CVS Block Timetable

SEMESTER III
MBBS II (6-year)
Cardiovascular System Block
Handbook
2013/2014
MBBS II (6-year) Cardiovascular System Block 2013/2014
Page
Code of Conduct 1
About the Cardiovascular System Block 4
Timetable 5
Lectures
Schedule 10
Learning Outcomes 12
Practicals and Workshops
Schedule 18
Learning Outcomes 22
Clinical Skills 26
Medical Humanities Programme 27
Professionalism in Practice Programme 30
Community-based Teaching: Patient Care (Feel-Link) Project (PCP-FL) 31
Problem-based Learning (PBL)
Schedule and List of PBL Tutors 33
Notes of Students 34
(Last updated on September 18, 2013)
Code of Conduct
(I) Students Rights

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

Be punctual and attend school activities prepared;
Participate fully in the learning process;
Complete assignments and comply with the timeline;
Reach the academic standards required in the programme;
Use proper language and observe dress code;
Work and co-operate with peers and staff members (including office staff, healthcare staff);
Refrain from aggressive and intimidating behavior;
Treat patients information in confidentiality (see Section VIII).
(III) Academic Misconduct (*Academic dishonesty will constitute a disciplinary case, which may
result in disciplinary action being taken on you)
Cheating in examination;
Plagiarism (see Section III (b));
Misrepresentation of data: research projects;
Allowing another student to represent your work as his/her own;
Forgery or alternation of official records or documents including attendance records or
doctor/nurse status;
Manifest attitude or behavior which is detrimental or illegal, involving people in the direct
context of teaching/learning activities i.e. Patients.
(a)
Use of Teaching Materials
Course materials are for teaching purposes and are not meant for circulation without
the consent from individual teachers/ departments;
Unauthorized photographing, recording and video-taping of lectures and/or practical
sessions are strictly forbidden;
Any unauthorized recording and/or downloading of teaching materials would
constitute a disciplinary case;
1
For PBL Tutorials, distribution of tutor guides to students is strictly forbidden;

Instructions of using/ dealing with specimens and manikins should be adhered.
(b)
Plagiarism
Any unacknowledged use, as ones own, of the thoughts, writing, inventions or work
of another person, whether or not such work has been published, will be an act of
plagiarism and is also a serious misconduct;
In addition to printed forms of work (e.g. a journal paper or lecture handouts), work
in electronic form such as a website, or an audio-visual production is also bound with
copyright protection;
More information about plagiarism can be retrieved on-line via
http://www.hku.hk/plagiarism.
2
(c)
Class Attendance & Signing Attendance
Attend all teaching classes according to the timetable;
Sign the attendance sheet for each lesson (if any); DO NOT sign attendance for
another person which is considered as a form of forgery and is a serious misconduct;
Seek prior approval from the Faculty before taking leave of absence from any
class/examinations (Absence due to sickness must be supported by a sick-leave
certificate from a registered doctor while justifications are required for absence on
non-medical grounds).
(IV) Non-Academic Misconduct (*Non-academic misconduct may result in disciplinary actions

taken on you, e.g. severe reprimand and termination of student status)
Manifest attitude or behaviour which is illegal or detrimental to people in the general context;
Verbal/physical abuses: endangers or threatens the health or safety of university members;
Harassment;
Disrupt/obstruct university activities or services;
Thievery;
Unauthorized conduct: unauthorized entry to and/or presence at, possession of, use of any
university facilities/resources;
Causing damage/destruction to university property.
(V) Professional Attitude and Behavior of a Medical Student

(a)
Professional Attitude
Demonstrate honesty and integrity;
Be prepared to admit deficiencies in knowledge, understanding or skills;
Be aware of owns strengths and weaknesses; Seek help, guidance, support or advice
to overcome difficulties;
Face mistakes or failings positively; Be ready to accept fair and reliable criticism or
evaluation from teachers, fellow schoolmates and/or patients;
Accept responsibilities and consequences for your own decisions and actions;
Treat all other students, teachers, and staff members with respect and dignity;
Speak and listen and respect the rights of others; Show tolerance and acceptance of
all genders, ethnics, races, religions;
Show respect towards school property and resources;
Respect of the patient: dead or alive, organ or whole, physical or mental issue.
(b)
Attire
Be neatly and decently dressed when attending classes, whether they are held in
3
wards or not;
Patient contact: dress appropriately to inspire confidence of the patients in you as a
healthcare professional, and also avoid being the vehicle of transmission infection
(cleanliness).
(c)
Use of Cell Phone
Keep them turned off or silent mode during class;
DO NOT talk on cell phone or send messages during class;
DO NOT send or receive test/exam materials (Serious Academic Misconduct);
DO NOT take or distribute inappropriate digital photos.
(d)
Eating and Drinking in Class
DO NOT eat or drink (except water) in all classrooms unless with prior approval
from the Faculty Office.
4
(e)
Behaviour in Wards/Clinics
Showing courtesy and consideration for everybody (including patients, doctors,
nurses, fellow students, and other staff ) in the ward;
Consult the tutors/ ward managers/ nurses on duty in wards for advice before
performing patient clerking;
Follow the infection control guidelines of the Faculty/ teaching hospitals concerned;
DO NOT engage in excessive social activities in patient care setting.
(VI) Patient Contact

Patients have the right to decide what happens to their own bodies; Valid consent should be
obtained before starting clinical enquiry or examination, and patients have a right to refuse;
Conduct history taking or examination with due care to patients dignity and comfort;
Remember to thank patient after completing the learning process;
Remember to restore the clothing or positioning of the patient to his/her original or desirable
status;
Remember to put back the files/records properly.
(VII) Chaperone Policy for Physical Examination

Clinical chaperone for the purpose of witness and thus protection to both doctor (student) and
patient for physical examination;
Female chaperone is required to be present for physical examination of female patients by
male students;
Provide clear explanation and seek consent from the patient concerned before physical
examination;
The chaperone should have the knowledge to assess the appropriateness of the examination /
procedure as well as the way in which they are done;
Adequate screening during physical examination requiring patient body exposure, and the
chaperone should be in the sight of the patient.
(VIII) Patient Confidentiality

DO NOT take patient records away from the wards/clinics, and DO NOT photocopy them
even for learning purpose;
DO NOT disclose, in various means of oral or written format, by telephone or fax, or
electronically, any medical information in connection with the management of a patient;
DO NOT release private information that you may have obtained during the course of your
studies.
5
About the Cardiovascular System Block
Course Description
The cardiovascular system module is designed to provide an overview of the structure and function of the
cardiovascular system, and will continue the theme of hierarchy of systems. Clinical case problems are
based on cardiovascular diseases or incidents that are common in Hong Kong today. Through these cases,
students will come to understand the functioning of the cardiovascular system. They will explore the
hierarchy of the cardiovascular system, from molecules, cells, tissues and organs to the patient as an
individual and a member of a family and a community, and so come to take a holistic view of human biology.
Learning Outcomes
By the end of this module, students will be able to:
Describe the structure and explain the function of the components of the cardiovascular system.
Demonstrate a basic understanding of the key concepts and terminology in anatomy, behavioural
science, biochemistry, public health, microbiology, pathology, pharmacology and physiology that are
relevant to the cardiovascular system.
Describe and explain the mechanisms of common disease processes that affect the cardiovascular
system.
Show a basic understanding of the ways in which socioeconomic status and behavioural factors may
influence the development and progression of cardiovascular diseases, and demonstrate knowledge of
the socio-psychological impact of cardiovascular disorders.
Appreciate the role of the doctor, the functions of the health care system in Hong Kong, and the
relevance of medical ethics and economics to the practice of medicine.
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Email Address Phone No.
Block Coordinator Dr HJ Ballard ballard@hku.hk

(Physiology)
Administrative / Clerical Staff Ms Ada Lam adalamky@hku.hk 2819-9135

at the Faculty Office
Ms Rosana Mo rcymoa@hku.hk 2819-2845
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Cardiovascular System Block Timetable
Week 1
Time MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDA
14.10.2013 15.10.2013 16.10.2013 17.10.2013 18.10.2013 Y
19.10.2013
8:30-9:20 Public Holiday: L4 [LT2] Physiology [CC
The day following Practical I Courses]
Chung Yeung Festival (Pre-lab Talk)
(Gps 1-20)
8:30-9:30
[LT2]
9:30-10:20 L1 [LT2] L5 [LT2] Anatomy Practical Physiology
10:30-11:20 L2 [LT2] L6 [LT2] (Pre-lab Talk) Practical I
(Gps 1-20) (Gps 14-20)

11:30-12:20 L3 [LT2]
9:30-10:00 9:30-12:30
[MDL1] [MDL1-3]
Anatomy Practical
(Gps 1-20)
10:00-12:30
[MDL1]
12:30-1:20 [CC Courses]
1:30-2:20
2:30-3:20 Briefing Session on MH Programme: Physiology
Clinical Skills Workshop (1) Practical I
(Gps 1-20) (Gps 1-4, 13-16) (Gps 1-7a)
2:30-3:30 2:30-5:30 2:30-5:30
[LT2] [SRAH/ SR5] [MDL1-3]
3:30-4:20 Briefing Session on
Heart Sounds and MH Programme:
ECG Workshop (1)
(Gps 1-20) (Gps 17-20)
3:30-4:30 2:30-5:30
[LT2] [SR6]
4:30-5:20
5:30-6:20
8
9
Week 2: Case 1
21.10.2013 22.10.2013 23.10.2013 24.10.2013 25.10.2013 Y
26.10.2013
8:30-9:20 L7 [LT2] L8 [LT2] L10 [LT2] L13 [LT2] Chemical [CC
Pathology Courses]
Workshop I
(Gps 1-20)
8:30-9:30
[LT2]
9:30-10:20 Physiology L9 [LT2] L11 [LT2] PBL Case 1 T1 Biochemistry
10:30-11:20 Practical I Radiology Practical L12 [LT2] (Gps 1-20) Practical I
(Gps 7b-13) (Gps 1-20) 9:45-11:45 (Gps 1-5)
9:30-12:30 10:30-11:30 [TRs] 9:30-12:30

[MDL1-3] [LT2] [BTL]
11:30-12:20 MH Programme:
Pharmacology/
Conversations &
Physiology
Connections (1)
Practical
(Gps 1-20)
(Gps 11-15)
11:30-12:30
9:30-12:30
[LT2]
[MDL2&3]
12:30-1:20 [CC Courses]
1:30-2:20 Anatomy Dissection
2:30-3:20 PCP-FL PCP-FL Practicals III & IV Physiology
(PCP-FL Gps 1-40) (PCP-FL Gps 1-40) (Pre-lab Talk) Practical II

3:30-4:20
2:30-5:30 2:30-5:30 (Gps 1-20) (Gps 1-20)
4:30-5:20
1:00-2:00 2:30-5:30
Clinical Skills [ADL] [LT2]
(Gps 1-4) Anatomy Dissection
2:30-5:30 Practicas III & IV
[CSLs] (Gps 1-20)
2:00-7:00
5:30-6:20
[ADL]
Week 3: Case 1 / Case 2

28.10.2013 29.10.2013 30.10.2013 31.10.2013 1.11.2013 Y
10
2.11.2013
8:30-9:20 L14 [LT2] L15 [LT2] Biochemistry L16 [LT2] L17 [LT2] [CC
9:30-10:20 PBL Case 1 T2 Pharmacology/ Practical I PBL Case 1 T3/ Pharmacology/ Courses]
(Gps 1-20) Physiology Practical (Gps 6-10) PBL Case 2 T1 Physiology

10:30-11:20
9:45-11:45 (Gps 1-5) 9:00-12:00 (Gps 1-20) Practical
11:30-12:20
[TRs] 9:30-12:30 [BTL] 9:45-11:45 (Gps 6-10)
[MDL2&3] [TRs] 9:30-12:30
[MDL2&3]
Biochemistry
Practical I Biochemistry
(Gps 11-15) Practical II
9:30-12:30 (Gps 16-20)
[BTL] 9:30-12:30
[BTL]
12:30-1:20 [CC Courses]
1:30-2:20
2:30-3:20 Clinical Skills PCP-FL Microbiology Public Health
3:30-4:20 (Gps 5-8) (PCP-FL Gps 1-40) Practical I Practical I
2:30-5:30 2:30-5:30 (Gps 1-20) (Gps 1-20)

4:30-5:20
[CSLs] 2:30-5:30 2:30-5:30
[PSL] [LT2]
Biochemistry
Practical I
(Gps 16-20)
2:30-5:30
[BTL]
5:30-6:20
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Week 4: Case 2
4.11.2013 5.11.2013 6.11.2013 7.11.2013 8.11.2013 Y
9.11.2013
8:30-9:20 L18 [LT2] L19 [LT2] Biochemistry Chemical Pathology HKU
Practical II Workshop II Informatio
(Gps 11-15) (Gps 1-20) n Day
9:00-12:00 8:30-9:30
[BTL] [PLT]
9:30-10:20 PBL Case 2 T2 Biochemistry Pathology Practical L20 [LT2]
10:30-11:20 (Gps 1-20) Practical II I Pharmacology/

9:45-11:45 (Gps 6-10) (Gps 1-20) Physiology
[TRs] 9:30-12:30 9:30-11:30 Practical
[BTL] [PLT] (Post-lab Talk)
(Gps 1-20)
Pharmacology/ 10:30-11:30
Physiology Practical [LT2]
(Gps 16-20)
11:30-12:20 MH Programme:
9:30-12:30
Conversations &
[MDL2&3]
Connections (2)
(Gps 1-20)
11:30-12:30
[LT2]
12:30-1:20 [CC Courses] Afternoon Off
1:30-2:20 PiP Programme: Anatomy Dissection Before
Visit to DHS Practical V Information Day

2:30-3:20 PCP-FL Tutorial
(Gp 19-20) (PCP-FL Gps 1-20) (Pre-lab Talk)
3:30-4:20
1:30-5:30 2:30-4:30 (Gps 1-20)
[TRs] 2:00-3:00
Biochemistry [LT2]
4:30-5:20
Practical II Anatomy Dissection
(Gps 1-5) Practical V
2:30-5:30 (Gps 1-20)
[BTL] 3:00-6:00
[ADL]
Clinical Skills
(Gps 9-12)
2:30-5:30
12
[CSLs]
5:30-6:20
13

11.11.2013 12.11.2013 13.11.2013 14.11.2013 15.11.2013 Y
16.11.2013
8:30-9:20 L21 [LT2] L22 [PLT] L23 [LT2] L26 [LT2] L27 [LT2] [CC
9:30-10:20 PBL Case 2 T3/ Microbiology L24 [LT2] PBL Case 3 T2 Physiology Courses]
10:30-11:20 PBL Case 3 T1 Practical II L25 [LT2] (Gps 1-20) Practical III
(Gps 1-20) (Gps 1-20) 9:45-11:45 (Gps 7b-13)

11:30-12:20
9:45-11:45 9:30-12:30 [TRs] 9:30-12:30
[TRs] [PSL] [LT2 & MDL2&3]
12:30-1:20 [CC Courses]
1:30-2:20 PiP Programme: PiP Programme: PiP Programme:
2:30-3:20 Visit to DHS PCP-FL Tutorial Visit to DHS Visit to DHS
(Gp 1-2) (PCP-FL Gps 21- (Gp 9-10) (Gp 11-12)

3:30-4:20
1:30-5:30 40) 1:30-5:30 1:30-5:30
2:30-4:30
Clinical Skills [TRs] Physiology Physiology
(Gps 13-16) Practical III Practical III

4:30-5:20
2:30-5:30 (Gps 1-7a) (Gps 14-20)
[CSLs] 2:30-5:30 2:30-5:30
[LT2 & MDL2&3] [LT2 & MDL2&3]
Public Health
Practical II
(Gps 11-20)
2:30-4:30
[TRs]
5:30-6:20
14

18.11.2013 19.11.2013 20.11.2013 21.11.2013 22.11.2013 Y
23.11.2013
8:30-9:20 L28 [PLT] L29 [LT2] [CC
9:30-10:20 PBL Case 3 T3/ Pathology Practical PBL Case 4 T2 Public Health Courses]
10:30-11:20 PBL Case 4 T1 Physiology II (Gps 1-20) Practical III
(Gps 1-20) Practical III (Gps 1-20) 9:45-11:45 (Gps 1-20)
9:45-11:45 (Post-lab Talk) 9:30-11:30 [TRs] 9:30-11:30
[TRs] (Gps 1-20) [PSL] [LT2]
10:30-11:30
[LT1]
11:30-12:20 *Staff-Student
12:30-1:20 [CC Courses] Consultative
Meeting
12:00-1:00
[SR4]
1:30-2:20 PiP Programme: PiP Programme: PiP Programme: PiP Programme:
2:30-3:20 Visit to DHS Visit to DHS Visit to DHS Visit to DHS
(Gp 13-14) (Gp 3-4) (Gp 15-16) (Gp 17-18)

3:30-4:20
1:30-5:30 1:30-5:30 1:30-5:30 1:30-5:30
4:30-5:20
Clinical Skills Public Health MH Programme:
(Gps 17-20) Practical II Workshop (2)
2:30-5:30 (Gps 1-10) (Gps 1-8, 13-16)
[CSLs] 2:30-4:30 2:30-5:30
[TRs] [CBH/ SR5/ SR6]
MH Programme:
Workshop (2)
(Gps 17-20)
2:30-5:30
[SRAH]
5:30-6:20
(Class representatives and group leaders are invited to the Staff-Student Consultative Meeting to give
feedback on the block.)
Should a teacher fail to turn up for 10 minutes after the designated teaching schedule, a student
representative should report this to the Faculty Office so that we can help to follow up with the relevant
15
teacher / department. Please note that you are not supposed to leave the classroom unless you are officially
informed to do so.
Ms Rosana Mo Tel.: 2819-2845

Ms Ada Lam Tel.: 2819-9135
Faculty Offices counter Tel.: 2819-9346
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Schedule of the Lectures
No. Topic Teacher Department Date Time Venu

e
1 Gross anatomy of the heart; radiographic Dr HKF Yip Anatomy 15.10.201 9:30-10:20 LT2
anatomy 3
2 Anatomy of the heart and great vessels Dr HKF Yip Anatomy 15.10.201 10:30- LT2
3 11:20
3 Electrical activity of the heart Dr HJ Ballard Physiology 15.10.201 11:30- LT2

3 12:20
4 ECG Dr HJ Ballard Physiology 16.10.201 8:30-9:20 LT2

3
5 Neural control of the cardiovascular Dr HJ Ballard Physiology 16.10.201 9:30-10:20 LT2

system 3
6 Control of the heart Dr HJ Ballard Physiology 16.10.201 10:30- LT2

3 11:20
7 Streptococcal infection and rheumatic Dr KKW To Microbiology 21.10.201 8:30-9:20 LT2

heart disease 3
8 Development of the heart I Dr TK Chan Anatomy 22.10.201 8:30-9:20 LT2

3
9 Development of the heart II Dr TK Chan Anatomy 22.10.201 9:30-10:20 LT2

3
10 Development of the great vessels and Dr TK Chan Anatomy 23.10.201 8:30-9:20 LT2
circulatory changes at birth 3
11 Unique molecular features of cardiac Prof DKY Shum Biochemistry 23.10.201 9:30-10:20 LT2
tissues 3
12 Keeping yourself and others healthy Prof R Fielding Public Health 23.10.201 10:30- LT2
3 11:20
13 Abnormal lipid metabolism; Dr LYL Cheng Biochemistry 24.10.201 8:30-9:20 LT2

atherosclerosis 3
14 Lipid-lowering drugs Prof RYK Man Pharmacology 28.10.201 8:30-9:20 LT2

3
15 Tobacco or health Prof TH Lam Public Health 29.10.201 8:30-9:20 LT2
17

e
16 Unveiling the myth: the science of Dr LYL Cheng Biochemistry 31.10.201 8:30-9:20 LT2
cholesterol and lipids 3
17 Pathogenesis of ischaemic heart diseases Dr PSL Beh Pathology 1.11.2013 8:30-9:20 LT2
18 Infective endocarditis and Dr KKW To Microbiology 4.11.2013 8:30-9:20 LT2

myopericarditis
19 Venous return Dr HJ Ballard Physiology 5.11.2013 8:30-9:20 LT2
20 Digoxin; nitrites and nitrates Prof RYK Man Pharmacology 8.11.2013 9:30-10:20 LT2
21 Capillary and lymphatic function Dr HJ Ballard Physiology 11.11.201 8:30-9:20 LT2

3
22 Shock; heart failure Dr PSL Beh Pathology 12.11.201 8:30-9:20 *PLT

3
23 Control of blood volume Dr HJ Ballard Physiology 13.11.201 8:30-9:20 LT2

3
24 Diuretics; ACE inhibitors Prof RYK Man Pharmacology 13.11.201 9:30-10:20 LT2
3
25 Pathogenesis of valvular heart disease Dr PSL Beh Pathology 13.11.201 10:30- LT2
3 11:20
26 Arterial blood pressure Dr HJ Ballard Physiology 14.11.201 8:30-9:20 LT2

3
27 Pathology of hypertension Prof JM Pathology 15.11.201 8:30-9:20 LT2

Nicholls 3
18

e
28 Ca antagonists; and adrenergic Prof RYK Man Pharmacology 20.11.201 8:30-9:20 *PLT
blocking agents 3
29 Illness cognition and behaviour Dr WWT Lam Public Health 22.11.201 8:30-9:20 LT2
3
Venue
LT2 = Lecture Theatre 2, G/F, William MW Mong Block, 21 Sassoon Road
*PLT = Pathology Lecture Theatre, University Pathology Building, Queen Mary Hospital
19
Learning Outcomes of the Lectures
Lecture 1: Gross anatomy of the heart; radiographic anatomy
Locate the oblique and transverse pericardial sinuses and describe the reflections of parietal to visceral
pericardium that delineate these sinuses.
Describe the surface anatomy of the heart and relate each chamber to the borders and surface of the
heart.
List and define the anatomic features of each chamber of the heart.
Label on a diagram the arteries and veins of the coronary circulation.
Follow the pathway of impulses along the conduction system of the heart.
Relate the valves of the heart to the skeleton of the heart and to blood flow through the heart.
[Dr HKF Yip, Anatomy]
Lecture 2: Anatomy of the heart and great vessels
Delineate the subdivisions of the mediastinum; list and describe the contents of each portion.
Follow the aorta from its origin to the aortic hiatus; give its relationship and branches.
Know the tributaries and components of the azygous system of the veins.
List the elements of the sympathetics that are present in the thorax.
List the branches of the vagus nerve that appear in the thorax and give their distribution.
[Dr HKF Yip, Anatomy]
Lecture 3: Electrical activity of the heart
State the origin of electrical activity of heart.

Describe the myogenic nature of the cardiac action potential, and the mechanism and route of spread of
electrical activity through myocardium.
State the speed of conduction in different regions of myocardium.
Describe the ionic basis of each phase of the action potential, and the characteristics of the action
potential in different regions of heart.
State the temporal relationship between mechanical and electrical events.
[Dr HJ Ballard, Physiology]
Lecture 4: ECG
Describe how to record a 12-lead ECG.

State the direction from which each of the 12 standard ECG electrodes views the heart.
20
Draw a standard ECG: state what events are represented by each wave.
Describe how electrical activity may be represented as a cardiac vector: state the position of the average
vectors for atrial depolarisation, ventricular depolarisation, ventricular repolarisation.
21
Lecture 5: Neural control of the cardiovascular system
State the location and functions of the medullary vasomotor centre and medullary dorsal motor vagal
nucleus in cardiovascular control
Describe the role of the hypothalamus in controlling the cardiovascular system in stress situations, and
give 3 examples of such situations.
Describe the efferent nerves involved in cardiovascular regulation (origin of nerves, structures
innervated, effects of activation): include sympathetic adrenergic nerves, sympathetic cholinergic
nerves, parasympathetic cholinergic nerves.
Explain the effects of efferent nerve activation on blood vessel radius.
Describe the roles of the following in the control of heart rate: intrinsic activity of sinoatrial node;
modification of heart rate by sympathetic or parasympathetic influences.
State the mechanism of action of neural influences (effects on the cardiac action potential and ionic
currents).
Lecture 6: Control of the heart
Describe the concept of the control of cardiac output via a change in heart rate or in stroke volume.
Define intrinsic, extrinsic, heterometric and homeometric mechanisms for the control of stroke volume.
Distinguish between inotropism and a simple change in force of contraction. State the cellular basis for
the inotropic mechanism.
Describe the effect of sympathetic nerves on stroke volume.
State the effect of a change in preload or afterload on the cardiac force of contraction, and explain the
underlying mechanism.
Draw the cardiac function curve, and use it to illustrate the effects of homeo- and heterometric changes
in cardiac force on the cardiac output.
Lecture 7: Streptococcal infection and rheumatic heart disease
Describe the classification of Streptococci.

State the infections caused by Streptococci.
Recognise the infections due to Streptococcus pyogenes (sore throat and skin infections) and post-
infection complications acute glomerulonephritis and rheumatic fever.
Describe the laboratory diagnosis of Streptococcus pyogenes infection.
Summarize the prevention and treatment.
[Dr KKW To, Microbiology]
Lecture 8: Development of the heart I
22
Describe the early development of the circulatory system.

Describe the development of heart primoridium.
Describe the septation of the heart.
[Dr TK Chan, Anatomy]
Lecture 9: Development of the heart II
Describe the septation of truncus arteriosus and formation of the aorta and pulmonary trunk.
Describe the development of the heart valves and conducting system.
23
Lecture 10: Development of the great vessels and circulatory changes at birth
Describe the basic plan of the arterial and venous system in early embryos.
Describe the development of the great vessels.
Describe the features of fetal circulation.
Describe the circulatory changes at birth.
Lecture 11: Unique molecular features of cardiac tissues
Preferred substrates of myocardial metabolism

Aerobic vs ischaemic conditions
Glycogen phosphorylase isoenzyme as marker of ischaemic myocardial injury.
[Prof DKY Shum, Biochemistry]
Lecture 12: Keeping yourself and others healthy
Describe health promotion and differentiate it from health education.

Outline key components of health promotion.
Recognize the goals of health promotion approaches.
Locate the concept of health promotion in your range of professional skills using cardiovascular system
as an example of behaviour, health and exercise.
[Prof R Fielding, Public Health]
Lecture 13: Abnormal lipid metabolism; atherosclerosis
Distinguish the different types of lipoproteins and their functions.

Know the transport of lipids in the body.
Explain the regulation and control of cholesterol metabolism.
Distinguish between the different types of hyperlipidemia.
[Dr LYL Cheng, Biochemistry]
Lecture 14: Lipid-lowering drugs
Recognize the role and importance of dietary management of hyperlipoproteinemia.

Distinguish between different classes of lipid lowering drugs.
Describe the mechanism of action of each class.
Give representative examples and recognize some important toxicities of lipid lowering drugs.
[Prof RYK Man, Pharmacology & Pharmacy]
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Lecture 15: Tobacco or health
Summarise the impact of tobacco on public health.

Evaluate the tobacco control measures.
Discuss the role of medical practitioner in tobacco control in Hong Kong.
[Prof TH Lam, Public Health]
25
Lecture 16: Unveiling the myth: the science of cholesterol and lipids
Describe the features of the light density lipoprotein (LDL) receptor.

Relate the mutations of the LDL receptor to hypercholesterolemia.
Understand the significance of the knowledge of the LDL receptor to the design of therapeutic drugs for
hypercholesterolemia.
[Dr LYL Cheng, Biochemistry]
Lecture 17: Pathogenesis of ischaemic heart diseases
Explain the pathogenesis of ischaemia, necrosis, inflammation, healing and repair of the myocardium.
Illustrate the pathophysiological outcomes of ischaemia to the myocardium.
Infer the likely symptoms and clinical signs resulting from ischaemic heart diseases.
[Dr PSL Beh, Pathology]
Lecture 18: Infective endocarditis and myopericarditis
Recognise the concepts in taking multiple blood samples for culture.

Describe in detail the precautions necessary to minimize contamination.
Describe the etiological agents, method for diagnosis and treatment for infective endocarditis.
Recognise the principles of endocarditis chemoprophylaxis in patients with abnormal heart valves.
Explain the approach for making an etiological diagnosis in a patient with suspected pericarditis or
myocarditis.
[Dr KKW To, Microbiology]
Lecture 19: Venous return
Give the definition and numerical value of central venous pressure.

Draw the vascular function curve. Describe how to apply the vascular function curve to predict changes
in venous return.
List the factors affecting venous return, and explain the mechanisms of their effects.
Describe the effects of gravity on the blood vessels, venous return, cardiac output and blood pressure.
Use the combined cardiac and vascular function curve to explain the effects of changes in venous
return, cardiac contractility and peripheral resistance on cardiac output and ventricular filling.
Lecture 20: Digoxin; nitrites and nitrates
Describe the mechanism of action of digoxin (mechanical and electrical effects).

Recognize special pharmacokinetic properties of digoxin.
26
Recognize major side-effects, limitations and usage of digoxin.

Describe the mechanism of action of nitrites and nitrates.
Distinguish different compounds and characteristics.
Give examples on use of nitrates for treatment of angina and limitations.
27
Lecture 21: Capillary and lymphatic function
Describe the mechanisms of transcapillary exchange (diffusion and filtration): list the factors
influencing diffusion; state how the net pressure for filtration / absorption may be calculated; state the
relationship between net pressure and fluid movement.
Define oncotic and hydrostatic pressure. Give approximate numerical values for capillary and
interstitial fluid hydrostatic pressure and oncotic pressures (using human skin as an example). List the
factors influencing capillary hydrostatic pressure.
State Starlings hypothesis for formation of interstitial fluid. Discuss the applicability of the hypothesis;
give some examples where the hypothesis does or doesnt hold true.
Describe the mechanism by which substances are transported through the lymphatics. State the
contribution of the lymphatics to the control of interstitial fluid volume.
Lecture 22: Shock; heart failure
Explain the pathophysiological changes of heart failure and shock.

Predict the reversible and irreversible changes detectable in patients with heart failure and shock.
Lecture 23: Control of blood volume
Define neural, hormonal and neurohormonal mechanisms for cardiovascular control: state the main
features of the different types of control mechanism and give one example of each.
Describe the types of atrial volume receptors, the correlation between location and activation pattern,
and the mechanism of activation.
List the reflex responses to volume receptor activation (the Bainbridge reflex).
Describe the neurohumoral responses to an increased blood volume, and state the role of blood volume
regulation in long term regulation of blood pressure.
Outline the roles of the renin-angiotensin-aldosterone system and atrial natriuretic peptide in the control
of the cardiovascular system.
Lecture 24: Diuretics; ACE inhibitors
Distinguish major classes of diuretics.

Explain their sites of action and mechanisms.
Describe major applications of various diuretics including ACE inhibitors.
Recognize limitations and toxicities of different classes of diuretics.
28
Lecture 25: Pathogenesis of valvular heart disease
Describe the anatomy of heart valves.

Explain the physiology of blood flow and blood pressures within the heart chambers and across the
heart valves.
Illustrate the pathophysiological changes resulting from diseases of the heart valves.
29
Lecture 26: Arterial blood pressure
State the determinants of mean arterial blood pressure (B.P. = C.O. T.P.R.). Describe the roles of the
heart and blood vessels in the determination of arterial blood pressure.
Define mean arterial blood pressure.
Draw the arterial compliance curve. Describe how arterial pressure is affected by changes in cardiac
output, vascular resistance and vascular compliance.
State the upper limits for a normal blood pressure
State the location and afferent nerves of the arterial baroreceptors, and describe the mechanism for
sensing and coding arterial pressure.
List the reflex responses to baroreceptor activation, and describe their role in short term regulation of
blood pressure. Understand the concept of physiological variation in blood pressure and describe how
this is achieved in the face of regulatory mechanisms such as the baroreceptor reflex.
Define vasovagal attack and outline the mechanisms involved.
Lecture 27: Pathology of hypertension
Define hypertension.
List at least 3 causes for secondary hypertension.
List 3 groups of factors that affect peripheral resistance and cardiac output.
Contrast the 3 different theories for hypertension.
List 4 pathological changes seen in a patient with hypertension.
[Prof JM Nicholls, Pathology]
Lecture 28: Ca antagonists; and adrenergic blocking agents
Distinguish different Ca antagonists.

Understand mechanism of action and use of Ca antagonists for cardiovascular diseases.
Recognize limitations and toxicities.
Understand mechanism of action of and blocking agents.
Give example of representative drugs, usage and limitations.
Lecture 29: Illness cognition and behaviour
Explain the concept of illness cognition and illness behaviour.

Identify factors influencing symptom perception.
Identify factors influencing help-seeking behaviour.
[Dr WWT Lam, Public Health]
30
31
Schedule of the Practicals and Workshops
Anatomy
Practical Groups Date Time Venue

1-20 17.10.201 9:30-10:00 MDL1 (Pre-lab talk)
3
10:00-12:30 MDL1
Dissection Practical Groups Date Time Venue

III & IV 1-20 24.10.201 1:00-2:00 Anatomy Dissecting Lab. (Pre-lab talk)
3
2:00-7:00 Anatomy Dissecting Lab.
V 1-20 7.11.2013 2:00-3:00 LT2 (Pre-lab talk)
3:00-6:00 Anatomy Dissecting Lab.
Biochemistry

I 1-5 25.10.201 9:30-12:30 Biochemistry Teaching Lab.
3
16-20 28.10.201 2:30-5:30 Biochemistry Teaching Lab.
3
3
3
II 16-20 1.11.2013 9:30-12:30 Biochemistry Teaching Lab.
32
Public Health

I 1-20 1.11.2013 2:30-4:00 LT2 (Part I)
4:00-5:30 LT2 (Part II)
II 11 14.11.201 2:30-4:30 TR4
3
12 14.11.201 2:30-4:30 TR5
3
13 14.11.201 2:30-4:30 TR6
3
14 14.11.201 2:30-4:30 TR7
3
15 14.11.201 2:30-4:30 TR8
3
16 14.11.201 2:30-4:30 TR9
3
17 14.11.201 2:30-4:30 TR10
3
18 14.11.201 2:30-4:30 TR11
3
19 14.11.201 2:30-4:30 TR12
3
20 14.11.201 2:30-4:30 TR13
3
1 21.11.201 2:30-4:30 TR4
3
2 21.11.201 2:30-4:30 TR5
3
3 21.11.201 2:30-4:30 TR6
3
4 21.11.201 2:30-4:30 TR7
3
5 21.11.201 2:30-4:30 TR8
3
6 21.11.201 2:30-4:30 TR9
33
3
7 21.11.201 2:30-4:30 TR10
3
8 21.11.201 2:30-4:30 TR11
3
9 21.11.201 2:30-4:30 TR12
3
10 21.11.201 2:30-4:30 TR13
3
III 1-20 22.11.201 9:30-11:30 LT2
3
Microbiology

I 1-20 31.10.201 2:30-5:30 Pathology Student Lab.
3
II 1-20 12.11.201 9:30-12:30 Pathology Student Lab.
3
Pathology

I 1-20 7.11.2013 9:30-11:30 PLT
II 1-20 20.11.201 9:30-11:30 Pathology Student Lab.
3
34
Pharmacology/Physiology

11-15 25.10.201 9:30-12:30 MDL2 & 3
3
1-5 29.10.201 9:30-12:30 MDL2 & 3
3
6-10 1.11.2013 9:30-12:30 MDL2 & 3
16-20 5.11.2013 9:30-12:30 MDL2 & 3
1-20 8.11.2013 10:30-11:30 LT2 (Post-lab talk)
Physiology

I 1-20 18.10.201 8:30-9:30 LT2 (Pre-lab talk)
3
14-20 18.10.201 9:30-12:30 MDL1-3
3
1-7a 18.10.201 2:30-5:30 MDL1-3
3
7b-13 21.10.201 9:30-12:30 MDL1-3
3
II 1-20 25.10.201 2:30-5:30 LT2
3
III 1-7a 14.11.201 2:30-3:00 LT2
3
3:00-5:30 MDL2 & 3
7b-13 15.11.201 9:30-10:00 LT2
3
10:00-12:30 MDL2 & 3
14-20 15.11.201 2:30-3:00 LT2
3
3:00-5:30 MDL2 & 3
1-20 19.11.201 10:30-11:30 LT1 (Post-lab talk)
3
35
Radiology

1-20 22.10.201 10:30-11:30 LT2
3
36
Chemical Pathology
Workshop Groups Date Time Venue

I 1-20 25.10.201 8:30-9:30 LT2
3
II 1-20 7.11.2013 8:30-9:30 PLT
Location of Laboratories, Lecture Theatres and Tutorial Rooms

MDL1-3 Multi-disciplinary Laboratories 1-3, G/F, Laboratory Block, 21
Sassoon Road
Anatomy Dissecting Lab. L1-01, 1/F, Laboratory Block, 21 Sassoon Road
LT2 Lecture Theatre 2, G/F, William M.W. Mong Block, 21 Sassoon

Road
Biochemistry Teaching Lab. G-19, G/F, Laboratory Block, 21 Sassoon Road
TR Tutorial Rooms, 1/F, William M.W. Mong Block, 21 Sassoon

Road
Pathology Student Lab. Rm 237 & 331, 2/F & 3/F, University Pathology Building, Queen
Mary Hospital
PLT Pathology Lecture Theatre, Room 134, 1/F, University Pathology

Building, Queen Mary Hospital
LT1 Lecture Theatre 1, G/F, William M.W. Mong Block, 21 Sassoon

Road
37
Learning Outcomes of the Practicals and Workshops
Anatomy
Practical I: Histology of the CVS
Describe the general structure of walls of circulatory system.

Describe the structure and function of elastic artery, muscular artery and arterioles.
Describe the structure and function of vein.
State the classification and describe the structural features and general function of capillary.
Describe the general structure of the wall of lymphatic vessel.
Describe the structure of the heart.
[Dr HKF Yip/Prof W Wu/Dr MSY Huen/Dr YP Ching/Dr J Yang]
Dissection Practical IV: Heart and mediastinum
Describe of the gross anatomy of the heart including its surface anatomy.
List the structures in the anterior and middle mediastinum.
Describe the fetal heart circulation (based on video and models).
[Dr GL Tipoe/Dr LK Chan/Dr MSY Huen/Dr B Lin/Dr CWY Chan]
Dissection Practical V: Posterior and superior mediastinum
Describe and list the contents of posterior and superior mediastinum.

[Dr GL Tipoe/Dr LK Chan/Dr TK Chan/Dr B Lin/Dr CWY Chan]
Biochemistry
Practical I: Biochemical markers in myocardial injury (Dry Lab.)
Explain basic concepts for using cardiac enzymes (and proteins) as biochemical markers of myocardial
injury.
Identify how cardiac markers can reveal vital information for myocardial infarction.
[Dr JWY Ho]
Practical II: Blood lipoproteins and cholesterol
38
Illustrate that serum lipid profile of lipoproteins and cholesterol can be useful indicators of abnormal
lipid metabolism.
Explain basic principles of laboratory analysis of serum lipoproteins and cholesterols.
Construct critically comments on the use of lipid profiles for the assessment of abnormal lipid
metabolism and cardiovascular risk.
[Dr JWY Ho]
39
Public Health
Practical I & II: Evidence-based Practical I & II
Summarize the purpose for and identify the typical features of a case-control study in the context of
evidence-based medicine.
Discuss the concepts of confounding, adjusting and regression.
Distinguish between bias and error when interpreting results.
Demonstrate a full understanding of p values and 95% CI and show confidence in interpreting these in
papers.
[Tutors as advised]
Practical III: How much does variation matter? (Sources of error in BP measurement)
Identify the different types of variation in clinical measurement.

Choose methods which may be used to correct variations in measurement.
[Dr D Vackova]
Microbiology
Practical I: Microbiological diagnosis of streptococcal disease and its complications
Demonstrate microbiological diagnosis of streptococcal diseases using case studies.

Describe the complications arising from streptococcal infections.
[Dr KKW To/Prof PCY Woo/Dr SSY Wong/Prof KY Yuen]
Practical II: Infective endocarditis and valves
Introduce the principles and utility of microbiological tests for managing patients with infective
endocarditis.
[Dr PL Ho/Dr SKP Lau/Dr KKW To/Prof PCY Woo]
Pathology
Practical I: CVS Pathology I
Explain the system of death investigation in Hong Kong.

Write a cause of death in accordance with ICD 10 recommendations.
40
[Dr PSL Beh]
Practical II: CVS Pathology II
Identify the gross and microscopic changes to structures of the heart due to common cardiac disorders.
Explain the anticipated clinical signs and symptoms associated to common cardiac disorders.
[Dr PSL Beh]
N.B. All first year medical students are strongly encouraged to bring their pathology atlas to all
pathology practicals to facilitate the learning process and the understanding of specimens
presented at practical sessions.
41
Pharmacology/Physiology
Practical: Cardiovascular and respiratory responses to -blockers at rest and during exercise
Identify the mechanisms of the changes in heart rate, blood pressure and respiration in response to
exercise.
Interpret the cardiovascular and respiratory responses to -adrenergic receptor blockade during rest and
exercise.
Compare the pharmacological effects of two types of commonly used -adrenergic receptor blockers,
pindolol and propanolol.
Explain the conduct of randomized double blind drug trials in humans.
[Dr SWS Leung/Prof CR Kumana/Dr HJ Ballard]
Physiology
Practical I: Heart Sounds and ECG
State the causes of the first, second, third and fourth heart sounds.
Use the correct procedure for cardiac auscultation.
Identify the first and second heart sounds in a normal individual.
Identify physiological splitting of the second heart sound.
Understand the basic principle of ECG recording.
Know where and how to apply the electrodes, and be able to record a 12-lead ECG.
Make simple interpretations on rate & rhythm from a normal ECG.
[Dr HJ Ballard/Dr L Bu]
Practical II: Isolated perfused rat heart
Observe the rate and force of the contraction of an isolated, buffer-perfused rabbit heart.
Explain the effects on the rate and force of contraction of:
autonomic nervous system transmitters
ions (potassium or calcium)
a decrease in temperature.
[Dr HJ Ballard]
Practical III: Effect of posture and activity on BP
Record blood pressure using the auscultatory and oscillatory methods.
42
Explain the underlying principles of both measurement techniques, and relate differences in the blood
pressure readings to these principles.
Determine the effects of posture on systolic, diastolic and mean blood pressure.
Account for the differences in blood pressure between an upright and a supine posture.
[Dr HJ Ballard]
43
Radiology
Practical: Demonstration of anatomy and abnormality of the chest on imaging
Describe the cross-sectional anatomy of the lungs and the root of the lungs, bronchial tree, mediastinum
and heart, based on CT and MRI.
Able to cross-references to plain chest radiographs to understand cross-sectional anatomy.
Recognize of the optimal CT and MRI image display to evaluate these anatomical structures.
[Dr EYP Lee]
Chemical Pathology
Workshop I: Cardiac profile
Explain the chemical pathology of cardiac markers including troponins, B-natriuretic peptide, creatine
kinase and its isoenzymes.
Illustrate the redefinition of acute myocardial infarction.
[Dr DCK Ching]
Workshop II: Therapeutic drug monitoring for cardiovascular drug treatment
Explain the terms Pharmacokinetics and Pharmacodynamics.

Illustrate the principle of therapeutic drug monitoring (TDM).
Demonstrate knowledge of the application of TDM in cardiovascular diseases, e.g. digoxin.
Describe the use of personalized medicine in cardiovascular diseases.
[Dr E Law]
44
Clinical Skills for the Cardiovascular System
Topic
Cardiovascular examination and surface electrocardiogram (ECG)
Learning Outcomes
By the end of the sessions, students will be able to:
Demonstrate basic knowledge on cardiovascular examination.
Demonstrate the technique to perform basic cardiovascular examination.
Demonstrate understanding of the basic principle of ECG recording.
Demonstrate the technique to perform ECG recording.
Activities
1. Clinical observation
2. Measurements
3. CVS physical signs
4. ECG
A Senior Cardiologist will introduce the measurements to the students, over the course of the Briefing
Session. The first briefing session will cover cardiac auscultation and ECG. Students will have the
opportunity to carry out ECG recording and cardiac auscultation on other group members during the
Physiology practical session on ECG and Heart Sounds. The second briefing session will cover the
remaining clinical skills and will include a slide show demonstrating relevant core clinical observation).
Students will be divided into groups, who will attend the following 2 stations in rotation:
(a) Station A own measurements on other group members of peripheral pulses and jugular venous pulse.
(b) Station B own measurements on other group members of palpation (location of apex beat).
N.B. Students are required to bring along their own stethoscopes to the clinical skills session.
Schedule
Groups Date Time Venue Tutors
1-20 15.10.2013 2:30-3:30 LT2 (Briefing Session on Dr L Lam, Medicine
Clinical Skills)
1-20 15.10.2013 3:30-4:30 LT2 (Briefing Session on Dr L Lam, Medicine
Heart Sounds and ECG)
1-4 21.10.2013 2:30-5:30 CSL1-4 Dr YTA Wong, Medicine
Dr S Liu, Medicine
45
Dr KYE Chan, Medicine

5-8 28.10.2013 2:30-5:30 CSL1-4 Dr SYA Yung, Medicine
Dr SHJ Hai, Medicine
Dr CCF Tam, Medicine
9-12 4.11.2013 2:30-5:30 CSL1-4 Dr KWK Chan, Medicine
Dr PC Shea, Medicine
(Part-time Cardiac), Medicine
13-16 11.11.2013 2:30-5:30 CSL1-4 Dr S Liu, Medicine
Dr CCS Lam, Medicine
Dr KKH Yiu, Medicine
17-20 18.11.2013 2:30-5:30 CSL1-4 Dr PHM Chan, Medicine
Dr S Liu, Medicine
Dr KLM Wong, Medicine
Venue
CSL1-4 = Clinical Skills Laboratories 1-4, 2/F, William MW Mong Block, 21 Sassoon Road
46
Medical Humanities Programme
Vision
To deepen the experience of being human, to cultivate humaneness, to be a humanitarian
Mission
To help nurture the development of medical students into caring physicians who are capable of a deeper
understanding of the human condition and thus provide better care to the patients as well as to themselves.
Background
There is a need for doctors to be aware that the human and humane aspects of medical practice go hand in
hand with the benefits reaped through science and technology. Undoubtedly, finding cures for disease, drugs
to delay ageing, and developing stem cell therapies to reverse degenerative disorders are of critical
importance, but of equal importance is alleviating the suffering of patients with chronic illnesses and
incurable diseases.
The study of the humanities in medicine has come to encompass contributions from history, literature,
philosophy, sociology, visual arts, performing arts, religious studies, ethics and law; and has naturally led to
the development of a discipline in medical curricula called Medical Humanities (MH). Internationally, the
specific goals of MH curricula vary from school to school but at its heart is the generation of new inquiries
and reflections which will enable students to understand illness and health in the wider context of the lives of
people, and also bring insight into the complexities and ambiguities of issues involved in medical care and
practice.
Through MH, students learn to appreciate the nature and meaning of patients suffering and their aim to live
meaningful lives despite their illnesses. In addition, doctors, through the exercise of judicious and ethical
decisions, can learn to be humane to themselves and to their colleagues, take care to avoid punishing work
schedules, recognise the limits of their expertise, and avoid as much as possible (or face up to), making
mistakes.
The medical humanities programme reframes the biomedical focus of the MBBS curriculum and is woven
into all 6 years of the curriculum. It links to, and augments, the other foundational and disciplinary learning,
with an emphasis on five core themes under four different genres.
Themes Genres
Doctor and patient stories Narrative and literature (including poetry)
Culture, spirituality and healing Performance (drama, music)
47
History of medicine Film

Death, dying and bereavement Visual arts (painting, photography,
multimedia)
Humanitarianism
* Any theme can be exploring using any genre, and vice versa.
48
Upon completion of the 6-year undergraduate programme in medical humanities, students will achieve
learning outcomes which align with the University teaching and learning aims. Students will be able to:
Programme Learning Outcomes Alignment with HKU Aims

A. Examine the values underpinning what is meant Aim 1: Pursuit of academic/professional excellence,
by being human, humanistic and humanitarian critical intellectual enquiry and life-long
as a doctor and as a member of the human race learning
B. Demonstrate skills of reflective thought and Aim 2: Tackling novel situations and ill-defined
critical analysis in dealing with ill defined problems
problems and situations in illness and healing Aim 3: Critical self-reflection, greater
understanding of others, and upholding
personal and professional ethics
C. Articulate the many dimensions and contexts of Aim 4: Intercultural understanding and global
human experience in health and illness citizenship
Aim 5: Communication and collaboration
D. Discuss the role of culture, traditions, ethical Aim 3: Critical self-reflection, greater
and spiritual concerns in health and illness understanding of others, and upholding
personal and professional ethics
Aim 4: Intercultural understanding and global
citizenship
E. Demonstrate professional competencies and Aim 1: Pursuit of academic/professional excellence,
humanitarian values in the relief of suffering critical intellectual enquiry and life-long
and the betterment of mankind and society learning
Aim 6: Leadership and advocacy for the
improvement of the human condition
Overview of Year 2
The second year of the medical humanities programme builds upon what the students were introduced in the
first year what is meant by the medical humanities, its relevance to enabling the wellbeing of patients and
doctors themselves, and how historical events shapes the way medicine is currently practiced. It was also an
opportunity for students to experience new teaching and learning formats in which stories, films, performance
and mindful practice exercises were used to explore the issues relating to who is the person behind the white
coat, and to appreciate events which shaped the planning and delivery of medical care in Hong Kong from
museum visit and a medical heritage walk.
This second year of the medical humanities curriculum will focus on fostering the acquisition of knowledge
and the development of humanistic skills in students which will enable them to develop into true practitioners
in the art and science of medicine.
49
Whilst advances in biomedical science, new drugs, innovative surgical techniques and improved medical
technology have cured more patients and led to a growing population of chronically ill patients, it has also
resulted in medicine being increasingly practiced as a biomedical speciality with little in the way to
understand the suffering of patients and the loss of meaning in their lives as chronically ill patients or when
no cure is possible. The second year curriculum will provide opportunities to explore how suffering can be
recognised in the patients, and to discuss approaches which medical humanities can facilitate doctors to bring
healing to their patients.
50
Learning Outcomes
By the end of the Year 2 programme, students will be able to:
Discuss why despite the advances in modern medical practice, patients continue to suffer as a result of
their illness.
Describe how engagement in the medical humanities will enable doctors to recognise the nature of
suffering in their patients and as a result open up opportunities to bring healing
Identify the occasions (and situations) which have brought about suffering to doctors and medical
students and how these can help doctors to evolve from biomedical specialist to physician-healers.
Discuss ways in which medical humanities can help the medical profession to build better public trust
of doctors, and to improve the morale in the medical profession.
Schedule
Date Time Grou Venue Activity
ps
17.10.2013 2:30-5:30 1-4 SR5 Workshop (1): Film
13-16 SRAH Workshop (1): Performance
18.10.2013 2:30-5:30 17-20 SR6 Workshop (1): Narrative
22.10.2013 11:30- 1-20 LT2 Conversations and Connections (1)
12:30
8.11.2013 11:30- 1-20 LT2 Conversations and Connections (2)
12:30
21.11.2013 2:30-5:30 17-20 SRAH Workshop (2): Performance
22.11.2013 2:30-5:30 1-4 SR6 Workshop (2): Narrative
5-8 SR5 Workshop (2): Film
13-16 CBH Workshop (2): Mindful Practice
Venue
SR5-6 = Seminar Rooms 5-6, LG1/F, Laboratory Block, 21 Sassoon Road
CBH = Centre on Behavioural Health, 2/F, The Hong Kong Jockey Club Building for Interdisciplinary
Research, 5 Sassoon Road
SRAH = Sassoon Road Assembly Hall, G-01, 6 Sassoon Road
N.B. Please refer to the MBBS II Medical Humanities Handbook for further details.
51
Professionalism in Practice Programme
The Professionalism in Practice (PiP) Programme will run over the first three years of the 6-year MBBS
curriculum. Each year the programme will focus on certain expected attributes of a good doctor which reflect
professionalism Year 1: being humanistic and ethical, Year 2: being an expert resource and Year 3: being a
skilled clinician. It will also serve as a foundation for subsequent learning in the Family Medicine and
Primary Care curriculum, complement the formal Medical Ethics and Humanities programmes and further
enhance the Medical Ethics, Professional Attitudes and Behaviour theme of the medical curriculum.
Aim
The aim of the PiP Programme is to begin developing students awareness and understanding of the nature of
medical professionalism through experiential learning and early clinical contact under the guidance of
frontline primary care doctors.
MBBS II Theme
The doctor in the context of health care systems and as a guide for navigating the local health care system
and services
Learning Outcomes
By the end of the second year PiP programme, students will be able to:
Compare the structure and function of the health care system in Hong Kong and in selected overseas
settings.
Describe the range of health care services that are available to Hong Kong citizens.
Discuss the utilization and perception of various services by patients.
Recognize the contribution and roles of other health care professionals in our health care system.
Explain how the role of the doctor as a patient advocate relates to professionalism.
Schedule
Date Time Group Venue Activity
4.11.2013 1:30-5:30 19-20 DHS Clinical Visit
52

Venue
DHS = MacLehose Dental Centre, Room 407, 4/F, 286 Queens Road East, Wan Chai, Hong Kong
N.B. Please refer to the MBBS II PiP Handbook for further details.
53
Community-based Teaching: Patient Care (Feel-Link) Project (PCP-FL)
The Patient Care (Feel-Link) Project [PCP(FL)] provides MBBS and BNurs students the opportunities to
recognise the lived experiences of patients/clients with different types of medical problems. Students will be
divided into groups of two to three students (involving MBBS and BNurs students) to interact with a
patient/client with different medical problems. This gives the students the opportunity to thoroughly
experience and appreciate the patient/client's conception and experience of health and illness. This is the first
step in enhancing interdisciplinary co-operation and understanding between nursing and medical students.
The PCP(FL) gives you the opportunity to meet and develop a relationship with a patient/client with the
initial help of health care/service professionals. By following an individual patient/client for a period of time,
you can develop an important understanding of the psychosocial aspects of health care, such as health and
illness and their effects upon an individual and his/her family's life. Through the PCP(FL), you can also
"feel" how patients/clients and their health care providers feel, and act as a "link" person between
patients/clients and health care providers through information and experience sharing.
Objectives
To provide an effective learning vehicle for the understanding of the psychosocial aspects of health care
through interaction with patients/clients and their families for a period of time.
To provide students opportunities to "feel" the feelings of the experience of illness from the perspective
of patients/clients (and their families). In addition, students will have the opportunity to "feel" the
experience of doctors and health care or service providers and other health care providers in delivering
patient/client care in the current health care environment.
To promote the linkage among students, doctors/health care/service professionals and patients/clients by
establishing mutual sharing of information and feelings.
Schedule
Date Time PCP-FL Venue Activity
Group
21.10.2013 2:30-5:30 1-40 - Patient Recruitment and Visit
5.11.2013 2:30-4:30 1 TR4 1st Tutorial
2 TR5 1st Tutorial
3 TR6 1st Tutorial
4 TR7 1st Tutorial
54

Group
5 TR8 1st Tutorial
6 TR9 1st Tutorial
7 TR10 1st Tutorial
8 TR11 1st Tutorial
9 TR12 1st Tutorial
10 TR13 1st Tutorial
5.11.2013 2:30-4:30 18 TR25 1st Tutorial
12.11.2013 2:30-4:30 21 TR4 1st Tutorial
22 TR5 1st Tutorial
23 TR6 1st Tutorial
24 TR7 1st Tutorial
25 TR8 1st Tutorial
26 TR9 1st Tutorial
55

Group
Venue
TR = Tutorial Rooms, 1/F, William MW Mong Block, 21 Sassoon Road
Topic of the 1st Tutorial

Illness cognition
Illness behavior
Sick role
Concept of inter-disciplinary collaboration
Learning Outcomes
By the end of the tutorial, students will be able to:
List the demographic, social, and cultural factors that influence symptom perception and medical help-
seeking behaviors.
Explain the concept of sick role.
Discuss the effect of disease on labeling patients and families.
Compare and contrast the Traditional Biomedical Model of Disease and the Biopsychosocial Model.
Describe the nature and importance of inter-disciplinary collaboration.
N.B. Please refer to the Patient Care (Feel-Link) Project Manual for more details.
56
MBBS II (6-year) Cardiovascular System Block

PBL Groups
Schedule
Case/Tutorial Date Time
Case 1 Tutorial 1 24.10.2013 (Thursday) 9:45-11:45
Case 1 Tutorial 2 28.10.2013 (Monday) 9:45-11:45
Case 1 Tutorial 3 / Case 2 Tutorial 1 31.10.2013 (Thursday) 9:45-11:45
Case 2 Tutorial 2 4.11.2013 (Monday) 9:45-11:45
Case 2 Tutorial 3 / Case 3 Tutorial 1 11.11.2013 (Monday) 9:45-11:45
Case 3 Tutorial 3 / Case 4 Tutorial 1 18.11.2013 (Monday) 9:45-11:45
List of Tutors
Group Venue Tutor
1 TR4 Prof XY Guan, Clinical Oncology
2 TR5 Dr WCW Wong, Family Medicine and Primary Care
3 TR6 Prof Y Guan, Public Health
4 TR7 Dr SY Chan, Paed & Adol Med (for Case 1 & Case 4 Tutorial 2)
Dr WL Yang, Paed & Adol Med (for Cases 2, 3 & Case 4 Tutorial 1)
5 TR8 Dr PSL Beh, Pathology
6 TR9 Dr JWP Yam, Pathology
7 TR10 Prof RYK Man, Pharmacology and Pharmacy
8 TR11 Dr HJ Ballard, Physiology
9 TR12 Dr MCW Kong, Physiology (for Cases 1 & 2)
Dr L Bu, Physiology (for Cases 3 & 4)
10 TR13 Dr MCW Chan, Public Health
11 TR14 Ms CKM Ng, Public Health
12 TR15 Dr D Vackova, Public Health
13 TR16 Dr ACK Law, Psychiatry (for Cases 1 & 2)
Dr M Ma, Psychiatry (for Case 3)
57
Prof EYH Chen, Psychiatry (for Case 4)

14 TR20 Dr X Li, Surgery
15 TR21 Dr VS Yip, Anatomy
16 TR22 Dr J Yang, Anatomy
17 TR24 Dr MSY Huen, Anatomy
18 TR25 Dr LYL Cheng, Biochemistry
19 TR26 Dr JJ Wang, Biochemistry
20 TR27 Dr BH Liu, Biochemistry
Venue
TR = Tutorial Rooms, 1/F, William MW Mong Block, 21 Sassoon Road
58
Notes to Students
Attendance
(a) Attendance at PBL tutorials is compulsory.
(b) For cases of absence on medical ground, students are required to submit medical proof to the Faculty
Office within 7 days after the date of the tutorial from which they are absent.
(c) 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 from absence from one
tutorial, 20% mark deduction for absence from two sessions, and so on and no mark will be given in
case of absence from more than 50% of the tutorials.
59

CVS Block Timetable

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CVS Block Timetable

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SEMESTER III

About the Cardiovascular System Block 4

Practicals and Workshops

Medical Humanities Programme 27

Professionalism in Practice Programme 30

Community-based Teaching: Patient Care (Feel-Link) Project (PCP-FL) 31

Problem-based Learning (PBL)

Schedule and List of PBL Tutors 33

(I) Students Rights

(II) Students Responsibilities

For PBL Tutorials, distribution of tutor guides to students is strictly forbidden;

(IV) Non-Academic Misconduct (*Non-academic misconduct may result in disciplinary actions

(V) Professional Attitude and Behavior of a Medical Student

(VI) Patient Contact

(VII) Chaperone Policy for Physical Examination

(VIII) Patient Confidentiality

About the Cardiovascular System Block

Email Address Phone No.

Block Coordinator Dr HJ Ballard ballard@hku.hk

Administrative / Clerical Staff Ms Ada Lam adalamky@hku.hk 2819-9135

Cardiovascular System Block Timetable

14.10.2013 15.10.2013 16.10.2013 17.10.2013 18.10.2013 Y

8:30-9:20 Public Holiday: L4 [LT2] Physiology [CC

The day following Practical I Courses]

Chung Yeung Festival (Pre-lab Talk)

9:30-10:20 L1 [LT2] L5 [LT2] Anatomy Practical Physiology

10:30-11:20 L2 [LT2] L6 [LT2] (Pre-lab Talk) Practical I

(Gps 1-20) (Gps 14-20)

12:30-1:20 [CC Courses]

2:30-3:20 Briefing Session on MH Programme: Physiology

Clinical Skills Workshop (1) Practical I

(Gps 1-20) (Gps 1-4, 13-16) (Gps 1-7a)

2:30-3:30 2:30-5:30 2:30-5:30

[LT2] [SRAH/ SR5] [MDL1-3]

3:30-4:20 Briefing Session on

Heart Sounds and MH Programme:

ECG Workshop (1)

(Gps 1-20) (Gps 17-20)

21.10.2013 22.10.2013 23.10.2013 24.10.2013 25.10.2013 Y

8:30-9:20 L7 [LT2] L8 [LT2] L10 [LT2] L13 [LT2] Chemical [CC

9:30-10:20 Physiology L9 [LT2] L11 [LT2] PBL Case 1 T1 Biochemistry

10:30-11:20 Practical I Radiology Practical L12 [LT2] (Gps 1-20) Practical I

(Gps 7b-13) (Gps 1-20) 9:45-11:45 (Gps 1-5)

9:30-12:30 10:30-11:30 [TRs] 9:30-12:30

12:30-1:20 [CC Courses]

1:30-2:20 Anatomy Dissection

2:30-3:20 PCP-FL PCP-FL Practicals III & IV Physiology

(PCP-FL Gps 1-40) (PCP-FL Gps 1-40) (Pre-lab Talk) Practical II

Clinical Skills [ADL] [LT2]

(Gps 1-4) Anatomy Dissection

2:30-5:30 Practicas III & IV

[CSLs] (Gps 1-20)

Week 3: Case 1 / Case 2

28.10.2013 29.10.2013 30.10.2013 31.10.2013 1.11.2013 Y

(Gps 1-20) Physiology Practical (Gps 6-10) PBL Case 2 T1 Physiology

[MDL2&3] [TRs] 9:30-12:30

(Gps 11-15) Practical II

9:30-12:30 (Gps 16-20)

12:30-1:20 [CC Courses]

2:30-3:20 Clinical Skills PCP-FL Microbiology Public Health

3:30-4:20 (Gps 5-8) (PCP-FL Gps 1-40) Practical I Practical I

2:30-5:30 2:30-5:30 (Gps 1-20) (Gps 1-20)

4.11.2013 5.11.2013 6.11.2013 7.11.2013 8.11.2013 Y