinopathy. Understand the clinical presentations and classifications of haemoglobinopathies. Understand the pathology and diagnosis of haemoglobinopathies.

Session 83 Is this the best drug for me? Prof Cheung Bernard Man YungProf P Tam

Medicine

SurgeryCTC

Choose the best drug based on its efficacy, safety and cost-effectiveness Knowledge: Understanding the strengths and limitations of clinical evidence. Distinguishing between efficacy and effectiveness of a treatment. Understanding what are absolute and relative risk reductions and odds ratios. Grasping the difference between statistical significance and clinical significance. Appreciating that individuals or subgroups may experience a different benefit-risk profile

(personalised medicine). Skills: Interpreting clinical trial, pharmacoepidemiological and pharmacoeconomic data. Attitude: Recognising that the quality of prescriptions can be improved by considering a drug’s

efficacy, safety and cost-effectiveness.

Session 84 Confidentiality Dr D Vackova Com Medicine

To recognise the ethical background of confidentiality within a doctor-patient relationship. To recognise the ethical, legal and professional guidelines on confidentiality. To examine breaches and potential breaches of confidentiality. To analyse when information may be justifiably disclosed: balancing public vs private interests, and

patient vs family interests.

Session 85 Research Ethics Dr JM Nicholls Pathology

Know the procedures involved in submission of an Ethical Proposal to the Faculty of Medicine, the University of Hong Kong.

Know the basis of the GCP-ISH document. Be able to design an appropriate consent form for a clinical trial.


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As of June 30, 2011Session 86 Trauma Evaluation and Management (TEAM) Dr KH Tong /

Dr WK YuenSurgery

Describe the principles underlying the management of trauma patients based on ATLS principles. Appreciate the importance of the appropriate evaluation of trauma patients with regard to the need

for transfer or immediate life-support treatment. Understand the indications and basic techniques for urgent life-support treatment.

Session 87 Introduction to Blood Transfusion Service in Hong Kong

Dr CK Lee Pathology

How blood service operates in Hong Kong and what is the difference from other countries. Demand and supply chain, how to maintain a stable blood supply with minimal wastage. Transfusion safety focusing on strategies on blood safety.

Session 88 Radiology of Common Medical and Surgical Problems

Prof PL Khong Diagnostic Radiology

Revision of radiological approach to common medical and surgical problems. Emphasis on the importance of the selection of the most appropriate imaging modality for various

clinical scenarios. Appreciate the pros and cons of imaging options.

Session 89 I heard those newer drugs are better than my current psychiatric medications

Dr Albert Chung Psychiatry

To describe the neuro-pharmacology of benzodiazepines, antipsychotics and antidepressants To list the common side-effects of benzodiazepines, antipsychotics and antidepressants To distinguish the neuro-pharmacological differences between traditional and newer types of

antidepressants, and their side-effect profiles To distinguish the neuro-pharmacological differences between 1st and 2nd generation

antipsychotics, and their side-effect profiles


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As of June 30, 20112. Medical Ethics Teaching

There will be six whole class Medical Ethics & Law Seminars. Each seminar has its own unique outcomes and details of the seminars are listed below:

Session 1: Topic: Medical ProfessionalismTutor: Dr Danny LeungDate: August 13, 2011 (Saturday)Time: 9:00am-11:00 amVenue: Lecture Theatre 1, G/F, William MW Mong Block, Faculty of Medicine

Building

Learning Outcomes: (a) Familiarize students with the basic professional requirements (altruism, accountability, humanism and excellence) of being a medical doctor.

(b) Familiarize students with the basic principles underpinning medical professionalism.

(c) Ethics of research involving human beings.(d) Familiarize students with some scientific research conducts.

Session 2: Topic: Organ transplant and allocation of scarce medical resourcesTutor: Dr Chan See Ching, QMHDate: August 13, 2011 (Saturday)Time: 11:00am-1:00pmVenue: Lecture Theatre 1, G/F, William MW Mong Block, Faculty of Medicine

Building

Learning Outcomes: (a) Explain why allocation policy is organ specific.(b) Identify the conflict between equity and utility in the use of scarce

medical resources.(c) Interpret donor/recipient risk/benefit ratios of living donor liver

transplantation.

Session 3: Topic: Patient Safety & Risk ManagementTutor: Dr Tony Ko (HA)Date: September 10, 2011 (Saturday)Time: 9:00am-11:00amVenue: Lecture Theatre 1, G/F, William MW Mong Block, Faculty of Medicine

Building

Learning Outcomes: (a) To improve the awareness of patient safety and risk management in the healthcare process and medical system.

(b) To provide students with a reasonable understanding of the following :

- Areas of clinical risk: surgical related errors, misidentification, medication errors, breach of patient privacy, communication breakdown.


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As of June 30, 2011

- Swiss cheese model in risk management.- Improvement of safety in healthcare system is focused on eliminating

system and process errors.- Incident management: incident reporting, investigation, open

disclosure, public disclosure, risk reduction programmes and clinical governance.

- The importance of sharing and learning culture in improving the awareness of patient safety.

- Multi-disciplinary approach in handling risk and improving safety: Crew resources management from aviation and simulator-based training.

Session 4: Topic: Child Abuse, Children’s Rights and Medical Decision-making by Adolescent Patients

Tutors: Dr Anita TsangDate: September 10, 2011 (Saturday)Time: 11:00am-1:00pmVenue: Lecture Theatre 1, G/F, William MW Mong Block, Faculty of Medicine

Building

Learning Outcomes: (a) To understand the role of the doctor in child protection(b) To understand the context of conflict between parents and child

patient in medical decision making(c) To understand the legal and moral rights of children and adolescents

in medical decision-making

Session 5: Topic: Medical Law(a) Law, Legal System(b) Legal responsibilities of doctors(c) The HK Medical Council – Roles & Function(d) Professional Misconduct

Tutor: Dr SL BehDate: October 8, 2011 (Saturday)Time: 9:00am-1:00pmVenue: Lecture Theatre 1, G/F, William MW Mong Block, Faculty of Medicine

Building

Learning Outcomes: (a) Develop an overview of the legal system in Hong Kong. (b) Awareness of the range of legislations that affect medical

practitioners.(c) Understanding of the legal responsibilities of medical practitioners in

Hong Kong.(d) Revisiting and reflection on understanding of consent and its

importance.(e) Understanding of legal concepts of medical negligence.


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As of June 30, 2011

Session 6: Topic: Medical LawCommon Medical Pitfalls; Medical Protection

Tutor: Dr David KanDate: November 5, 2011 (Saturday)Time: 9:00am-1:00pmVenue: Lecture Theatre 1, G/F, William MW Mong Block, Faculty of Medicine

Building

Learning Outcomes: (a) Understand and appreciate the common pitfalls of medical practitioners; with revisit of consent and medical negligence.

(b) Reflection on appropriate strategies to avoid medical pitfalls.(c) Role of medical protection societies.

Assessment

(a) A Medical Ethics & Law Test will be held on November 26, 2011 at the Underground Lecture Theatres I & II, New Clinical Building, Queen Mary Hospital. Details of the test will be announced via e-mail in due course.

(b) 100% attendance is REQUIRED.

- Students who are absent from a session on medical ground are required to submit the relevant proof (i.e. medical certificate) to the Faculty Office within 7 days of that session.

- For cases of absence on other personal or urgent reasons, students are required to seek PRIOR APPROVAL from the Faculty Office in writing, and these cases will be considered individually.

(c) If you fail in the assessment, you will be REQUIRED to undertake remedial assignments under the supervision of Prof E Hui.


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As of June 30, 2011

3. Clinicopathological Conferences (CPCs)

3.1 Learning Outcomes

The clinicopathological conference is an integrated teaching session. It is hosted by the Department of Pathology together with a panel of teachers from different clinical disciplines according to the theme of the case presented.

The CPC will enable students:

To learn the skills of capturing the essential problems of a clinical case and making a formal presentation to highlight its salient features, complexities, approach to diagnosis and management;

To recognize the role of laboratory medicine in clinical diagnosis and management, including the importance of timely communication and feedback between disciplines and members of the care team;

To participate in an interactive discussion on the rational use of investigative tools and tests required to formulate a diagnosis and monitor the disease course

3.2 Format

1 case each of 45 mins would be presented per session, with 8 sessions per year; The cases would be chosen by the pathologist responsible for that session; The presenting group of students would be given the case material 4 weeks in advance for

review and preparation. During the CPC, students from the audience, without prior knowledge of the case, would be invited to ask relevant questions. The presenting students would attempt to answer using their power point slides. The teachers would supplement with expert comments.

The following is a typical timeline of case preparation:


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2 - 4 days before presentation

4 weeks before presentation

1 week before presentation

Students obtain

case notes

Meeting between students

& teacher

Students submit

preliminary

PowerPoint file

Students receive

feedbacks

CPC & MCQ test (on the 4th & 8th session)

&

As of June 30, 20113.3 Assessment of Student Performance:

Three MCQ questions would be set for each case. Two MCQ tests would be conducted on the 4th and 8th session, respectively. The MCQ questions would be submitted to the Faculty pool for the final MBBS examination.

The presenting group would also be assessed individually based on: Critical analysis skills during case preparation Content and quality of the presentation material (Powerpoint file) Moderation skills during the CPC

3.4 Award The “Best Case” would be selected by STUDENTS ONLY according to the case

content and the presentation skill. A prize (details to be announced) would be awarded to the group presenting the “Best Case”. The case, with due recognition to the presenting students, would be posted onto the Departmental homepage to build a Case Bank which would be freely accessible by students and staff in successive years.

Queries and comments on the Clinicopathological Conferences can be directed to Dr MP Wong (Email: [email protected]).

3.5 Schedule

The clinicopathological conference will begin at the end of the 4th week of the 24-week Senior Clerkship. A total of 8 CPCs will be offered according to the following schedule:

Week Date CPC No.

Student Groups Assigned Departments Teachers

4 30.7.2011 1 Gps 14, 15 Forensic Pathology Dr PSL Beh

7 20.8.2011 2 Gps 12, 13 Haematology Dr JCC So

9 3.9.2011 3 Gps 1, 11 Molecular Pathology Dr CTL Chan

12 24.9.2011 4 Gps 9, 10 Anatomical Pathology Prof US Khoo

15 15.10.11 5 Gp 8 Chemical Pathology Dr YCW Yeung

17 29.10.11 6 Gps 6, 7 Microbiology Dr PL Ho

20 19.11.11 7 Gps 2,3 Haematology Dr WWL Choi

23 10.12.11 8 Gps 4,5 Immunology Dr EYT Chan

Time: 11:45am-12:30pmVenue: Underground Lecture Theatre I, New Clinical Building, Queen Mary Hospital


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mailto:[email protected]

As of June 30, 20113.6 Contact Details of Teachers for Clinicopathological Conference

Students responsible for the preparation of the Clinicopathological case should contact Lily Fung (Tel: 2255 4875, Email: [email protected]) or the teachers responsible for their CPC session as early as possible and in any event not less than 4 weeks prior to the date of the CPC session.

The teachers will provide you with the case material and will guide you on the presentation. You might want to discuss with the teachers whether to invite teachers of other clinical specialties to help in the discussion.

For further enquiries, please contact Dr MP Wong(Tel: 2255 4861, Email: [email protected]).

Department of Medicine

Prof CS Chim [email protected]

Department of Microbiology

Dr PL Ho [email protected]

Department of Pathology

Dr PSL Beh [email protected] CTL Chan [email protected] Dr EYT Chan [email protected] WWL Choi [email protected] US Khoo [email protected] Dr JCC So [email protected] MCW Yeung [email protected]

Department of Surgery

Dr HP Chung [email protected]


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As of June 30, 20114. Conscientious Objection Policy on the use of live animals in teaching and/or practical

sessions

The University is concerned about animal welfare and humanity and is committed to ensuring that teaching practicals involving the use of live animals are well-justified and students are prepared appropriately for the experience. Below please find information on the use of live animals in teaching and/or practical sessions:

1. The teacher/course co-ordinator concerned should stipulate clearly in the course description if live animals are to be used in the course.

2. The conduct of animal experimentations at HKU requires prior approval of the Committee on the Use of Live Animals in Teaching and Research (CULATR).

3. In accordance with the Animals (Control of Experiments) Ordinance Cap 340 of the HKSAR Government which provides for the control of experiments on living vertebrate animals, a ‘Bloc License’ for conduct of animal experimentations will be obtained from the Department of Health by the teacher/course co-ordinator concerned on behalf of students attending teaching practicals.

4. Students who object to animal experimentation should discuss with the teacher/course co-ordinator concerned before enrolling for the course to opt for training and assessment by using audiovisual and computer models as alternative methods/materials for the study. In situations when such alternatives are not available, students should be allowed to opt out of teaching practicals/experiments within the course without detriment to his/her grade.

5. Any concerns regarding the use of live animals should be addressed to the teacher/course co-ordinator concerned in the first instance, and then to the CULATR as necessary.

Further information on this policy is available at http://www.hku.hk/facmed/04research_animal.htm.


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http://www.hku.hk/facmed/04research_animal.htm

As of June 30, 20115. Code of Conduct

(I) Student’s Rights

All students shall have the right to:˗ Enjoy a safe learning environment;˗ Express own opinions and feelings; ˗ Use and access to school facilities, services and resources;˗ Establish and join student societies;˗ Acquire knowledge and skills leading to award of a degree if the required standard is reached.

(II) Student’s Responsibilities

˗ Be punctual and attend school activities prepared;˗ Participate fully in the learning process;˗ Complete assignments and comply with the timeline;˗ Reach the academic standards required in the programme; ˗ Use proper language and observe dress code;˗ Work and co-operate with peers and staff members (including office

staff, healthcare staff);˗ Refrain from aggressive and intimidating behavior; ˗ Treat patients’ information in confidentiality <Section VIII>.

(III) Academic Misconduct (*Academic dishonesty will constitute a disciplinary case, which may result in disciplinary action being taken on you)

˗ Cheating in examination;˗ Plagiarism <Section III (b)>;˗ Misrepresentation of data: research projects;˗ Allowing another student to represent your work as his/her own;˗ Forgery or alternation of official records or documents including attendance records or

“doctor/nurse” status;˗ Manifest attitude or behavior which is detrimental or illegal, involving people in the direct

context of teaching/learning activities i.e. Patients.

(a) Use of Teaching Materials

˗ Course materials are for teaching purposes and are not meant for circulation without the consent from individual teachers/ departments;

˗ Unauthorized photographing, recording and video-taping of lectures and/or practical sessions are strictly forbidden;

˗ Any unauthorized recording and/or downloading of teaching materials would constitute a disciplinary case;

˗ For PBL Tutorials, distribution of tutor guides to students is strictly forbidden;˗ Instructions of using/ dealing with specimens and manikins should be adhered.


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As of June 30, 2011(b) Plagiarism

˗ Any unacknowledged use, as one’s own, of the thoughts, writing, inventions or work of another person, whether or not such work has been published, will be an act of plagiarism and is also a serious misconduct;

˗ In addition to printed forms of work (e.g. a journal paper or lecture handouts), work in electronic form such as a website, or an audio-visual production is also bound with copyright protection;

˗ More information about plagiarism can be retrieved on-line via www.hku.hk/plagiarism.

(c) Class Attendance & Signing Attendance

˗ Attend all teaching classes according to the timetable; ˗ Sign the attendance sheet for each lesson (if any); DO NOT sign attendance for another person

which is considered as a form of forgery and is a serious misconduct; ˗ Seek prior approval from the Faculty before taking leave of absence from any

class/examinations (Absence due to sickness must be supported by a sick-leave certificate from a registered doctor while justifications are required for absence on non-medical grounds).

(IV) Non-Academic Misconduct (*Non-academic misconduct may result in disciplinary actions taken on you, e.g. severe reprimand and termination of student status)

˗ Manifest attitude or behaviour which is illegal or detrimental to people in the general context;˗ Verbal/physical abuses: endangers or threatens the health or safety of university members; ˗ Harassment;˗ Disrupt/obstruct university activities or services;˗ Thievery;˗ Unauthorized conduct: unauthorized entry to and/or presence at, possession of, use of any

university facilities/resources;˗ Causing damage/destruction to university property.

(V) Professional Attitude and Behavior of a Medical Student

(a) Professional Attitude

˗ Demonstrate honesty and integrity;˗ Be prepared to admit deficiencies in knowledge, understanding or skills;˗ Be aware of own’s strengths and weaknesses; Seek help, guidance, support or advice to

overcome difficulties;˗ Face mistakes or failings positively; Be ready to accept fair and reliable criticism or evaluation

from teachers, fellow schoolmates and/or patients;˗ Accept responsibilities and consequences for your own decisions and actions;˗ Treat all other students, teachers, and staff members with respect and dignity;˗ Speak and listen and respect the rights of others; Show tolerance and acceptance of all genders,

ethnics, races, religions;˗ Show respect towards school property and resources;˗ Respect of the “patient”: dead or alive, organ or whole, physical or

mental issue.


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http://www.hku.hk/plagiarism

As of June 30, 2011(b) Attire

- Be neatly and decently dressed when attending classes, whether they are held in wards or not;

- Patient contact: dress appropriately to inspire confidence of the patients in you as a healthcare professional, and also avoid being the vehicle of transmission infection (cleanliness).

(c) Use of Cell Phone

- Keep them turned off or “silent mode” during class;- DO NOT talk on cell phone or send messages during class;- DO NOT send or receive test/exam materials (Serious Academic Misconduct);- DO NOT take or distribute inappropriate digital photos.

(d) Eating and Drinking in Class

- DO NOT eat or drink (except water) in all classrooms;- If you want to bring food for a class celebration, please go to the student canteens or the outside

restaurants.

(e) Behaviour in Wards/Clinics

˗ Showing courtesy and consideration for everybody (including patients, doctors, nurses, fellow students, and other staff ) in the ward;

˗ Consult the tutors/ ward managers/ nurses on duty in wards for advice before performing patient clerking;

˗ Follow the infection control guidelines of the Faculty/ teaching hospitals concerned;˗ DO NOT engage in excessive “social”activities in patient care setting.

(VI) Patient Contact

˗ Patients have the right to decide what happens to their own bodies; Valid consent should be obtained before starting clinical enquiry or examination, and patients have a right to refuse;

˗ Conduct history taking or examination with due care to patient’s dignity and comfort;˗ Remember to thank patient after completing the learning process;˗ Remember to restore the clothing or positioning of the patient to his/her original or desirable

status; ˗ Remember to put back the files/records properly.


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As of June 30, 2011(VII) Chaperone Policy for Physical Examination

˗ Clinical chaperone for the purpose of witness and thus protection to both doctor (student) and patient for physical examination;

˗ Female chaperone is required to be present for physical examination of female patients by male students;

˗ Clear explanation before physical examination to seek patient consent;˗ The chaperone should have the knowledge to assess the appropriateness of the examination /

procedure as well as the way in which they are done; ˗ Adequate “screening” during physical examination requiring patient body exposure, and the

chaperone should be in the sight of the patient.

(VIII) Patient Confidentiality

˗ DO NOT take patient records away from the wards/clinics, and DO NOT photocopy them even for learning purpose;

˗ DO NOT disclose, in various means of oral or written format, by telephone or fax, or electronically, any medical information in connection with the management of a patient;

˗ DO NOT release private information that you may have obtained during the course of your studies. (*Note that this may be done unintentionally if you talk/discuss freely in public areas of the hospital/clinic).


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Documents

WCS list