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					Semester V Integrated Block Handbook 2008/2009

© The University of Hong Kong Li Ka Shing Faculty of Medicine All rights reserved.

Integrated Block
1. Objectives, Assessment and Evaluation 1.1 Overall Objectives of the Integrated Block 1.2 Assessment 1.3 Evaluation Master Timetable Whole Class Sessions 3.1 Venue and Time 3.2 Schedule 3.3 Learning Objectives Index of Clinical Skills Learning Diagnostic Radiology 5.1 Learning Objectives 5.2 Schedule ENT 6.1 Learning Objectives 6.2 Schedule Human Sexuality Course 7.1 Aim 7.2 Course Objectives 7.3 Learning Objectives 7.4 Schedule Medicine 8.1 Learning Objectives 8.2 Student Grouping List 8.3 Schedule Obstetrics & Gynaecology 9.1 Learning Objectives 9.2 Schedule Ophthalmology 10.1 Learning Objectives 10.2 Schedule Orthopaedics & Traumatology 11.1 Learning Objectives 11.2 Schedule Paediatrics & Adolescent Medicine 12.1 Learning Objectives 12.2 Structure 12.3 Targets 12.4 Assessment 12.5 Recommended Text 12.6 Schedule Psychiatry 13.1 Learning Objectives 13.2 Schedule Surgery 14.1 Learning Objectives 14.2 Schedule of Clinical Skills Sessions 14.3 Schedule of Bedside Teaching TB Clerkship 15.1 Learning Objectives 15.2 Schedule PBL Groups – Students/Tutors 16.1 Notes to Students about Assessment of PBL Performance 16.2 Schedule 16.3 List of Tutors Contact Details of Block and Departmental Coordinators and PBL Case Writers

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© The University of Hong Kong Li Ka Shing Faculty of Medicine All rights reserved.

1.
1.1

OBJECTIVES, ASSESSMENT AND EVALUATION
Overall Objectives of the Integrated Block
   

To serve as a bridge between system-based blocks and clinical clerkships. To introduce and revisit basic communication and clinical skills in hospital setting. To initiate health care projects. To integrate core specialties through problem-based learning sessions incorporating various life cycle events. To understand human sexuality.



1.2

Assessment


Continuous assessment based on grading of each student‟s performance entered in the attendance and assessment forms. Continuous assessment on each student‟s performance at PBL tutorials. Formative assessment at the end of the block. Assessment of logbook.

  

(a) Assessment of students‟ performance during small-group activities : (i) Students who are absent from a session on medical ground are required to submit the relevant proof (e.g. medical certificates) to the Faculty Office within 14 days of that session. (ii) For cases of absence on other personal or urgent reasons, students are again required to provide a letter of explanation to the Faculty Office within 14 days of the session, and these cases will be considered individually. (iii) For cases stated in (i) & (ii) above, the Faculty Office will try to arrange a make-up session where appropriate. Failing to present adequate medical documents or valid justifications will be regarded as “absent without reason” in the overall continuous assessment, and no mark will be given under such circumstances. (b) Assessment of students‟ performance at PBL tutorials : (i) 100% attendance is required (the requirements stipulated in items (a)(i) and (ii) above also apply for PBL tutorials).

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© The University of Hong Kong Li Ka Shing Faculty of Medicine All rights reserved.

(ii)

For cases of absence without any reason or justification, a progressive mark deduction system on the assessment will be imposed, e.g. 10% of the overall marks will be deducted for absence from one tutorial, 20% mark deduction for absence from two sessions, and so on. Upon receipt of this completed assessment form, the Faculty Office will, taking into account of the attendance record, finalize the marks for each individual student.

1.3

Evaluation


On-line Evaluation on courses and teachers (to be ready for access on the HKU Portal System at the start of Week 4 upon commencement of the Block). Staff-student consultative meeting (mid of block).



2

© The University of Hong Kong Li Ka Shing Faculty of Medicine All rights reserved.

2.

MASTER TIMETABLE
Orientation: August 16, 2008 (Sat) 10:00am UGLTII, QMH Fri 22.8.08 CSL (Orth: 5–8) (Psy: 9–15) Sat 23.8.08 CSL (ENT: 1–3) (O&G: 4–6) (Ophth: 9–15) WCS

* Clinical skills learning (CSL) of Surgery begins at 8:00am and ends at 11:00am.

Week 1 Time 8:30 – 9:30 9:30 – 10:30 10:30 – 11:30 12:00 – 1:00 1:00 – 2:00 2:00 – 3:00 3:00 – 4:00 4:00 – 5:00 5:00 – 6:00

Mon 18.8.08 CSL (Sur: 1–8)* (Med: c & d)

Tue 19.8.08 CSL (Orth: 1–4) (Paed: 9–15)

Wed 20.8.08 CSL (O&G: 1–3) (ENT: 5–8) (Med: c & d) WCS CSL (Diag Rad: 1–15)

Thu 21.8.08 CSL (Sur: 1–8) (Med: d1–d6)

WCS PBL Case 1 (1–15) Paediatrics : Briefing on “Mother Baby Project” (1–15)
(4:30pm-6:00pm)

WCS CSL (ENT: 1–4) (O&G: 7–9) TB Clerkship: EBP (12b–15) Chest X-ray (6, 10)

WCS PBL Case 1 (1–15)

WCS Human Sexuality (Cancelled due to Typhoon Signal No.9)

TB Clerkship: EBP (1–4)

UGLT II, QMH

Week 2 Time 8:30 – 9:30 9:30 – 10:30 10:30 – 11:30 12:00 – 1:00 1:00 – 2:00 2:00 – 3:00 3:00 – 4:00 4:00 – 5:00 5:00 – 6:00

Mon 25.8.08 CSL (Sur: 1–8)* (Med: c1–c6)

Tue 26.8.08 CSL (O&G: 1–3) (Paed: 9–15)

Wed 27.8.08 CSL (Orth: 1–4) (O&G: 7–9) (Med: d1–d6) WCS

Thu 28.8.08 CSL (Sur: 1–8) (Med: c1–c6)

Fri 29.8.08 CSL (Orth: 5–8) (Med: d1–d6)

Sat 30.8.08 CSL (Ophth: 1–8)

WCS Human Sexuality

WCS CSL (Diag Rad: 1–15) CSL (make-up) (Psy: 9–15) 4:00-7:00pm, UGLT I

WCS

WCS PBL Case 2 (6) Chest X-ray (9, 15)

WCS

CSL PBL Case 2 (Diag Rad: 1–15) (1–5&7–15) WCS (make-up) 4:15-5:15pm, UGLT II

3

© The University of Hong Kong Li Ka Shing Faculty of Medicine All rights reserved.

Week 3 Time 8:30 – 9:30 9:30 – 10:30 10:30 – 11:30

Mon 1.9.08 CSL (Sur: 1–8)* (ENT: 9–12a) (Med: d1–d6)

Tue 2.9.08 CSL (Orth: 1–4) (ENT: 5–8) (Paed: 9–12)

Wed 3.9.08 CSL (O&G: 1–3) (Orth: 5–8) (Med: c1–c6) (ENT: 4, 13–15) WCS CSL (Orth: 1–4) TB Clerkship: Bedside Teaching 1 (13–15)

Thu 4.9.08 CSL (Sur: 1–8) (Med: c1–c6)

Fri 5.9.08 CSL (Orth: 5–8) (Med: d1–d6)

Sat 6.9.08 CSL (O&G: 7–9)

12:00 – 1:00 1:00 – 2:00 2:00 – 3:00 3:00 – 4:00 4:00 – 5:00 5:00 – 6:00

WCS CSL (Psy: 1–8) (ENT: 9–12)

WCS CSL (O&G: 4–6) (Paed: 13–15) PBL Case 2 (12) TB Clerkship: Bedside Teaching 1 (1–3)

WCS PBL Case 2 (1–11&13–15)

WCS

WCS

TB Clerkship: EBP (9–12a)

Chest X-ray (13, 14) Week 4 Time 8:30 – 9:30 9:30 – 10:30 10:30 – 11:30 12:00 – 1:00 1:00 – 2:00 2:00 – 3:00 3:00 – 4:00 4:00 – 5:00 5:00 – 6:00

Chest X-ray (7, 8)

Chest X-ray (11, 12)

Chest X-ray (1, 2)

Mon 8.9.08 CSL (Sur: 1–8)* (ENT: 12b–15) WCS CSL (Diag Rad: 1–15) PBL Case 3 (7&15)

Tue 9.9.08 CSL (O&G: 4–6) (Paed: 9–12) WCS CSL (O&G: 7–9) (ENT: 13–15)

Wed 10.9.08 CSL (O&G: 1–3) (Med: d1–d6) WCS
Human Sexuality

Thu 11.9.08 CSL (Sur: 1–8) (Med: c1–c6) WCS PBL Case 3 (1&3–15)

Fri 12.9.08 CSL (Psy: 1–8) (Orth: 12b–15) WCS PBL Case 3 (2) CSL (Orth: 13) TB Clerkship: Bedside Teaching 1 (4–6) Chest X-ray (3)

Sat 13.9.08 CSL (O&G: 4–6) (Med: c1–c6) WCS

TB Clerkship: EBP (5–8) TB Clerkship: Bedside Teaching 1 (10–12) Chest X-ray (4, 5)

Week 5 Time 8:30 – 9:30 9:30 – 10:30 10:30 – 11:30 12:00 – 1:00 1:00 – 2:00 2:00 – 3:00 3:00 – 4:00 4:00 – 5:00 5:00 – 6:00

Mon 15.9.08

Tue 16.9.08 CSL (Paed: 1–8) (Sur: 9–15)* WCS

Wed 17.9.08 CSL (Med: a & b) (Orth: 9–12a) WCS PBL Case 3 (12)

Thu 18.9.08 CSL (Med: a & b) (Sur: 9–15) WCS PBL Case 3 (1–6, 8–11, 13–14) Staff-Student Consultative Meeting
(tentative)

Fri 19.9.08 CSL (Paed: 1–8) (Orth: 12b–15) WCS CSL (Psy: 9–15)

Sat 20.9.08 CSL (O&G: 13–15)

WCS

Holiday

CSL (ENT: 5–8) (O&G: 10–12) (Paed: 13–15) TB Clerkship: Bedside Teaching 2 (1–3)

TB Clerkship: Bedside Teaching 1 (7–9) 4

TB Clerkship: Bedside Teaching 3 (1–3)

© The University of Hong Kong Li Ka Shing Faculty of Medicine All rights reserved.

Week 6 Time 8:30 – 9:30 9:30 – 10:30 10:30 – 11:30 12:00 – 1:00 1:00 – 2:00 2:00 – 3:00 3:00 – 4:00 4:00 – 5:00 5:00 – 6:00

Mon 22.9.08 CSL (Med: a1–a6) (Sur: 9–15)* WCS PBL Case 3 (2)

Tue 23.9.08 CSL (Paed: 1–4) (Orth: 9–12a) (O&G: 13–15) WCS CSL (Paed: 5–8) (ENT: 9–12) TB Clerkship: Bedside Teaching 2 (13–15)

Wed 24.9.08 CSL (Med: a1–a6) (O&G: 10–12) WCS Human Sexuality

Thu 25.9.08 CSL (Med: b1–b6) (Sur: 9–15) WCS PBL Case 4 (1–7&9–14) Human Sexuality (make-up) 4:00-7:00pm, LT2

Fri 26.9.08 CSL (Psy: 1–8) (Orth: 12b–15) WCS CSL (Orth: 12b–15)

Sat 27.9.08 CSL (Med: b1–b6) (O&G: 10–12) WCS

TB Clerkship: Bedside Teaching 2 (10–12) Mon 29.9.08 CSL (Med: a1–a6) (Sur: 9–15)*

TB Clerkship: Bedside Teaching 2 (7–9) Sat 4.10.08 CSL (Med: b1–b6) (O&G: 13–15)

Week 7 Time 8:30 – 9:30 9:30 – 10:30 10:30 – 11:30

Tue 30.9.08 CSL (Paed: 1–4) (Med: b1–b6) (Orth: 9–12a) (O&G: 13–15) WCS

Wed 1.10.08

Thu 2.10.08 CSL (Med: a1–a6) (Sur: 9–15)

Fri 3.10.08 CSL (Med: a1–a6) (Orth: 12b–15)

12:00 – 1:00 1:00 – 2:00 2:00 – 3:00 3:00 – 4:00

WCS (UGLT I) PBL Case 4 (1–2 & 4–15)

WCS Holiday PBL Case 5 (1–7&9–14) PBL Case 4 (8&15) CSL (Orth: 12b–15)

WCS CSL (Psy: 9–15) TB Clerkship: Bedside Teaching 2 (4–6)

WCS

PBL Case 4 (3) CSL (Paed: 5–8) (ENT: 13–15)

4:00 – 5:00 5:00 – 6:00

TB Clerkship: Bedside Teaching 3 (10–12)

Week 8 Time 8:30 – 9:30 9:30 – 10:30 10:30 – 11:30

Mon 6.10.08 CSL (ENT: 1–4) (Med: b1–b6) (Sur: 9–15)*

Tue 7.10.08

Wed 8.10.08 CSL (Med: b1–b6) (O&G: 10–12) PBL Case 5 (15)

Thu 9.10.08 CSL (Med: a1–a6) (Sur: 9–15)

Fri 10.10.08 CSL (Psy: 1–8) (Orth: 9–12a) PBL Case 5 (15)

Sat 11.10.08

Holiday 12:00 – 1:00 1:00 – 2:00 2:00 – 3:00 3:00 – 4:00 4:00 – 5:00 5:00 – 6:00 WCS PBL Case 5 (1–15) WCS (4:15pm) TB Clerkship: Bedside Teaching 3 (7–9) Formative examination: October 17, 2008 CSL = Clinical Skills Learning includes clinical demonstration, bedside teaching and teaching clinics and seminars etc. WCS = Whole Class Sessions include formal and interactive lectures. © The University of Hong Kong Li Ka Shing Faculty of Medicine 5
All rights reserved.

WCS CSL (Orth: 12b–15)

WCS CSL (Psy: 9–15) PBL Case 5 (8) TB Clerkship: Bedside Teaching 3 (4–6)

WCS CSL (Orth: 9–12a)

TB Clerkship: Bedside Teaching 3 (13–15)

Grouping of students: (i) The class is divided into 15 groups of 8 – 9 students each. Each group is further subdivided into „a‟ and „b‟ (i.e. about 4 to 5 students in one sub-group to facilitate arrangement for small group clinical skills teaching). Please refer to the separate grouping list for the small group activities arranged by individual departments. As requested by the Department of Medicine, Groups 1-8 will be regrouped into Groups “a” and “b” and Groups 9-15 into Groups “c” and “d”. Each of the Groups a, b, c and d will be further sub-divided into 6 sub-groups. Due to the complexity of student grouping for Medicine CSL sessions, students must refer to the separate student grouping list and schedule prepared by the Department of Medicine for details.

(ii)

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© The University of Hong Kong Li Ka Shing Faculty of Medicine All rights reserved.

3.
3.1

WHOLE CLASS SESSIONS
Venue and Time


Venue: Underground Lecture Theatre II, New Clinical Building, QMH (except for the session on September 29, 2008 which will be held at Underground Lecture Theatre I, New Clinical Building, QMH) Time: 12:00noon – 1:00pm



3.2

Schedule
Date 18.8.08 (Mon) 19.8.08 (Tue) 20.8.08 (Wed) 21.8.08 (Thu) 22.8.08 (Fri) 27.8.08 (Wed) (4:15-5:15pm) 23.8.08 (Sat) 25.8.08 (Mon) 26.8.08 (Tue) 27.8.08 (Wed) 28.8.08 (Thu) 29.8.08 (Fri) 30.8.08 (Sat) 1.9.08 (Mon) 2.9.08 (Tue) 3.9.08 (Wed) 4.9.08 (Thu) 5.9.08 (Fri) 6.9.08 (Sat) 8.9.08 (Mon) 9.9.08 (Tue) 10.9.08 (Wed) 11.9.08 (Thu) 12.9.08 (Fri) 13.9.08 (Sat) 16.9.08 (Tue) 17.9.08 (Wed) 18.9.08 (Thu) 19.9.08 (Fri) 20.9.08 (Sat) 22.9.08 (Mon) 23.9.08 (Tue) 24.9.08 (Wed) 25.9.08 (Thu) 26.9.08 (Fri) 6.10.08 (Mon) (4:15-5:15pm) 27.9.08 (Sat) Topic Surgery & Surgical Principles Metabolic Response in Surgical Patients History Taking & General Examination ENT I Common Surgical Emergencies Department Surgery Surgery Medicine Surgery (ENT) Surgery Teacher(s) Prof J Wong Prof ST Fan Prof R Yu Prof W Wei Prof KM Chu

Session 11 21 3 14 18

20 7 23 9 1 8 43 5 2 10 15 22 17 12 19 13 36 6 33 28 34 32 29 25 30 35 31 26 27

Surgical Infection Cardiovascular I: Physical Examination (History Taking) Rehabilitation Medicine Central Nervous System I Introduction to HRP 1 Cardiovascular II: Physical Examination Laboratory Investigations Ocular Manifestations of Systemic Disease Introduction to HRP 2 Central Nervous System II ENT II Examination of the Abdomen Ambulatory Surgery History Taking and Physical Examination in Surgical Patients (I & II) Common Surgical Malignancies Principles in Trauma Management Problems Relating to Child Health Respiratory System Menstrual Disorders Physiology of Pregnancy & Minor Ailments Fertility Regulation Perinatal Medicine, Antenatal Care & Pre-pregnant Counselling Hypertension and Pregnancy Injuries to Bone & Joints Complications of Early Pregnancy Physiology of Lactation, Breast Feeding & Infant Feeding Puerperium and Related Problems Children‟s Orthopaedics & Deformities Reconstruction

Surgery Medicine Medicine Medicine Comm Med Medicine Medicine Eye Institute Comm Med Medicine Surgery (ENT) Medicine Surgery Surgery Surgery Surgery Paediatrics Medicine Obs & Gyn Obs & Gyn Obs & Gyn Obs & Gyn Paediatrics Obs & Gyn
Ortho & Trauma

Dr J Ho Prof CP Lau Dr L Li Prof SL Ho Dr SM McGhee Prof HF Tse Prof VNY Chan Dr W Lai Dr D Vackova Prof RTF Cheung Dr A Ho Prof CL Lai Dr HP Chung Prof NG Patil Prof CM Lo Dr WK Yuen Prof YL Lau Prof WK Lam Dr E Ng Dr C Ong Prof PC Ho Dr B Chan Dr BCC Lam Dr KY Leung Dr F Leung Dr TC Pun Dr P Cheong Dr KY Wong Dr CP Lee Dr YH Li Dr WY Ip

Obs & Gyn Obs & Gyn Paediatrics Obs & Gyn
Ortho & Trauma Ortho & Trauma

24

Introduction to Orthopaedic Surgery
7

Ortho & Trauma

Prof KDK Luk

© The University of Hong Kong Li Ka Shing Faculty of Medicine All rights reserved.

Session 16 37 40 38 42 4 41 39 44

Date 29.9.08 (Mon) (UGLT I) 30.9.08 (Tue) 2.10.08 (Thu) 3.10.08 (Fri) 4.10.08 (Sat) 6.10.08 (Mon) 8.10.08 (Wed) 9.10.08 (Thu) 10.10.08 (Fri)

Topic Surgical Technology Growth & Development Aetiology of Psychiatric Disorders Brain and Behaviour Psychosocial Assessments for General Medical & Surgical Patients History Taking & General Examination Somatic Presentation of Psychiatric Diseases Classification & Diagnosis of Psychiatric Illness Common Eye Diseases

Department Surgery Paediatrics Psychiatry Psychiatry Psychiatry Paediatrics Psychiatry Psychiatry Eye Institute

Teacher(s) Prof R Poon Dr PT Cheung Dr G McAlonan Prof E Chen Prof P Lee Prof LCK Low Prof P Lee Dr MC Wong Dr K Li

8

© The University of Hong Kong Li Ka Shing Faculty of Medicine All rights reserved.

3.3

Learning Objectives
Introduction to HRP 1 Dr SM McGhee Comm Med

Session 1
   

To examine the links between critical literature review and research question formulation. To practise formulating research questions for the Health Research Project. To examine the different study designs and to analyse their strengths and weaknesses. To judge whether a chosen study design is appropriate for the research questions formulated in the Health Research Project.

Session 2
   

Introduction to HRP 2

Dr D Vackova

Comm Med

To discuss how to determine validity of a measurement instrument. To examine the measurement instruments used for specific research questions. To identify the methods used for sample size determination for a research project. To examine the methods of sampling for the Health Research Project.

Session 3
   

History Taking & General Examination

Prof R Yu

Medicine

To understand the basic principles of obtaining a medical history. To understand the information that is required of a medical history. To understand the basic steps of a physical examination. How to conclude a medical history and a physical examination.

Session 4


History Taking & General Examination

Prof LCK Low

Paediatrics

  



To be competent in taking a history of the symptoms and signs of a presenting illness and review of the course and nature of past illness, the family history and a review of the systems. To be aware of basic skills in communicating with the parents and the patients. To be aware of the general principles of physical examination of children of different ages. To be able to observe and recognize common physical signs and to perform a general examination of the paediatric patient. To have clearly defined goals of the clinical encounter: identify the problems from the history, formulate a list of differential diagnosis, focus on aspects of the examination most relevant to the clinical problems, establish a diagnosis and formulate a plan of management.

Session 5


Ocular Manifestations of Systemic Disease

Dr W Lai

Eye Institute

To discuss the ocular manifestations of systemic diseases, including its presentation and treatments.

9

© The University of Hong Kong Li Ka Shing Faculty of Medicine All rights reserved.

Session 6
  

Respiratory System

Prof WK Lam

Medicine

To learn the common symptoms of respiratory diseases. To understand the principles of physical examination of the respiratory system. To learn the common tests in the investigation of respiratory diseases.

Session 7

Cardiovascular I: Physical Examination (History Taking)

Prof CP Lau

Medicine

  

To learn the common symptoms of cardiovascular diseases. How to perform a comprehensive history taking for patients with cardiovascular diseases. To distinguish cardiac versus non-cardiac causes of chest pain and dyspnoea.

Session 8
  

Cardiovascular II: Physical Examination

Prof HF Tse

Medicine

  

To learn how to perform physical examination for the cardiovascular system and underlying principles. To learn the commonly performed tests and usefulness in cardiovascular system. To realize that major cardiovascular problems in children are related to congenital rather than acquired heart defects. To be aware of common syndromes associated with congenital heart disease. To be aware of differences in cardiovascular examination findings between children and adults. To be able to recognize symptoms and signs of congenital heart disease.

Session 9
 

Central Nervous System I

Prof SL Ho

Medicine

To assess the higher cerebral function in a normal person. To examine the cranial nerves (I to XII).

Session 10


Central Nervous System II

Prof RTF Cheung

Medicine

 

How to perform a neurological examination on the upper and lower limbs: - Pyramidal system - Cerebellar system - Extrapyramidal system - Sensations To identify sign of hypertonia in an infant (i.e. floppy baby). To identify sign of hypotonia in an infant (e.g. scissoring posture of lower limits; cortical thumb of hand).

Session 11
  

Surgery & Surgical Principles

Prof J Wong

Surgery

The concept of “manual” treatment in diseases being “cognitive”-based. The necessity of a “confined” nature of pathology in surgical treatment. The importance of “localisation” by various investigations.
10
© The University of Hong Kong Li Ka Shing Faculty of Medicine All rights reserved.

    

The “invasiveness” of operative intervention. The evaluation of “operative risk” and the balance against benefit. The need to make “decisions” based on incomplete information. The “urgency” of surgical procedures. The special place of surgical treatment – solid organ cancer, blockage of hollow structures, organ transplantation, trauma, congenital anomalies, localisable inflammatory / infective conditions, bleeding, acquired conditions.

Session 12

History Taking and Physical Examination in Surgical Patients (I & II)

Prof NG Patil

Surgery



 

To learn and understand the importance of good history taking and physical examination in managing surgical patients. To discuss how methodical approach in history taking of surgical patients helps in making definitive diagnosis. To understand the specific points in history and physical examination that will determine the severity of patients‟ surgical condition.

Session 13
  

Principles in Trauma Management

Dr WK Yuen

Surgery

 

To identify the correct sequence of priorities in assessing the multiply injured patient. To identify how the mechanism of injury contributes to the identification of injuries. To apply the principles outlined in the primary and secondary evaluation in the initial assessment of the multiply injured patient. To apply guidelines and techniques in the initial resuscitation of the multiple injured patient. To identify the pitfalls associated with the initial assessment and management of the injured patient.

Session 14
   

ENT I

Prof W Wei

Surgery

Introduction to the scope of otorhinolaryngology. Special investigations. Advances and scope of specialty. Future perspectives.

Session 15
 

ENT II

Prof PW Yuen

Surgery

To introduce the common ENT diseases in Hong Kong. To learn the clinical features, investigations, pathology and treatment of: - Ear: otitis externa, otitis media, cholesteatomea, acoustic neuroma, trauma. - Nose: rhinosinusitis, polyp, foreign body, trauma. - Throat: vocal nodule, vocal polyp, vocal cord palsy. - Head and neck cancer: nasopharyngeal carcinoma, oral cancer, leukoplakia, laryngeal cancer.

11

© The University of Hong Kong Li Ka Shing Faculty of Medicine All rights reserved.

Session 16
    

Surgical Technology

Prof R Poon

Surgery

General Impact of Technology on Surgical Practice. Technologies in Open Surgery. Role of Laparoscopy and Laparoscopic Surgery. Role of Endoluminal Techniques in Surgical Conditions. New Technologies for Cancer Treatment.

Session 17
   

Ambulatory Surgery

Dr HP Chung

Surgery

To introduce the principles of Ambulatory Surgery. To learn the advantages and disadvantages of ambulatory surgery. To understand the selection and discharge criteria. To learn principles of peri-operative care.

Session 18


Common Surgical Emergencies

Prof KM Chu

Surgery

 

To learn the common surgical emergencies – infection/inflammation, bleeding, obstruction, perforation (trauma covered by another session). To understand the general presentation of surgical emergencies. To learn the basic principles of investigation and treatment of surgical emergencies.

Session 19
  

Common Surgical Malignancies

Prof CM Lo

Surgery

To introduce examples of common surgical malignancies. To appreciate their general clinical features. To learn the basic principles in the investigation and treatment.

Session 20
 

Surgical Infection

Dr J Ho

Surgery

 

To understand the pathogenesis of infection. To learn the various types of surgical infections, including wound infection, soft tissue infection and organ space infection. To learn the principles of treatment of surgical infection, including surgery and antibiotics treatment. To understand the importance of infection control in surgical practice.

Session 21
   

Metabolic Response in Surgical Patients

Prof ST Fan

Surgery

To introduce types of stress in surgical patients. To understand the response of body to stress. To learn ill effects of stress. To understand remedy to reduce adverse effects of surgery.
12
© The University of Hong Kong Li Ka Shing Faculty of Medicine All rights reserved.

Session 22
   

Examination of the Abdomen

Prof CL Lai

Medicine

To recognise the stigmata of liver diseases on general examination. To understand the importance of the hand remaining stationary while trying to define the liver, spleen and kidneys. To know the importance of palpating for the spleen along the correct direction. To differentiate between the spleen and the left kidney.

Session 23
 

Rehabilitation Medicine

Dr L Li

Medicine

  

To define the principles and different kinds of team approaches in rehabilitation medicine. To distinguish the terms impairment, disability, handicap, functional and participation limitations and environmental and personal factor in rehabilitation. To identify the components of different rehabilitation programmes. To apply the concept of ICF in rehabilitation of chronic diseases and persons with disabilities. To understand various types of exercise used in rehabilitation.

Session 24
  

Introduction to Orthopaedic Surgery

Prof KDK Luk

Ortho & Trauma

General concept of musculo-skeletal system. Diagnosis of orthopaedic problems. Principle of management of orthopaedic problems.

Session 25
   

Injuries to Bone & Joints

Dr F Leung

Ortho & Trauma

Classification of injuries. Disease approach to injured patients. To give an account of common bone and joint injuries. To discuss treatment principles of common fractures.

Session 26
 

Children’s Orthopaedics & Deformities

Dr YH Li

Ortho & Trauma



To understand growth and development of the musculoskeletal system. To know the clinical presentation of common problems like CDH, Clubfoot, scoliosis, children fracture, intoeing, bowleg, knock knee & flatfoot. To appreciate the differences in management between children and adult orthopaedics.

Session 27
   

Reconstruction

Dr WY Ip

Ortho & Trauma

To understand the whole range of conditions and tissues requiring reconstruction. To appreciate multiple methods used for reconstruction. To understand such with examples. To be excited by the challenges of reconstruction.

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Session 28
  

Physiology of Pregnancy & Minor Ailments

Dr C Ong

Obs & Gyn

To understand the principles of the physiological adaptation of pregnancy. To appreciate the physiological changes in different systems of a pregnant woman. The symptoms and signs of minor disorders in pregnancy and their treatment.

Session 29
  

Hypertension and Pregnancy

Dr KY Leung

Obs & Gyn

Definition and classification of hypertension in pregnancy. Pathophysiology and clinical features of gestational hypertensive disorders. Management approaches to hypertensive disorders in pregnancy.

Session 30


Complications of Early Pregnancy

Dr TC Pun

Obs & Gyn





Common presenting complaints: - Symptoms analysis with pathophysiological correlation An outline of management strategy according to mode of presentation: - Differential diagnoses - Typical history - Ancillary investigations and typical findings - Options of treatment and selection of patients Outline of emotional impact on the couple with early pregnancy losses.

Session 31
 

Puerperium and Related Problems

Dr CP Lee

Obs & Gyn

 

To understand the physiological changes in the puerperium. To recognize common disorders in the puerperium including subinvolution of the uterus, secondary postpartum haemorrhage, infection, thromboembolism and postpartum depression. To understand the role of the primary care physician in the management of the normal puerperium. To understand puerperium in a social context.

Session 32

Perinatal Medicine, Antenatal Care & Pre-pregnant Counselling

Dr B Chan Dr BCC Lam

Obs & Gyn Paediatrics



  

Antenatal care: - screening for maternal disease - pregnancy related complication, e.g. gestational diabetes - fetal screening, e.g. dating, fetal malformation - monitoring of complication of pregnancy - decision of timing and mode of delivery Intrapartum management, delivery method and procedure Newborn resuscitation Newborn screening:
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 

- biochemical - physical Normal newborn care Parental counseling and support

Session 33


Menstrual Disorders

Dr E Ng

Obs & Gyn



 

To understand the physiology of a normal menstural cycle: - the cyclic changes of the endometrium - the control by ovarian and pituitary hormones and - the local control of haemostasis To appreciate several common problems in clinical practice: - Amenorrhoea - Menorrhagia - Irregular periods - Dysmenorrhea To highlight the clinical approach of each problem. To outline the plan of management.

Session 34


Fertility Regulation

Prof PC Ho

Obs & Gyn

  

To understand the mechanisms of action, the method, the common side effects, the efficacy and contraindications of currently available methods of contraception (including sterilization). To understand the legal aspects and principles of methods of termination of pregnant. To assess and counsel couples on the choice of method of contraception (including sterilization). To assess and counsel couples requesting termination of pregnancy.

Session 35

Physiology of Lactation, Breast Feeding & Infant Feeding

Dr P Cheong Dr KY Wong

Obs & Gyn Paediatrics

    

Normal physiology of lactation – including milk production and let-down reflex. Principles and practice of breast-feeding. Advantages of breast-feeding. Nutritional needs of the growing infant and child. Chinese traditional feeding practices and their impact on growth.

Session 36
 

Problems Relating to Child Health

Prof YL Lau

Paediatrics

 

To identify major problems in child health globally and in HK. To recognise major causes of mortality and morbidity in various paediatric age groups in HK, comparing with the developing world. To identify major categories of childhood accidents in HK. To recognise major childhood morbidities in HK.

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Session 37


Growth & Development

Dr PT Cheung

Paediatrics

 





To emphasize to the students that different organs and tissues in an individual do not grow and develop at the same pace. To introduce a conceptual framework of how physical growth is programmed in general. To outline some illustrative special needs of normal children in accordance with their stages of growth and development. To illustrate how the individual organ/tissue developmental stage may affect disease presentation, which is important in clinical approach to paediatric patients in particular. To describe the correlation of brain maturation with the various major neurodevelopmental milestones and introduce the range of clinical problems related to disorders affecting such process.

Session 38
     

Brain and Behaviour

Prof E Chen

Psychiatry

To understand the principles involved in the study of brain function. To appreciate the behavioural consequences of pathologies affecting certain brain circuits. To understand the functional significance of the following circuits. Prefrontal areas. Cortio-striato-pallido-thalamic loops. The limbic circuit.

Session 39
  

Classification & Diagnosis of Psychiatric Illness

Dr MC Wong

Psychiatry

To understand the principles of classification of psychiatric illness. To have an idea of the advantage and disadvantage of giving a diagnostic label. To have some ideas about the common classification system.

Session 40
 

Aetiology of Psychiatric Disorders

Dr G McAlonan

Psychiatry

To understand factors contributing to the aetiology of psychiatric disorders. To apply this knowledge in a holistic approach to diseases in general.

Session 41
  

Somatic Presentation of Psychiatric Diseases

Prof P Lee

Psychiatry

To develop a realistic perspective on the multicausality of symptom presentation. To understand the common underpinnings of psychological factors in affecting somatic presentations. To be aware of relevant psychiatric diagnoses used in classifying somatic presentations of psychiatric illnesses.

Session 42

Psychosocial Assessments for General Medical & Surgical Patients

Prof P Lee

Psychiatry



To become familiar with the biopsychosocial approach in patient care.
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  

To understand the common patient concerns and stress factors involved in being ill. To be able to undertake a psychosocial assessment on patients. To be familiar with common psychological intervention strategies for general medical and surgical patients.

Session 43
   

Laboratory Investigations

Prof VNY Chan

Medicine

To appreciate the importance of laboratory investigations as aid in diagnosis and treatment of diseases. Specific laboratory tests for certain diseases. Pitfalls in the interpretation of laboratory findings. Urinalysis as an integral part of the clinical examination of the patient.

Session 44


Common Eye Diseases

Dr K Li

Eye Institute

An exposure to the spectrum of common ocular diseases.

17

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4.

INDEX OF CLINICAL SKILLS LEARNING

Method of Teaching and Demonstration Specialty Diagnostic Radiology Clinical Skills Demonstration (1) Introduction and basic principles of radiography and contrast imaging (2) Cross-sectional imaging (3) Interventional radiology (4) Nuclear medicine + PET scan ENT (1) ENT examination skills (2) Basic head and neck anatomy and physiology Medicine History taking & physical examinations in (1) General (2) Central Nervous System (3) Respiratory System (4) Cardiovascular System (5) Gastrointestinal System Obstetrics & Gynaecology (1) History taking and interpersonal skill (2) Physical examination (3) Common gynaecological investigations (4) Common obstetric investigations Slides Slides Slides Slides Slides Clinical Setting Model Practical

Slides/Video Slides/Video Slides/Video Slides/Video Video Video -

Bedside Bedside Bedside Bedside Bedside Bedside Model Small Group Tutorial Small Group Tutorial

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Method of Teaching and Demonstration Specialty Ophthalmology Clinical Skills Demonstration (1) History and clinical examination (2) Simple optics and anterior segment disease (3) Glaucoma (4) Vitreoretinal disease Orthopaedics & Traumatology (1) History taking (2) Bone and joint injury and application of plaster (3) Physical examination of upper limb (4) Physical examination of lower limb (5) Physical examination of spine Paediatrics & Adolescent Medicine (1) Skills of paediatric history taking (2) Skills of communication with patients and their families (3) Presentation of an organized summary of patient‟s history (4) Formulation of a problem list (1) Psychiatric History Taking (2) Mental State Examination (3) Eliciting Psychopathology I (4) Eliciting Psychopathology II Slides/Video Slides/Video Slides/Video Slides/Video Video/Discussion Slides/Video Slides/Video Slides/Video Slides/Video (a) Slides (b) Videos with interactive discussion (c) Role play (i) Supervised history taking (ii) Independent history taking Clinical Setting Bedside Supervised practice Bedside Bedside

Psychiatry

Video Video Video Video

-

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Method of Teaching and Demonstration Specialty Surgery Clinical Skills Demonstration History taking & physical examinations in (1) General (2) Skin & Subcutanous lesions (3) Breast (4) Thyroid (5) Head & Neck (6) Abdomen (7) Urology (8) Perineum & Hernia (9) Vascular System Slides Slides/Video Video Video Video Video Video Video Video Clinical Setting Bedside Bedside (if possible) Bedside Bedside Bedside Bedside Bedside Bedside

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5.
5.1

DIAGNOSTIC RADIOLOGY
Learning Objectives

Radiology teaching in this block will occur in large group settings and consist of 8 hours of whole class session in total. Contents of the teaching clinics will include demonstration of equipment, examples of images and revision of some radiological anatomy. The four main topics for discussion are summarised below and form the framework for teaching and learning:


Radiography Conventional radiography, computed radiography, mammography Contrast imaging (fluoroscopy, IVU, angiography) Ultrasound Computed tomography (CT) Magnetic Resonance Imaging (MRI)



Cross-sectional imaging -

 

Interventional radiology Nuclear medicine + PET Scan Radiography Conventional radiography
 

A. 1.

To know the principles of X-ray production and film-screen radiography. To be aware of differential radiation doses of various conventional radiography images (i.e. CXR, LS spine etc). To be aware of the various types of patient positioning (adults, children and neonates) available in radiography e.g. lateral CXR, decubitus CXR, inspiratory and expiratory CXR, erect and supine AXR, cross-table lateral view, swimmers view etc.



2.

Computed radiography (CR)
  

To understand the basic principles of CR. To be aware of the differences between CR and conventional radiography. To have a basic understanding of PACS (picture archiving and communication systems) and teleradiology.

3.

Mammography
  

To have a basic idea of how mammography and stereotactic-guided procedures are performed. To know the role of mammography in breast cancer screening and diagnosis of breast diseases. To be aware of other imaging modalities used in the investigation of breast disease e.g. ultrasound.

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4.

Fluoroscopy
 

To understand the principles of fluoroscopy and contrast imaging. To be aware of the various contrast materials available and when to use it i.e. barium, gastrografin, water-soluble contrast, air. To know the basic indications and contraindications of the following commonly used examinations: Contrast swallow Barium meal and follow through Small bowel enema Barium enema Micturating cystourethrogram Hysterosalpingograms Sialograms





To be aware of the common complications of these examinations.

5.

IVU
  

To understand how the procedure is performed. To know its indications. To be aware of the complications relating to IVU.

6.

Angiography
 

To understand the basic principles of angiography. To know when the following are indicated: Cerebral angiogram Gastrointestinal angiogram (hepatic artery, superior mesenteric artery and inferior mesenteric artery angiograms) Femoral angiogram



To be aware of the contraindications and complications relating to these procedures.

B.

Cross-sectional imaging


To understand the principles of cross-sectional imaging with respect to ultrasound, computed tomography (CT) and magnetic resonance imaging (MRI). To know the basic clinical applications of cross-sectional imaging in relation to: Investigation of abnormal lesion seen on plain X-ray (CXR, AXR) Diagnosis of benign from malignant disease Cancer staging Image guided intervention





To be aware of the advantages and disadvantages of each of the above imaging modality.

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C.

Interventional radiology


To know the common radiological interventional procedures listed below: Percutaneous biopsy (e.g. lung, liver, kidney) Percutaneous transhepatic biliary drainage (PTBD) Percutaneous transhepatic cholangiogram (PTC) Percutaneous nephrostomy Percutaneous drainage of abscesses and fluid collections including pleural effusions Transcatheter arterial chemoembolisation of inoperable hepatocellular carcinoma

 

To know the basic indications for these procedures. To be aware of the contraindications and complications of these procedures.

D.

Nuclear medicine To understand the principles of nuclear medicine and equipment used in nuclear medicine imaging.
 

To be aware of the radiation dose involved. To have an idea of the common nuclear medicine scans: Isotope bone scan Leucocyte scan Myocardial perfusion scan Tc99-DTPA renal scan DMSA renal scan MIBG scan Thyroid and parathyroid scans PET scan



To know the indications for the above scans.

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5.2 Week
1 2

Schedule Date Time Groups
1 – 15 1 – 15 1 – 15 1 – 15

Activities
Cross-sectional imaging Interventional radiology Nuclear medicine PET scan Radiography

Teacher
Dr H Mak Dr KS Tai Dr WY Ho Dr YY Yau Dr PL Khong

Venue
UGLT I UGLT I UGLT I UGLT I LT 1

4

20.8.08 (Wed) 1400 – 1600 26.8.08 (Tue) 1400 – 1600 27.8.08 (Wed) 1400 – 1500 1500 – 1600 8.9.08 (Mon) 1400 – 1600

Venue: UGLT I – Underground Lecture Theatre I, New Clinical Building, QMH LT 1 – Lecture Theatre 1, G/F, William MW Mong Block, Faculty of Medicine Building

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© The University of Hong Kong Li Ka Shing Faculty of Medicine All rights reserved.

6. ENT
6.1 Learning Objectives
  

To learn the basic concept of disease related to ENT. To learn how to take a clinical history related to ear, nose and throat. To learn how to carry out clinical examination of the ear, nose and throat.

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6.2 Schedule
Week Date 1 19.8.08 (Tue) Time Groups Activities Teachers 1430 - 1730 1-4 Clinical demonstration and skills practice: Dr WK Ho / Ear Dr Dennis Au 5-8 Venue CSL 1&2, 2/F, WMB

20.8.08 (Wed) 0830 - 1130

Clinical demonstration and skills practice: Prof W Wei / CSL 1&2, Larynx and Neck Mr Rayond Fong 2/F, WMB Clinical demonstration and skills practice: Prof W Wei / CSL 1&2, Larynx and Neck Mr Rayond Fong 2/F, WMB

23.8.08 (Sat)

0830 - 1130

1-3

3

1.9.08 (Mon)

0830 - 1130

9-12a Clinical demonstration and skills practice: Prof PW Yuen / CSL 1&2, Nose & Mouth Ms Ripley Wong 2/F, WMB 9-12 Clinical demonstration and skills practice: Prof W Wei / CSL 1&2, Larynx and Neck Mr Rayond Fong 2/F, WMB Clinical demonstration and skills practice: Prof PW Yuen / CSL 1&2, Nose & Mouth Ms Ripley Wong 2/F, WMB

1430 - 1730

2.9.08 (Tue)

0830 - 1130

5-8

3.9.08 (Wed)

0830 - 1130 4, 13-15 Clinical demonstration and skills practice: Prof W Wei / CSL 1&2, Larynx and Neck Mr Rayond Fong 2/F, WMB 0830 - 1130 12b-15 Clinical demonstration and skills practice: Prof PW Yuen / CSL 1&2, Nose & Mouth Ms Ripley Wong 2/F, WMB 1430 - 1730 13-15 Clinical demonstration and skills practice: Dr WK Ho / Ear Dr Dennis Au 5-8 Clinical demonstration and skills practice: Dr WK Ho / Ear Dr Dennis Au Clinical demonstration and skills practice: Dr WK Ho / Ear Dr Dennis Au SR 3, G/F, LB CSL 1&2, 2/F, WMB CSL 1&2, 2/F, WMB

4

8.9.08 (Mon)

9.9.08 (Tue) 30.9.08 (Tue) 5 16.9.08 (Tue)

1430 - 1730

6

23.9.08 (Tue)

1430 - 1730

9-12

8

6.10.08 (Mon) 0830 - 1130

1-4

Clinical demonstration and skills practice: Prof PW Yuen / CSL 1&2, Nose & Mouth Ms Ripley Wong 2/F, WMB

Venue: CSL - Clinical Skills Laboratories, 2/F, William MW Mong Block, Faculty of Medicine Building, 21 Sassoon Road, Hong Kong SR - Seminar Room 3, G/F, Laboratory Block, Faculty of Medicine Building, 21 Sassoon Road, Hong Kong

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7. HUMAN SEXUALITY COURSE
7.1 Aim The course aims to provide students with a glimpse and a preliminary understanding of the interdisciplinary nature of the study of sex and its relationship with medicine. Format of Teaching Lectures, demonstrations and group discussions. 7.2 Course Objectives By the end of the course, the students are expected to be able to:    build up a feeling of tolerance and understanding for the sexual behaviour of others; synthesize sexual behaviour and problems with the culture, social and psychological background in which they occur; and discover a broader and deeper interest in sex as an important formal subject of its own, deserving further intensive studies and research.

The ultimate objective is for students to be able to formulate the sexual problems of their patients objectively and effectively. The course, however, does not intend to go into the detailed knowledge or techniques in managing any particular types of sexual problems or diseases since these will be or should have been dealt with by the respective specialty or postgraduate teachings. How to Benefit from the Course 1. Attend all sessions. This is a short course and each part of it deals with a different topic. It could be your only opportunity in your medical study to come across the topic. So, do not miss any. 2. Read up the topics beforehand from the recommended reading materials, information and notes on the HKU Portal System, or from any other sources that you can lay hands on. 3. Raise questions or participate in discussions freely. Learn how to talk about sexual matters decently with other people and without any embarrassment. 4. If you have an attitude or a view that you want to bring out or assert, by all means do so. Remember that the objective of this course is to improve awareness of one‟s own sexual attitudes and those of others, not to
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© The University of Hong Kong Li Ka Shing Faculty of Medicine All rights reserved.

change or “correct” them. This could only be done if as many people as possible could bring out their personal views. 5. Discussions and revelations in class could touch on very personal matters. Students should take all self-disclosures in class as confidential and not to be revealed or related again outside the class. Recommended Reading Russell D., Braford D., Fairley C. (2005). Sexual Health Medicine, Melbourne, IP Communications. WARNING: All medical teachings are for bona-fide medical students only, especially this course which contains sexually explicit materials and discussions. Outsiders (people who are not bona-fide students of this class) are STRICTLY FORBIDDEN to attend any part of this course. Students are asked to report to the teacher immediately should they spot any outsiders among them at any time during the course. To breach this rule may lead to serious legal consequences to everyone involved.

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7.3

Learning Objectives Forensic Sexology Dr SL Beh

Session 1   

The definition and nature of rape, sexual assault and other sex crimes. Procedures for investigation and collecting evidence in rape cases. Laws in Hong Kong relating to rape and sex.

Session 2    

What is sexual health?

Dr Angela WY Ng

The definition of sexual health and related concepts. The essential factors that contribute to sexual health. The relationship between sexual health and socio-cultural conditions. Sexual health promotion strategies.

Session 3    

The Cultural and Social Construction of Sexuality

Dr Mark E King

To relate sexual culture with social systems. To recognize medicine and sex specialists as being part of the system. To relate sexual systems with sexual oppression. To deduce the need for social sexual consciousness in medical practice.

Session 4    

Sexual Problems in General Practice

Dr Angela WY Ng

To relate sex with health. To recognize the ways to detect sexual problems in daily medical practice. To answer some of the common sex questions patients ask. To illustrate the management of sexual problems in some usual health conditions and diseases.

Session 5    

Psychosexual Development and Sex Education

Dr Angela WY Ng

The beginning of sex from the time of conception. The characteristics of infantile sexuality. The stages of development of individual sexuality and their chief concerns. The importance of sexuality development in the formation of adult sexual attitudes, behaviour and overall personality.

29

© The University of Hong Kong Li Ka Shing Faculty of Medicine All rights reserved.

Session 6   

Sexual Dysfunctions and Therapy

Dr J Ko

The concept of sexual dysfunction and its classification. Causes and treatment of sexual dysfunction. The relationship between sex therapy and psychotherapy, behavioural therapy and other sexual treatments.

Session 7    

Sexual Variations and Paraphilias

Dr J Ko

To define the nature of paraphilia. To examine whether paraphilia is normal, a deviation, a choice, a disease, a crime or a sin. To examine the cause of paraphilia. To examine whether paraphilia should be treated and the treatments available.

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7.4 Schedule Week Date 1 22.8.08 (Fri) 6 25.9.08 (Thu) 2 25.8.08 (Mon) Time 1400-1700 1600-1900 1415-1430 1430-1530 1530-1600 1600-1615 1615-1715 1715-1745 1400-1530 1530-1600 1600-1615 1615-1715 1715-1745 1400-1500 1500-1530 1530-1545 1545-1645 1645-1715 Content Forensic Sexology Discussion Introduction What is sexual health? Discussion Intermission The cultural and social construction of sexuality Discussion Sexual problems in general practice Discussion Intermission Psychosexual development and sex education Discussion Sexual dysfunctions and therapy Discussion Intermission Sexual variations and paraphilias Discussion Teachers Dr SL Beh Dr Angela WY Ng

Dr Mark E King

4

10.9.08 (Wed)

Dr Angela WY Ng

Dr Angela WY Ng

6

24.9.08 (Wed)

Dr J Ko

Dr J Ko

Venue: Underground Lecture Theatre II, New Clinical Building, QMH except the sessions on Aug 25, 2008 which will be held at Lecture Theatre 4, G/F, William MW Mong Block, Faculty of Medicine Building, 21 Sassoon Road and the session on Sept 25, 2008 which will be held at Lecture Theatre 2, G/F, William MW Mong Block, Faculty of Medicine Building, 21 Sassoon Road. Brief description of the guest speakers Dr SL Beh MBBS, DMJ(Lond.), FHKCPath; FHKAM(Pathology) Lecturer, Department of Pathology, The University of Hong Kong BA Ariz; PhD HK; Research Assistant Professor, Division of Learning, Development and Diversity, Faculty of Education, The University of Hong Kong MBBS, MRCPsych(UK), Senior Medical Officer, Department of Psychiatry, Queen Mary Hospital, Hong Kong MBBS, MRCGP(UK), Family Doctor in private practice and Sex Therapist. Main interest: Sexual problems in general practice

Dr Mark E King

Dr J Ko

Dr Angela WY Ng

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© The University of Hong Kong Li Ka Shing Faculty of Medicine All rights reserved.

8. MEDICINE
8.1 Learning Objectives

Clinical Demonstrations 4 clinical examinations on general examination, central nervous system, respiratory system and cardiovascular system are to take place in the lecture theatre. In each session, there will be live demonstrations on clinical examination procedures and techniques, with the following objectives:
 

To learn the etiquette of bedside physical examination. To learn the steps and techniques in carrying out physical exam in different systems in Medicine.

Bedside Teaching Each student will attend 6 sessions, including general examination, respiratory system, cardiovascular system, abdomen and 2 sessions on central nervous system. They will take place in the Medical Wards in QMH. Each student will have hands-on experience in carrying out physical examination. The objectives are:


To apply the knowledge learned in lectures and clinical demonstration sessions to practise on real situation. To learn to approach and practice the etiqutte of bedside physical examination. To carry out relevant physical examination in front of tutors, which allows direct feedback on the technique and accuracy of sign interpretation.

 

General examination
  

Greeting to patient, correct etiqutte. Adequate exposure of the relevant part of body for examination. Understand the correct approach to look for presence of pallor, jaundice, central and peripheral cyanosis, ankle edema, finger clubbing and cervical lymphadenopathy.

Other systems
 

General examination and the relevant system. Apply the general rule of inspection, palpation, percussion and auscultation.

Respiratory examination Approach to look for physical signs in:


Inspection – chest wall shape and deformity, scar, respiratory rate and pattern, accessory respiratory muscles. Palpation – measure chest expansion, position of trachea and apex beat. Percussion – interpret signs of dullness, stony dullness and hyper-resonance.
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© The University of Hong Kong Li Ka Shing Faculty of Medicine All rights reserved.

 



Auscultation – breath sounds, normal and abnormal; recognise common abnormal added sounds – wheeze and crepitation; elicit vocal fremitus.

Cardiovascular examination Approach to look for physical signs in
   

Peripheral – all peripheral pulses, splinter haemorrhage, blood pressure, JVP. Inspection – chest wall deformity, scar, visible apex beat. Palpation – apex beat location and character. Auscultation – heart sounds: character and splitting; murmurs: location, radiation, intensity, phase, duration; manouvres to elicit diastolic murmurs from mitral arising from the underlying diseases like mitral stenosis and/or regurgitation, aortic stenosis and/or regurgitation.

Central nervous system Approach to look for physical signs in
 

Cranial nerves – systematic approach to a full cranial nerve examination. Upper and lower limbs: Inspection – deformity, trophic changes Palpation – fasciculation Motor system- muscle tone, power (including grading), tendon reflexes, clonus Sensory system – light touch, pin prick, vibration, proprioception Cerebellar function tests

Abdomen
 

To learn to do a PROPER physical examination of the abdomen. To appreciate that the most important way to feel any abdominal organ is to ask the patient to move his/her organs by deep inspiration to meet the examiner‟s waiting hand. To know the proper direction to feel for spleens, ie, along a line joining the umbilicus and the left anterior axillary fold.



Self Learning Students are expected to learn through reading relevant materials and familiarize with:
 

The essence of history taking and physical examination. The use of medical terms in describing symptoms and signs, and the correct use of terms during history presentation (symptoms) and presentation on physical findings (signs). A common example is to use ankle swelling (symptoms) in history and ankle edema (sign) in physical examination.



The differential diagnosis associated with common abnormal physical signs, for example, diseases leading to finger clubbing.

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© The University of Hong Kong Li Ka Shing Faculty of Medicine All rights reserved.

8.2

Student Grouping List

Group No. assigned by Faculty

Group No. assigned by Faculty

Group a1 1 HUI Siu Hung Kenneth 2 KO Kwan Lung 3 MAK Kin Mei (Miss) 4 MAK Lung Yi (Miss) 5 TO Wai Pan CHAN Hiu Ngok Group a2 6 WU King Hung 7 YEUNG Fanny (Miss) 8 YIU Yuen Fung 9 CHAN Ho 10 CHAN Ka Lok (20063XX) 11 HUI Ka Ling Karen (Miss) CHAN Yan Fung Group a3 12 LEE Chun Hui 13 SO Chu Tung 14 SUN Chia Li Carly (Miss) 15 WONG Shezam (Miss) 16 YAN Lai Sim (Miss) 17 YEUNG King To Derrick CHENG Wang Kei Group a4 18 CHAN Hing Shing 19 CHAN Kin Yan Kenneth 20 FONG Yan Hang 21 LEUNG Ching Cheung Clement 22 LEUNG Ching Ching (Miss) 23 LUI Ka Wai Tushiyyah (Miss) CHEUNG Nga Ki Group a5 24 NG Tsz Leung 25 WONG Sze Kei (Miss) 26 WONG Yin Yee Michelle (Miss) 27 CHENG James Wesley Ching Hei 28 CHEUNG Yik Nang 29 CHING Rosemary Hin Nga (Miss) CHEUNG Wai Hon Herman Group a6 30 MAK Kwan Ping 31 SO Kin Mo 32 TSAI Ka Ying (Miss) 33 WONG Andrew Chun Lok 34 YIP Yan Yee Chloe (Miss) 35 YUEN Kar Kei Steffi (Miss)

1(a) 1(a) 1(a) 1(a) 1(b) BTCM1 1(b) 1(b) 1(b) 2(a) 2(a) 2(a) BTCM2 2(a) 2(a) 2(b) 2(b) 2(b) 2(b) BTCM3 3(a) 3(a) 3(a) 3(a) 3(a) 3(b) BTCM4 3(b) 3(b) 3(b) 4(a) 4(a) 4(a) BTCM5 4(a) 4(a) 4(b) 4(b) 4(b) 4(b)

Group b1 36 CHAN Zi (Miss) 37 CHEUNG Kin On 38 FOK Chun Kit 39 FOK Yuen Tung Vanessa (Miss) 40 LAI Terence Kin Bong CHING Hon Fung Group b2 41 LAU Ka Hung 42 LAU Tsz Shan (Miss) 43 PUN Terrilyn Chung Ting (Miss) 44 TONG Ka Hung 45 CHU Sui Chun 46 LAM Kee Ming Jasmine (Miss) CHOI Wing Fai Group b3 47 MAN Lok Pong 48 SHAM Juan Kevan 49 SIU Samuel Ji-Sum 50 TAN Yan Ru (Miss) 51 WAN Judith Vonnie (Miss) 52 ZHUANG Tin Fong KANG Eun Ah Group b4 53 CHEUNG Yat Yu (Miss) 54 FANG Jonathan Xinguo 55 HUI Constance Yung Ting (Miss) 56 LAI Calvin Chee Fung 57 LEE Chung Ching 58 SIN Ka Chung Clara (Miss) LAM Yuk Ching Group b5 59 WONG Chun Yin 60 WONG Hiu Ming (Miss) 61 WU Philip Yuguang 62 CHAN Ming Chiu 63 CHIANG Ka Yan (Miss) 64 FUNG Kok Leung LAU Lai Kwan Group b6 65 LAU Yuk Shing 66 LEUNG Man Kit Garret 67 LIU Shasha (Miss) 68 LIU Stephanie Ka Ki (Miss) 69 NG Wesley 70 YEUNG Ka Tsun Dennis

5(a) 5(a) 5(a) 5(a) 5(a) BTCM6 5(b) 5(b) 5(b) 5(b) 6(a) 6(a) BTCM7 6(a) 6(a) 6(b) 6(b) 6(b) 6(b) BTCM8 7(a) 7(a) 7(a) 7(a) 7(a) 7(b) BTCM9 7(b) 7(b) 7(b) 8(a) 8(a) 8(a) BTCM10 8(a) 8(a) 8(b) 8(b) 8(b) 8(b)

34

© The University of Hong Kong Li Ka Shing Faculty of Medicine All rights reserved.

Group No. assigned by Faculty

Group No. assigned by Faculty

Group c1 71 72 73 74 75 Group c2 76 77 78 79 80 Group c3 81 82 83 84 85 Group c4 86 87 88 89 90 Group c5 91 92 93 94 95 Group c6 96 97 98 99 100

CHAN Wing Chai Raymond CHAN Yee Lok (Miss) CHING Wing Ka LAU Lai Ning Lydia (Miss) LAU Wai Nga Grace(Miss) LAU On Yue LEE Kam Ho LUI Tak Yau Stephen TANG Yuk Kwan YIU Cheuk Man (Miss) CHAN Chi Wai Lee Hoi Man Carol

9(a) 9(a) 9(a) 9(a) 9(a) BTCM11 9(b) 9(b) 9(b) 9(b) 10(a) BTCM12

10(a) CHIU Ting-gee Annie (Miss) 10(a) CHUNG Man Ho 10(a) HUNG Cheuk Lam Carolyn (Miss) 10(a) LEUNG Ka Cheong 10(b) LEUNG Lianne Ning Yan (Miss) LEUNG Chung Yin Feona BTCM13 TAM Karson WONG Lo (Miss) WONG Tin Kan (Miss) CHENG Ching Shui (Miss) HUI Yiu Hong NG Yan Wah LEE Yan Kit LO Wai Yan Kitty (Miss) LUNG Cheuk Pan SO Man Hon WONG Chi Chung TO Yung Tat WOO Tiffany Tak Yunn (Miss) CHAN Ka Ho CHEUNG Janice (Miss) CHOW Po Chee (Miss) FUNG Ka Kin 10(b) 10(b) 10(b) 11(a) 11(a) BTCM14 11(a) 11(a) 11(b) 11(b) 11(b) BTCM15 11(b) 12(a) 12(a) 12(a) 12(a)

Group d1 101 LAU Chin Ho 102 LEUNG Ka Chun 103 NG Man Wah Vienna (Miss) 104 TAM King Wai 105 CHAN Chik Xing Jason TSANG Hin Hei Group d2 106 CHAN Lap Shing 107 CHOW Che Lok Felix 108 CHUNG Ivy Ah-Yu (Miss) 109 LAU Lawrence 110 MA Christopher Kwun Leung TSANG Lok Him Group d3 111 SUN Jessica (Miss) 112 WONG Wing Yan (Miss) 113 WU Christine Tian Xin (Miss) 114 CHAN Ka Lok (20064XX) 115 CHENG Man Hin Mark WONG Chi Tat Group d4 116 CHIU Tsz Hin 117 CHUNG Carmen Diana (Miss) 118 LEUNG Lai Kwan Queenie (Miss) 119 LIU Yan Ling Grace (Miss) 120 SO Lok Wah Noah WONG Nurun Nuha Group d5 121 WONG Kwong Yi (Miss) 122 WONG Simon Kei Yin 123 HE Mung Yuen (Miss) 124 HO Chi Chun 125 LEE Wing Mei Dickinson (Miss) YUE Suet Ying Group d6 126 LI Philip Hei 127 SIN Sin Hang 128 SO Choi Kwan (Miss) 129 UN Ka Chun 130 WONG Sean Man Natalie (Miss) 131 YAN Ka Shing

12(b) 12(b) 12(b) 12(b) 13(a) BTCM16 13(a) 13(a) 13(a) 13(a) 13(b) BTCM17 13(b) 13(b) 13(b) 14(a) 14(a) BTCM18 14(a) 14(a) 14(a) 14(b) 14(b) BTCM19 14(b) 14(b) 15(a) 15(a) 15(a) BTCM20 15(a) 15(a) 15(b) 15(b) 15(b) 15(b)

35

© The University of Hong Kong Li Ka Shing Faculty of Medicine All rights reserved.

8.3 Schedule Monday to Saturday 8:30 am – 11:30 am
Week 1 Date 18.8.08 (Mon) 20.8.08 (Wed) 21.8.08 (Thu) Time 0830 – 0930 0930 – 1100 0830 – 1000 1000 – 1200 0830 – 1130 Groups c&d c&d c&d c&d d1 d2 d3 c1 c2 c3 d1 d2 d3 c1 c2 c3 d1 d2 d3 d4 d5 d6 c1 c2 c3 c4 c5 c6 d1 d2 d3 d4 d5 d6 c4 c5 c6 c1 c2 c3 a&b a&b a&b a&b Activities C: general C: CVS C: RS C: CNS B: general Teachers Dr S Tang Prof HF Tse Dr CM Ho Prof SL Ho Dr KH Chan Dr CP Chung Dr MF Lam Dr CM Ho Prof KN Lai Dr WS Chow Dr S Tang Dr W Mak Dr KH Chan Dr CP Chung Dr WS Chow Dr MF Lam Dr CS Chim (from 9:00am) Prof A Kung (from 9:30am) Dr YH Leung Prof KN Lai Prof CY Wong Prof A Kung (from 9:30am) Dr K Tan Dr CW Siu Prof WS Wong Dr CM Ho Dr A Lie Prof A Kung (from 9:30am) Prof G Lau Dr S Tang Dr K Tan Dr KH Chan Prof SL Ho Dr W Mak Prof SL Ho Dr KH Chan Dr A Wang Prof G Lau Dr YH Leung Dr W Mak Prof CP Lau Prof TF Cheung Dr YH Leung
Dr CM Ho

Groups

Activities

Teachers

2

25.8.08 (Mon)

0830 – 1130 0830 – 1130

B: general

27.8.08 (Wed)

B: CNS I

d4 d5 d6 c4 c5 c6 d4 d5 d6 c4 c5 c6 d4 d5 d6 d1 d2 d3 c4 c5 c6 c1 c2 c3 d4 d5 d6 d1 d2 d3 c1 c2 c3 c4 c5 c6

B: general

B: general

B: CVS

28.8.08 (Thu)

0830 – 1130 0830 – 1130

B: CNS I

B: CVS

Dr I Hung Prof KN Lai Dr CK Chan Dr CL Lam Prof M Ip Prof S Lee Dr B Lam Prof HF Tse Dr WY Au (from 9:30am) Dr B Lam
Prof WS Wong

29.8.08 (Fri)

B: Abdomen

B: Abdomen

Dr SY Wong Dr WS Chow Dr A Wang Dr J Fung Prof K Lam Prof S Lee Dr J Luk Dr I Hung Dr W Mak Dr TS Cheng Dr A Wang Dr SY Wong Prof CL Lai Prof M Ip Dr YH Leung
Prof CY Wong

3

1.9.08 (Mon)

0830 – 1130

B: CNS I

B: CVS

3.9.08 (Wed)

0830 – 1130 0830 – 1130

B: CVS

B: CNS I

4.9.08 (Thu)

B: Abdomen

B: Abdomen

5.9.08 (Fri)

0830 – 1130

B: CNS II

B: RS

4

10.9.08 (Wed)

0830 – 1130

B: CNS II

B: RS

Dr WY Au (from 9:30am)
Prof WS Wong

11.9.08 (Thu)

0830 – 1130 0830 – 1130

B: CNS II

B: RS

13.9.08 (Sat)

B: CNS II

B: RS

Dr S Tang Dr I Hung Dr MF Lam Dr SY Wong Dr L Lam Dr CM Ho
Prof CY Wong

5

17.9.08 (Wed) 18.9.08 (Thu)

0830 – 1000 1000 – 1200 0900 – 1000 1000 – 1130

C: CVS C: CNS C: general C: RS

36

© The University of Hong Kong Li Ka Shing Faculty of Medicine All rights reserved.

Week 6

Date 22.9.08 (Mon)

Time 0830 – 1130

24.9.08 (Wed)

0830 – 1130

Groups a1 a2 a3 a1 a2 a3 b1 b2 b3 b1 b2 b3

Activities B: general

B: CNS I

25.9.08 (Thu)

0830 – 1130

B: general

27.9.08 (Sat)

0830 – 1130

B: CNS I

7

29.9.08 (Mon)

0830 – 1130 0830 – 1130 0830 – 1130 0830 – 1130 0830 – 1130

30.9.08 (Tue)

2.10.08 (Thu)

3.10.08 (Fri)

Dr S Tang Dr SY Wong Prof CL Lai Dr J Fung 8 6.10.08 (Mon) 0830 – 1130 B: CNS II B: RS Dr CM Ho Dr CK Chan Dr CL Lam 8.10.08 (Wed) 0830 – 1130 B: CNS II B: RS Prof M Ip Dr WS Chan Dr B Lam 9.10.08 (Thu) 0830 – 1130 B: CNS II B: RS Prof M Ip Dr S Tang Prof A Kung (from 9:30am) C = Clinical Demonstrations (Venue – 18.8.08, 20.8.08 & 18.9.08 in UGLT II, QMH and 17.9.08 in PB403, QMH) B = Bedside Teaching (Venue – Ward A2/B2, QMH as the reporting point) 4.10.08 (Sat)
B: Abdomen B: Abdomen

a4 a5 a6 b4 b5 b6 a1 a2 a3 a1 a2 a3 b1 b2 b3 b1 b2 b3 b4 b5 b6 a4 a5 a6

B: CNS I

B: CNS I

B: Abdomen

B: CNS II

Teachers Prof KN Lai Dr E Tse Dr WS Chan Dr CS Chim (from 9:00am) Prof SL Ho Dr W Mak Prof TM Chan Dr WS Chan Dr CP Chung (from 10:00am) Dr CS Chim (from 9:00am) Prof SL Ho Dr WY Au (from 9:30am) Dr CM Ho Dr J Luk Prof R Liang Prof K Lam Prof SL Ho Dr K Tan Prof TM Chan Dr CS Chim Dr CK Chan Prof G Lau Prof R Liang Dr E Tse Prof G Lau Dr A Tso Dr CK Chan Dr E Tse Prof TM Chan Prof R Liang Prof G Lau Dr YH Leung Prof WS Wong Prof K Lam Prof SL Ho Dr MF Lam

Groups a4 a5 a6 a4 a5 a6 b4 b5 b6 b4 b5 b6 a1 a2 a3 b1 b2 b3 a4 a5 a6 a4 a5 a6 b4 b5 b6 b4 b5 b6 b1 b2 b3 a1 a2 a3

Activities B: general

B: CVS

B: general

Teachers Dr L Lam Prof S Lee Dr J Luk Dr WY Au (from 9:30am) Prof HF Tse Dr B Lam Dr BY Choy Dr MF Lam Dr A Wang
Prof TM Chan

B: CVS

Dr SY Wong Prof HF Tse B: CVS Dr L Lam Dr WS Chan Prof HF Tse Dr R Miu Dr WS Chow Dr A Lie Dr I Hung Dr SY Wong Prof CL Lai Dr CL Lam
Prof CY Wong

B: CVS

B: Abdomen

B: RS

Bedside Teaching Tutors please pick up the patient list & the Attendance / Assessment Record at 8:30am OUTSIDE ROOM A220

(INSIDE WARD A2).
Case Assignment Drs HHL Tsang, KY Kung, KSH Liu, ACH Lee, KH Tsang, LPY Kwan, CY Wong Remark: 1. Before students clerk patients or handle clinical materials, eg. records, in the medical wards, they must inform the nursing and medical staff of the respective wards and obtain permission to do so. The wards are semi-public areas and we must help prevent crimes and intruders. 2. BTCM IV Students No. 11 - 13 = (c1 – c3) will join the sessions from Aug 18, 20, 25, 28, Sep 3, 4, 11 & 13. 14 - 15 = (c4 – c5) will join the sessions from Aug 18, 20, 25, 28, Sep 3, 4, 11 & 13. 16 - 18 = (d1 – d3) will join the sessions from Aug 18, 20, 21, 27, 29, Sep 1, 5 & 10. 19 - 20 = (d4 – d5) will join the sessions from Aug 18, 20, 21, 27, 29, Sep 1, 5 & 10. 1 - 3 = (a1 – a3) will join the sessions from Sep 17, 18, 22, 24, 29, Oct 2, 3 & 9. 4 - 5 = (a4 – a5) will join the sessions from Sep 17, 18, 22, 24, 29, Oct 2, 3 & 9. 6 - 8 = (b1 – b3) will join the sessions from Sep 17, 18, 25, 27, 30, Oct 4, 6 & 8. 9 - 10 = (b4 – b5) will join the sessions from Sep 17, 18, 25, 27, 30, Oct 4, 6 & 8.
37
© The University of Hong Kong Li Ka Shing Faculty of Medicine All rights reserved.

9.
9.1

OBSTETRICS & GYNAECOLOGY
Learning Objectives
   

To learn how to take an obstetric and gynaecological history. To learn the Chinese glossary commonly used in O&G. To learn the interpersonal communication skill so as to establish a good rapport with the patient. To learn the basic clinical skills in obstetrics: to be able to carry out an adequate antenatal examination. To learn the basic clinical skills in gynaecology: to be able to carry out a speculum and digital examination. To be able to relate the history to the physical findings and how the final diagnosis is made. To understand the mechanism of labour and simple labour ward procedures. To understand the commonly used investigations in O&G.



  

38

© The University of Hong Kong Li Ka Shing Faculty of Medicine All rights reserved.

9.2

Schedule
Time 1400 – 1700 0830 – 1130 0830 – 1130 0830 – 1130 0830 – 1130 1400 – 1700 0830 – 1130 0830 – 1130 0830 – 1130 1400 – 1700 10.9.08 (Wed) 13.9.08 (Sat) 0830 – 1130 0830 – 1130 1400 – 1700 0830 – 1130 0830 – 1130 0830 – 1130 0830 – 1130 0830 – 1130 0830 – 1130 0830 – 1130 Groups 7 8 9 1 2 3 4 5 6 1–3 7–9 4–6 1–3 7–9 4–6 7, 8a 8b, 9 1, 2a 2b, 3 4, 5a 5b, 6 10 11 12 13 14 15 13 – 15 10 – 12 10 – 12 13 – 15 13, 14a 14b, 15 10, 11a 11b, 12 Activities Communication Skills Teachers Dr LC Ho Dr T Ma Dr SK Lam Dr WC Leung Dr M Lam Dr CS Chan Dr J Chai Dr TK Ng Dr M Cheng Dr LC Ho Dr CN Lee Dr WK To Dr R Chin Dr WH Li Dr H Liang Dr KW Lam Dr WL Lau Dr K Chan Dr CM Tai Dr T Li Dr CP See Dr LC Ho Dr C Cheon Dr WW Go Dr TK Lo Dr M Tang Dr R Tang Prof PC Ho Dr T Ma Dr A Wong Dr P Ma Dr TK Ng Dr A Kan Dr KM Mok Dr KT Tse Dr M Mok Dr CT Lau Dr C Ong Dr N Shek Dr T Li Dr CN Lee Dr KF Tam Dr P Cheong Dr M Lam Dr M Chan Venue PB611 PB614 PB615 PB611 PB614 PB615 PB611 PB614 PB615 PB614 PB615 PB614 PB615 PB614 PB615 PB615 PB614 PB615 PB614 PB615 PB614 SR 4, LB SR 7, LB SR 2, LB SR 3, LB SR 2, LB SR 3, LB PB611 PB614 PB615 PB611 PB614 PB615 PB614 PB615 PB614 PB615 PB615 PB614 PB615 PB614 SR 2, LB SR 3, LB SR 2, LB SR 3, LB

Week Date 1 19.8.08 (Tue)

20.8.08 (Wed)

Communication Skills

23.8.08 (Sat)

Communication Skills

2

26.8.08 (Tue) 27.8.08 (Wed)

Physical Examination (Part I–Gyn) Physical Examination (Part I–Gyn) Physical Examination (Part I–Gyn) Physical Examination (Part II–Obs) Physical Examination (Part II–Obs) Physical Examination (Part II–Obs) Case Demonstration Case Demonstration Case Demonstration Communication Skills

3

2.9.08 (Tue) 3.9.08 (Wed) 6.9.08 (Sat)

4

9.9.08 (Tue)

5

16.9.08 (Tue)

20.9.08 (Sat)

Communication Skills

6

23.9.08 (Tue) 24.9.08 (Wed) 27.9.08 (Sat)

Physical Examination (Part I–Gyn) Physical Examination (Part I–Gyn) Physical Examination (Part II–Obs) Physical Examination (Part II–Obs) Case Demonstration Case Demonstration

7

30.9.08 (Tue) 4.10.08 (Sat)

8

8.10.08 (Wed)

Venue: PB 6/F, Professorial Block, QMH Seminar Room 2, G/F, Laboratory Block, Faculty of Medicine Building, 21 Sassoon Road Seminar Room 3, G/F, Laboratory Block, Faculty of Medicine Building, 21 Sassoon Road Seminar Room 4, G/F, Laboratory Block, Faculty of Medicine Building, 21 Sassoon Road Seminar Room 7, LG/F, Laboratory Block, Faculty of Medicine Building, 21 Sassoon Road

SR2 SR3 SR4 SR7 -

39

© The University of Hong Kong Li Ka Shing Faculty of Medicine All rights reserved.

10.
10.1

OPHTHALMOLOGY
Learning Objectives

The objective of the third year is to introduce students to ophthalmic history taking, physical examination and patient communication skills. The teaching is done in the form of a skills laboratory during the Integrated Block. This will ensure that the students are equipped with the skills and confidence to examine patients during their Junior Clerkship, when they will perform a half day clinical attachment at the United Christian Hospital. In addition, these basic ophthalmic examination skills will enable them to perform a more complete systemic evaluation of patients during their Junior Clerkship. The students will be divided into small groups of 8 – 10. They will be supervised by experienced

ophthalmologists. The skills of obtaining an ocular history will be discussed. Clinical demonstrations on the techniques of ocular examination will first be made with videos, covering the following areas: 1. Measurement of visual acuity 2. Ocular motility and alignment and the Cover-uncover test 3. Pupillary examination 4. Confrontation visual field examination 5. Dilated fundus examination Ophthalmic instruments such as the direct ophthalmoscope and the Panoptic ophthalmoscope will also be demonstrated. Following the video demonstrations, the students will have the opportunity to perform handson physical examination on each other. The supervisors will provide direct feedback to the students to assist them in honing their skills so that they can utilize them to examine patients when they begin their Junior Clerkship.

40

© The University of Hong Kong Li Ka Shing Faculty of Medicine All rights reserved.

10.2 Week
1

Schedule Date
23.8.08 (Sat)

Time
0830 – 1130

Groups
9 10 11 12 13 14 15

Activities
Ocular examination (visual acuity, pupils, fundus) Ocular examination (visual acuity, pupils, fundus) Ocular examination (visual acuity, pupils, fundus) Ocular examination (visual acuity, pupils, fundus) Ocular examination (visual acuity, pupils, fundus) Ocular examination (visual acuity, pupils, fundus) Ocular examination (visual acuity, pupils, fundus) Ocular examination (visual acuity, pupils, fundus) Ocular examination (visual acuity, pupils, fundus) Ocular examination (visual acuity, pupils, fundus) Ocular examination (visual acuity, pupils, fundus) Ocular examination (visual acuity, pupils, fundus) Ocular examination (visual acuity, pupils, fundus) Ocular examination (visual acuity, pupils, fundus) Ocular examination (visual acuity, pupils, fundus)

Teachers
Dr Jonathan Chan Dr Nicholas Fung Dr Wico Lai Dr Donald Woo Dr Leow Po Lin Dr Yim Suk Ming Dr Jimmy Lai Dr Yau Kin Prof Vincent Lee Dr Lim Etrian Dr Kenneth Li Dr Jane Yeung Prof David Wong Dr Chan Shun Kit Dr Winnie Lau

Venue
TR4 TR5 TR6 TR7 TR8 TR9 TR10 TR4 TR5 TR6 TR7 TR8 TR9 TR10 TR11

2

30.8.08 (Sat)

0830 – 1130

1 2 3 4 5 6 7 8

Venue: Tutorial Rooms, 1/F, William MW Mong Block, Faculty of Medicine Building, 21 Sassoon Road, Hong Kong

41

© The University of Hong Kong Li Ka Shing Faculty of Medicine All rights reserved.

11.
11.1

ORTHOPAEDICS & TRAUMATOLOGY
Learning Objectives

History taking & physical examination


To learn techniques in history taking and physical examination. Topics : : : : : Common symptoms: pain, stiffness, deformity etc. Instruments for physical examination Exposure and comparison Measurements e.g. joint range of movements, muscle power, sensation etc. Lumps and bumps

Bone and Joint Injuries
  

To reinforce concepts of bone and joint injuries. To understand principles of reduction and stabilization of fractures. To understand the complications of immobilization and the importance of rehabilitation. Topics : Application of plaster of paris

Upper Limbs
  

To learn techniques of physical examination of upper limb (shoulder, elbow, wrist and hand). To examine the upper limb of patients. To understand treatment of common upper limb orthopaedic problems. Topics : : : : : Surface landmarks and bony prominence of upper limb Glenohumeral movements, scapular rotation, muscles around shoulder Elbow movement and radio-humeral joint Hand and wrist movement, action of intrinsic and extrinsic muscles Overuse syndrome and injection techniques

Lower Limbs
  

To learn techniques of physical examination of lower limb. To examine the lower limb of patients. To understand treatment of common lower limb problems. Topics : : : : Surface landmarks and bony prominence Movements of hip joints, Trendelenburg test, Thomas test, measurement of leg length Movements of knee joint, patella, apprehension test, knee effusion, knee instability, McMurray test Movements of ankle joint, subtalar joint and mid-tarsal joint
42
© The University of Hong Kong Li Ka Shing Faculty of Medicine All rights reserved.

Spine
  

To learn techniques of physical examination of spine. To understand etiology and conservative treatment of common spinal complaints. To understand treatment principles of common spinal problems and deformities. Topics : : : Surface landmarks & bony prominence Movements of spine Neurological examination

43

© The University of Hong Kong Li Ka Shing Faculty of Medicine All rights reserved.

11.2
Week 1

Schedule

Date Time 19.8.08 8:30 – 9:30 a.m. (Tue) 10:00 – 11:30 a.m.

Group Activities Teachers 1 – 4 Demonstration: general & history taking Dr WY Ip Bedside teaching: history taking Dr WY Ip Dr CF Chan Dr TP Ng Dr K Kwan

Venue UGLT I, QMH
Students receive patients‟ details at E4 Seminar Room, QMH Teachers arrive at 10:30 am

22.8.08 8:30 – 9:30 a.m. (Fri) 10:00 – 11:30 a.m.

5–8

Demonstration: general & history taking Dr WY Ip Bedside teaching: history taking Dr KH Ng Dr WP Yau Dr HB Leung Dr TS Pun

UGLT I, QMH
Students receive patients‟ details at E4 Seminar Room, QMH Teachers arrive at 10:30 am

Week 2 Date Time 27.8.08 8:30 – 10:15 a.m. (Wed) Group Activities 1 – 4 Demonstration and clinical skills practice: - P/E of upper limb - overuse syndrome - applied anatomy and injection technique Clinical skills workshop: - principles of closed reduction - application & removal of plaster - complication of plastering - principles of ORIF 5-8 Demonstration and clinical skills practice: - P/E of upper limb - overuse syndrome - applied anatomy and injection technique Clinical skills workshop: - principles of closed reduction - application & removal of plaster - complication of plastering - principles of ORIF Teachers Dr WY Ip Venue CSL 1&2, 2/F, WMB

10:30 – 11:30 a.m.

Dr F Leung

UGLT I, QMH

29.8.08 8:30 – 10:15 a.m. (Fri)

Dr WY Ip

CSL 1&2, 2/F, WMB

10:30 – 11:30 a.m.

Dr F Leung

UGLT I, QMH

44

© The University of Hong Kong Li Ka Shing Faculty of Medicine All rights reserved.

Week 3 Date Time 2.9.08 9:30 – 11:30 a.m. (Tue)

Group Activities 1 – 4 Demonstration: P/E of spine Clinical skills demonstration: - neck pain & associated neurology - back pain & associated neurology Clinical skills demonstration: - recognition of major spine problems

Teachers Prof K Cheung

Venue UGLT I, QMH

3.9.08 (Wed)

9:30 – 11:30 a.m.

5–8

Demonstration: P/E of spine Clinical skills demonstration: - neck pain & associated neurology - back pain & associated neurology Clinical skills demonstration: - recognition of major spine problems

Prof K Cheung

UGLT I, QMH

2:00 – 3:00 p.m. 3:00 – 4:00 p.m. 4:00 – 5:00 p.m. 8:30 – 9:30 a.m. 9:30 – 10:30 a.m. 10:30 – 11:30 a.m.

1–4

Demonstration: P/E of lower limb Clinical skills demonstration: P/E of lower limb Clinical skills practice: P/E of lower limb

Dr WP Yau

CSL 1&2, 2/F, WMB

5.9.08 (Fri)

5–8

Demonstration: P/E of lower limb Clinical skills demonstration: P/E of lower limb Clinical skills practice: P/E of lower limb

Dr WP Yau

CSL 1&2, 2/F, WMB

Week 4 Date Time 12.9.08 8:30 – 9:30 a.m. (Fri) 10:00 – 11:30 a.m.

Group Activities Teachers 12b – 15 Demonstration: general & history taking Dr E Lee 12b – 15 Bedside teaching: history taking Dr FY Ng Dr E Lee Dr WY Ho Dr HB Leung

Venue UGLT I, QMH
Students receive patients‟ details at UGLT I, QMH Teachers arrive at 10:30 am

4:30 – 6:00 p.m.

13

Bedside teaching: history taking

Dr WP Yau

Students receive patients‟ details at UGLT I, QMH Teachers arrive at 5:00 pm

45

© The University of Hong Kong Li Ka Shing Faculty of Medicine All rights reserved.

Week 5 Date Time 17.9.08 8:30 – 9:30 a.m. (Wed) 10:00 – 11:30 a.m. Group Activities Teachers 9 – 12a Demonstration: general & history taking Dr TS Pun Bedside teaching: history taking Dr T El Fiky Dr E Lee Dr HY Kwok Dr B Fung Venue UGLT I, QMH
Students receive patients‟ details at E4 Seminar Room, QMH Teachers arrive at 10:30 am

19.9.08 8:30 – 10:15 a.m. (Fri) 2:00 – 3:45 p.m. 26.9.08 2:30 – 4:15 p.m. (Fri) 8.10.08 (Wed) 19.9.08 10:30 – 11:30 a.m. (Fri)

12b – 15 Demonstration and clinical skills practice: - P/E of upper limb - overuse syndrome - applied anatomy and injection technique 12b – 15 Clinical skills workshop: - principles of closed reduction - application & removal of plaster - complication of plastering - principles of ORIF

Dr WY Ip

CSL 3&4, 2/F, WMB

Dr F Leung

UGLT I, QMH

Week 6 Date Time 23.9.08 8:30 – 10:15 a.m. (Tue) 2:00 – 3:45 p.m. 10.10.08 8:30 – 10:15 a.m. (Fri) Group Activities 9 – 12a Demonstration and clinical skills practice: - P/E of upper limb - overuse syndrome - applied anatomy and injection technique Clinical skills workshop: - principles of closed reduction - application & removal of plaster - complication of plastering - principles of ORIF 12b – 15 Demonstration: P/E of spine Clinical skills demonstration: - neck pain & associated neurology - back pain & associated neurology Clinical skills demonstration: - recognition of major spine problems Teachers Dr WY Ip Venue CSL 1&2, 2/F, WMB

23.9.08 10:30 – 11:30 a.m. (Tue)

Dr K Kwan

UGLT I, QMH

26.9.08 9:00 – 11:30 a.m. (Fri)

Prof K Cheung

UGLT I, QMH

46

© The University of Hong Kong Li Ka Shing Faculty of Medicine All rights reserved.

Week 7 Date Time 30.9.08 9:00 – 11:30 a.m. (Tue) Group Activities 9 – 12a Demonstration: P/E of spine Clinical skills demonstration: - neck pain & associated neurology - back pain & associated neurology Clinical skills demonstration: - recognition of major spine problems 3.10.08 8:30 – 9:30 a.m. (Fri) 5:30 – 6:30 p.m. 2.10.08 (Thu) 9:30 – 10:30 a.m. 6:30 – 7:30 p.m. 10:30 – 11:30 a.m. 7:30 – 8:30 p.m. 12b – 15 Demonstration: P/E of lower limb Dr WP Yau CSL 1&2, 2/F, WMB Teachers Prof K Cheung Venue UGLT I, QMH

Clinical skills demonstration: P/E of lower limb Clinical skills practice: P/E of lower limb

Week 8 Date Time 10.10.08 8:30 – 9:30 a.m. (Fri) 2:00 – 3:00 p.m. 9:30 – 10:30 a.m. 3:00 – 4:00 p.m. 10:30 – 11:30 a.m. 4:00 – 5:00 p.m. Group Activities 9 – 12a Demonstration: P/E of lower limb Teachers Dr WP Yau Venue CSL 1&2, 2/F, WMB

Clinical skills demonstration: P/E of lower limb Clinical skills practice: P/E of lower limb

Venue: UGLT - Underground Lecture Theatre, New Clinical Building, QMH 21 Sassoon Road, Hong Kong

CSL, WMB - Clinical Skills Laboratory, 2/F, William MW Mong Block, Faculty of Medicine Building,

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12.
12.1

PAEDIATRICS & ADOLESCENT MEDICINE
Learning Objectives    To learn the skills of taking a paediatric history To learn the communication skills that will facilitate interaction with children and their families To begin to develop the clinical problem solving skills in paediatrics

12.2

Structure *Session 1 Contents Principles of paediatric history taking Role-play Remarks Slide presentation Videos with interactive discussion Students will be asked to role-play in hypothetical clinical scenarios with teachers as surrogate parents Teachers will observe the students throughout the history taking and give immediate feedback The students will practice to take a history on their own, to organise it for presentation, and to identify parental/patient‟s concerns and clinical problems

  

2

3

Supervised history taking



4

Independent history taking



*Each session lasts for 2 hours

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12.3

Targets By the end of the Integrated Block, the student will begin to understand the following: Knowledge  Principles of paediatric history taking

Skills     Skills of paediatric history taking Skills of communication with patients and their families Presentation of an organized summary of the patient‟s history Formulation of a problem list

Attitude   Recognition of the need to establish rapport with patients and their family Understanding of the primary concerns of the patients and their family members

12.4

Assessment There will be no assessment at the end of the Integrated Block. Nevertheless, for the assessment at the end of the Junior Clerkship, questions will be set based on the Integrated Block and Junior Clerkship teachings and the small handbook, Paediatric Clinical Examination, written by Gill and O‟Brien (see „Recommended Text‟ below).

12.5

Recommended Text  Gill and O‟Brien. Paediatric Clinical Examination, Churchill Livingstone

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12.6
Week 1

Schedule
Date 18.8.08 (Mon) 19.8.08 (Tue) Time 1630 – 1800 0900 – 1030 0930 – 1030 1030 – 1130 Groups 1 – 15 9 – 15 9 – 15 Coordinators/ Teachers Briefing on “Mother Baby Prof V Wong / Project” Dr P Lee Principles of paediatric history taking Paediatric history taking: Role-play Prof L Low Activities Venue UGLT II, NCB, QMH

UGLT II, NCB, QMH

2

26.8.08 (Tue)

Dr P Lee Dr A Chiang

UGLT II, NCB, QMH

3

2.9.08 (Tue)

0900 – 1100

9 10 11 12

Supervised history taking

Dr GCF Chan Prof A Lau Dr A Chiang Prof YF Cheung

K6 Seminar Room, Blk K, QMH K765, 7/F, Blk K, QMH K766, 7/F, Blk K, QMH K8S Research Room, 8/F, Blk K, QMH K765, 7/F, Blk K, QMH K766, 7/F, Blk K, QMH K8S Research Room, 8/F, Blk K, QMH K6 Seminar Room, Blk K, QMH K765, 7/F, Blk K, QMH K766, 7/F, Blk K, QMH K8S Research Room, 8/F, Blk K, QMH K765, 7/F, Blk K, QMH K766, 7/F, Blk K, QMH K838, Conference Room, 8/F, Blk K, QMH

1430 – 1630

13 14 15

Supervised history taking

Prof YL Lau Dr P Lee Dr KT Chau

4

9.9.08 (Tue)

0900 – 1100

9

Independent history taking

Dr A Chiang

10 11 12 5 16.9.08 (Tue) 1430 – 1630 13 14 15 Independent history taking

Prof V Wong Dr S Chiu Dr KS Lun Dr GCF Chan Prof A Lau Dr TC Yung

Venue: QMH – Queen Mary Hospital Presentation of the “Mother Baby Project” (Teachers: Prof V Wong, Dr P Lee, Dr B Chung) Date: October 14, 2008 (Tuesday) Time: 0900 – 1230 Venue: Underground Lecture Theatre II, New Clinical Building, Queen Mary Hospital

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Week 5

Date 16.9.08 (Tue) 19.9.08 (Fri)

Time 0900 – 1030 0930 – 1030 1030 – 1130

Groups 1–8 1–8

Activities Principles of paediatric history taking Paediatric history taking: Role-play

Coordinators/ Teachers Prof YL Lau

Venue UGLT II, NCB, QMH

Dr S Chiu Dr P Lee

UGLT II, NCB, QMH

6

23.9.08 (Tue)

0900 – 1100

1 2 3 4

Supervised history taking

Dr P Lee Prof V Wong Prof A Lau Dr KT Wong

K6 Seminar Room, Blk K, QMH K765, 7/F, Blk K, QMH K766, 7/F, Blk K, QMH K861, K8S, 8/F, Blk K, QMH K6 Seminar Room, Blk K, QMH K765, 7/F, Blk K, QMH K766, 7/F, Blk K, QMH K838, Conference Room, 8/F, Blk K, QMH K6 Seminar Room, Blk K, QMH K765, 7/F, Blk K, QMH K766, 7/F, Blk K, QMH K861, K8S, 8/F, Blk K, QMH K6 Seminar Room, Blk K, QMH K765, 7/F, Blk K, QMH K766, 7/F, Blk K, QMH K838, Conference Room, 8/F, Blk K, QMH

1430 – 1630

5

Supervised history taking

Dr P Lee

6 7 8 7 30.9.08 (Tue) 0900 – 1100 1 2 3 4 1430 – 1630 5 6 7 8 Independent history taking Independent history taking

Dr GCF Chan Dr PT Cheung Dr TC Yung Dr PT Cheung Prof YL Lau Dr A Chiang Dr KT Chau Dr P Lee Dr GCF Chan Dr S Chiu Prof YF Cheung

Venue: QMH – Queen Mary Hospital Presentation of the “Mother Baby Project” (Teachers: Prof V Wong, Dr P Lee, Dr B Chung) Date: October 14, 2008 (Tuesday) Time: 0900 – 1230 Venue: Underground Lecture Theatre II, New Clinical Building, Queen Mary Hospital

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13.
13.1

PSYCHIATRY
Learning Objectives

Psychiatric History Taking
  

To define the objectives of a psychiatric diagnostic interview. To define the different stages of a psychiatric interview. To appreciate the potential impact of the style of questioning.

Mental State Examination
   

To conduct a mental state examination. To interpret finding of the examination. To record and describe the finding of the examination. To conduct and evaluate a cognitive examination.

Eliciting Psychopathology (2 sessions) General Objectives:
  

To elicit common psychiatric symptoms. To describe symptoms accurately. To understand the significance of specific symptoms.

Specific content of Eliciting Psychopathology 1
    

Principles of assessing mental phenomena Disorders of perception Disorders of thought Disorders of language Disorders of memory

Specific content of Eliciting Psychopathology 2
  

Defining psychopathology Psychiatric classification systems Disorders of emotion: anxiety, depression, elation

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

Eliciting symptoms of selected psychiatric disorders: o Mood Disorders o Anxiety Disorders

 

Skills in eliciting psychopathology Practicing skills in eliciting psychopathology

13.2

Schedule Date
22.8.08 (Fri) 26.8.08 (Tue) 1.9.08 (Mon) 12.9.08 (Fri) 19.9.08 (Fri) 26.9.08 (Fri) 3.10.08 (Fri) 9.10.08 (Thu) 10.10.08 (Fri)

Week
1 2 3 4 5 6 7 8

Time
0830 – 1130 1600 – 1900
1430 – 1730

Groups
9 – 15 1–8 1–8 9 – 15 1–8 9 – 15 9 – 15 1–8

Activities
Psychiatric History Taking Psychiatric History Taking Mental State Examination Mental State Examination Eliciting Psychopathology 2 Eliciting Psychopathology 1 Eliciting Psychopathology 2 Eliciting Psychopathology 1

Teacher
Dr SE Chua Dr SE Chua Dr MC Wong Dr Cindy Chiu Dr KF Chung Dr Andrew Law Dr Andrew Law Prof E Chen

0830 – 1130
1430 – 1730

0830 – 1130
1430 – 1730 1430 – 1730

0830 – 1130

Venue: Underground Lecture Theatre II, New Clinical Building, QMH except the session on August 26, 2008 which will be held at Underground Lecture Theatre I, New Clinical Building, QMH and the sessions on September 26 and October 9, 2008 which will be held at J2 Seminar Room, 2/F, Block J, QMH.

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© The University of Hong Kong Li Ka Shing Faculty of Medicine All rights reserved.

14.
14.1

SURGERY
Learning Objectives

Skin and Subcutaneous Lesions
   

How to examine “lumps and bumps”? What is an “ulcer”? What are the common skin and subcutaneous lesions? Do all “lumps and bumps” need treatment?

Peripheral Vascular System
 

Examination of the peripheral arterial system. Examination of varicose veins.

Head and Neck
    

To understand the topographic anatomy of the oral cavity and the three parts of the pharynx. To understand the topographic anatomy of the different groups of cervical lymph nodes. To learn the common symptoms and history taking in head and neck diseases. To learn the examination techniques of the oral cavity and oro-pharynx. To learn the examination techniques of the neck, including the cervical lymph nodes.

Thyroid
   

To learn the classification of patients with thyroid enlargement. To understand the physical signs of thyroid diseases. To know important landmarks during thyroid examination. To learn to perform proper examination of patients with thyroid problems.

Abdomen


Remember: to introduce yourself and obtain consent from patient; proper position and exposure; and do not hurt the patient.

  

Revise the surface anatomy of abdomen. General examination prior to abdominal examination. Learn how to perform a complete and systematic examination of abdomen.
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© The University of Hong Kong Li Ka Shing Faculty of Medicine All rights reserved.

Perineum and Hernia
    

Anatomy of inguinal region, including surface anatomy. Anatomy of lower rectum and anal canal. Clinical presentation of groin hernia and differential diagnosis. Physical examinations of groin hernia (including inguinal and fermoral hernia) and inguinal lymph node. Physical examination of the perineum, including digital rectal examination and proctoscopy.

Urology
   

To learn the basic clinical skills in examining the male external genitalia and scrotal contents. To learn the basic clinical skills in carrying out an adequate digital rectal examination (DRE) of prostate. To learn how to examine the prostate in different positions. To learn how to perform prostatic massage and collection of urine & EPS (expressed prostatic secretion) specimens for bacteriologic localization study.

Breast
  

To learn the common presentations of breast diseases. To learn how to take history on breast diseases. To learn how to perform breast examination.

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14.2

Schedule of Clinical Skill Sessions
Time Groups Activities 0800 - 0930 1-8 Clinical demonstration: Head & Neck 0930 - 1100 21.8.08 (Thu) 0830 - 1115 0800 - 0930 0930 - 1100 28.8.08 (Thu) 0830 - 1115 0800 - 0930 0930 - 1100 4.9.08 (Thu) 0830 - 1115 0800 - 0930 0930 - 1100 11.9.08 (Thu) 0830 - 1115 0800 - 0930 # UGLT I 0930 - 1100 0830 - 1115 0800 - 0930 0930 - 1100 25.9.08 (Thu) 0830 - 1115 0800 - 0930 0930 - 1100 2.10.08 (Thu) 0830 - 1115 0800 - 0930 0930 - 1100 9.10.08 (Thu) 0830 - 1115 1-8 1-8 1-8 1-8 1-8 1-8 1-8 1-8 1-8 1-8 1-8 9-15 9-15 9-15 9-15 9-15 9-15 9-15 9-15 9-15 9-15 9-15 9-15 Clinical demonstration: Peripheral Vascular System Bedside teaching and clinical skills practice Clinical demonstration: Thyroid Clinical demonstration: Skin & Subcutaneous Lesions Bedside teaching and clinical skills practice Clinical demonstration: Abdomen Clinical demonstration: Perineum & Hernia Bedside teaching and clinical skills practice Clinical demonstration: Breast Clinical demonstration: Urology Bedside teaching and clinical skills practice Clinical demonstration: Perineum & Hernia Clinical demonstration: Abdomen Bedside teaching and clinical skills practice Clinical demonstration: Thyroid Clinical demonstration: Head & Neck Bedside teaching and clinical skills practice Clinical demonstration: Skin & Subcutaneous Lesions Clinical demonstration: Peripheral Vascular System Bedside teaching and clinical skills practice Clinical demonstration: Breast Clinical demonstration: Urology Bedside teaching and clinical skills practice Teachers Dr WM Ng Prof SWK Cheng 15 teachers* Prof CY Lo Prof NG Patil 15 teachers* Prof KM Chu Dr J Ho 15 teachers* Dr A Kwong Dr PC Tam 15 teachers* Dr J Ho Prof KM Chu 15 teachers* Prof CY Lo Dr WM Ng 15 teachers* Prof NG Patil Prof SWK Cheng 15 teachers* Dr A Kwong Dr PC Tam 15 teachers*

Week Date 1 18.8.08 (Mon)

2

25.8.08 (Mon)

3

1.9.08 (Mon)

4

8.9.08 (Mon)

5

16.9.08 (Tue)

18.9.08 (Thu) 6 22.9.08 (Mon)

7

29.9.08 (Mon)

8

6.10.08 (Mon)

* Please refer to the list on the next page for assignment of student groups and teachers for bedside teaching. Venue : All sessions will be held at the 5 th Floor Lecture Theatre, Professorial Block, QMH, except the session marked with # will be held at Underground Lecture Theatre I, New Clinical Building, QMH.

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14.3

Schedule of Bedside Teaching Bedside Teaching (Thursdays, 8:30 – 11:15 a.m.) Assignment of Tutors Topic: Head & Neck / Peripheral Vascular System Ward
A3 B3 A5 A7 K16S K16S K16N K16N K17S K17S K17N K17N TWH TWH TWH TWH

Skin & Subcutaneous Lesions / Thyroid 28 August 2008 Tutor
Dr S Tsang Dr W Sharr Dr CC Foo Dr LF Li Dr V Chow Dr BH Lim* Dr YC Chan Dr WK Chan Dr WC Dai Dr Y Law Dr HL Tsu Dr TY Chan Dr A Gandhi @ Dr CH Chow* Dr L Chow Dr A Ng Dr WH Wong – Dr SC Chiang – Dr SC Chiang –

21 August 2008 Tutor
Dr S Tsang Dr A Lee Dr CC Foo Dr LF Li Dr V Chow Dr A Gandhi Dr YC Chan Dr HH Tuen@ Dr WC Dai Dr Y Law Dr HL Tsu Dr TY Chan Prof NG Patil@ Dr CH Chow* Dr L Chow Dr A Ng Dr WH Wong – Dr WK Chan – Dr SC Chiang – Dr SC Chiang –
@

Group / BCM #
1a 1b 2a 2b 3a 3b 4a 4b 5a 5b 6a 6b 7a 7b 8a 8b Dr A Gandhi@ Dr HH Tuen@ Prof NG Patil@ Dr CH Chow* {C1a} {C2a} {C3a} {C4a} {C5a} {C6a} {C7a} {C8a} {C9a} {C10a} {C11a}

Group / BCM #
1a 1b 2a 2b 3a 3b 4a 4b 5a 5b 6a 6b 7a 7b 8a 8b Dr BH Lim* Dr A Gandhi@ Dr CH Chow* {C1a} {C2a} {C3a} {C4a} {C5a} {C6a} {C7a} {C8a} {C9a} {C10a} {C11a}

Reserve tutors for * & select patients @:

Reserve tutors for * & select patients @:

Notes :

(1) (2) (3) (4)

4 or 5 students in each group * Honorary teachers Reserve tutors are for replacing honorary teachers in case the latter are not available; and select patients for teaching purpose. As the usual practice, Divisions are requested to find their own replacement teachers in case the staff nominated are not available for teaching, in particular under emergency situations.

#

{ } denotes Bachelor of Chinese Medicine IV (BCM) students.
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© The University of Hong Kong Li Ka Shing Faculty of Medicine All rights reserved.

Bedside Teaching (Thursdays, 8:30 – 11:15 a.m.) Assignment of Tutors

Topic:

Abdomen / Perineum & Hernia 4 September 2008 Tutor Group / BCM #
1a 1b 2a 2b 3a 3b 4a 4b 5a 5b 6a 6b 7a 7b 8a 8b {C1a} {C2a} {C3a} {C4a} {C5a} {C6a} {C7a} {C8a} {C9a} {C10a} {C11a} Dr ACY Chan Dr W Sharr Dr SH Lo Dr CL Kwan Dr F Ng Dr F Ng Dr YC Chan Dr WK Chan Dr SY Chan Dr KH Wong Dr TY Chan Dr TY Chan Dr A Gandhi @ Dr CH Chow* Dr L Chow Dr A Ng Dr WH Wong – Dr TY Chan – Dr S Chiang – Dr S Chiang –

Breast / Urology 11 September 2008 Tutor
Dr ACY Chan Dr W Sharr Dr KM Fan Dr CL Kwan Dr F Ng Dr WH Wong Dr YC Chan Dr A Gandhi@ Dr SY Chan Dr Y Law Dr HL Tsu Dr TY Chan Prof NG Patil@ Dr CH Chow* Dr L Chow Dr A Ng Dr WK Chan – Dr S Chiang – Dr S Chiang –

Ward
A3 B3 A5 A7 K16S K16S K16N K16N K17S K17S K17N K17N TWH TWH TWH TWH

Group / BCM #
1a 1b 2a 2b 3a 3b 4a 4b 5a 5b 6a 6b 7a 7b 8a 8b Dr A Gandhi@ Prof NG Patil@ Dr CH Chow* {C1a} {C2a} {C3a} {C4a} {C5a} {C6a} {C7a} {C8a} {C9a} {C10a} {C11a}

Reserve tutors for * & select patients @: Dr BH Lim* Dr K Ho* Dr A Gandhi @ Dr CH Chow*

Reserve tutors for * & select patients @:

Notes :

(1) (2) (3) (4)

4 or 5 students in each group * Honorary teachers Reserve tutors are for replacing honorary teachers in case the latter are not available; and select patients for teaching purpose. As the usual practice, Divisions are requested to find their own replacement teachers in case the staff nominated are not available for teaching, in particular under emergency situations.

#

{ } denotes Bachelor of Chinese Medicine IV (BCM) students.
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Bedside Teaching (Thursdays, 8:30 – 11:15 a.m.) Assignment of Tutors

Topic: Ward
A3 B3 A5 A7 K16S K16S K16N K17S K17S K17N TWH TWH TWH TWH

Perineum & Hernia / Abdomen 18 September 2008 Tutor
Dr WK Yiu Dr SH Chok Dr SH Lo Dr PH Wong Dr LK Lam* Dr WH Wong Dr YC Pang Dr YH Wong Dr KH Tong Dr K Ho* Prof NG Patil
@

Thyroid / Head & Neck 25 September 2008 Tutor
Dr WK Yiu Dr CM Lam* Dr SH Lo Dr PH Wong Dr P Hsieh* Dr WH Wong Dr YC Pang Dr YH Wong Dr KH Tong Dr TY Chan Prof NG Patil
@

Group / BCM #
9a 9b 10a 10b 11a 11b 12a 12b 13a 13b 14a 14b 15a 15b
@

Group / BCM #
9a 9b 10a 10b 11a 11b 12a 12b 13a 13b 14a 14b 15a 15b {C1b} {C2b} {C3b} {C4b} {C5b} {C6b} {C7b} {C8b} {C9b} {C10b}

{C1b} {C2b} {C3b} {C4b} {C5b} {C6b} {C7b} {C8b} {C9b} {C10b}

Dr CH Chow* Dr CW Wong Dr TT Law Dr V Chow – Dr TY Chan – Dr S Chiang – Dr S Chiang –

Dr CH Chow* Dr CW Wong Dr TT Law Dr A Lee – Dr V Chow – Dr S Chiang – Dr S Chiang –

Reserve tutors for * & select patients : Dr LK Lam* Dr K Ho* Prof NG Patil@ Dr CH Chow*

Reserve tutors for * & select patients @: Dr CM Lam* Dr P Hsieh* Prof NG Patil@ Dr CH Chow*

Notes :

(1) (2) (3) (4)

4 or 5 students in each group * Honorary teachers Reserve tutors are for replacing honorary teachers in case the latter are not available; and select patients for teaching purpose. As the usual practice, Divisions are requested to find their own replacement teachers in case the staff nominated are not available for teaching, in particular under emergency situations.

#

{ } denotes Bachelor of Chinese Medicine IV (BCM) students.

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© The University of Hong Kong Li Ka Shing Faculty of Medicine All rights reserved.

Bedside Teaching (Thursdays, 8:30 – 11:15 a.m.) Assignment of Tutors Topic: Skin & Subcutaneous Lesions / Peripheral Vascular System Ward
A3 B3 A5 A7 K16S K16S K16N K17S K17S K17N TWH TWH TWH TWH Breast / Urology

2 October 2008 Tutor
Dr TT Cheung Dr SH Chok Dr SH Lo Dr YH Tse Dr P Hsieh* Dr HH Tuen @ Dr YC Pang Dr A Gandhi@ Dr KH Tong Dr HL Tsu Prof NG Patil@ Dr CH Chow* Dr CW Wong Dr TT Law Dr V Chow – Dr WH Wong – Dr YH Wong – Dr S Chiang – Dr S Chiang –

9 October 2008 Tutor
Dr TT Cheung Dr CM Lam* Dr SH Lo Dr YH Tse Dr P Hsieh* Dr BH Lim* Dr YC Pang Dr A Gandhi@ Dr KH Tong Dr K Ho* Prof NG Patil@ Dr CH Chow* Dr CW Wong Dr TT Law
@

Group / BCM #
9a 9b 10a 10b 11a 11b 12a 12b 13a 13b 14a 14b 15a 15b {C1b} {C2b} {C3b} {C4b} {C5b} {C6b} {C7b} {C8b} {C9b} {C10b}

Group / BCM #
9a 9b 10a 10b 11a 11b 12a 12b 13a 13b 14a 14b 15a 15b {C1b} {C2b} {C3b} {C4b} {C5b} {C6b} {C7b} {C8b} {C9b} {C10b}

Reserve tutors for * & select patients : Dr P Hsieh* Dr HH Tuen@ Dr A Gandhi@ Prof NG Patil@ Dr CH Chow*

Reserve tutors for * & select patients @: Dr A Lee – Dr WH Wong – Dr V Chow – Dr YH Wong – Dr TY Chan – Dr S Chiang – Dr S Chiang – Dr CM Lam* Dr BH Lim* Dr P Hsieh* Dr A Gandhi@ Dr K Ho* Prof NG Patil@ Dr CH Chow*

Notes :

(1) (2) (3) (4)

4 or 5 students in each group * Honorary teachers Reserve tutors are for replacing honorary teachers in case the latter are not available; and select patients for teaching purpose. As the usual practice, Divisions are requested to find their own replacement teachers in case the staff nominated are not available for teaching, in particular under emergency situations.

#

{ } denotes Bachelor of Chinese Medicine IV (BCM) students.
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© The University of Hong Kong Li Ka Shing Faculty of Medicine All rights reserved.

15.
15.1

TB CLERKSHIP
Learning Objectives Overall, the TB Clerkship should enable students to integrate the knowledge learnt in different disciplines with clinical, epidemiological and communication skills using TB as an example. It should help students to develop the skills which are essential for your future career as medical practitioners. On the completion of the TB Clerkship, you will be able to : (a) Professional Knowledge


Describe the clinical manifestation, bacteriology, immunity and pathogenesis of pulmonary and extra pulmonary tuberculosis. Follow a logical series of steps in the TB diagnosis process. Understand the principles of treatment regimens and evaluate outcomes of treatment (side effects, drug-resistance, adherence, completeness of follow-up).

 

(b)

Professional Skills


Solve clinical and other problems in medical practice related to the management of TB patients. Enhance your consultation skills and professional approach to patients, particularly the establishment of empathy. Recognize how you can contribute to the advancement of medical knowledge and skills. Master the skills required to work within a team and understand the role of interdisciplinary team in the management of TB. Improve your skills in Evidence Based Practice of Medicine. Use the class TB database and analyze data on the population management and outcomes of care for TB. Recognize the need for high quality clinical records, notification system and information systems for the capture and retrieval of health care information on tuberculosis in the Hong Kong population and worldwide.



 

 



(c)

Population Health Issues


Contribute appropriately to the prevention of illness and the promotion of health with special reference to tuberculosis. Recognize the interaction between humankind and its physical and social environment in the pathogenesis of disease, with special reference to tuberculosis. Identify the determinants of health and disease, including the role of environmental, cultural, social, political, economic, occupational and family factors. Assess formal and informal systems of care and patients‟ decisions and preferences in
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© The University of Hong Kong Li Ka Shing Faculty of Medicine All rights reserved.







using those systems, again with special reference to the early diagnosis and continuing care of tuberculosis.


Support the role of governments and health care systems in ensuring the current and future health of a population and understand the contribution of a good economic environment, education, public health, preventive and curative services.



Discuss the WHO TB control strategy principles, epidemiological trends and importance and impact of DOTS programmes.

(d)

Professional Attitudes and Behaviour


Recognize and analyze ethical problems, especially in relation to care of patients with tuberculosis. Help patients, their families, society cope with and overcome the burden of long-term disease. Develop greater insight to your attitudes and conduct a high level of professional practice.





(e)

CAL Lab (EBP) Session
 

Demonstrate the necessity for the use of clinical audit. Recognize the need for high quality clinical records and information systems for the capture and retrieval of information for clinical audit. Describe the health risk profile of a patient population. Describe the outcomes of treatment (including complications, adherence and completeness of follow up). Identify the use of clinical facilities and resources in the management of a population of TB patients.

 



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15.2
Week 1

Schedule
Date 19.8.08 (Tue) Time 1400 – 1600 1600 – 1800 1400 – 1800 1400 – 1800 1600 – 1800 1400 – 1800 1600 – 1800 1400 – 1800 1400 – 1800 1400 – 1800 1400 – 1800 1400 – 1800 1400 – 1800 1400 – 1800

Groups
12b-15 EBP

Activities

21.8.08 (Thu)

1-4

EBP

3

2.9.08 (Tue)

3.9.08 (Wed)

5.9.08 (Fri)

1 2 3 13 14 15 9-12a

Bedside Teaching 1

Bedside Teaching 1

EBP

4

9.9.08 (Tue)

11.9.08 (Thu)

10 11 12 5-8

Bedside Teaching 1

Teachers Dr SM McGhee Dr LM Ho Ms P Chau Dr SM McGhee Ms LC Wong Dr TQ Thach Dr D Owens Dr CM Tam Dr M Pow Dr M Pow Dr RWT Liu Dr CC Leung Dr M Heys Ms LC Wong Dr TQ Thach Dr CW Lam
Dr K Schag-Grandi

Venue CAL Lab

CAL Lab

RH SR 2 KCC RH SR 3 KH CR 3 2F RH SR 2 YMT CAL Lab

EBP

12.9.08 (Fri)

5

16.9.08 (Tue)

17.9.08 (Wed)

19.9.08 (Fri)

6

22.9.08 (Mon)

23.9.08 (Tue)

26.9.08 (Fri)

4 5 6 1 2 3 7 8 9 1 2 3 10 11 12 13 14 15 7 8 9

Bedside Teaching 1

Prof TH Lam Dr M Heys Dr LM Ho Ms P Chau Dr T Mok Dr KS Lau
Dr K Schag-Grandi

RH SR 3 WCC KH CR 3 2F CAL Lab

Bedside Teaching 2

Bedside Teaching 1

Bedside Teaching 3

Dr M Heys Dr CW Lam Dr CM Tam Dr T Mok Dr L Wong Dr M Pow Dr CC Leung Dr D Vackova
Dr K Schag-Grandi

Bedside Teaching 2

Bedside Teaching 2

Dr YN Poon Dr RWT Liu Dr M Pow Dr CW Lam
Dr K Schag-Grandi

Bedside Teaching 2

Dr M Heys Dr RWT Liu Dr D Vackova Dr CC Leung

KH R 5067A RH SR 2 SYP KH CR3 2F RH SR 2 SKM KH R 5067A KCC RH SR 2 SKW RH SR 2 RH SR 3 KH CR 3 2F RH SR 2 YMT RH SR 2 SKM RH SR 1 RH SR 2 KH CR 3 2F SYP

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Week 7

Date 30.9.08 (Tue)

Time 1400 – 1800 1400 – 1800 1400 – 1800 1400 – 1800 1400 – 1800

3.10.08 (Fri)

8

8.10.08 (Wed)

9.10.08 (Thu)

10.10.08 (Fri)

Groups 10 11 12 4 5 6 7 8 9 4 5 6 13 14 15

Activities Bedside Teaching 3

Bedside Teaching 2

Bedside Teaching 3

Bedside Teaching 3

Bedside Teaching 3

Teachers Dr L Wong Dr M Heys Dr D Owens Prof TH Lam Dr YN Poon Dr D Vackova Dr D Vackova Dr KS Lau Dr YN Poon Dr KS Lau Dr CM Tam Dr T Mok Dr L To Prof TH Lam Dr D Owens

Venue YMT KH CR 3 2F RH SR 2 WCC KH CR 3 2F RH SR 2 SKW RH SR 1 KH CR 3 2F RH SR 2 SYP KH R 5067A WCC KH CR 3 2F RH SR 2

Venue: CAL Lab: Computer-Assisted Learning Laboratory LG 1/F William MW Mong Block, 21 Sassoon Road, HK KH: RH: Kowloon Hospital Ruttonjee Hospital CR 3 R 5067A SR 1 SR 2 SR 3 Chest Clinics: KCC SKM SKW SYP Kowloon Chest Clinic Room 8, G/F, 147A Argyle Street, , Kowloon Shek Kip Mei Chest Clinic Room 5, 1/F , Shek Kip Mei Health Centre, 2 Berwick Street, , Shek Kip Mei, Kowloon Shau Ki Wan Chest Clinic Room 6, 2/F, Shaukiwan Jockey Club Polyclinic, 8 Chaiwan Road, Chaiwan, Hong Kong Sai Ying Pun Chest Clinic Room 4, 2/F, Sai Ying Pun Jockey Club Polyclinic, 134 Queen‟s Road West, Sai Ying Pun, Hong Kong Wanchai Chest Clinic Room 16, l/F, Wanchai Polyclinic, 99 Kennedy Road, Wanchai, Hong Kong Yau Ma Tei Chest Clinic Room 10, 2/F, Yaumatei Jockey Club Polyclinic, 145 Battery Street, Kowloon
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© The University of Hong Kong Li Ka Shing Faculty of Medicine All rights reserved.

Conference Room 3, 2F, Main Building, KH Room 5-067A, 5F, Main Building, KH Seminar Room 1, LG1, RH Seminar Room 2, LG1, RH Seminar Room 3, LG1, RH

WCC YMT

16.
16.1

PBL Groups – Students/Tutors
Notes to Students about Assessment of PBL Performance
 

100% attendance is required. For cases of absence on medical ground, students are required to submit medical proof to the Faculty Office within 14 days after the date of the tutorial from which they are absent, or marks will be deducted on their overall PBL performance (e.g. 10% of the marks will be deducted).



For cases of absence on other personal or urgent reasons, students are again required to submit a letter of explanation to the Faculty Office within 14 days after the date of the tutorial, and these cases will be considered individually.



For cases of absence without any reason or justification, a progressive mark deduction system on the assessment will be imposed, e.g. 10% of the overall marks will be deducted for absence from one tutorial, 20% mark deduction for absence from two sessions, and so on. Upon receipt of this completed assessment form, the Faculty Office will, taking into account of the attendance record, finalize the marks for each individual student.

16.2

Schedule Case No. Case 1 Case 2 Case 3 Case 4 Case 5 Tutorial No. 1 2 1 2 1 2 1 2 1 2 Date 18.8.08 (Mon) 21.8.08 (Thu) 28.8.08 (Thu) 4.9.08 (Thu) 11.9.08 (Thu) 18.9.08 (Thu) 25.9.08 (Thu) 29.9.08 (Mon) 2.10.08 (Thu) 6.10.08 (Mon)

All PBL sessions will take place from 2:00 pm to 4:00 pm at Tutorial Rooms, 1/F, William MW Mong Block, Faculty of Medicine Building, 21 Sassoon Road, Hong Kong.

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© The University of Hong Kong Li Ka Shing Faculty of Medicine All rights reserved.

16.3

List of Tutors Group 1 2 3 4 Venue Rm 5 Rm 6 Rm 7 Rm 8 Tutor Dr R Das, Department of Anaesthesiology Dr M Pow (Cases 1&2), Department of Community Medicine Dr D Vackova (Cases 3-5), Department of Community Medicine Dr K Schag-Grandi, Department of Community Medicine Dr H Mak (Case 1), Department of Diagnostic Radiology Dr KW Cheung (Cases 2-4), Department of Diagnostic Radiology Dr J Zhang (Case 5), Department of Diagnostic Radiology Dr Y Lo (Cases 1-4), Family Medicine Unit Prof CLK Lam (Case 5), Family Medicine Unit Dr WY Chin, Family Medicine Unit Dr H Tse, Department of Microbiology Dr SKP Lau (Cases 1,2,4&5), Department of Microbiology Prof P Woo (Case 3), Department of Microbiology Dr T Li (Case 1), Department of Obstetrics & Gynaecology Dr J Chai (Cases 2&3), Department of Obstetrics & Gynaecology Dr K Chan (Case 4), Department of Obstetrics & Gynaecology Dr M Tang (Case 5), Department of Obstetrics & Gynaecology Dr M To (Cases 1&2), Department of Orthopaedics & Traumatology Dr HB Leung (Cases 3-5), Department of Orthopaedics & Traumatology Dr WW Tu, Department of Paediatrics & Adolescent Medicine Prof IOL Ng, Department of Pathology Dr MP Wong, Department of Pathology Dr SE Chua (Cases 1&5), Department of Psychiatry Dr CW Law (Case 2), Department of Psychiatry Dr C Chiu (Case 3), Department of Psychiatry Dr CT Lee (Case 4), Department of Psychiatry Dr A Gandhi (Cases 1-3&5), Department of Surgery Dr HH Tuen (Case 4), Department of Surgery

5 6 7 8 9

Rm 9 Rm 10 Rm 11 Rm 12 Rm 13

10 11 12 13 14

Rm 14 Rm 15 Rm 26 Rm 21 Rm 22

15 Remarks: Group 2

Rm 24

- The first tutorial of Case 3 will be rescheduled to Sept 12, 2008 (Fri), 2pm-4pm. The venue will remain unchanged. The tutorials of Case 3 will be rescheduled to Sept 18, 2008 (Thu), 2pm-4pm and Sept 22, 2008 (Mon), 2pm-4pm. The venue will remain unchanged. - The second tutorial of Case 4 will be rescheduled to Sept 30, 2008 (Tue), 2pm-4pm. The venue will be changed to TR 26, 1/F, WMB.
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© The University of Hong Kong Li Ka Shing Faculty of Medicine All rights reserved.

Group 3

Group 6

- The first tutorial of Case 2 will be rescheduled to Aug 29, 2008 (Fri), 2pm-4pm. The venue will be changed to TR 4, 1/F, WMB. - The tutorials of Case 3 will be rescheduled to Sept 8, 2008 (Mon), 4pm-6pm and Sept 11, 2008 (Thu), 2pm-4pm. The venue will remain unchanged. - The tutorials of Case 4 will be rescheduled to Sept 29, 2008 (Mon), 2pm-4pm and Oct 2, 2008 (Thu), 2pm-4pm. The venue will remain unchanged. The tutorials of Case 5 will be rescheduled to Oct 6, 2008 (Mon), 2pm-4pm and Oct 9, 2008 (Thu), 2pm-4pm. The venue will remain unchanged.

Group 7

Group 8

Group 12 - The second tutorial of Case 2 will be rescheduled to Sept 2, 2008 (Tue), 3:30pm-5:30pm. The venue will remain unchanged. The second tutorial of Case 3 will be rescheduled to Sept 17, 2008 (Wed), 2pm-4pm. The venue will remain unchanged. The venue for all the tutorials of Cases 4 and 5 will be changed to TR 20, 1/F, WMB. Group 14 - The first tutorial of Case 3 will be rescheduled to Sept 11, 2008 (Thu), 3pm-5pm. The venue will remain unchanged. The second tutorial of Case 3 will be rescheduled to Sept 18, 2008 (Thu), 3pm-5pm. The venue will remain unchanged. Group 15 - The tutorials of Case 3 will be rescheduled to Sept 8, 2008 (Mon), 4pm-6pm and Sept 11, 2008 (Thu), 2pm-4pm. The tutorials of Case 4 will be rescheduled to Sept 29, 2008 (Mon), 2pm-4pm and Oct 2, 2008 (Thu), 2pm-4pm. The venue for Oct 2, 2008 will be changed to Seminar Room 7, LG, Laboratory Block. The tutorials of Case 5 will be rescheduled to Oct 6, 2008 (Mon), 2pm-4pm and Oct 10, 2008 (Fri), 9:30am-11:30am. The venue will remain unchanged. The second tutorial of Case 5 will be again rescheduled to Oct 8, 2008 (Wed), 9:30am-11:30am. The venue will remain unchanged.

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© The University of Hong Kong Li Ka Shing Faculty of Medicine All rights reserved.

17.

CONTACT DETAILS OF BLOCK AND DEPARTMENTAL COORDINATORS AND PBL CASE WRITERS

E-Mail Address

Office Telephone 2855 4310 / 9769 0135 2819 9320

Block Coordinator

Dr A Gandhi (Surgery)

agandhi@hkucc.hku.hk

Administrative Staff at the Faculty Office

Miss Alison Chu

asmchu@hkucc.hku.hk

Departmental Coordinators and Administrative/Clerical Staff Community Medicine Dr D Vackova Ms Marie Chi Dr PL Khong Ms Irene Leung Dr W Lai Ms Ling Au Professor GWK Tang Miss Alison Chu Professor SL Ho Ms Heidi Chik Dr C Ong Ms Kathy Chang Dr WY Ip Ms Carmen Liu Professor YF Cheung Ms Phyllis Lam Dr SE Chua Ms Bonnie Choi Dr A Gandhi Ms Julie Lau Dr D Au Ms Cannis Chau vackova@hkucc.hku.hk yschi@hkucc.hku.hk plkhong@hkucc.hku.hk irenel@hkucc.hku.hk wicolai@hkucc.hku.hk auling@hkucc.hku.hk gwktang@hkucc.hku.hk asmchu@hkucc.hku.hk slho@hkucc.hku.hk hscchik@hkucc.hku.hk cytong@hkucc.hku.hk changml@hkucc.hku.hk wyip@hkusua.hku.hk cswliu@hkucc.hku.hk xfcheung@hkucc.hku.hk pyllam@hkucc.hku.hk sechua@hku.hk bwschoi@hkucc.hku.hk agandhi@hkucc.hku.hk julielau@hkucc.hku.hk kinkwau@hkucc.hku.hk chauyy@hkucc.hku.hk 2819 9143 2819 9282 2855 3307 2855 3307 2819 9855 3962 1406 2855 4700 2819 9320 2855 3315 2855 4604 2855 4558 2855 4648 2855 4654 2855 4107 2518 2629 2855 4485 2855 3060 2855 4488 2855 4310 2855 4621 2855 4394 2855 4394

Diagnostic Radiology

Eye Institute

Faculty Office (Human Sexuality Course) Medicine

Obstetric & Gynaecology

Orthopaedics & Traumatology

Paediatrics & Adolescent Medicine Psychiatry

Surgery

Surgery (ENT)

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© The University of Hong Kong Li Ka Shing Faculty of Medicine All rights reserved.

E-Mail Address

Office Telephone

PBL Case Writers Case 1 Dr B Chung (Paediatrics) Prof VCN Wong (Paediatrics) Dr WK Yuen (Surgery) Professor TTH Lao (Obs & Gyn) Dr C Ong (Obs & Gyn) Dr LW Chu (Medicine) Dr ACK Law (Psychiatry) Dr J Luk (Medicine) Dr S Shetye (Comm Medicine) Dr KP Galbraith (Comm Medicine) Professor GM Leung (Comm Medicine) Dr CM Tam (Chest Service, Department of Health) Professor AJ Hedley (Comm Medicine) Professor TH Lam (Comm Medicine) bhychung@hkucc.hku.hk vcnwong@hkucc.hku.hk wkyuen@ha.org.hk laotth@hkucc.hku.hk cytong@hkucc.hku.hk lwchu@hkucc.hku.hk acklaw@hkucc.hku.hk lukkh@ha.org.hk ssshetye@hkucc.hku.hk kevinpg@hkucc.hku.hk gmleung@hku.hk cm_tam@dh.gov.hk hrmrajh@hkucc.hku.hk hrmrlth@hkucc.hku.hk 2855 4482 2855 4206 2855 3025 2855 3401 2855 4647 2855 3315 2855 3057 2855 6182 2819 9875 2819 9154 2819 9209 2572 6023 2819 9282 2819 9280

Case 2 Case 3

Case 4

Case 5

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