As of June 30, 2011

1.

WHOLE CLASS SESSIONS (WCSs)

1.1 Introduction Format and Venue The WCSs are problem-based and multi-disciplinary. Two to three sessions on Mondays or Saturdays. Each session lasts for about 55 minutes (except WCS No.86 which lasts for 3 consecutive hours). Venue: Underground Lecture Theatre I, New Clinical Building, QMH (except the sessions on July 16, 2011 which will be held in Room 134, Pathology Lecture Theatre, University Pathology Building, QMH; the session on September 17, 2011 will be held at Cheung Kung Hai Lecture Theatre 4, William MW Mong Block, FMB). Content The sessions are grouped mainly according to specialties. The programme emphasizes COMMOM clinical problems, and focuses on principles and concepts rather than details of factual knowledge. Participation More than one department may contribute to each session. A teacher is nominated from each contributing department. One of the teachers involved whose names are bolded in the schedule acts as the coordinator for the session and is responsible for the planning and running of that session. The Learning Outcomes for each session are provided. Notes for each session will be put on the HKU Portal System at https://hkuportal.hku.hk/login.html around one week before the delivery of the session. Students could log in the system by using their HKU account name and the PIN.

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

As of June 30, 2011

1.2

Schedule

Venue: All sessions will be held at the Underground Lecture Theatre I, New Clinical Building, QMH (except the sessions on July 16, 2011 which will be held in Room 134, Pathology Lecture Theatre, University Pathology Building, QMH; the session on September 17, 2011 will be held at Cheung Kung Hai Lecture Theatre 4, William MW Mong Block, FMB). Session No. Titles and Contents Dates Time Departments/ Teachers-in-charge

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

1 39

Is he fit for surgery? Pre-operative assessment Protect yourself and your patients: Infection control The patient is critically ill: Intensive care medicine Unstable vital organ function The patient is very ill after the operation: Post-operative management My granny broke her hip: Management of osteoporotic fractures The pain is intolerable: Pain control How can interventional radiology help patient management? Emergency radiology Trauma & Ocular emergency Eye Problems in Children Red eyes Gradual Visual Loss Acute Visual Loss Flashing Photopsia

4-7-11 (Mon) 4-7-11 (Mon)

9-7-11 (Sat)

9-7-11 (Sat)

48 59 5 6 7 9 8 10 11 12

9.7.11 (Sat) 11-7-11 (Mon) 11-7-11 (Mon) 16-7-11 (Sat) PLT, QMH 16-7-11 (Sat) PLT, QMH 18-7-11 (Mon) 18-7-11 (Mon) 23-7-11 (Sat) 23-7-11 (Sat) 25-7-11 (Mon) 2

Anaesthesiology (M Irwin) Surgery (CM Lo) 9:30am Microbiology (V Cheng) Infection Control Unit (Ms J Tai) 8:30am Anaesthesiology (WM Chan) Surgery (S Law) 9:30am Anaesthesiology (Z Xia) Surgery (CM Lo) Medicine (J Chan) 10:30am Ortho & Trauma (TW Lau) 8:30am 9:30am 8:30am 9:30am 8:30am 9:30am 8:30am 9:30am 8:30am Anaesthesiology
(CW Cheung)

8:30am

Surgery (KN Hung) Diagnostic Radiology (Elaine Lee) Diagnostic Radiology (PL Khong) Eye Institute (J Lai) Eye Institute (Ian Wong) Eye Institute (R Gangwani) Eye Institute (Marcus Marcet) Eye Institute (Ian Wong) Eye Institute

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As of June 30, 2011

Session No. 34

Titles and Contents A bus hit a train: Multiple trauma Disaster management The patient has cancer: Cancer diagnosis and staging Tumour markers Radiotherapy may cure your cancer: Radiation oncology Are the incidences of cancer rising? Cancer epidemiology Etiology and pathogenesis of cancer Clinicopathological Conference 1 (CPC) (Groups 14, 15) I have a swelling in the neck: Neck mass I want the best treatment for my cancer: Multidisciplinary team management

Dates 25-7-11 (Mon)

14

30-7-11 (Sat)

15 16

30-7-11 (Sat) 30-7-11 (Sat)

30-7-11 (Sat) 1-8-11 (Mon) 1-8-11 (Mon)

Departments/ Teachers-in-charge (Ian Wong) 9:30am Surgery (WK Yuen) Ortho & Trauma (F Leung) Anaesthesiology (KF Ng) 8:30am Clinical Oncology (V Lee) Surgery (WL Law) Diagnostic Radiology (C Ooi) 9:30am Clinical Oncology (D Kwong) 10:30am Clinical Oncology (D Kwong) Community Medicine (TH Lam) 11:45am Time 8:30am 9:30am Surgery (W Wei) Clinical Oncology (J Tsang) Surgery (W Wei) Medicine (Prof Liang Raymond Hin Suen) Obs & Gyn (H Ngan)

22 20

21

I want the last few months of my life to live better: Palliative and hospice care Many members of the family have anaemia A painful shoulder: Shoulder problems You have many options for the treatment of your cancer Abnormal electrolytes in a cancer patient Paraneoplastic syndromes Medical Professionalism

6-8-11 (Sat)

82 60 19 18

6-8-11 (Sat) 6-8-11 (Sat) 8-8-11 (Mon) 8-8-11 (Mon)

Clinical Oncology (D Kwong) Anaesthesiology (KF Ng) 9:30am Medicine (Prof Kwong Yok Lam) Pathology (J So) 10:30am Ortho & Trauma (WP Yau) 8:30am Medicine (Dr Tse Eric Wai Choi) 9:30am Medicine (Prof Chim James Chor Sang) Clinical Oncology (J Tsang) Dr Danny Leung

8:30am

MEL-1

13-8-11 (Sat) 3

9:00am

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As of June 30, 2011

Session No. MEL-2 17

Titles and Contents Organ Transplant & Allocation of Scarce Medical Resources Many of my family members have cancers? Cancer genetics and cytogenetics Head and neck cancer problems: Function and shape Imaging of the head and neck I have an ulcer, I am itchy but no rash Skin rash: Acne, eczema, vascular lesions, psoriasis Clinicopathological Conference 2 (CPCs) (Groups 12, 13 ) It is red, swollen and painful: Infections of skin It is very troublesome: Treatments for skin diseases Hit by a van, in shock with internal bleeding: Abdominal injury Fall from height with open chest wound: Thoracic trauma I want to look better:
Plastic and reconstructive surgery

Dates LT 1, FMB 13-8-11 (Sat) LT 1, FMB 15-8-11 (Mon)

Time

Departments/ Teachers-in-charge

11:00am Dr Chan See Ching

8:30am

Pathology (SY Leung) Pathology (US Khoo) Medicine (Prof Kwong Yok Lam)

23 24 26 27

15-8-11 (Mon) 20-8-11 (Sat) 20-8-11 (Sat) 20-8-11 (Sat)

20-8-11 (Sat) 22-8-11 (Mon)

Surgery (YW Chan) Clinical Oncology (J Tsang) 8:30am Diagnostic Radiology (H Ma) 9:30am Medicine (Prof Chan Henry Hin Lee) 10:30am Medicine (Prof Chan Henry Hin Lee) Medicine (Dr Wu Adrian Young Yuen) 11:45am 8:30am Medicine (Prof Chan Henry Hin Lee) Surgery (KH Li) Microbiology (PL Ho) Medicine (Prof Chan Henry Hin Lee) Surgery (WK Yuen) Surgery (A Sihoe) Pathology (P Beh)

9:30am

28

29 36 37 25

22-8-11 (Mon) 27-8-11 (Sat) 27-8-11 (Sat) 27-8-11 (Sat)

9:30am 8:30am 9:30am

10:30am Surgery (HP Chung)

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

44

50 51

The newborn baby is vomiting repeatedly: Neonatal intestinal obstruction and other GI emergencies My grandmother looks unwell: Vague complaints in the elderly My grandfather is unable to look after himself: Multi-disciplinary geriatric

29-8-11 (Mon)

8:30am

29-8-11 (Mon) 3-9-11 (Sat)

9:30am 8:30am

Surgery (K Wong) Paed & Adol Med (PT Cheung) Obs & Gyn (SF Ngu) Medicine (Prof Chu Leung Wing) Medicine (Prof Chu Leung Wing) Psychiatry (A Law)

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As of June 30, 2011

Session No. 52

Titles and Contents assessment and rehabilitation The old lady has frequent falls: Fall assessment and prevention

Dates 3-9-11 (Sat)

Time 9:30am

Departments/ Teachers-in-charge

53

54 49 MEL-3 MEL-4 45

The old lady eats very little: Physiology of aging Malnutrition in elderly Clinicopathological Conference 3 (CPC) (Groups 1, 11) Am I too old for that drug? Uses of drugs in elderly The child is uncontrollable:
Child and adolescent psychiatry

3-9-11 (Sat) 3-9-11 (Sat) 5-9-11 (Mon) 5-9-11 (Mon) 10-9-11 (Sat) LT 1, FMB 10-9-11 (Sat) LT 1, FMB 12-9-11 (Mon)

Medicine (Prof Chu Leung Wing) Surgery (G Leung) Ortho & Trauma (TL Poon) 10:30am Medicine (Dr Chung Chun Pong) Surgery (KKC Ng) 11:45am 8:30am 9:30am
9:00am

32

33

Patient Safety & Risk Management Child Abuse, Childrens Rights and Medical Decision-making by Adolescent Patients The newborn baby cannot breathe: Oesophageal atresia, diaphragmatic hernia, and other surgery of lung An ugly wound: Wound healing Wound infection Anti-septic technique Chopped and stabbed wound in gang fight: Nerves and vascular injury Classification of injuries HRP Presentation

Medicine (Dr Chung Chun Pong) Psychiatry (KL Chan) Paed & Adol Med (A Tsang) Dr Tony Ko (HA)

11:00am Dr Anita Tsang

8:30am

12-9-11 (Mon)

9:30am

Surgery (P Tam) Paed & Adol Med (PT Cheung) Obs & Gyn (B Chan) Surgery (YW Chan) Microbiology (PL Ho) Surgery (WK Yuen) Ortho & Trauma (SP Chow)

17-9-11 (Sat) LT4, FMB 17-9-11 (Sat) (Seminar Rooms, FMB)

8:30am

10:00am 1: 00 p m

13 35 86

Surgery may cure your cancer: Surgical oncology Unconscious after an accident: Head injury Trauma Evaluation and Management (TEAM)

19-9-11 (Mon) 19-9-11 (Mon) 24-9-11 (Sat)

8:30am 9:30am 8:30am (3 ho urs

Surgery (ST Fan) Surgery (G Leung) Physiology (YS Chan) Surgery (KH Tong /WK Yuen)

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As of June 30, 2011

Session No.

Titles and Contents Clinicopathological Conference 4 (CPC) (Groups 9, 10) Do I really need that antibiotic? Clinical use of antibiotics Pharmacology of antibiotics revisited Antibiotic prophylaxis Is it really necessary? Abuse of antibiotics

Dates 24-9-11 (Sat) 26-9-11 (Mon)

Time
) 11:45am

Departments/ Teachers-in-charge

40

8:30am

41

26-9-11 (Mon)

9:30am

Microbiology (PL Ho) Medicine (Prof Kumana Cyrus Rustam) Surgery (J Ho) Medicine (C Lam) Microbiology (PL Ho)
Medicine (Prof Kumana Cyrus Rustam/Prof Cheung Bernard Man Yung)

66

I am allergic to it: Allergy to drug, food, insect, etc. Stevens-Johnson syndrome I cannot tolerate the drug: Common side effects of drugs Drug anaphylaxis Stevens-Johnson syndrome Medical Law (a) Law, Legal System (b) Legal responsibilities of doctors (c) The HK Medical Council Roles & Function (d) Professional Misconduct Are these drugs good for my kidneys? Drugs in renal failure The woman needs that drug: Oral contraceptives Drug affecting uterine motility - Urethral discharge: Urethritis and other sexually related diseases - Is it curable? Treatments for STD Why do you wet your bed all the time? Paediatric urology

3-10-11 (Mon)

8:30am

Surgery (J Ho) Medicine (C Lam) Medicine (Dr Wu Adrian Young Yuen) Medicine (Dr Wu Adrian Young Yuen) Medicine (Prof Chan Henry Hin Lee) Dermatology (Dr Lo Kuen Kong) Dr Philip Beh

67

3-10-11 (Mon)

9:30am

MEL-5

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

9:00am

70 71 38

10-10-11 (Mon) 10-10-11 (Mon) 15-10-11 (Sat)

8:30am 9:30am 8:30am

Medicine (Prof Chan Daniel Tak Moa) Pharmacology (R Man) Obs & Gyn (E Ng) Medicine (Dr Ho King Man)

46

15-10-11 (Sat)

9:30am

Surgery (P Tam) Paed & Adol Med (S Chim) Psychiatry (TP Ho)

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As of June 30, 2011

Session No. 43

Titles and Contents The child needs an operation: Common emergencies and surgery in childhood Clinicopathological Conference 5 (CPC) (Group 8) I want to donate my organs: Brain death Organ donation Psychosocial issues My grandmother keeps forgetting things: Geriatric psychiatry Dementia Feed him up before surgery: Surgical nutrition Enteral and parenteral feeding A child with deformed spine: Congenital deformities and other orthopaedic problems

Dates 15-10-11 (Sat)

15-10-11 (Sat) 17-10-11 (Mon)

Departments/ Teachers-in-charge 10:30am Surgery (K Wong) Ortho & Trauma (D Yip) Paed & Adol Med (PT Cheung) 11:45am Time 8:30am Surgery (CM Lo) Medicine (Dr Choy Bo Ying, Cindy) Pathology (P Beh) Psychiatry (J Wong) Psychiatry (A Law) Medicine (Prof Chu Leung Wing) Pathology (SY Leung) Surgery (ST Fan) Medicine (Dr Hu Wayne Hsing Cheng James) Ortho & Trauma (J Leong) Paed & Adol Med (PT Cheung) Biochemistry (K Cheah)

30

55

17-10-11 (Mon)

9:30am

42 47

22-10-11 (Sat) 22-10-11 (Sat)

8:30am 9:30am

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

31 61 57 58

I have a scald: Burn Painful knee after football: Sport injury My foot hurts: Foot problems Back pain: Problems of neck and spine Clinicopathological Conference 6 (CPC) (Groups 6,7)

24-10-11 (Mon) 29-10-11 (Sat) 29-10-11 (Sat) 29-10-11 (Sat)

29-10-11 (Sat) 31-10-11 (Mon) 5-11-11 (Sat) LT 1, FMB 7

Surgery (KH Li) Anaesthesiology (CW Cheung) 8:30am Ortho & Trauma (CH Yan) 9:30am Ortho & Trauma (KH Ng) Surgery (CW Ting) 10:30am Ortho & Trauma (YK Chan) Anaesthesiology (KF Ng) 11:45am 8:30am
9:00am

8:30am

4 MEL-6

How would you anaesthetize me?

Pharmacology of anaesthetic drugs Medical Law Common Medical Pitfalls

Anaesthesiology (G Wong) Dr David Kan

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As of June 30, 2011

Session No. 56 76 73

Titles and Contents Medical Protection A painful hip: Hip problems I am depressed: Mood disorders I cannot cope and want to die: Suicide and drug overdose I feel very nervous: Anxiety disorders They are spying on me: Psychotic disorders I cant fall asleep: Sleep physiology and Sleep disorders Does alcohol drive people nuts? Alcohol and the Brain Story of an amputee: Limb amputation and rehabilitation I hurt my arm: Dislocations and fractures Clinicopathological Conference 7 (CPC) (Groups 2,3 ) Cannot move my limbs after a dive: Paraplegia after spinal injury Cervical spine injury I cut my finger: Hand injury, industrial safety and compensation Medical Ethics & Law Test Doc, should I be treated by latest technology? Biomedical Science and Engineering in Clinical Orthopaedics Clinical pharmacokinetics Am I prescribing the right drug?

Dates 7-11-11 (Mon) 7-11-11 (Mon) 12-11-11 (Sat)

Time 8:30am 9:30am 8:30am

Departments/ Teachers-in-charge Ortho & Trauma (KY Chiu) Psychiatry (A Law) Biochemistry (J Chan) Psychiatry (R Chen)
Medicine (Prof Kumana Cyrus Rustam/Prof Cheung Bernard Man Yung)

77 75 74 72 62 63

12-11-11 (Sat) 14-11-11 (Mon) 14-11-11 (Mon) 19-11-11 (Sat) 19-11-11 (Sat) 19-11-11 (Sat) 19-11-11 (Sat) 21-11-11 (Mon) 21-11-11 (Mon)

9:30am 8:30am 9:30am 8:30am 9:30am

Psychiatry (R Chen) Physiology (S Shiu) Psychiatry (E Chen) Psychiatry (KF Chung) Physiology (S Shiu) Psychiatry (TC Lam) Ortho & Trauma (HY Kwok)

10:30am Ortho & Trauma (F Leung) 11:45am 8:30am 9:30am Ortho & Trauma (K Cheung)

64 65

MEL 81

26-11-11 (Sat) UGLT I& II 28-11-11 (Mon)

Ortho & Trauma (WY Ip) Community Medicine (TH Lam) 10:00 am 12:00nn 8:30am Ortho & Trauma (K Yeung)

68 69

28-11-11 (Mon) 3-12-11 (Sat)

9:30am 8:30am

Medicine (Prof Kumana Cyrus Rustam) Medicine (Prof Kumana Cyrus Rustam)

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As of June 30, 2011

Session No. 87 89 88 83

Titles and Contents

Dates

Time

Introduction to Blood Transfusion Service in Hong Kong I heard those newer drugs are better than my current psychiatric medications Radiology of Common Medical and Surgical Problems Is this the best drug for me?

3-12-11 (Sat) 3-12-11 (Sat) 5-12-11 (Mon) 5-12-11 (Mon)

9:30am

Departments/ Teachers-in-charge Microbiology (SSY Wong) Pathology (CK Lee)

10:30am Psychiatry (Dr Albert Chung) 8:30am 9:30am Diagnostic Radiology (PL Khong) Medicine (Prof Cheung Bernard Man Yung) Surgery (P Tam) Clinical Trial Centre Psychiatry (J Wong) Pathology (P Beh) Psychiatry (KF Chung)

80 78 79

Why should I be locked up? Ethics in psychiatry Consent and Refusal in Treatment I am a superman Bipolar disorder I cannot help myself, taking these pills just feels good: Substance abuse and addiction Clinicopathological Conference 8 (CPC) (Groups 4, 5) Confidentiality Research Ethics

10-12-11 (Sat) 10-12-11 (Sat) 10-12-11 (Sat)

8:30am 9:30am

10:30am Psychiatry (KW Chan)

10-12-11 (Sat) 12-12-11 (Mon) 12-12-11 (Mon)

11:45am

84 85

8:30am 9:30am

Community Medicine (D Vackova) Pathology (JM Nicholls)

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As of June 30, 2011

1.3

Learning Outcomes
Is he fit for surgery? Pre-operative assessment Prof M Irwin Prof CM Lo Anaesthesiology Surgery

Session 1

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

Session 2

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

Dr WM Chan Prof S Law

Anaesthesiology Surgery

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

Session 3

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

Dr Z Xia Prof CM Lo Dr J Chan

Anaesthesiology Surgery Medicine

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

Session 4

How would you anaesthetize me? Pharmacology of anaesthetic drugs

Dr G Wong

Anaesthesiology

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

Session 5

How can interventional radiology help patient management?

Dr Elaine Lee

Diag Radiology

Introduction to the diagnostic and therapeutic roles of interventional radiology. Applications of interventional radiology with examples of clinical scenarios; Image-guided fine needle aspiration/biopsy of a soft tissue mass Image-guided percutaneous drainage of abscess Embolisation of bleeding tumour/vascular trauma

10

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As of June 30, 2011

Session 6

Emergency radiology

Prof PL Khong

Diag Radiology

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

Session 7

Trauma & Ocular Emergency

Prof J Lai

Eye Institute

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

Session 8

Red Eyes

Dr R Gangwani

Eye Institute

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

Session 9

Eye problems in Children

Dr Ian Wong

Eye Institute

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

Session 10

Gradual Visual Loss

Dr M Marcet

Eye Institute

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

Session 11

Acute visual loss

Dr Ian Wong

Eye Institute

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

11

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As of June 30, 2011

Session 12

Flashing Photopsia

Dr Ian Wong

Eye Institute

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

Session 13

Surgery may cure your cancer: Surgical oncology

Prof ST Fan

Surgery

Principle of surgical treatment of cancer. Measures of success of surgery Hospital mortality Disease free survival Cumulative survival Quality of life. Factors affecting outcome of surgical treatment of cancer.

Session 14

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

Dr V Lee Prof WL Law Dr C Ooi

Clin Oncology Surgery Diag Radiology

To describe different methods to establish the diagnosis of cancer - usually histology or cytology To understand the psychological impact on patient and his/her relatives (significant others) suspected to have cancer To realize the fact that definitive histological or cytological diagnosis of cancer may not be established before the commencement of cancer therapy in some clinical situations To understand the staging system and documentation of extent of disease which offer important information about disease prognosis guiding subsequent management To identify various treatment options of cancer including surgery, radiotherapy, chemotherapy, hormonal therapy, biological therapy, targeted therapy and other modalities used alone or in combination To understand the importance of monitoring of response of cancer during and after treatment To realize that palliative treatment can still be beneficial and meaningful to patients and relatives Radiotherapy may cure your cancer: Radiation oncology Prof D Kwong Clin Oncology

Session 15

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

12

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As of June 30, 2011

Session 16

Are the incidences of cancer rising? Cancer epidemiology; etiology and pathogenesis of cancer

Prof D Kwong Prof TH Lam

Clin Oncology Com Medicine

To apply epidemiological principles on various common cancers in Hong Kong To describe the epidemiology of various common cancers in Hong Kong To distinguish between different measures of incidence and mortality of cancers To describe the oetiology of cancers: the pathogenesis and their association with causative and risk factors To recognize causes of common cancer so as to promote and advocate cancer prevention

Session 17

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

Prof SY Leung Prof US Khoo Prof Kwong Yok Lam

Pathology Pathology Medicine

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

Session 18

Abnormal electrolytes in a cancer patient: Paraneoplastic syndromes

Prof Chim James Medicine Chor Sang Dr J Tsang Clin Oncology

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

Session 19

You have many options for the treatment of your Dr Tse Eric Wai cancer Choi

Medicine

To understand the use of chemotherapy for cancer patients in various settings. To describe the side-effects of chemotherapy. To have basic knowledge and understanding on the use of targeted therapies, including monoclonal antibodies and small molecules in the management of cancers.

Session 20

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

Dr J Tsang Prof W Wei Prof Liang Raymond Hin Suen Prof H Ngan

Clin Oncology Surgery Medicine Obs & Gyn

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

13

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As of June 30, 2011

To understand the concept of evidence-based medicine and the importance of critical appraisal of clinical trials To be able to explore the need of obtaining information on cancer and its management by the patients and their relatives

Session 21

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

Prof D Kwong Dr KF Ng

Clin Oncology Anaesthesiology

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

Session 22

I have a swelling in the neck: Neck mass

Prof W Wei

Surgery (ENT)

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

Session 23

Head and neck cancer problems: Function and shape

Dr YW Chan Dr J Tsang

Surgery Clin Oncology

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

Session 24

Imaging of the head and neck

Prof H Ma

Diag Radiology

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

Session 25

I want to look better: Plastic and reconstructive surgery

Dr HP Chung

Surgery

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

14

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Session 26

I have an ulcer, I am itchy but no rash

Prof Chan Henry Medicine Hin Lee

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

Session 27

Skin rash: Acne, eczema, vascular lesions, psoriasis

Prof Chan Henry Medicine Hin Lee Dr Wu Adrian Medicine Young Yuen

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

Session 28

It is red, swollen and painful: Infections of skin

Prof Chan Henry Medicine Hin Lee Dr KH Li Surgery Dr PL Ho Microbiology

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

Session 29

It is very troublesome: Treatments for skin diseases

Prof Chan Henry Medicine Hin Lee

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

Session 30

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

Prof CM Lo Dr Choy Bo Ying, Cindy Dr P Beh Dr J Wong

Surgery Medicine Pathology Psychiatry

Definition of brain death. Criteria for organ donors. Scarcity of organ donors as compared to the need for organ transplantation (global and local). Cultural and social issues. Human Organ Transplant Ordinance. I have a scald: Burn Dr KH Li Surgery

Session 31

15

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As of June 30, 2011

Dr CW Cheung The basic pathophysiology of cutaneous burn. Assessment of the severity of a burn injury. Pathophysiology, diagnosis and management of inhalational injury. Early management of major burn injury. An ugly wound: Wound healing; wound infection; anti-septic technique Dr YW Chan Dr PL Ho

Anaesthesiology

Session 32

Surgery Microbiology

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

Session 33

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

Dr WK Yuen Prof SP Chow

Surgery Ortho & Trauma

Students should recognize the difference of cut wounds and stabbed wounds. Students should realize the importance of documenting injuries by description, and photograph, and the deduction of causes of the wound, especially in relation to medico-legal purpose. For maxillo-facial, cervical, thoracic and abdominal wounds, students should understand the priorities in management. The basic principles of evaluation and initial management of the above injuries should be clear. For injuries to the limbs, the recognition, acute treatment, late reconstruction, and rehabilitation of involved nerves, arteries, muscles, tendons, and skin would be outlined.

Session 34

A bus hit a train: Multiple trauma; disaster management

Dr WK Yuen Dr F Leung Dr KF Ng

Surgery Ortho & Trauma Anaesthesiology

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

Session 35

Unconscious after an accident: Head injury

Dr G Leung Prof YS Chan

Surgery Physiology

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

Session 36

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

Dr WK Yuen

Surgery

Review the correct sequence of priorities in assessing the multiple injured patient. Describe the significance of the anatomical regions of the abdomen. Identify the physical signs suggesting intraperitoneal, retroperitoneal and pelvic injury.

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Apply the diagnostic and therapeutic procedures specific to abdominal injury.

Session 37

Fall from height with open chest wound: Thoracic trauma

Dr A Sihoe Dr P Beh

Surgery Pathology

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

Session 38

Urethral discharge: Urethritis and other sexually related diseases Is it curable? Treatments for STD

Dr Ho King Man Medicine

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

Session 39

Protect yourself and your patients: Infection control

Dr V Cheng Ms J Tai

Microbiology Infection Control Unit

To prevent themselves through Understanding the rationale for standard precautions. Proper handling and disposal of contaminated sharps. Efficient use of closed blood collection systems. Proper use of protective apparels e.g. mask, gloves, goggles and aprons. Report of percutaneous injuries and mucosal exposures. Understanding the use of vaccines and post exposure prophylaxis. To protect patient by Appropriate hand hygiene. Use of aseptic technique. Intravascular catheter insertion and care. Practicing appropriate isolation precautions.

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Session 40

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

Dr PL Ho Prof Kumana Cyrus Rustam Dr J Ho Dr C Lam

Microbiology Medicine Surgery Medicine

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

Session 41

Antibiotic prophylaxis: Is it really necessary? Abuse of antibiotics

Dr PL Ho Prof Kumana Cyrus Rustam/ Prof Cheung Bernard Man Yung Dr J Ho Dr C Lam

Microbiology Medicine

Surgery Medicine

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

Session 42

Feed him up before surgery: Surgical nutrition, enteral and parenteral feeding

Prof ST Fan Dr Hu Wayne Hsing Cheng James

Surgery Medicine

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

Session 43

The child needs an operation: Dr K Wong Common emergencies and surgery in childhood Dr D Yip Dr PT Cheung

Surgery Ortho & Trauma Paed & Adol Med

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

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Session 44

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

Dr K Wong Dr PT Cheung Dr SF Ngu

Surgery Paed & Adol Med Obs & Gyn

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

Session 45

The newborn baby cannot breathe: Prof P Tam Oesophageal atresia, diaphragmatic hernia, and Dr PT Cheung other surgery of lung Dr B Chan

Surgery Paed & Adol Med Obs & Gyn

Learn the principles of resuscitation in the newborn. Develop a systematic approach to identify causes of respiratory distress in the newborn. Understand the embryological basis and management of anomalies with emphasis on: Oesophageal atresia tracheo-oesophageal fistula. Congenital diaphragmatic hernia.

Session 46

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

Prof P Tam Dr S Chim Dr TP Ho

Surgery Paed & Adol Med Psychiatry

Use enuresis as an example to understand principles involved in the approach of urological problems in children. Learn to distinguish functional from organic problems. Recognize and manage common urological anomalies of kidneys, ureters, bladder and urethra. Learn the indications and contraindications of circumcision.

Session 47

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

Prof J Leong Dr PT Cheung Prof K Cheah

Ortho & Trauma Paed & Adol Med Biochemistry

Broad categories of spinal deformities: scoliosis, kyphosis, kyphoscoliosis. Aetiology of spinal deformities: idiopathic (most common), congenital, neuromuscular, component of a generalized effectation of the body (special syndromes). Associated deformities: intraspinal abnormalities (spinal dysraphism); cardiovascular abnormality; renal abnormality. Approach to a child with spinal deformity: history taking; physical examination; investigations. Principles of treatment of spinal deformity: observation; bracing; surgical treatment.

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Session 48

My granny broke her hip: Management of osteoporotic fracture

Dr TW Lau

Ortho & Trauma

Osteoporotic vs normal bone: Differences in biomechanics and physiology Principles of management of geriatric hip fractures - Diagnosis and investigations - Pre-operative assessment and timing of surgery - Neck of femur (intra-capsular) fracture management - Trochanteric (extra-capsular) fracture management - Post-operative management and rehabilitation - Common acute and long term complications Follow-up on osteoporosis and secondary prevention of hip fracture Other common osteoporotic fractures - Principles of management - Common problems and complications The child is uncontrollable: Child and adolescent psychiatry Dr KL Chan Dr A Tsang Psychiatry Paed & Adol Med

Session 49

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

Session 50

My grandmother looks unwell: Vague complaints in the elderly

Prof Chu Leung Wing

Medicine

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

Session 51

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

Prof Chu Leung Wing Dr A Law

Medicine Psychiatry

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

Session 52

The old lady has frequent falls: Falls assessment and prevention

Prof Chu Leung Wing Dr G Leung Dr TL Poon

Medicine Surgery Ortho & Trauma

To recognise the negative impact of falls on physical and psychological health in older people. To analyze the risk factors for falls.

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To formulate management plans for the prevention of future falls and fall-related complications. To formulate management plans for fall-related complications. The old lady eats very little: Physiology of aging; malnutrition in elderly Dr Chung Chun Pong Dr KKC Ng Medicine Surgery

Session 53

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

Session 54

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

Dr Chung Chun Pong

Medicine

To analyze the inter-relationship of aging and pharmacokinetics, analyze/pharmacodynamics of drugs. To analyze the preventable factors in multiple medications, drugs compliance and adverse effects. To formulate a rational plan in drug prescribing for elderly patients.

Session 55

My grandmother keeps forgetting things: Geriatric psychiatry Dementia

Dr A Law Prof Chu Leung Wing Prof SY Leung

Psychiatry Medicine Pathology

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

Session 56

A painful hip: Hip problems

Prof KY Chiu

Ortho & Trauma

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

Session 57

My foot hurts: Foot problems

Dr KH Ng Dr CW Ting

Ortho & Trauma Surgery

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

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Surgical reconstruction. Back pain: Problems of neck and spine Dr YK Chan Dr KF Ng Ortho & Trauma Anaesthesiology

Session 58

Common causes of neck and back pain. Acute and chronic forms. Inflammatory and mechanical forms. Red flag signs suggestive of more sinister causes. Clinical and radiological investigations. Conservative and surgical treatment.

Session 59

The pain is intolerable: Pain control

Dr CW Cheung Dr KN Hung

Anaesthesiology Surgery

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

Session 60

A painful shoulder: Shoulder problems

Dr WP Yau

Ortho & Trauma

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

Session 61

Painful knee after football: Sport injury

Dr CH Yan

Ortho & Trauma

Level 1 To recognise the features of a football game. To identify possible painful structures in the knee anatomically. To classify the mechanisms of injury of the knee. To recognise specific clinical features of different injuries. Level 2 To suggest the systems of examination of the patient. To suggest the sequence of examination of the painful knee. To relate the physical signs with the pathology inside the knee. Level 3 To formulate the approach of the investigation of the disorder. To establish the final diagnosis and plan of management.

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Session 62

Story of an amputee: Limb amputation and rehabilitation

Dr HY Kwok

Ortho & Trauma

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

Session 63

I hurt my arm: Dislocations and fractures

Dr F Leung

Ortho & Trauma

To understand fracture management principles. To know different fracture treatment methods. To understand different fracture types and rationale for treatment. Session 64 Cannot move my limbs after a dive: Paraplegia after spinal injury; cervical spine injury Prof K Cheung Ortho & Trauma

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

Session 65

I cut my finger: Hand injury; industrial safety and compensation

Dr WY Ip Prof TH Lam

Ortho & Trauma Com Medicine

Pathology and disease Relation of anatomy of hand and various hand injury. Presentation common hand injuries. Management of common hand injuries. Hand function and rehabilitation. Medicine and society Industrial safety. Compensation.

Session 66

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

Dr Wu Adrian Medicine Young Yuen

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

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Session 67

I cannot tolerate the drug: Common side effects of drugs Drug anaphylaxis Stevens-Johnson syndrome

Dr Wu Adrian Young Yuen Prof Chan Henry Hin Lee Dr Lo Kuen Kong

Medicine Medicine Dermatology

Describe the clinical manifestations of drug allergy. Explain the different immunological mechanisms of drug allergies. Understand the mechanisms of pseudoallergic reactions to drugs such as opiates, Vancomycin and radiocontrast media, and how they may differ from classic anaphylactic reactions. Be able to diagnose, prevent and treat drug allergies. Describe the correct approach to patients with allergies to several more commonly used agents, including antibiotics, NSAIDs insulin, local anesthetics and radiocontrast media.

Session 68

Clinical pharmacokinetics

Prof Kumana Cyrus Medicine Rustam

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

Session 69

Am I prescribing the right drug?

Prof Kumana Cyrus Rustam Dr SSY Wong

Medicine Microbiology

Prescribe with patient safety in mind Knowledge: How to prescribe properly and safely. Learn about common medication errors. Understand the process of auditing prescriptions. Skills: Retrieving appropriate drug information. Writing a proper prescription. Attitude: Recognise that mistakes in prescribing may harm the patient and can be mimimised by adopting better practices.

Session 70

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

Prof Chan Daniel Tak Mao

Medicine

To understand the interactions between kidney function and drug metabolism. To acquire knowledge on therapeutic or adverse effects for commonly used and/or clinically important medications under the circumstances of impaired renal function. To acquire knowledge on the principles of drug use and dosage modifications in patients with impaired renal function. To acquire knowledge on the effect of drugs on renal function.

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Session 71

The woman needs that drug: Oral contraceptives; drug affecting uterine motility

Prof R Man Dr E Ng

Pharmacology Obs & Gyn

Understand the mechanisms of action of principal oral contraceptives and drugs affecting uterine motility. Be aware of major adverse effects of these drugs. Clinical applications of the drugs involved. Patients counseling.

Session 72

Does alcohol drive people nuts? Alcohol and the Brain

Dr TC Lam

Psychiatry

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

Session 73

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

Dr R Chen Psychiatry Prof Kumana Cyrus Medicine Rustam/ Prof Cheung Bernard Man Yung

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

Session 74

I cant fall asleep: Sleep physiology and sleep disorders

Dr KF Chung Dr S Shiu

Psychiatry Physiology

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

Session 75

They are spying on me: Psychotic disorders

Prof E Chen

Psychiatry

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

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Session 76

I am depressed: Mood disorders

Dr A Law Dr J Chan

Psychiatry Biochemistry

Definition of depression Epidemiology and aetiology: genetic, psychosocial deprivation, personality, acute stress/life events and biochemical. Management Diagnosis and investigations Treatment: biological, psychological, socio-occupational. By whom CP or Psychiatrist? Biochemical Theories of Depression and Rationale for Anti-depressant Drugs. I feel very nervous: Anxiety disorders Dr R Chen Dr S Shiu Psychiatry Physiology

Session 77

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

Session 78

I am a superman: Bipolar disorder

Dr KF Chung

Psychiatry

Understand the classification of mood disorder. Understand the clinical features, etiology, assessment and management of bipolar disorder. I cannot help myself, taking these pills just feels Dr KW Chan good: Substance abuse and addiction Psychiatry

Session 79

To understand the clinical features of substance misuse and dependence. To examine the neurobiological basis of addictive behavior. To identify the complications of substance addiction. To understand the principle of assessment and management of people with substance abuse and dependence.
Why should I be locked up? Ethics in psychiatry, Consent and Refusal in Treatment Dr J Wong Psychiatry

Session 80

To examine the ethical background of detention of a person with a mental disorder. To examine the legal provisions for such detention: Mental Health Ordinance. To recognise the rights of the detained patient. Confidentiality in psychiatry. To analyse the ethical background to the requirement for consent to medical treatment.

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To examine current law on consent: battery and negligence. To examine the definition of decision-making capacity and its significance. To recognise doctors duties in giving information to the patient: standard of information disclosure. To recognise situations where treatment may be given without consent or by proxy consent.

Session 81

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

Ortho & Trauma

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

Session 82

Many members of the family have anaemia

Prof Kwong Yok Medicine Lam Dr J So Pathology

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

Session 83

Is this the best drug for me?

Prof Cheung Bernard Man Yung Prof P Tam

Medicine Surgery CTC

Choose the best drug based on its efficacy, safety and cost-effectiveness Knowledge: Understanding the strengths and limitations of clinical evidence. Distinguishing between efficacy and effectiveness of a treatment. Understanding what are absolute and relative risk reductions and odds ratios. Grasping the difference between statistical significance and clinical significance. Appreciating that individuals or subgroups may experience a different benefit-risk profile (personalised medicine). Skills: Interpreting clinical trial, pharmacoepidemiological and pharmacoeconomic data. Attitude: Recognising that the quality of prescriptions can be improved by considering a drugs efficacy, safety and cost-effectiveness.

Session 84

Confidentiality

Dr D Vackova

Com Medicine

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

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Session 85

Research Ethics

Dr JM Nicholls

Pathology

Know the procedures involved in submission of an Ethical Proposal to the Faculty of Medicine, the University of Hong Kong. Know the basis of the GCP-ISH document. Be able to design an appropriate consent form for a clinical trial.

Session 86

Trauma Evaluation and Management (TEAM)

Dr KH Tong / Dr WK Yuen

Surgery

Describe the principles underlying the management of trauma patients based on ATLS principles. Appreciate the importance of the appropriate evaluation of trauma patients with regard to the need for transfer or immediate life-support treatment. Understand the indications and basic techniques for urgent life-support treatment.

Session 87

Introduction to Blood Transfusion Service in Hong Kong

Dr CK Lee

Pathology

How blood service operates in Hong Kong and what is the difference from other countries. Demand and supply chain, how to maintain a stable blood supply with minimal wastage. Transfusion safety focusing on strategies on blood safety. Radiology of Common Medical and Surgical Problems Prof PL Khong Diagnostic R a d i o l o g y

Session 88

Revision of radiological approach to common medical and surgical problems. Emphasis on the importance of the selection of the most appropriate imaging modality for various clinical scenarios. Appreciate the pros and cons of imaging options. I heard those newer drugs are better than my current psychiatric medications Dr Albert Chung Psychiatry

Session 89

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To describe the neuro-pharmacology of benzodiazepines, antipsychotics and antidepressants To list the common side-effects of benzodiazepines, antipsychotics and antidepressants To distinguish the neuro-pharmacological differences between traditional and newer types of antidepressants, and their side-effect profiles To distinguish the neuro-pharmacological differences between 1st and 2nd generation antipsychotics, and their side-effect profiles

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2.

Medical Ethics Teaching There will be six whole class Medical Ethics & Law Seminars. Each seminar has its own unique outcomes and details of the seminars are listed below: Session 1: Topic: Tutor: Date: Time: Venue: Medical Professionalism Dr Danny Leung August 13, 2011 (Saturday) 9:00am-11:00 am Lecture Theatre 1, G/F, William MW Mong Block, Faculty of Medicine Building

Learning Outcomes: (a) Familiarize students with the basic professional requirements (altruism, accountability, humanism and excellence) of being a medical doctor. (b) Familiarize students with the basic principles underpinning medical professionalism. (c) Ethics of research involving human beings. (d) Familiarize students with some scientific research conducts. Session 2: Topic: Tutor: Date: Time: Venue: Organ transplant and allocation of scarce medical resources Dr Chan See Ching, QMH August 13, 2011 (Saturday) 11:00am-1:00pm Lecture Theatre 1, G/F, William MW Mong Block, Faculty of Medicine Building

Learning Outcomes: (a) Explain why allocation policy is organ specific. (b) Identify the conflict between equity and utility in the use of scarce medical resources. (c) Interpret donor/recipient risk/benefit ratios of living donor liver transplantation. Session 3: Topic: Tutor: Date: Time: Venue: Patient Safety & Risk Management Dr Tony Ko (HA) September 10, 2011 (Saturday) 9:00am-11:00am Lecture Theatre 1, G/F, William MW Mong Block, Faculty of Medicine Building

Learning Outcomes: (a) To improve the awareness of patient safety and risk management in the healthcare process and medical system. (b) To provide students with a reasonable understanding of the following : - Areas of clinical risk: surgical related errors, misidentification, medication errors, breach of patient privacy, communication 30
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breakdown. Swiss cheese model in risk management. Improvement of safety in healthcare system is focused on eliminating system and process errors. Incident management: incident reporting, investigation, open disclosure, public disclosure, risk reduction programmes and clinical governance. The importance of sharing and learning culture in improving the awareness of patient safety. Multi-disciplinary approach in handling risk and improving safety: Crew resources management from aviation and simulator-based training.

Session 4: Topic: Child Abuse, Childrens Rights and Medical Decision-making by Adolescent Patients Tutors: Dr Anita Tsang Date: September 10, 2011 (Saturday) Time: 11:00am-1:00pm Venue: Lecture Theatre 1, G/F, William MW Mong Block, Faculty of Medicine Building Learning Outcomes: (a) To understand the role of the doctor in child protection (b)To understand the context of conflict between parents and child patient in medical decision making (c) To understand the legal and moral rights of children and adolescents in medical decision-making Session 5: Topic: Medical Law (a) Law, Legal System (b) Legal responsibilities of doctors (c) The HK Medical Council Roles & Function (d) Professional Misconduct Tutor: Date: Time: Venue: Dr SL Beh October 8, 2011 (Saturday) 9:00am-1:00pm Lecture Theatre 1, G/F, William MW Mong Block, Faculty of Medicine Building

Learning Outcomes: (a) Develop an overview of the legal system in Hong Kong. (b) Awareness of the range of legislations that affect medical practitioners. (c) Understanding of the legal responsibilities of medical practitioners in Hong Kong. (d)Revisiting and reflection on understanding of consent and its importance. 31
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(e) Understanding of legal concepts of medical negligence. Session 6: Topic: Medical Law Common Medical Pitfalls; Medical Protection Tutor: Dr David Kan Date: November 5, 2011 (Saturday) Time: 9:00am-1:00pm Venue: Lecture Theatre 1, G/F, William MW Mong Block, Faculty of Medicine Building Learning Outcomes: (a) Understand and appreciate the common pitfalls of medical practitioners; with revisit of consent and medical negligence. (b) Reflection on appropriate strategies to avoid medical pitfalls. (c) Role of medical protection societies. Assessment (a) A Medical Ethics & Law Test will be held on November 26, 2011 at the Underground Lecture Theatres I & II, New Clinical Building, Queen Mary Hospital. Details of the test will be announced via e-mail in due course. (b) 100% attendance is REQUIRED. Students who are absent from a session on medical ground are required to submit the relevant proof (i.e. medical certificate) to the Faculty Office within 7 days of that session. For cases of absence on other personal or urgent reasons, students are required to seek PRIOR APPROVAL from the Faculty Office in writing, and these cases will be considered individually.

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

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3.
3.1

Clinicopathological Conferences (CPCs)

Learning Outcomes The clinicopathological conference is an integrated teaching session. It is hosted by the Department of Pathology together with a panel of teachers from different clinical disciplines according to the theme of the case presented. The CPC will enable students: To learn the skills of capturing the essential problems of a clinical case and making a formal presentation to highlight its salient features, complexities, approach to diagnosis and management; To recognize the role of laboratory medicine in clinical diagnosis and management, including the importance of timely communication and feedback between disciplines and members of the care team; To participate in an interactive discussion on the rational use of investigative tools and tests required to formulate a diagnosis and monitor the disease course

3.2 Format 1 case each of 45 mins would be presented per session, with 8 sessions per year; The cases would be chosen by the pathologist responsible for that session; The presenting group of students would be given the case material 4 weeks in advance for review and preparation. During the CPC, students from the audience, without prior knowledge of the case, would be invited to ask relevant questions. The presenting students would attempt to answer using their power point slides. The teachers would supplement with expert comments. The following is a typical timeline of case preparation:
Students submit prelimina ry PowerPoi nt file

Student s obtain case notes

&

Meeting between student s& teacher

Students receive feedback s

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

2 - 4 days before presentation 1 week before presentation 4 weeks before presentation

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3.3 Assessment of Student Performance: Three MCQ questions would be set for each case. Two MCQ tests would be conducted on the 4th and 8th session, respectively. The MCQ questions would be submitted to the Faculty pool for the final MBBS examination. The presenting group would also be assessed individually based on: Critical analysis skills during case preparation Content and quality of the presentation material (Powerpoint file) Moderation skills during the CPC 3.4 Award The Best Case would be selected by STUDENTS ONLY according to the case content and the presentation skill. A prize (details to be announced) would be awarded to the group presenting the Best Case. The case, with due recognition to the presenting students, would be posted onto the Departmental homepage to build a Case Bank which would be freely accessible by students and staff in successive years.

Queries and comments on the Clinicopathological Conferences can be directed to Dr MP Wong (Email: mwpik@hkucc.hku.hk). 3.5 Schedule The clinicopathological conference will begin at the end of the 4th week of the 24-week Senior Clerkship. A total of 8 CPCs will be offered according to the following schedule: Week 4 7 9 12 15 17 20 23 CPC Student Groups No. Assigned 30.7.2011 1 Gps 14, 15 Date 20.8.2011 3.9.2011 24.9.2011 15.10.11 29.10.11 19.11.11 10.12.11 2 3 4 5 6 7 8 Gps 12, 13 Gps 1, 11 Gps 9, 10 Gp 8 Gps 6, 7 Gps 2,3 Gps 4,5 Departments Forensic Pathology Haematology Molecular Pathology Anatomical Pathology Chemical Pathology Microbiology Haematology Immunology Teachers Dr PSL Beh Dr JCC So Dr CTL Chan Prof US Khoo Dr YCW Yeung Dr PL Ho Dr WWL Choi Dr EYT Chan

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

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3.6 Contact Details of Teachers for Clinicopathological Conference Students responsible for the preparation of the Clinicopathological case should contact Lily Fung (Tel: 2255 4875, Email: lilyfung@pathology.hku.hk) or the teachers responsible for their CPC session as early as possible and in any event not less than 4 weeks prior to the date of the CPC session. The teachers will provide you with the case material and will guide you on the presentation. You might want to discuss with the teachers whether to invite teachers of other clinical specialties to help in the discussion. For further enquiries, please contact Dr MP Wong (Tel: 2255 4861, Email: mwpik@hkucc.hku.hk). Department of Medicine Prof CS Chim Department of Microbiology Dr PL Ho Department of Pathology Dr PSL Beh Dr CTL Chan Dr EYT Chan Dr WWL Choi Prof US Khoo Dr JCC So Dr MCW Yeung Department of Surgery Dr HP Chung hpchung@hkucc.hku.hk slbeh@hkucc.hku.hk tlchan@pathology.hku.hk eytchan@ha.org.hk wlchoi@pathology.hku.hk uskhoo@pathology.hku.hk scc@pathology.hku.hk ycw186@ha.org.hk plho@hkucc.hku.hk jcschim@hkucc.hku.hk

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4.

Conscientious Objection Policy on the use of live animals in teaching and/or practical sessions

The University is concerned about animal welfare and humanity and is committed to ensuring that teaching practicals involving the use of live animals are well-justified and students are prepared appropriately for the experience. Below please find information on the use of live animals in teaching and/or practical sessions: 1. The teacher/course co-ordinator concerned should stipulate clearly in the course description if live animals are to be used in the course. 2. The conduct of animal experimentations at HKU requires prior approval of the Committee on the Use of Live Animals in Teaching and Research (CULATR). 3. In accordance with the Animals (Control of Experiments) Ordinance Cap 340 of the HKSAR Government which provides for the control of experiments on living vertebrate animals, a Bloc License for conduct of animal experimentations will be obtained from the Department of Health by the teacher/course co-ordinator concerned on behalf of students attending teaching practicals. 4. Students who object to animal experimentation should discuss with the teacher/course co-ordinator concerned before enrolling for the course to opt for training and assessment by using audiovisual and computer models as alternative methods/materials for the study. In situations when such alternatives are not available, students should be allowed to opt out of teaching practicals/experiments within the course without detriment to his/her grade. 5. Any concerns regarding the use of live animals should be addressed to the teacher/course coordinator concerned in the first instance, and then to the CULATR as necessary. Further information on this policy is available at http://www.hku.hk/facmed/04research_animal.htm.

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5. (I) (II)

Code of Conduct 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. 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 <Section VIII>.

(III)

Academic Misconduct (*Academic dishonesty will constitute a disciplinary case, which may result in disciplinary action being taken on you) Cheating in examination; Plagiarism <Section III (b)>; Misrepresentation of data: research projects; Allowing another student to represent your work as his/her own; Forgery or alternation of official records or documents including attendance records or doctor/nurse status; Manifest attitude or behavior which is detrimental or illegal, involving people in the direct context of teaching/learning activities i.e. Patients. (a) Use of Teaching Materials

Course materials are for teaching purposes and are not meant for circulation without the consent from individual teachers/ departments; Unauthorized photographing, recording and video-taping of lectures and/or practical sessions are strictly forbidden; Any unauthorized recording and/or downloading of teaching materials would constitute a disciplinary case; For PBL Tutorials, distribution of tutor guides to students is strictly forbidden; Instructions of using/ dealing with specimens and manikins should be adhered.

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

As of June 30, 2011

(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 www.hku.hk/plagiarism. (c) Class Attendance & Signing Attendance

Attend all teaching classes according to the timetable; Sign the attendance sheet for each lesson (if any); DO NOT sign attendance for another person which is considered as a form of forgery and is a serious misconduct; Seek prior approval from the Faculty before taking leave of absence from any class/examinations (Absence due to sickness must be supported by a sick-leave certificate from a registered doctor while justifications are required for absence on non-medical grounds). (IV) Non-Academic Misconduct (*Non-academic misconduct may result in disciplinary actions taken on you, e.g. severe reprimand and termination of student status) Manifest attitude or behaviour which is illegal or detrimental to people in the general context; Verbal/physical abuses: endangers or threatens the health or safety of university members; Harassment; Disrupt/obstruct university activities or services; Thievery; Unauthorized conduct: unauthorized entry to and/or presence at, possession of, use of any university facilities/resources; Causing damage/destruction to university property. (V) Professional Attitude and Behavior of a Medical Student (a) Professional Attitude

Demonstrate honesty and integrity; Be prepared to admit deficiencies in knowledge, understanding or skills; Be aware of 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. 39
The University of Hong Kong, Li Ka Shing Faculty of Medicine All rights reserved.

As of June 30, 2011

(b)

Attire

- Be neatly and decently dressed when attending classes, whether they are held in wards or not; - Patient contact: dress appropriately to inspire confidence of the patients in you as a healthcare professional, and also avoid being the vehicle of transmission infection (cleanliness). (c) Use of Cell Phone

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

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

Showing courtesy and consideration for everybody (including patients, doctors, nurses, fellow students, and other staff ) in the ward; Consult the tutors/ ward managers/ nurses on duty in wards for advice before performing patient clerking; Follow the infection control guidelines of the Faculty/ teaching hospitals concerned; DO NOT engage in excessive socialactivities 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.

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

As of June 30, 2011

(VII) Chaperone Policy for Physical Examination Clinical chaperone for the purpose of witness and thus protection to both doctor (student) and patient for physical examination; Female chaperone is required to be present for physical examination of female patients by male students; Clear explanation before physical examination to seek patient consent; The chaperone should have the knowledge to assess the appropriateness of the examination / procedure as well as the way in which they are done; Adequate screening during physical examination requiring patient body exposure, and the chaperone should be in the sight of the patient. (VIII) Patient Confidentiality DO NOT take patient records away from the wards/clinics, and DO NOT photocopy them even for learning purpose; DO NOT disclose, in various means of oral or written format, by telephone or fax, or electronically, any medical information in connection with the management of a patient; DO NOT release private information that you may have obtained during the course of your studies. (*Note that this may be done unintentionally if you talk/discuss freely in public areas of the hospital/clinic).

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